Evidence map›Paper›PMID 40011661›Full record

ArticleEuropean journal of clinical nutrition2025

The relation between body mass index and target organ damage and the mediating role of blood pressure.

Ionas Papassotiriou, Sotiria Spiliopoulou, Damianos Dragonas, Nefeli Tsoutsoura, Eleni Korompoki, Efstathios Manios

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Article in European journal of clinical nutrition, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Exploring the Linear and Non-linear Association Between BMI and Night-Time Blood Pressure Variability.High blood pressure & cardiovascular prevention : the official journal of the Italian Society of Hypertension · 2026
    Article
  3. Hypertension and vascular health in the young.Current opinion in pediatrics · 2025
    Review
  4. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Ionas PapassotiriouSchool of Medicine, National and Kapodistrian University of Athens, Athens, Greece. iwn.papas@gmail.com.ORCID http://orcid.org/0000-0002-5591-8703
Sotiria SpiliopoulouDepartment of Clinical Therapeutics, Faculty of Medicine, National and Kapodistrian University of Athens, Alexandra Hospital, Athens, Greece.
Damianos DragonasDepartment of Clinical Therapeutics, Faculty of Medicine, National and Kapodistrian University of Athens, Alexandra Hospital, Athens, Greece.
Nefeli TsoutsouraDepartment of Clinical Therapeutics, Faculty of Medicine, National and Kapodistrian University of Athens, Alexandra Hospital, Athens, Greece.
Eleni KorompokiDepartment of Clinical Therapeutics, Faculty of Medicine, National and Kapodistrian University of Athens, Alexandra Hospital, Athens, Greece.
Efstathios ManiosDepartment of Clinical Therapeutics, Faculty of Medicine, National and Kapodistrian University of Athens, Alexandra Hospital, Athens, Greece.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

objectivesThe relationship between obesity and blood pressure (BP) is well known, but limited data exists regarding its relationship with target organ damage (TOD). Therefore, this study aimed to examine the relationship between body mass index (BMI) and TOD and the mediating role of BP. SUBJECTS/

methods2555 adults (52.0% women) who visited a local Hypertension Unit with valid measures on weight, height, 24 h ambulatory BP monitoring, office BP measurements, echocardiography, carotid ultrasonography and blood creatinine levels, included in this cross-sectional study. BMI was used to categorize participants as having normal weight (< 25 kg/m

resultsObesity was significantly related to 24-hour systolic BP (b = 3.72, 95%CI: 2.24-5.21, p < 0.001), CCA-IMT (b = 0.04, 95%CI: 0.02-0.05, p < 0.001), ICA-IMT (b = 0.03, 95%CI: 0.01-0.05, p = 0.020), and LVMI (b = 7.54, 95CI%: 4.25-10.83, p < 0.001). The mediation analysis revealed that 24-hour systolic BP mediated by 27.9% the relationship between BMI and CCA-IMT, by 31.3% the relationship between BMI and ICA-IMT, and by 18.1% the relationship between BMI and LVMI.

conclusionsThese results indicate that obesity is associated with indices of asymptomatic cardiac remodeling and vascular atherosclerosis, and systolic BP mediates these relationships.

Indexed as

Blood PressureBody Mass IndexHypertensionObesityAdultAgedCarotid Intima-Media ThicknessCross-Sectional StudiesFemaleGlomerular Filtration RateHumansMaleMiddle Aged

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.