Evidence map›Paper›PMID 40118809›Full record

ArticleJournal of the American Heart Association2025

Body Mass Index, Comorbidities, and Ambulatory Care Visits: The REGARDS Study.

Emily B Levitan, Aowen Zhu, Vera Bittner, Todd M Brown, Michael E Farkouh, Mariam Girguis, Lei Huang, Elizabeth A Jackson, Suzanne E Judd, Shannon Rhodes and 5 more

Abstract read
In one paragraph

Article in Journal of the American Heart Association, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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

15 authors.

Emily B LevitanDepartment of Epidemiology University of Alabama at Birmingham Birmingham AL USA.ORCID 0000-0002-5429-3852
Aowen ZhuDepartment of Epidemiology University of Alabama at Birmingham Birmingham AL USA.ORCID 0000-0003-2214-1624
Vera BittnerDivision of Cardiovascular Disease University of Alabama at Birmingham Birmingham AL USA.ORCID 0000-0001-9456-850X
Todd M BrownDivision of Cardiovascular Disease University of Alabama at Birmingham Birmingham AL USA.
Michael E FarkouhDepartments of Academic Affairs and Cardiology Cedars Sinai Los Angeles CA USA.ORCID 0000-0002-8095-0246
Mariam GirguisAmgen, Inc Thousand Oaks CA USA.
Lei HuangDepartment of Epidemiology University of Alabama at Birmingham Birmingham AL USA.
Elizabeth A JacksonDivision of Cardiovascular Disease University of Alabama at Birmingham Birmingham AL USA.ORCID 0000-0002-5086-0418
Suzanne E JuddDepartment of Biostatistics University of Alabama at Birmingham Birmingham AL USA.ORCID 0000-0001-7594-6587
Shannon RhodesAmgen, Inc Thousand Oaks CA USA.ORCID 0000-0001-8647-4941
Monika M SaffordDivision of General Internal Medicine Weill Cornell Medicine New York NY USA.ORCID 0000-0002-3060-0563
Jennifer L StrandeAmgen, Inc Thousand Oaks CA USA.ORCID 0000-0002-5918-230X
Min-Jung WangAmgen, Inc Thousand Oaks CA USA.
Mark WoodwardThe George Institute for Global Health University of New South Wales Sydney New South Wales Australia.ORCID 0000-0001-9800-5296
D Leann LongDepartment of Biostatistics University of Alabama at Birmingham Birmingham AL USA.

Funding

REGARDS - MI StudyR01HL080477 · NHLBI · WEILL MEDICAL COLL OF CORNELL UNIV · PI LEVITAN, EMILY B, SAFFORD, MONIKA M · 2006 to 2020
$11.6M
REasons for Geographic And Racial Differences in Stroke-Myocardial Infarction-4 (REGARDS-MI-4)R01HL165452 · NHLBI · WEILL MEDICAL COLL OF CORNELL UNIV · PI LEVITAN, EMILY B, SAFFORD, MONIKA M · 2022 to 2025
$8.3M
NHLBI NIH HHS R01 HL080477NHLBI NIH HHS R01 HL165452
6 · The paper itself

Abstract

backgroundIndividuals with obesity have more ambulatory care usage than individuals with normal weight and overweight. There is limited information on whether this is consistent across provider specialties and whether comorbidities explain the associations. METHODS AND

resultsAmong REGARDS (Reasons for Geographic and Racial Differences in Stroke) cohort study participants with Medicare fee-for-service coverage (n=9648), we identified ambulatory visits over 5 years. We used marginalized zero-inflated Poisson models to calculate ratios of means by body mass index (BMI), adjusted for demographics and health behaviors, and inverse odds weighting to evaluate mediation by diabetes, hypertension, dyslipidemia, stroke, coronary heart disease, atrial fibrillation, heart failure, chronic kidney disease, depressive symptoms, cancer, arthritis, and sleep apnea. The mean age of participants was 71.7±7.3 years, 35.1% were Black individuals and 64.9% White individuals, and 51.1% were women. Participants had a mean of 37.8 total, 16.0 primary care, 3.4 cardiology, 1.9 orthopedics, 0.9 pulmonology, and 0.4 endocrinology visits. Compared with individuals with BMI 18.5 to <25 kg/m

conclusionsUnderstanding which specialty visits are associated with higher BMI can help with workforce planning and allocation of resources.

Indexed as

Ambulatory CareBody Mass IndexObesityAgedAged, 80 and overComorbidityFemaleHumansMaleMedicareMiddle AgedRisk FactorsUnited Statesambulatory carebody mass indexhealth servicesmedicareobesityoverweight

Identifiers

PMID40118809
PMCPMC12132877

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Registered trials

None linked

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.