Evidence map›Paper›PMID 40481922›Full record

ReviewCurrent diabetes reports2025

The Obesity Paradox of Cardiovascular Outcomes in Patients with Diabetes Mellitus.

Janki Thakker, Isna Khaliq, Nelish S Ardeshna, Carl J Lavie, Ahmet Afsin Oktay

Abstract readReview
PubMed Publisher
In one paragraph

Review in Current diabetes reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Review
  5. 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

5 authors.

Janki ThakkerDepartment of Internal Medicine, Division of Cardiology, Rush University Medical Center, 1717 W. Congress Parkway, Kellogg Building 316, Chicago, IL, 60612, USA.
Isna KhaliqDepartment of Internal Medicine, Division of Cardiology, Rush University Medical Center, 1717 W. Congress Parkway, Kellogg Building 316, Chicago, IL, 60612, USA.
Nelish S ArdeshnaDepartment of Internal Medicine, Division of Cardiology, Rush University Medical Center, 1717 W. Congress Parkway, Kellogg Building 316, Chicago, IL, 60612, USA.
Carl J LavieOchsner Clinical School, John Ochsner Heart and Vascular Institute, The University of Queensland School of Medicine, New Orleans, LA, USA.
Ahmet Afsin OktayDepartment of Internal Medicine, Division of Cardiology, Rush University Medical Center, 1717 W. Congress Parkway, Kellogg Building 316, Chicago, IL, 60612, USA. Ahmet_a_oktay@rush.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purpose of reviewThe "obesity paradox" describes the counterintuitive observation that overweight and mildly obese individuals with cardiovascular disease (CVD) may have better outcomes than those with normal weight. This paradox is particularly intriguing in patients with type-2 diabetes (T2D), where obesity is a well-established risk factor for cardiometabolic complications. RECENT

findingsEvidence from some epidemiological studies suggested an obesity paradox in mortality risk among patients with T2D. However, confounding factors may influence this association, including reverse causality, differences in risk factor profiles, and adipose tissue distribution. Recent research also questions the reliance on body mass index as an accurate measure of metabolic health, emphasizing the role of alternative anthropometric indices. This review critically evaluates the evidence for the obesity paradox in T2D, explores potential mechanistic explanations, and discusses clinical implications. Understanding the complex interaction between diabetes and obesity in CVD risk is essential for refining obesity management strategies in individuals with T2D and CVD.

Indexed as

Cardiovascular DiseasesDiabetes Mellitus, Type 2ObesityBody Mass IndexHumansObesity ParadoxRisk FactorsBody mass indexCardiovascular diseaseDiabetes mellitusMortalityObesityObesity paradox

Identifiers

What OpenQuestion holds

Textmetadata
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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.