Evidence map›Paper›PMID 41013262›Full record

Observational studyBMC cardiovascular disorders2025

Malnutrition increases the risk of atrial fibrillation.

Mengting Huang, Shaozhao Zhang, Chaoguang Xu, Bingzhen Li, Yuhui Lai, Rongjian Zhan, Yue Guo, Yuedong Ma, Xinxue Liao, Xing Wu and 1 more

Registry-linked trialAbstract readObservational Study
In one paragraph

Observational study in BMC cardiovascular disorders, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00005131 (Atherosclerosis Risk in Communities), which is not on this 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.

NCT00005131 completednot on this map

Atherosclerosis Risk in Communities (ARIC)

TypeobservationalSponsorNational Heart, Lung, and Blood Institute (NHLBI)Ran1985 to 2007ConditionsAtherosclerosis, Coronary Disease, Coronary Heart Disease Risk Reduction, Diabetes Mellitus
3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  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

11 authors.

Mengting Huang *Cardiology Department, The First Affiliated Hospital of Sun Yat-Sen University, 58 Zhongshan 2nd Road, Guangzhou, 510080, China.
Shaozhao Zhang *Cardiology Department, The First Affiliated Hospital of Sun Yat-Sen University, 58 Zhongshan 2nd Road, Guangzhou, 510080, China.
Chaoguang XuCardiology Department, The First Affiliated Hospital of Sun Yat-Sen University, 58 Zhongshan 2nd Road, Guangzhou, 510080, China.
Bingzhen LiCardiology Department, The First Affiliated Hospital of Sun Yat-Sen University, 58 Zhongshan 2nd Road, Guangzhou, 510080, China.
Yuhui LaiCardiology Department, The First Affiliated Hospital of Sun Yat-Sen University, 58 Zhongshan 2nd Road, Guangzhou, 510080, China.
Rongjian ZhanDepartment of Otolaryngology, The First Affiliated Hospital of Sun Yat-Sen University, Guangzhou, China.
Yue GuoCardiology Department, The First Affiliated Hospital of Sun Yat-Sen University, 58 Zhongshan 2nd Road, Guangzhou, 510080, China.
Yuedong MaCardiology Department, The First Affiliated Hospital of Sun Yat-Sen University, 58 Zhongshan 2nd Road, Guangzhou, 510080, China.
Xinxue LiaoCardiology Department, The First Affiliated Hospital of Sun Yat-Sen University, 58 Zhongshan 2nd Road, Guangzhou, 510080, China.
Xing WuCardiology Department, The First Affiliated Hospital of Sun Yat-Sen University, 58 Zhongshan 2nd Road, Guangzhou, 510080, China. zswuxing@163.com.
Xiaodong ZhuangCardiology Department, The First Affiliated Hospital of Sun Yat-Sen University, 58 Zhongshan 2nd Road, Guangzhou, 510080, China. zhuangxd3@mail.sysu.edu.cn.

Funding

Basic and Applied Basic Research Foundation of Guangdong Province 2021A1515011668Basic and Applied Basic Research Foundation of Guangdong Province 2022A1515010416Funding by Science and Technology Projects in Guangzhou 2023A04J2169National Natural Science Foundation of China 81970280the National Natural Science Foundation of China 81900329the National Natural Science Foundation of China 82070384
6 · The paper itself

Abstract

backgroundMalnutrition and atrial fibrillation (AF) are both important challenges in current health care. Malnutrition is associated with poor prognosis of various diseases such as AF, but the effect of malnutrition on the risk of AF is not yet clear.

objectiveThe purpose of this study was to investigate the relationship between malnutrition and the risk of AF.

methodsIn this study, 13,702 cardiovascular inpatients in RED-CARPET and 10,505 community residents in ARIC were scored using the Controlled Nutritional Status (CONUT) score. We assessed the effect of malnutrition on the risk of AF. We used multivariate logistic regression to assess the association between malnutrition and AF in the RED-CARPET study, and used multivariate cox proportional hazard regression to verify the results in the ARIC study.

resultsIn RED-CARPET, according to the CONUT score, 51.2% of the participants had malnutrition, including 43.8% of mild malnutrition, 7.0% of moderate malnutrition, and 0.4% of severe malnutrition. Compared with good nutritional status, malnutrition was associated with the prevalence of AF [the adjusted odds ratio (95%CI) of mild, moderate and severe malnutrition was 1.32 (1.12,1.55), 1.85 (1.45,2.36), 2.99 (1.50,5.99), respectively]. In ARIC, malnutrition was associated with the risk of incident AF, and the risk of AF increased with the aggravation of malnutrition [ the adjusted hazard ratio(95%CI) of mild and moderate malnutrition to AF were 1.33 (1.18, 1.51) and 2.04 (1.15, 3.62), respectively].

conclusionsMalnutrition is associated with AF in both hospitalized and community populations, and the risk of AF increases with the degree of malnutrition in ARIC.

trial registrationThe RED-CARPET study was registered in the Chinese Clinical Trials Registry with the registration number ChiCTR2000039901. The ARIC study was registered in the clinicaltrials with the registration number NCT00005131. And it was obtained in https://beta.clinicaltrials.gov/study/NCT00005131?titles=ARIC&rank=2

Indexed as

Atrial FibrillationMalnutritionNutritional StatusAgedFemaleHumansMaleMiddle AgedNutrition AssessmentPrevalencePrognosisRisk AssessmentRisk FactorsAtrial fibrillationCONUT scoreMalnutrition

Identifiers

PMID41013262
PMCPMC12465866

What OpenQuestion holds

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Registered trials

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.