Evidence map›Paper›PMID 41141356›Full record

Trial reportFrontiers in endocrinology2025

Impact of the new EASO obesity definition on the detection of atheromatosis in subjects with low-to-moderate cardiovascular risk.

Josep León-Mengíbar, Marcelino Bermúdez-López, José Manuel Valdivielso, Reinald Pamplona, Gerard Torres, Dídac Mauricio, Eva Castro-Boqué, Elvira Fernández, Assumpta Caixàs, Marta Bueno and 5 more

Registry-linked trialAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Frontiers in endocrinology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03228459 (Randomized Intervention Study to Assess the Prevalence of Subclinical Vascular Disease and Hidden Kidney Disease and Its Impact on Morbidity and Mortality), which is not on this map. Not yet cited in PubMed.

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

NCT03228459 naactive not recruitingnot on this map

Randomized Intervention Study to Assess the Prevalence of Subclinical Vascular Disease and Hidden Kidney Disease and Its Impact on Morbidity and Mortality: The ILERVAS Project

TypeinterventionalSponsorInstitut de Recerca Biomèdica de LleidaRan2015 to 2028Enrolled16,660ConditionsAtherosclerosis, Chronic Kidney Diseases, Metabolic Syndrome, PreDiabetesArmsDried blood spot test, Urine test, Artery ultrasound, Ankle-brachial index, Spirometry
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Josep León-MengíbarDepartment of Endocrinology and Nutrition, University Hospital Arnau de Vilanova de Lleida, Obesity, Diabetes and Metabolism (ODIM) Research Group, Institut de Recerca Biomèdica de Lleida (IRBLleida), University of Lleida, Lleida, Spain.
Marcelino Bermúdez-LópezVascular and Renal Translational Research Group, Institut de Recerca Biomèdica de Lleida (RBLleida), Renal Research Network (RICORS2040, ISCIII), Lleida, Spain.
José Manuel ValdivielsoVascular and Renal Translational Research Group, Institut de Recerca Biomèdica de Lleida (RBLleida), Renal Research Network (RICORS2040, ISCIII), Lleida, Spain.
Reinald PamplonaDepartment of Experimental Medicine, University of Lleida, Institut de Recerca Biomèdica de Lleida (IRBLleida), Lleida, Spain.
Gerard TorresTranslational Research in Respiratory Medicine, University Hospital Arnau de Vilanova and Santa Maria, Institut de Recerca Biomèdica de Lleida (IRBLleida), CIBER of Respiratory Diseases (CIBERES), Institute of Health Carlos III, Lleida, Spain.
Dídac MauricioDepartment of Endocrinology and Nutrition, Hospital de la Santa Creu i Sant Pau, CIBERDEM (Institute of Health Carlos III), Autonomous University of Barcelona, Barcelona, Spain.
Eva Castro-BoquéVascular and Renal Translational Research Group, Institut de Recerca Biomèdica de Lleida (RBLleida), Renal Research Network (RICORS2040, ISCIII), Lleida, Spain.
Elvira FernándezVascular and Renal Translational Research Group, Institut de Recerca Biomèdica de Lleida (RBLleida), Renal Research Network (RICORS2040, ISCIII), Lleida, Spain.
Assumpta CaixàsDepartment of Endocrinology and Nutrition, Parc Taulí Hospital Universitari, Institut d'Investigació i Innovació Parc Taulí (IPT-CERCA), Medicine Department, Universitat Autònoma de Barcelona, Sabadell, Spain.
Marta BuenoDepartment of Endocrinology and Nutrition, University Hospital Arnau de Vilanova de Lleida, Obesity, Diabetes and Metabolism (ODIM) Research Group, Institut de Recerca Biomèdica de Lleida (IRBLleida), University of Lleida, Lleida, Spain.
Andreea CiudinDepartment Endocrinology and Nutrition, University Hospital Vall d'Hebron, Diabetes and Metabolism Research Group, Institut de Recerca Vall d'Hebron (VHIR), CIBERDEM (Institute of Health Carlos III), Barcelona, Spain.
Marta HernándezDepartment of Endocrinology and Nutrition, University Hospital Arnau de Vilanova de Lleida, Obesity, Diabetes and Metabolism (ODIM) Research Group, Institut de Recerca Biomèdica de Lleida (IRBLleida), University of Lleida, Lleida, Spain.
Rafael SimóDepartment Endocrinology and Nutrition, University Hospital Vall d'Hebron, Diabetes and Metabolism Research Group, Institut de Recerca Vall d'Hebron (VHIR), CIBERDEM (Institute of Health Carlos III), Barcelona, Spain.
Cristina HernándezDepartment Endocrinology and Nutrition, University Hospital Vall d'Hebron, Diabetes and Metabolism Research Group, Institut de Recerca Vall d'Hebron (VHIR), CIBERDEM (Institute of Health Carlos III), Barcelona, Spain.
Albert LecubeDepartment Endocrinology and Nutrition, University Hospital Vall d'Hebron, Diabetes and Metabolism Research Group, Institut de Recerca Vall d'Hebron (VHIR), CIBERDEM (Institute of Health Carlos III), Barcelona, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Traditional body mass index (BMI) does not adequately reflect adipose tissue distribution and associated cardiovascular (CV) risk. To improve risk stratification, the European Association for the Study of Obesity (EASO) proposes to extend the diagnosis of obesity to include individuals with a BMI of 25-30 kg/m², a waist-to-height ratio (WtHR) ≥0.5, and any obesity-related complication. Objective: To examine whether this new definition of obesity can better identify the presence of subclinical atheromatosis disease (SAD) in terms of arterial plaque burden compared to the classical BMI-based definition. Methods: A cross-sectional including 8,330 participants from the ILERVAS project (ClinicalTrials.gov Identifier: NCT03228459), aged 45-70 years with low-to-moderate CV risk and no previous CV disease, was included. Obesity was classified using traditional (BMI ≥ 30 kg/m²) and new definitions. Atherosclerosis was assessed through Doppler ultrasound of carotid and femoral arteries. Logistic regression models adjusted for cardiovascular risk factors were used to evaluate associations between obesity definitions and SAD. Results: The new definition increased obesity prevalence from 37.2% to 71.7%. It also revealed higher detection of atheromatous plaques (72.9% vs. 68.6%, Conclusion: The new obesity definition identifies more efficiently individuals at risk for atherosclerosis, especially in the femoral region, compared to the classic BMI definition. Further studies to assess the cost-effectiveness of this approach seem warranted.

Indexed as

AtherosclerosisCardiovascular DiseasesObesityPlaque, AtheroscleroticAgedBody Mass IndexCross-Sectional StudiesFemaleHeart Disease Risk FactorsHumansMaleMiddle AgedRisk Factorscardiovascular risk factorscentral adiposityobesitysubclinical atheromatous diseasewaist-to-height ratio

Identifiers

PMID41141356
PMCPMC12550870

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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.