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ArticleTranslational stroke research2026

Association between Lipid Accumulation Product and 3-Month Functional Outcome after Ischemic Stroke: the Obesity-Stroke Paradox.

Yuan Ren, Ying Zhou, Tian-Yu Gu, Yang Cheng, Wei-Hua Wu, Xiao-Guang Dong, Feng-E Li, Yu-Sheng Zhang

Abstract read
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Article in Translational stroke research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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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

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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

2 citing papers in PubMed.

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4 · The record

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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

8 authors.

Yuan RenDepartment of Neurology and Stroke Center, The First Affiliated Hospital of Jinan University, Guangzhou, China.ORCID http://orcid.org/0000-0003-2195-341X
Ying ZhouClinical Neuroscience Institute, The First Affiliated Hospital of Jinan University, Guangzhou, China.
Tian-Yu GuClinical Neuroscience Institute, The First Affiliated Hospital of Jinan University, Guangzhou, China.
Yang ChengDepartment of Neurology, The Sixth Affiliated Hospital of Jinan University, Dongguan, China.
Wei-Hua WuDepartment of Neurology, the Affiliated Hospital of Beihua University, Jilin, China.
Xiao-Guang DongDepartment of Neurology, the Affiliated Hospital of Beihua University, Jilin, China.
Feng-E LiDepartment of Neurology, the Affiliated Hospital of Beihua University, Jilin, China. 1059250609@qq.com.
Yu-Sheng ZhangDepartment of Neurology and Stroke Center, The First Affiliated Hospital of Jinan University, Guangzhou, China. zhangys@jnu.edu.cn.

Funding

the health science and technology ability improvement project of Jilin Province, China 2023LC026the Science and Technology Program of Guangzhou, China 2023A03J0577the Science and Technology Research Project of Education Department of Jilin Province, China JJKH20240102KJ
6 · The paper itself

Abstract

To explore the association of lipid accumulation product (LAP) with 3-month functional outcome and etiologic subtypes in patients with acute ischemic stroke. Patients with acute ischemic stroke admitted from July 1, 2020, to June 30, 2022 were enrolled in this study. Initial neurological severity was assessed by the National Institutes of Health Stroke Scale (NIHSS) at admission. Functional outcome was evaluated by the modified Rankin Scale (mRS) at 3 months after ischemic stroke onset. Etiologic subtypes were determined according to the method reported in the Trial of Org 10172 in Acute Stroke Treatment (TOAST) criteria. LAP was calculated by a well-established formula and analyzed by quartiles (Q1-Q4). Multivariate logistic regression analysis was conducted to evaluate the association of LAP quartiles with 3-month functional outcome and etiologic subtypes in patients with acute ischemic stroke. A total of 431 patients with acute ischemic stroke were included in this study. After adjusting for several confounding factors, compared with those in the LAP-Q1 group, patients in LAP-Q3 and LAP-Q4 group had a reduced association with poor 3-month functional outcome [odds ratio (OR): 0.038, 95% confidence interval (CI): 0.004-0.339; OR: 0.014, 95% CI: 0.001-0.158]. Furthermore, patients in LAP-Q3 and LAP-Q4 group showed an increased association with Small-artery occlusion (SAO) subtype (OR: 1.919, 95% CI: 1.075-3.425; OR: 2.322, 95% CI: 1.265-4.262). Elevated LAP levels were associated with favorable 3-month functional outcome in patients with acute ischemic stroke, supporting the concept of the "obesity-stroke paradox". Concurrently, patients with elevated LAP levels were more likely to experience SAO as the etiological subtype of their stroke.

Indexed as

Brain IschemiaIschemic StrokeLipid Accumulation ProductObesityRecovery of FunctionAgedFemaleHumansMaleMiddle AgedObesity ParadoxEtiologyIschemic strokeLipid accumulation productObesity paradoxPrognosis

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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.