Evidence map›Paper›PMID 42086623›Full record

ArticleScientific reports2026

Joint risk factor within target range and hazard of premature mortality in people with obesity.

Hongxuan Chen, Lu Wang, Xukun Luo, Jiayin Li, Shunhong Luo, Juan Duan, Hulalai Hader, Xiankui Tan, Jian Zhou, Tang Liu

Abstract read
In one paragraph

Article in Scientific reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the 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.

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

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

10 authors.

Hongxuan ChenDepartment of Orthopedics, The Second Xiangya Hospital of Central South University, Changsha, China.
Lu WangDepartment of Orthopedics, The Second Xiangya Hospital of Central South University, Changsha, China.
Xukun LuoDepartment of Orthopedics, The Second Xiangya Hospital of Central South University, Changsha, China.
Jiayin LiClinical Medicine Eight-Year Program, 2202 Class, 2022 Grade, Central South University, Changsha, China.
Shunhong LuoDepartment of Orthopedics, Hunan University of Medicine General Hospital, Huaihua, 418000, China.
Juan DuanDepartment of Geriatrics, The Second Xiangya Hospital of Central South University, Changsha, China.
Hulalai HaderPreventive Medicine Class 2101, Xiangya School of Public Health, Central South University, Changsha, China.
Xiankui TanDepartment of Ultrasound, The Second Xiangya Hospital of Central South University, Changsha, China.
Jian ZhouDepartment of Orthopedics, The Second Xiangya Hospital of Central South University, Changsha, China. jian.zhou@csu.edu.cn.
Tang LiuDepartment of Orthopedics, The Second Xiangya Hospital of Central South University, Changsha, China. liutang124@csu.edu.cn.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Individuals with obesity are at higher risk for premature mortality compared to the general population. However, whether achieving multiple modifiable risk factors within target ranges is associated with attenuated excess mortality risk in obesity remains unclear. We included 83,505 participants with obesity and 143,198 individuals without obesity from the UK Biobank, all free of baseline cancer and cardiovascular disease (CVD). The main exposure was the number of risk factors within target range, including glycated hemoglobin < 48 mmol/mol, low-density lipoprotein cholesterol (LDL-C) < 2.5 mmol/L, absence of albuminuria, non-current smoker, and systolic blood pressure < 140 mmHg and diastolic blood pressure < 90 mmHg. Cox proportional hazards models adjusted for age, sex, ethnicity, education, socioeconomic status, alcohol intake, healthy diet score, and physical activity were used to evaluate the association between the degree of risk factor within target range and risks of all-cause, cancer, CVD, and other-cause premature mortality. Fine-Gray competing risk models were performed as sensitivity analyses. The proportional hazards assumption was verified using Schoenfeld residuals. Among individuals with obesity, each additional risk factor within target range was associated with 17%, 11%, 28%, and 16% lower risks of all-cause, cancer, CVD, and other-cause premature mortality, respectively. Participants with obesity who achieved all five risk factors had 47%, 38%, 63%, and 47% lower risks compared to those meeting ≤ 2 factors. However, as the number of risk factors within target range increased, the excess mortality risks progressively diminished. Individuals with obesity meeting all 5 factors showed risks approaching those of individuals without obesity, particularly for CVD and other-cause mortality. Achieving multiple modifiable risk factors within target ranges was associated with substantially lower premature mortality risk among individuals with obesity.

Indexed as

Mortality, PrematureObesityAgedCardiovascular DiseasesFemaleHumansMaleMiddle AgedNeoplasmsProportional Hazards ModelsRisk FactorsUK BiobankUnited KingdomObesityPremature mortalityRelative importanceRisk factor within target rangeUK Biobank

Identifiers

PMID42086623
PMCPMC13338382

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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.