Evidence map›Paper›PMID 42704620›Full record

ArticleDiabetes/metabolism research and reviews2026

Redefining Obesity Risk for Heart Failure: Incorporating Morbidity Into the 2024 EASO Framework Definition of Obesity.

Liang Tang, Xianming Tang, Zhenhua Xing, Chenkai Wu

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Article in Diabetes/metabolism research and reviews, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Liang TangDepartment of Cardiovascular Medicine, Second Xiangya Hospital, Central South University, Changsha, Hunan, China.
Xianming TangDepartment of Emergency Medicine, Second Xiangya Hospital, Central South University, Changsha, Hunan, China.
Zhenhua XingDepartment of Emergency Medicine, Second Xiangya Hospital, Central South University, Changsha, Hunan, China.ORCID https://orcid.org/0000-0003-0036-0420
Chenkai WuDepartment of Emergency Medicine, Second Xiangya Hospital, Central South University, Changsha, Hunan, China.ORCID https://orcid.org/0009-0002-5188-1090

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundConventional BMI-based obesity classification fails to capture the metabolic heterogeneity underlying obesity-related heart failure (HF) risk. We evaluated the 2024 European Association for the Study of Obesity (EASO) framework-which integrates central adiposity with medical, functional, and psychological morbidity-to refine HF risk stratification.

methodsAmong 449,550 UK Biobank participants (median follow-up 15.5 years), we applied three obesity definitions: (1) BMI ≥ 30 kg/m

resultsThe EASO framework reclassified 15.6% of conventionally overweight individuals as obese, increasing the obesity prevalence from 24.5% to 40.1%. Compared with normal-weight individuals, the EASO overweight group (BMI 25-< 30 kg/m

conclusionsThe EASO framework refines HF risk stratification by uncovering morbidity-driven vulnerability within the overweight range that BMI alone obscures. The extended framework further demonstrates that morbidity status-rather than anthropometric thresholds-is a primary modifier of HF risk across all adiposity categories, supporting a shift from purely anthropometric toward phenotype-based obesity classification in cardiovascular risk assessment.

Indexed as

Body Mass IndexHeart FailureObesityAdiposityAgedFemaleFollow-Up StudiesHumansMaleMiddle AgedMorbidityPrognosisRisk AssessmentRisk FactorsUnited Kingdombody mass indexEuropean Association for the Study of Obesityheart failureobesity

Identifiers

PMID42704620
PMCPMC13549250

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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.