Evidence map›Paper›PMID 42818654›Full record

ArticleFrontiers in cardiovascular medicine2026

Association of obesity-metabolic phenotypes with coronary artery disease prevalence: interaction and exploratory mediation analyses of high-sensitivity C-reactive protein.

Chunjing Zhu, Yazhao Sun

Abstract read
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Article in Frontiers in cardiovascular medicine, 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

2 authors.

Chunjing ZhuDepartment of Endocrinology, Cangzhou People's Hospital, Cangzhou, China.
Yazhao SunDepartment of Cardiology, Cangzhou People's Hospital, Cangzhou, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: To investigate the associations of obesity-metabolic phenotypes with coronary artery disease (CAD) prevalence and to evaluate the interaction between obesity and metabolic unhealthiness and the potential mediating role of high-sensitivity C-reactive protein (hsCRP). Methods: A total of 860 participants were classified as metabolically healthy non-obese (MHNO), metabolically healthy obesity (MHO), metabolically unhealthy non-obese (MUNO), or metabolically unhealthy obesity (MUO). Associations with CAD prevalence were estimated using modified Poisson regression with robust variance. Interactions between obesity and metabolic unhealthiness were assessed on multiplicative and additive scales. Subgroup and sensitivity analyses were performed, followed by an exploratory mediation analysis of hsCRP. Results: Among 860 participants, 563 (65.5%) had CAD. After adjustment for age, sex, current smoking, alcohol use, family history of CAD, lipoprotein(a) [Lp(a)], low-density lipoprotein cholesterol (LDL-C), and estimated glomerular filtration rate (eGFR), the prevalence ratios for CAD were 1.51 [95% confidence interval (CI), 1.26-1.81] for MHO, 1.73 (95% CI, 1.48-2.02) for MUNO, and 1.79 (95% CI, 1.53-2.10) for MUO compared with MHNO (all Conclusions: MHO, MUNO, and MUO were all associated with higher CAD prevalence, with stronger associations observed for metabolically unhealthy phenotypes. Obesity and metabolic unhealthiness showed a negative interaction. Exploratory findings indicated an hsCRP-related indirect association, but causal mediation cannot be inferred from this cross-sectional study.

Indexed as

coronary artery diseasehigh-sensitivity c-reactive proteininteractionmediation analysismetabolic healthobesity

Identifiers

PMID42818654
PMCPMC13623676

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