Evidence map›Paper›PMID 21738241›Full record

ArticleObesity (Silver Spring, Md.)2011

Myocardial oxygen consumption change predicts left ventricular relaxation improvement in obese humans after weight loss.

C Huie Lin, Suraj Kurup, Pilar Herrero, Kenneth B Schechtman, J Christopher Eagon, Samuel Klein, Víctor G Dávila-Román, Richard I Stein, Gerald W Dorn, Robert J Gropler and 2 more

Registry-linked trialAbstract readControlled Clinical Trial
In one paragraph

Article in Obesity (Silver Spring, Md.), 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00572624 (Effect of Weight Loss on Myocardial Oxygen Consumption and Left Ventricular Relaxation in Obese Adults), which is not on this map. Cited by 37 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 3 pooled it
–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.

NCT00572624 nacompletednot on this map

Effect of Weight Loss on Myocardial Oxygen Consumption and Left Ventricular Relaxation in Obese Adults

TypeinterventionalSponsorWashington University School of MedicineRan2003 to 2014Enrolled51ConditionsObesityArmsDiet, Gastric bypass surgery
3 · Its place in the literature

Who cites it

37 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
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  3. Surgery for weight loss in adults.The Cochrane database of systematic reviews · 2014
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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

12 authors.

C Huie LinCardiovascular Division, Department of Medicine, Washington University School of Medicine, St Louis, Missouri, USA.
Suraj Kurup
Pilar Herrero
Kenneth B Schechtman
J Christopher Eagon
Samuel Klein
Víctor G Dávila-Román
Richard I Stein
Gerald W Dorn
Robert J Gropler
Alan D Waggoner
Linda R Peterson

Funding

Washington University Institute of Clinical and Translational Sciences (UL1)UL1RR024992 · NCRR · WASHINGTON UNIVERSITY · PI EVANOFF, BRADLEY A · 2007 to 2011
$45.4M
Washington University Nutrition Obesity Research CenterP30DK056341 · NIDDK · WASHINGTON UNIVERSITY · PI Dominic N Reeds · 1999 to 2026
$30.2M
WU P&FP30DK020579 · NIDDK · WASHINGTON UNIVERSITY · PI Clay F. Semenkovich · 2013 to 2026
$27.1M
TRANSGENICS COREP60DK020579 · NIDDK · WASHINGTON UNIVERSITY · PI SCHAFFER, JEAN E. · 1986 to 2012
$25.2M
Altered Myocardial Fatty Acid Metabolism in ObesityR01HL073120 · NHLBI · WASHINGTON UNIVERSITY · PI PETERSON, LINDA RUTH · 2003 to 2007
$3.7M
NCRR NIH HHS UL1 RR024992NHLBI NIH HHS R01 HL073120NHLBI NIH HHS R01-HL073120NIDDK NIH HHS 5 P60 DK020579NIDDK NIH HHS DK 56341NIDDK NIH HHS P30 DK020579NIDDK NIH HHS P30 DK056341NIDDK NIH HHS P60 DK020579
6 · The paper itself

Abstract

Obesity adversely affects myocardial metabolism, efficiency, and diastolic function. Our objective was to determine whether weight loss can ameliorate obesity-related myocardial metabolism and efficiency derangements and that these improvements directly relate to improved diastolic function in humans. We studied 30 obese (BMI >30 kg/m2) subjects with positron emission tomography (PET) (myocardial metabolism, blood flow) and echocardiography (structure, function) before and after marked weight loss from gastric bypass surgery (N = 10) or moderate weight loss from diet (N = 20). Baseline BMI, insulin resistance, hemodynamics, left ventricular (LV) mass, systolic function, myocardial oxygen consumption (MVO2), and fatty acid (FA) metabolism were similar between the groups. MVO2/g decreased after diet-induced weight loss (P = 0.009). Total MVO2 decreased after dietary (P = 0.02) and surgical weight loss (P = 0.0006) and was related to decreased BMI (P = 0.006). Total myocardial FA utilization decreased (P = 0.03), and FA oxidation trended lower (P = 0.06) only after surgery. FA esterification and LV efficiency were unchanged. After surgical weight loss, LV mass decreased by 23% (Doppler-derived) E/E' by 33%, and relaxation increased (improved) by 28%. Improved LV relaxation related significantly to decreased BMI, insulin resistance, total MVO2, and LV mass but not FA utilization. Decreased total MVO(2) predicted LV relaxation improvement independent of BMI change (P = 0.02). Weight loss can ameliorate the obesity-related derangements in myocardial metabolism and LV structure and diastolic function. Decreased total MVO2 independently predicted improved LV relaxation, suggesting that myocardial oxygen metabolism may be mechanistically important in determining cardiac relaxation.

Indexed as

Muscle RelaxationOxygen ConsumptionVentricular Function, LeftWeight LossAdultBody Mass IndexCombined Modality TherapyDiet, ReducingEchocardiography, DopplerFemaleGastric BypassHumansInsulin ResistanceMaleMiddle AgedMyocardium

Identifiers

PMID21738241
PMCPMC3398694

What Socratic holds

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Read underepoch 390

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 Socratic graph.