Evidence map›Paper›PMID 38790007›Full record

ArticleEuropean journal of medical research2024

Body composition and rupture risk of intracranial aneurysms.

Katja Løvik, Johnny Laupsa-Borge, Nicola Logallo, Christian A Helland

Registry-linked trialAbstract read
In one paragraph

Article in European journal of medical research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04613427 (Predictors of Rupture Risk of Intracranial Aneurysms - Impact of Lipid Metabolism and Mitochondrial Function), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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.

NCT04613427 completednot on this map

Predictors of Rupture Risk of Intracranial Aneurysms - Impact of Lipid Metabolism and Mitochondrial Function

Typeobservational_patient_registrySponsorUniversity of BergenRan2018 to 2019Enrolled60ConditionsSubarachnoid Hemorrhage, Aneurysmal, Intracranial Aneurysm
3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

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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

4 authors.

Katja LøvikDepartment of Clinical Medicine, University of Bergen, Bergen, Norway. katja.lovik@gmail.com.ORCID http://orcid.org/0000-0003-2756-7966
Johnny Laupsa-BorgeDepartment of Clinical Science, University of Bergen, Bergen, Norway.ORCID http://orcid.org/0000-0002-5866-5190
Nicola LogalloDepartment of Neurosurgery, Haukeland University Hospital, Bergen, Norway.ORCID http://orcid.org/0000-0002-5453-293X
Christian A HellandDepartment of Clinical Medicine, University of Bergen, Bergen, Norway.ORCID http://orcid.org/0000-0001-7754-5955

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRupture of an intracranial aneurysm resulting in a subarachnoid hemorrhage (SAH) is a life-threatening situation. Obesity is an increasing health challenge associated with numerous comorbidities. However, recent studies have shown a surprising decreased risk of SAH with increasing body mass index (BMI). The aim was to explore associations between other anthropometric variables and the rupture risk of an intracranial aneurysm, which to our knowledge is lacking in present literature.

methodsUsing a bioelectrical impedance analysis device, we performed body composition analyses on 31 patients admitted with aneurysmal SAH (aSAH) and 28 patients with planned intervention on their unruptured aneurysm. We also collected information on comorbidities and relevant risk factors. Logistic regression was used to explore associations between anthropometric variables and patients with ruptured versus unruptured aneurysms.

resultsUnadjusted estimates showed a significant inverse relationship between body fat percent and aneurysmal rupture (OR [95% CI]: 0.92 [0.86, 0.97], P = 0.009), and between body fat mass and aneurysmal rupture (OR [95% CI]: 0.95 [0.90, 0.99], P = 0.047). These risk relationships remained significant in age- and sex-adjusted analyses for body fat percent (OR [95% CI]: 0.93, [0.87, 0.97], P = 0.028), and body fat mass (OR [95% CI]: 0.95 [0.90, 0.99], P = 0.041).

conclusionsIn recent studies showing a paradoxical relation between aSAH and obesity, BMI was the only parameter investigated. We further explored this "obesity paradox" and found lower body fat in aSAH patients compared to UIA. Future studies should investigate these relationships in larger samples. Clinical Trial Registration NCT04613427, November 3, 2020, retrospectively registered.

Indexed as

Aneurysm, RupturedBody CompositionIntracranial AneurysmAdultAgedBody Mass IndexFemaleHumansMaleMiddle AgedObesityRisk FactorsSubarachnoid HemorrhageBody mass indexCardiovascular diseaseIntracranial aneurysmStrokeSubarachnoid hemorrhage

Identifiers

PMID38790007
PMCPMC11127333

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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.