Evidence map›Paper›PMID 40640908›Full record

ArticleLipids in health and disease2025

Linking metabolic score for visceral fat to heart failure: insights from national health and nutrition examination survey 2003-2018.

Daoliang Zhang, Wenrui Shi, Jiakun Liu, Younan Yao, Jian Zhang

Abstract read
In one paragraph

Article in Lipids in health and disease, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. Observational
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

5 authors.

Daoliang Zhang *Department of Cardiology, Fuwai Shenzhen Hospital, Chinese Academy of Medical Sciences, No. 12 Langshan Road, Nanshan District, Shenzhen, China. zdf_cmu@outlook.com.
Wenrui Shi *Department of Cardiology, Shanghai Chest Hospital, Shanghai Jiao Tong University, Shanghai, China.
Jiakun LiuDepartment of Cardiology, School of Integrated Traditional Chinese and Western Medicine, Gansu University of Chinese Medicine, Lanzhou, China.
Younan YaoDepartment of Cardiology, Fuwai Shenzhen Hospital, Chinese Academy of Medical Sciences, No. 12 Langshan Road, Nanshan District, Shenzhen, China.
Jian ZhangDepartment of Cardiology, Fuwai Shenzhen Hospital, Chinese Academy of Medical Sciences, No. 12 Langshan Road, Nanshan District, Shenzhen, China. fwzhangjian62@outlook.com.

Funding

Guangdong Introducing Innovative and Entrepreneurial Teams 2019ZT08Y481
6 · The paper itself

Abstract

backgroundVisceral fat has become increasingly recognized as a key modifiable risk factor in the development of heart failure (HF). This study aims to investigate the link between the Metabolic Score for Visceral Fat (METS-VF) and the prevalence of HF, and evaluate whether METS-VF could improve the detection of HF in the general population.

methods24,681 subjects from the 2003-2018 National Health and Nutrition Examination Survey were included in the analysis. HF was determined according to self-reported medical history.

resultsThe overall prevalence of HF was found to be 2.91%. After adjusting for relevant confounders, each one-standard-deviation increase in METS-VF was associated with a 75.4% higher risk of prevalent HF. Participants with METS-VF values in the highest quartile had a 2.731-fold greater risk of prevalent HF than those in the lowest quartile. The relationship between METS-VF and HF appeared nearly linear based on smooth-curve modeling, and subgroup analyses confirmed this association across different demographic groups. When METS-VF was added to standard cardiovascular risk factors, there was a slight improvement in HF discrimination (AUC: 0.867 vs. 0.873, P = 0.003). Reclassification metrics also highlighted the incremental value of including METS-VF.

conclusionThe findings of this study demonstrated a strong, linear relationship between METS-VF and the prevalence of HF, suggesting that METS-VF could be an adjunctive tool for improving HF screening in the general population.

Indexed as

Heart FailureIntra-Abdominal FatMetabolic SyndromeAdultAgedFemaleHumansMaleMiddle AgedNutrition SurveysPrevalenceRisk FactorsGeneral populationHeart failureInsulin resistanceMetabolic score for visceral fatNHANESVisceral adiposity

Identifiers

PMID40640908
PMCPMC12247282

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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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 Socratic graph.