Evidence map›Paper›PMID 40959048›Full record

ArticleMayo Clinic proceedings. Innovations, quality & outcomes2025

Greater Central Adiposity Is Associated With Poorer Left Atrial Function: The Atherosclerosis Risk in Communities (ARIC) Study.

Jorge L Reyes, Joseph J Decker, Romil Parikh, Michael Zhang, Anne Eaton, Riccardo M Inciardi, Chiadi Ndumele, Jeremy Van't Hof, Alvaro Alonso, Amil M Shah and 2 more

Abstract read
In one paragraph

Article in Mayo Clinic proceedings. Innovations, quality & outcomes, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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.

Jorge L ReyesLillehei Heart Institute and Cardiovascular Division, Department of Medicine, University of Minnesota, Minneapolis.
Joseph J DeckerLillehei Heart Institute and Cardiovascular Division, Department of Medicine, University of Minnesota, Minneapolis.
Romil ParikhDepartment of Epidemiology and Community Health, University of Minnesota, Minneapolis.
Michael ZhangLillehei Heart Institute and Cardiovascular Division, Department of Medicine, University of Minnesota, Minneapolis.
Anne EatonDivision of Biostatistics, School of Public Health, University of Minnesota, Minneapolis.
Riccardo M InciardiInstitute of Cardiology, Department of Medical and Surgical Specialties, Radiological Sciences and Public Health, University of Brescia, Brescia, Italy.
Chiadi NdumeleDepartment of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD.
Jeremy Van't HofLillehei Heart Institute and Cardiovascular Division, Department of Medicine, University of Minnesota, Minneapolis.
Alvaro AlonsoDepartment of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, GA.
Amil M ShahCardiovascular Division, University of Texas Southwestern Medical Center, Dallas.
Scott D SolomonCardiovascular Division, Brigham and Women's Hospital, Boston, MA.
Lin Yee ChenLillehei Heart Institute and Cardiovascular Division, Department of Medicine, University of Minnesota, Minneapolis.

Funding

Mapping the Progression to HFpEF in the Elderly through Longitudinal Changes in Cardiac FunctionR01HL135008 · NHLBI · UT SOUTHWESTERN MEDICAL CENTER · PI Amil M Shah · 2017 to 2026
$11.5M
Effects of Empagliflozin on Left Atrial Function in Adults at Risk for Heart FailureK23HL168153 · NHLBI · UNIVERSITY OF MINNESOTA · PI Jeremy R. Van't Hof · 2024 to 2026
$605k
NHLBI NIH HHS K23 HL168153NHLBI NIH HHS R01 HL135008
6 · The paper itself

Abstract

Objective: To evaluate the association of longitudinal change in waist circumference (WC), waist-to-hip ratio (WHR), and body mass index (BMI) with left atrial (LA) function in the Atherosclerosis Risk in Communities study, a community-based cohort study. Patients and Methods: We included 4008 participants (mean age, 75.1 years; 59% female; 20% Black) with 2D speckle-tracking echocardiographic LA strain data and without prevalent heart failure or atrial fibrillation at visit (V)5. Measures of adiposity were obtained at V4 (1996-1998) and V5 (2011-2013). We categorized change in WC, BMI, or WHR from V4 to V5 as consistently low (reference group), consistently elevated, increasing, and decreasing. Multivariable linear regression was used to evaluate the association of change in adiposity with LA function. Results: Participants with consistently elevated WC from V4 to V5 had the lowest mean LA reservoir (32.4%) and conduit function (14.4%). Compared with consistently low WC, increasing WC and consistently elevated WC were significantly associated with worse LA reservoir function ( Conclusion: Worsening central adiposity from mid-life to late life is associated with reduced LA reservoir and conduit function, independent of LA size and LV size and function. This finding underscores the key role that consistently low adiposity might play in preventing atrial myopathy.

Identifiers

PMID40959048
PMCPMC12434983

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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.