Evidence mapPaperPMID 41957641Full record

ArticleCardiovascular diabetology2026

Diabetes-related differences in body composition and their prognostic value among patients with heart failure and preserved ejection fraction: a cardiac-MRI-based study.

Si-Yu Xiao, Yuan Li, Chen-Yan Min, Han Fang, Jia-Ke Li, Ke Shi, Zhi-Gang Yang

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Article in Cardiovascular diabetology, 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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7 authors.

Si-Yu XiaoDepartment of Radiology, West China Hospital, Sichuan University, Chengdu, Sichuan, China.
Yuan LiDepartment of Radiology, West China Hospital, Sichuan University, Chengdu, Sichuan, China.
Chen-Yan MinDepartment of Radiology, West China Hospital, Sichuan University, Chengdu, Sichuan, China.
Han FangDepartment of Radiology, West China Hospital, Sichuan University, Chengdu, Sichuan, China.
Jia-Ke LiDepartment of Radiology, West China Hospital, Sichuan University, Chengdu, Sichuan, China.
Ke ShiDepartment of Radiology, West China Hospital, Sichuan University, Chengdu, Sichuan, China. kshi0110@qq.com.
Zhi-Gang YangDepartment of Radiology, West China Hospital, Sichuan University, Chengdu, Sichuan, China. yangzg666@163.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHeart failure and diabetes mellitus share common risk factors and can independently regulate the body composition profile of patients. Approximately one-third of patients with heart failure and preserved ejection fraction (HFpEF) have concomitant diabetes mellitus, but the additional impact of diabetes on the body composition of HFpEF patients and its associations with prognosis have not been explored.

methodsThis study included 281 HFpEF patients, among whom 87 had type 2 diabetes (T2DM). On the basis of their cardiac magnetic resonance (MR) images, regional adipose tissue (including subcutaneous, visceral and paracardial adipose tissue) as well as thoracic skeletal muscle were measured and compared between the diabetic and non-diabetic groups. Clinical endpoints were recorded and the predictive performance of body composition parameters and body mass index (BMI) for adverse events was assessed using multivariable Cox regression analysis in the overall HFpEF population and subgroups stratified by diabetes.

resultsHFpEF patients with concomitant diabetes were significantly older (65.06 ± 12.92 vs. 57.98 ± 14.44 years, p < 0.001). The LVEDV index and LVSV index were significantly lower in the T2DM group. The paracardial adipose tissue (ParaAT index) was noticeably greater in the T2DM group than in the non-T2DM group (76.21 vs. 65.60 ml/m

conclusionsConcomitant diabetes exacerbated paracardial adipose excess among HFpEF patients and worsened the association between body composition and adverse outcomes.

Indexed as

AdiposityBody CompositionDiabetes Mellitus, Type 2Heart FailureMagnetic Resonance ImagingMagnetic Resonance Imaging, CineStroke VolumeVentricular Function, LeftAgedBody Mass IndexFemaleHumansMaleMiddle AgedPredictive Value of TestsPrognosisBody compositionCardiac MRIDiabetes mellitusHeart failure with preserved ejection fraction

Identifiers

PMID41957641
PMCPMC13195964

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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.