Evidence map›Paper›PMID 42511889›Full record

ReviewBiomedicines2026

Male Obesity and Cardiometabolic Risk: Inflammatory Mechanisms and Clinical Implications.

Rodolfo de Oliveira Medeiros, Cristiano Machado Galhardi, Carlos Horacio Vargas Urzagaste, Camila Menon Oliveros, Gustavo Silveira Pires, Vinícius Willian Calderon da Silva, Felipe Quieregati de Novais, Isabela Gazola Suzuki, Hugo Calesso Dos Reis, José Antonio Pizzolato Neto and 10 more

Abstract readReview
In one paragraph

Review in Biomedicines, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

20 authors.

Rodolfo de Oliveira MedeirosDepartment of Medicine, University of Marília (UNIMAR), Marília 17525902, SP, Brazil.
Cristiano Machado GalhardiDepartment of Medicine, University of Marília (UNIMAR), Marília 17525902, SP, Brazil.ORCID 0000-0001-8741-1336
Carlos Horacio Vargas UrzagasteDepartment of Medicine, University of Marília (UNIMAR), Marília 17525902, SP, Brazil.
Camila Menon OliverosDepartment of Medicine, University of Marília (UNIMAR), Marília 17525902, SP, Brazil.
Gustavo Silveira PiresDepartment of Medicine, University of Marília (UNIMAR), Marília 17525902, SP, Brazil.
Vinícius Willian Calderon da SilvaDepartment of Medicine, University of Marília (UNIMAR), Marília 17525902, SP, Brazil.
Felipe Quieregati de NovaisDepartment of Medicine, University of Marília (UNIMAR), Marília 17525902, SP, Brazil.
Isabela Gazola SuzukiDepartment of Medicine, University of Marília (UNIMAR), Marília 17525902, SP, Brazil.
Hugo Calesso Dos ReisDepartment of Medicine, University of Marília (UNIMAR), Marília 17525902, SP, Brazil.
José Antonio Pizzolato NetoDepartment of Medicine, University of Marília (UNIMAR), Marília 17525902, SP, Brazil.
Felipe Ravazzi GuzzoDepartment of Medicine, University of Marília (UNIMAR), Marília 17525902, SP, Brazil.
Marcus Vinicius da Silva ZanelatoDepartment of Medicine, University of Marília (UNIMAR), Marília 17525902, SP, Brazil.
Rafael Ignácio Dos SantosDepartment of Medicine, University of Marília (UNIMAR), Marília 17525902, SP, Brazil.
Pedro Henrique Lima DominguesDepartment of Medicine, University of Marília (UNIMAR), Marília 17525902, SP, Brazil.
Bruna Gonçalves ManzoniDepartment of Medicine, University of Marília (UNIMAR), Marília 17525902, SP, Brazil.
Melissa AntunesBarretos School of Health Sciences (FACISB), Barretos 3505708, SP, Brazil.
Teófilo Augusto Araújo TiradentesIrmandade da Misericórdia da Santa Casa de Marília, Marília 3529005, SP, Brazil.ORCID 0000-0003-4742-9536
Victor CáppiaIrmandade da Misericórdia da Santa Casa de Marília, Marília 3529005, SP, Brazil.
Thiago Luengo TavaresIrmandade da Misericórdia da Santa Casa de Marília, Marília 3529005, SP, Brazil.
Altair Martins BarasuolIrmandade da Misericórdia da Santa Casa de Marília, Marília 3529005, SP, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Obesity is a major global health challenge strongly associated with increased cardiometabolic morbidity and mortality. In men, obesity is characterized by a predominance of visceral adiposity, which is metabolically active and closely linked to systemic inflammation, hormonal dysregulation, and adverse cardiovascular outcomes. Despite its clinical relevance, male obesity remains underrecognized as a distinct pathophysiological condition. This study aimed to analyze the inflammatory mechanisms underlying male obesity and their relationship with cardiometabolic risk. A structured narrative review was conducted based on a PICo-guided research question, with literature searches performed in PubMed/MEDLINE, Scopus, Web of Science, Embase, and ScienceDirect, covering publications from 2015 to 2026. Studies focusing on male obesity, inflammatory pathways, and cardiometabolic outcomes were included. Evidence indicates that visceral adipose tissue acts as an active endocrine organ, releasing pro-inflammatory cytokines such as TNF-α and IL-6, contributing to chronic low-grade inflammation. This inflammatory state is associated with insulin resistance (IR), endothelial dysfunction, and oxidative stress, mediated by intracellular pathways including NF-κB and JNK. Additionally, adipokine imbalance, characterized by reduced adiponectin and increased leptin levels, further exacerbates metabolic and vascular impairment. Hormonal alterations, particularly reduced testosterone levels, play a key role in amplifying visceral fat accumulation and inflammation, creating a bidirectional relationship between hypogonadism and metabolic dysfunction. Clinically, these mechanisms highlight the importance of integrating inflammatory biomarkers, body composition assessment, and hormonal evaluation into the management of male obesity. Emerging therapies, including GLP-1 receptor agonists and immunometabolic interventions, offer promising strategies for reducing cardiometabolic risk. In conclusion, male obesity represents a complex, inflammation-driven condition requiring a comprehensive and mechanism-based approach to improve clinical outcomes and guide future therapeutic developments.

Indexed as

cardiometabolic riskinflammationmale obesityvisceral adiposity

Identifiers

PMID42511889
PMCPMC13403745

What Socratic holds

Textmetadata
LicenceCC BY
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.