The DOI matches its Crossref record; 38 of the 38 references it cites were found in a registry or an index.
Comparison of reducing epicardial fat by exercise, diet or bariatric surgery weight loss strategies: A systematic review and meta-analysis
Abstract
The objectives were to determine whether epicardial fat (EAT) is subject to modification, and whether various strategies accomplish this end point and the relationship between weight loss and EAT. A systematic review of the literature following meta-analysis guidelines was conducted using the search strategy 'epicardial fat' OR 'epicardial adipose tissue' AND 'diet' OR 'exercise' OR 'bariatric surgery (BS)' OR 'change in body weight' limited to humans. Eleven articles were identified with 12 intervention approaches of which eight studies showed a statistically significant reduction in EAT. A random-effects meta-analysis suggests an overall significant reduction of 1.12 standardized units (95% CI = [-1.71, -0.54], P value < 0.01). While there is a large amount of heterogeneity across study groups, a substantial amount of this variability can be accounted for by considering intervention type and change in body mass index (BMI). These variables were incorporated into a random-effects meta-regression model. Using this analysis, significant EAT reduction occurred with diet and BS but not with exercise. BMI reductions correlated significantly with EAT reductions for diet-based interventions, i.e. for some but not all interventions. In conclusion, EAT, a factor that is significantly associated with coronary artery disease, can be modified. The type of intervention, in addition to the amount of weight loss achieved, is predictive of the amount of EAT reduction.
Overview
Integrity signals
Registry
Cites
Statistics
Verification
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
In the citing paper
“A study comparing these three weight loss strategies reports that the relationship between change in BMI and change in EAT is significant for diet, less apparent for bariatric surgery, and virtually absent for exercise [146].”
From Dysregulated epicardial adipose tissue as a risk factor and potential therapeutic target of heart failure with preserved ejection fraction in diabetes (2022) · cites this paper as [146]
Citations
Cites
Measuring inconsistency in meta-analyses
Higgins, J. P. T., Thompson, S. G., Deeks, J. J., & Altman, D. G. (2003) · BMJ · doi:10.1136/bmj.327.7414.557 · Cited by 63,139
Quantifying heterogeneity in a meta‐analysis
Higgins, J. P. T., & Thompson, S. G. (2002) · Statistics in Medicine · doi:10.1002/sim.1186 · Cited by 36,763
Meta-analysis of Observational Studies in Epidemiology<SUBTITLE>A Proposal for Reporting</SUBTITLE>
Stroup, D. F. (2000) · JAMA · doi:10.1001/jama.283.15.2008 · Cited by 20,623
Conducting Meta-Analyses in R with the metafor Package
Viechtbauer, W. (2010) · Journal of Statistical Software · doi:10.18637/jss.v036.i03 · Cited by 20,464
Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement
Moher, D., Liberati, A., Tetzlaff, J., & Altman, D. G. (2009) · Journal of Clinical Epidemiology · doi:10.1016/j.jclinepi.2009.06.005 · Cited by 19,575
Morris, S. B., & DeShon, R. P. (2002) · Psychological Methods · doi:10.1037/1082-989x.7.1.105 · Cited by 2,502
Variance imputation for overviews of clinical trials with continuous response
Follmann, D. A., Elliott, P., Suh, I., & Cutler, J. A. (1992) · Journal of Clinical Epidemiology · doi:10.1016/0895-4356(92)90054-q · Cited by 1,391
Epicardial fat: properties, function and relationship to obesity
Rabkin, S. W. (2006) · Obesity Reviews · doi:10.1111/j.1467-789x.2006.00293.x · Cited by 458
Self-citationPhysical Activity and Exercise in the Regulation of Human Adipose Tissue Physiology
Thompson, D., Karpe, F., Lafontan, M., & Frayn, K. N. (2012) · Physiological Reviews · doi:10.1152/physrev.00012.2011 · Cited by 425
Rabkin, S. W., Mathewson, F. A. L., & Hsu, P. (1977) · The American Journal of Cardiology · doi:10.1016/s0002-9149(77)80104-5 · Cited by 345
Self-citation
Flagged first, then by citations
Research works printed but not linked: 1
- Rabkin SW, 2014, Handbook of Systems Biology of Oxidative Stress, 1021
Cited by
Sorted by citations
Items 101–113 of 113
Vet for fat—epicardial versus paracardial types and atherosclerosis risk
Pines, A. (2020) · Menopause The Journal of The North American Menopause Society · doi:10.1097/gme.0000000000001484
Elmalı, F., Tekindal, M. A., Altın, C., Ateş, C., & Erol, V. (2020) · doi:10.21203/rs.3.rs-39583/v1
EPICARDIAL FAT IN PATIENTS UNDERGO LAPAROSCOPICAL-SLEEVE GASTRECTOMY
Lolan, F. M., Mahmood, A. S., & Al-Gburi, Y. F. (2022) · Military Medical Science Letters · doi:10.31482/mmsl.2022.008
Response to: Epicardial adipose tissue in heart failure: A promising therapeutic target
Mahabadi, A. A., Anapliotis, V., Dykun, I., & Rassaf, T. (2022) · International Journal of Cardiology · doi:10.1016/j.ijcard.2022.09.016
Epicardial and pericoronary fat
Maurovich‐Horvat, P., & Jermendy, G. (2023) · Elsevier eBooks · doi:10.1016/b978-0-12-822186-0.00015-8
Epigenetic regulations in fat depots
Le, P. N., Woo, J., Alvarado, C., & Gunasekar, P. (2023) · Elsevier eBooks · doi:10.1016/b978-0-12-823931-5.00023-2
Cândido, F., do Vale, D. C. G., Jimenes, D. R., Buttow, N. C., & Barbosa, C. P. (2023) · Arquivos do Mudi · doi:10.4025/arqmudi.v27iespecial.68226
Omics Insights into Epicardial Adipose Tissue: Unravelling Its Molecular Landscape
Mitu, I., Popescu, R. M., Dimitriu, C.-D., Miftode, R.-Ş., Costache, I. I., & Mitu, O. (2024) · Applied Sciences · doi:10.3390/app14104173
Kawai, Y., Sugimoto, M., Osawa, T., Lee, C., Ikeda, S., Niimi, K., & Banno, H. (2025) · Vascular · doi:10.1177/17085381251342332
Choy, M., Huang, Y., Peng, Y., Liang, W. ‐., He, X., Chen, C., Li, J., Zhu, W., Wei, F.-F., Dong, Y., et al. (2023) · Figshare · doi:10.6084/m9.figshare.22625521
Dépôts de graisse ectopique : étude de leur développement et de leur modulation
Abdesselam, I. (2016) · theses.fr (ABES) · doi:10.70675/1f016024z175cz4b35z8034za3b418cfe9c3
Liu, T., Song, Y., Ye, Z., Jiang, C., Cheng, Y., Dai, Y., Zhong, H., Huang, F., Li, Q., & Wang, F. (2026) · Scandinavian Journal of Medicine and Science in Sports · doi:10.1111/sms.70368
Metadata
- Authors
- Rabkin, S. W., & Campbell, H.
- Affiliations
- University of British Columbia (CA)
- EMMES Canada Burnaby BC Canada
- Corresponding author
- Rabkin, S. W.
- ORCID
- Rabkin, S. W.
- Venue
- Obesity Reviews
- Publisher
- Wiley
- Published
- 2015-03-05
- Volume
- 16
- Issue
- 5
- Pages
- 406-415
- ISSN
- 1467-7881 (ISSN-L)
- 1467-789X
- OpenAlex
- W1518443297
- Cited by
- 114
- References
- 38
- Citations by year
- 2026: 1 · 2025: 3 · 2024: 8 · 2023: 16 · 2022: 15 · 2021: 10 · 2020: 12 · 2019: 18 · 2018: 8 · 2017: 14 · 2016: 7 · 2015: 2
- FWCI
- 1.78
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Obesity Reviews (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Disease and Adiposity
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Adipokines, Inflammation, and Metabolic Diseases
- Health Sciences › Medicine › Physiology (medical) › Adipose Tissue and Metabolism
- Keywords
- epicardial adipose tissue, visceral fat reduction, weight loss interventions, diet, physical activity, bariatric surgery, body mass index, coronary artery disease
- MeSH terms
- Adipose Tissue, Diet, Reducing, Humans, Obesity, Pericardium, Risk Factors, Weight Loss, Exercise, Treatment Outcome, Bariatric Surgery
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review