Impact of body mass index on atrial fibrillation recurrence: a meta-analysis of observational studies
Abstract
BACKGROUND: Obesity is associated with increased risk of atrial fibrillation (AF). Several trials exploring the impact of elevated body mass index (BMI) on the catheter ablation of AF have been published and yield conflicting results. We thus conducted a meta-analysis to explore the association between elevated BMI and AF recurrence in patients undergoing catheter ablation. METHODS: A systematic review and meta-analysis was performed. Relative risks (RRs) and 95% confidence intervals (CIs) were pooled. RESULTS: Six observational studies including 2,358 patients were included. Of those, four studies were prospective cohort studies, and two were retrospective studies. Elevated BMI increased the risk of AF recurrence compared to normal BMI by 31%, where the difference between the two arms was statistically significant (RR = 1.308, 95% CI: 1.036-1.651, P = 0.02). Compared to normal BMI group, the overweight group had a 27% increased risk of AF recurrence (RR = 1.270, 95% CI 0: 961-1.679, P = 0.093) and the obese group had a significantly increased risk of AF recurrence (RR = 1.378, 95% CI: 1.006-1.887, P = 0.045). When compared to the overweight group, the obese group has a 12% increased risk of AF recurrence (RR = 1.116, 95% CI: 0.866-1.438, P = 0.397). CONCLUSIONS: Elevated BMI is associated significantly with AF recurrence in patients undergoing catheter ablation. There is a graded relationship between elevated BMI and increased risk of AF recurrence.
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Obesity may increase the rate of AF recurrence after catheter ablation, with obstructive sleep apnoea as an important potential confounder.
“Obesity may increase the rate of AF recurrence after catheter ablation, [298][299][300][301] with obstructive sleep apnoea as an important potential confounder.”
From 2016 ESC Guidelines for the management of atrial fibrillation developed in collaboration with EACTS (2016) · cites this paper as [300]
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- Authors
- GUIJIAN, L., JINCHUAN, Y., RONGZENG, D., JUN, Q., JUN, W., & WENQING, Z.
- Affiliations
- Affiliated Hospital of Jiangsu University (CN)
- Division of Cardiology, Department of Medicine The Affiliated Hospital of Jiangsu University Zhenjiang China
- Fudan University (CN)
- Corresponding author
- WENQING, ZHU
- ORCID
- WENQING, ZHU
- Venue
- Pacing and Clinical Electrophysiology
- Publisher
- Wiley
- Published
- 2013-02-25
- Volume
- 36
- Issue
- 6
- Pages
- 748-756
- ISSN
- 0147-8389 (ISSN-L)
- 1540-8159
- OpenAlex
- W2065960983
- Cited by
- 52
- References
- 39
- Citations by year
- 2026: 3 · 2025: 2 · 2023: 5 · 2022: 4 · 2021: 5 · 2020: 9 · 2019: 4 · 2018: 4 · 2017: 4 · 2016: 5 · 2015: 2 · 2014: 4 · 2013: 1
- FWCI
- 0.68
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Pacing and Clinical Electrophysiology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Atrial Fibrillation Management and Outcomes
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Arrhythmias and Treatments
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Cardiovascular and Diving-Related Complications
- Keywords
- body mass index, obesity, atrial fibrillation, atrial fibrillation recurrence, catheter ablation, overweight
- MeSH terms
- Aged, Aged, 80 and over, Atrial Fibrillation, Female, Humans, Male, Middle Aged, Obesity, Recurrence, Risk Factors, Comorbidity, Body Mass Index, Incidence, Survival Analysis, Catheter Ablation, Evidence-Based Medicine, Observational Studies as Topic
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