Correlation between Body Mass Index and Cognitive Function in Patients with Atrial Fibrillation

Background. Evidence regarding the relationship between body mass index (BMI) and cognitive function was limited. Therefore, the objective of this research is to investigate whether BMI is independently related to cognitive function in Chinese patients with atrial fibrillation after adjusting for ot...

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Main Authors: Li Guo, Ping Yin, Xiangting Li, Xin Wang, Jing Xue, Wenqing Wang, Dongmei Song, Guomei Xu, Miaomiao Shang, Shuai Liu, Yuanyuan Chen, Qingyun Zhang, Dandan Sun
Format: Article
Language:English
Published: Wiley 2022-01-01
Series:Journal of Interventional Cardiology
Online Access:http://dx.doi.org/10.1155/2022/6025732
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author Li Guo
Ping Yin
Xiangting Li
Xin Wang
Jing Xue
Wenqing Wang
Dongmei Song
Guomei Xu
Miaomiao Shang
Shuai Liu
Yuanyuan Chen
Qingyun Zhang
Dandan Sun
author_facet Li Guo
Ping Yin
Xiangting Li
Xin Wang
Jing Xue
Wenqing Wang
Dongmei Song
Guomei Xu
Miaomiao Shang
Shuai Liu
Yuanyuan Chen
Qingyun Zhang
Dandan Sun
author_sort Li Guo
collection DOAJ
description Background. Evidence regarding the relationship between body mass index (BMI) and cognitive function was limited. Therefore, the objective of this research is to investigate whether BMI is independently related to cognitive function in Chinese patients with atrial fibrillation after adjusting for other covariates. Methods. The present study is a cross-sectional study. A total of 281 patients with atrial fibrillation who were hospitalized at the Affiliated Hospital of Jining Medical University in Shandong Province from January 2021 to November 2021 were included in the study. The target independent variable and the dependent variable were BMI and cognitive function in patients with atrial fibrillation, respectively. The patients’ general information, BMI, past history, medication history, and other disease-related data were collected. The Montreal cognitive assessment scale (MoCA) was used to evaluate cognitive function. Results. A total of 244 patients with atrial fibrillation were collected in this study, with an average age of (67.28 ± 10.33) years, of whom 55.3% were male. The average BMI was (25.33 ± 4.27) kg/m2, and the average cognitive function score was (19.25 ± 6.88) points. The results of the smooth curve fitting and threshold effect tests showed that there was a curve correlation between BMI and cognitive function score, and its inflection point was 24.56 kg/m2. To the left of the inflection point, the relationship was significant; the effect size and the confidence interval were 0.43 and 0.01–0.85, respectively. To the right of the inflection point, there was no significant correlation between BMI and cognitive function (P=0.152). Conclusion. When BMI is lower than 24.56 kg/m2, the cognitive function score increases by 0.43 points for each unit increase in BMI in patients with atrial fibrillation. An increase in BMI at this time is a protective factor for cognitive function. Within the normal range of BMI, the higher the BMI in atrial fibrillation patients, the higher the cognitive function score. We encourage atrial fibrillation patients with normal BMI to maintain their current weight.
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publisher Wiley
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spelling doaj-art-370dcbd2e1ee49c0b23ff06f2b1b02952025-08-20T03:55:02ZengWileyJournal of Interventional Cardiology1540-81832022-01-01202210.1155/2022/6025732Correlation between Body Mass Index and Cognitive Function in Patients with Atrial FibrillationLi Guo0Ping Yin1Xiangting Li2Xin Wang3Jing Xue4Wenqing Wang5Dongmei Song6Guomei Xu7Miaomiao Shang8Shuai Liu9Yuanyuan Chen10Qingyun Zhang11Dandan Sun12Affiliated Hospital of Jining Medical UniversityAffiliated Hospital of Jining Medical UniversityAffiliated Hospital of Jining Medical UniversityAffiliated Hospital of Jining Medical UniversityAffiliated Hospital of Jining Medical UniversityAffiliated Hospital of Jining Medical UniversityAffiliated Hospital of Jining Medical UniversityAffiliated Hospital of Jining Medical UniversityAffiliated Hospital of Jining Medical UniversityAffiliated Hospital of Jining Medical UniversityAffiliated Hospital of Jining Medical UniversityAffiliated Hospital of Jining Medical UniversityAffiliated Hospital of Jining Medical UniversityBackground. Evidence regarding the relationship between body mass index (BMI) and cognitive function was limited. Therefore, the objective of this research is to investigate whether BMI is independently related to cognitive function in Chinese patients with atrial fibrillation after adjusting for other covariates. Methods. The present study is a cross-sectional study. A total of 281 patients with atrial fibrillation who were hospitalized at the Affiliated Hospital of Jining Medical University in Shandong Province from January 2021 to November 2021 were included in the study. The target independent variable and the dependent variable were BMI and cognitive function in patients with atrial fibrillation, respectively. The patients’ general information, BMI, past history, medication history, and other disease-related data were collected. The Montreal cognitive assessment scale (MoCA) was used to evaluate cognitive function. Results. A total of 244 patients with atrial fibrillation were collected in this study, with an average age of (67.28 ± 10.33) years, of whom 55.3% were male. The average BMI was (25.33 ± 4.27) kg/m2, and the average cognitive function score was (19.25 ± 6.88) points. The results of the smooth curve fitting and threshold effect tests showed that there was a curve correlation between BMI and cognitive function score, and its inflection point was 24.56 kg/m2. To the left of the inflection point, the relationship was significant; the effect size and the confidence interval were 0.43 and 0.01–0.85, respectively. To the right of the inflection point, there was no significant correlation between BMI and cognitive function (P=0.152). Conclusion. When BMI is lower than 24.56 kg/m2, the cognitive function score increases by 0.43 points for each unit increase in BMI in patients with atrial fibrillation. An increase in BMI at this time is a protective factor for cognitive function. Within the normal range of BMI, the higher the BMI in atrial fibrillation patients, the higher the cognitive function score. We encourage atrial fibrillation patients with normal BMI to maintain their current weight.http://dx.doi.org/10.1155/2022/6025732
spellingShingle Li Guo
Ping Yin
Xiangting Li
Xin Wang
Jing Xue
Wenqing Wang
Dongmei Song
Guomei Xu
Miaomiao Shang
Shuai Liu
Yuanyuan Chen
Qingyun Zhang
Dandan Sun
Correlation between Body Mass Index and Cognitive Function in Patients with Atrial Fibrillation
Journal of Interventional Cardiology
title Correlation between Body Mass Index and Cognitive Function in Patients with Atrial Fibrillation
title_full Correlation between Body Mass Index and Cognitive Function in Patients with Atrial Fibrillation
title_fullStr Correlation between Body Mass Index and Cognitive Function in Patients with Atrial Fibrillation
title_full_unstemmed Correlation between Body Mass Index and Cognitive Function in Patients with Atrial Fibrillation
title_short Correlation between Body Mass Index and Cognitive Function in Patients with Atrial Fibrillation
title_sort correlation between body mass index and cognitive function in patients with atrial fibrillation
url http://dx.doi.org/10.1155/2022/6025732
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