{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T23:07:21Z","timestamp":1782947241662,"version":"3.54.5"},"reference-count":44,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2023,9,10]],"date-time":"2023-09-10T00:00:00Z","timestamp":1694304000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Obesity"],"published-print":{"date-parts":[[2023,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>The relationship between obesity and in\u2010hospital outcomes in individuals with\u00a0type 2 diabetes mellitus (T2DM) who develop an ST\u2010elevation myocardial infarction (STEMI) was assessed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Data from the National Inpatient Sample (NIS) from 2008 to 2017 were analyzed. Patients with STEMI and T2DM were classified as being underweight or having normal weight, overweight, obesity, and severe obesity. The temporal trend of those BMI ranges and in\u2010hospital outcomes among different obesity groups were assessed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 74,099 patients with T2DM and STEMI were included in this analysis. In 2008, 35.8% of patients had obesity, and 37.3% had severe obesity. However, patients with obesity accounted for most of the study population in 2017 (57.8%). During the observation period, mortality decreased in underweight patients from 18.1% to 13.2% (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001). Still, it gradually increased in all other BMI ranges, along with cardiogenic shock, atrial fibrillation, and ventricular fibrillation (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001 for all). After the combination of all patients during the observation period, mortality was lower in patients with overweight and obesity (adjusted odds ratio\u2009=\u20090.625 [95% CI 0.499\u20130.784]; 0.606 [95% CI 0.502\u20130.733], respectively).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>A U\u2010shaped association governs the relationship between BMI and mortality in STEMI patients with diabetes, with those having overweight and obesity experiencing better survival.<\/jats:p><\/jats:sec>","DOI":"10.1002\/oby.23863","type":"journal-article","created":{"date-parts":[[2023,9,11]],"date-time":"2023-09-11T04:18:56Z","timestamp":1694405936000},"page":"2834-2844","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Overweight and obesity are associated with better survival in<scp>STEMI<\/scp>patients with diabetes"],"prefix":"10.1002","volume":"31","author":[{"given":"Hamza","family":"Chaudhry","sequence":"first","affiliation":[{"name":"Department of Medicine Weill Cornell Medicine\u2010Qatar Doha Qatar"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ramez","family":"Bodair","sequence":"additional","affiliation":[{"name":"Department of Medicine Weill Cornell Medicine\u2010Qatar Doha Qatar"},{"name":"Department of Medicine Virginia Commonwealth University Health Richmond Virginia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ziyad","family":"Mahfoud","sequence":"additional","affiliation":[{"name":"Biostatistics Core, Weill Cornell Medicine\u2010Qatar Doha Qatar"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Soha","family":"Dargham","sequence":"additional","affiliation":[{"name":"Biostatistics Core, Weill Cornell Medicine\u2010Qatar Doha Qatar"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jassim","family":"Al Suwaidi","sequence":"additional","affiliation":[{"name":"Heart Hospital. Hamad Medical Corporation Doha Qatar"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hani","family":"Jneid","sequence":"additional","affiliation":[{"name":"Department of Cardiology University of Texas Medical Branch Galveston Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1428-6324","authenticated-orcid":false,"given":"Charbel","family":"Abi Khalil","sequence":"additional","affiliation":[{"name":"Department of Medicine Weill Cornell Medicine\u2010Qatar Doha Qatar"},{"name":"Heart Hospital. Hamad Medical Corporation Doha Qatar"},{"name":"Joan and Sanford I. 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