{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,25]],"date-time":"2026-06-25T14:50:06Z","timestamp":1782399006988,"version":"3.54.5"},"reference-count":55,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2026,6,10]],"date-time":"2026-06-10T00:00:00Z","timestamp":1781049600000},"content-version":"vor","delay-in-days":9,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Obesity Science &amp; Practice"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Atrial fibrillation (AF) is a prevalent cardiac arrhythmia associated with increased mortality, particularly among individuals with obesity. This study examined trends in AF\u2010related mortality in adults with obesity in the United States from 1999 to 2024.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Trends in AF\u2010related mortality in adults with obesity aged \u2265 25\u00a0years with obesity were analyzed using the Centers for Disease Control and Prevention Wide\u2010ranging Online Data for Epidemiologic Research (CDC WONDER) database. AF and obesity were considered as multiple causes of death. Age\u2010adjusted mortality rates (AAMRs) per 1,000,000 were analyzed using Joinpoint regression to identify trends and calculate average annual percentage change (AAPC) stratified by gender, race, and region.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 63,853 deaths were identified. From 1999 to 2024, AF\u2010related mortality rates increased from 1.9 in 1999 to 20.8 in 2024 (AAPC: 11.4 [95% CI: 10.4, 12.2]). Males recorded higher AAMRs than females. White individuals exhibited higher AAMRs than Blacks. Nonmetropolitan areas (9.6) had higher AAMR than metropolitan areas (7.4). The Midwest recorded the highest AAMR while the South reported the steepest rise. States in the top 90th percentile of AAMR were Vermont, Oklahoma, Oregon, Minnesota, and Wyoming.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>AF\u2010 and obesity\u2010related mortality has increased overall from 1999 to 2024, with higher mortality rates observed in men, White individuals, nonmetropolitan areas, and the Southern US region. These findings highlight the need for continued surveillance and targeted prevention efforts in this population.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/osp4.70160","type":"journal-article","created":{"date-parts":[[2026,6,10]],"date-time":"2026-06-10T11:06:08Z","timestamp":1781089568000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Trends in Atrial Fibrillation\u2010Related Mortality Among Adults With Obesity in the United States From 1999 to 2024"],"prefix":"10.1002","volume":"12","author":[{"given":"Aymen","family":"Ahmed","sequence":"first","affiliation":[{"name":"Endeavor Center for Cardiovascular Intervention Outcomes Research and Evaluation (ECCORE) Section of Interventional Cardiology Endeavor Health Cardiovascular Institute  Glenview Illinois USA"},{"name":"The University of Chicago Pritzker School of Medicine  Chicago Illinois USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ruqiat Masooma","family":"Batool","sequence":"additional","affiliation":[{"name":"Department of Medicine Dow University of Health Sciences  Karachi Pakistan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-9051-6081","authenticated-orcid":false,"given":"Saad Ahmed","family":"Waqas","sequence":"additional","affiliation":[{"name":"Department of Medicine Dow University of Health Sciences  Karachi Pakistan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hasan Fareed","family":"Siddiqui","sequence":"additional","affiliation":[{"name":"Department of Medicine Dow University of Health Sciences  Karachi Pakistan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Muhammad Sameer","family":"Arshad","sequence":"additional","affiliation":[{"name":"Baylor Scott and White Research Institute  Dallas Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Neha Saleem","family":"Paryani","sequence":"additional","affiliation":[{"name":"Department of Medicine HCA Houston Healthcare Clear Lake\/University of Houston  Webster Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Izza","family":"Shahid","sequence":"additional","affiliation":[{"name":"Division of Preventive Cardiology Houston Methodist Academic Institute  Houston Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1817-7800","authenticated-orcid":false,"given":"Hasibullah","family":"Aminpoor","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine Rabia Balkhi National Complex Hospital  Kabul Afghanistan"},{"name":"Faculty of Medicine Kabul University of Medical Sciences \u201cAbu Ali Ibn Sina\u201d  Kabul Afghanistan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ali","family":"Mithani","sequence":"additional","affiliation":[{"name":"Department of Cardiac Electrophysiology Baylor Scott &amp; White The Heart Hospital  Plano Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5868-5143","authenticated-orcid":false,"given":"Muhammad Talha","family":"Ayub","sequence":"additional","affiliation":[{"name":"Division of Cardiac Electrophysiology ProMedica Physicians Cardiology  Toledo Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,6,10]]},"reference":[{"key":"e_1_2_15_2_1","doi-asserted-by":"publisher","DOI":"10.1177\/1747493019897870"},{"key":"e_1_2_15_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2017.04.052"},{"key":"e_1_2_15_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.lanepe.2023.100786"},{"key":"e_1_2_15_5_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.105.595140"},{"key":"e_1_2_15_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/B978-0-12-817921-5.00001-1"},{"key":"e_1_2_15_7_1","doi-asserted-by":"publisher","DOI":"10.21037\/atm.2017.03.107"},{"key":"e_1_2_15_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/jrh.12207"},{"key":"e_1_2_15_9_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.292.20.2471"},{"key":"e_1_2_15_10_1","doi-asserted-by":"publisher","DOI":"10.1093\/europace\/euaa214"},{"key":"e_1_2_15_11_1","doi-asserted-by":"publisher","DOI":"10.3389\/fcvm.2022.1032633"},{"key":"e_1_2_15_12_1","doi-asserted-by":"publisher","DOI":"10.1161\/STROKEAHA.116.015984"},{"issue":"166","key":"e_1_2_15_13_1","first-page":"1","article-title":"2013 NCHS Urban\u2010Rural Classification Scheme for Counties","volume":"2","author":"Ingram D. 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