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Updated: Sep 20, 2025

Author Spotlight: Exploring the Relationship Between Lipotoxicity and HFpEF
Published on: March 29, 2024
Relationship Between Leptin and Heart Failure: A Meta-Analysis
Xin Sun1, Caihong Xin2, Jiayi Yao1
1Department of Endocrinology and Metabolism, The First Affiliated Hospital of Soochow University, Suzhou, CN.
Leptin levels are significantly higher in individuals with heart failure (HF) compared to healthy controls. This meta-analysis clarifies the controversial association between leptin and HF, aiding potential diagnostic and therapeutic strategies.
Area of Science:
- Cardiology
- Endocrinology
- Biomarkers
Background:
- Heart failure (HF) affects over 60 million globally, presenting a significant health challenge.
- Previous research suggests a link between leptin and HF, but findings are inconsistent.
- The precise association between leptin levels and heart failure remains controversial.
Purpose of the Study:
- To systematically review and meta-analyze existing studies on leptin levels in heart failure patients.
- To clarify the controversial relationship between leptin and heart failure.
Main Methods:
- A comprehensive literature search was performed across major scientific databases (Web of Science, Wiley, Embase, PubMed).
- Studies were identified using keywords 'leptin' combined with 'heart failure' and 'HF'.
- Meta-analysis was conducted, reporting standardized mean differences (SMD) and 95% confidence intervals (CI).
Main Results:
- Eighteen studies involving 1149 HF patients and 622 healthy controls were included.
- Leptin levels were found to be significantly elevated in patients with heart failure compared to healthy individuals (SMD, 0.54; 95% CI [0.15, 0.93]).
Conclusions:
- This systematic review is the first to comprehensively evaluate the relationship between leptin and heart failure.
- The findings indicate a significant association between higher leptin levels and heart failure.
- Understanding leptin's role in HF could advance diagnostic and treatment approaches.
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Pathophysiology of Heart Failure
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