Body mass index and mortality in heart failure: a meta-analysis. Am Heart J. 2008;156:13 22. doi: 10.1016/j. ahj.2008.02.014. 207. Fonarow GC, Srikanthan P, Costanzo MR, Cintron GB, Lopatin M; ADHERE Scientific Advisory Committee and Investigators. An obesity paradox in acute heart failure: analysis of body mass index and inhospital mortality for 108,927 patients in the Acute Decompensated Heart Failure National Registry. Am Heart J. 2007;153:74 81. doi: 10.1016/j.ahj.2006.09.007. 208. Cornier MA, Despr s JP, Davis N, Grossniklaus DA, Klein S, Lamarche B, Lopez-Jimenez F, Rao G, St-Onge MP, Towfighi A, Poirier P; on behalf of the American Heart Association Obesity Committee of the Council on Nutrition, Physical Activity and Metabolism; Council on Arteriosclerosis; Thrombosis and Vascular Biology; Council on Cardiovascular Disease in the Young; Council on Cardiovascular Radiology and Intervention; Council on Cardiovascular Nursing, Council on Epidemiology and Prevention; Council on the Kidney in Cardiovascular Disease, and Stroke Council. Assessing adiposity: a scientific statement from the American Heart Association. Circulation. 2011;124:1996 2019. doi: 10.1161/CIR.0b013e318233bc6a. 209. Clark AL, Fonarow GC, Horwich TB. Waist circumference, body mass index, and survival in systolic heart failure: the obesity par- adox revisited. J Card Fail. 2011;17:374 380. doi: 10.1016/j. cardfail.2011.01.009. 210. Clark AL, Chyu J, Horwich TB. The obesity paradox in men versus women with systolic heart failure. Am J Cardiol. 2012;110:77 82. doi: 10.1016/j.amjcard.2012.02.050. 211. Lavie CJ, Osman AF, Milani RV, Mehra MR. Body composition and prognosis in chronic systolic heart failure: the obesity paradox. Am J Cardiol. 2003;91:891 894. 212. Futter JE, Cleland JG, Clark AL. Body mass indices and out- come in patients with chronic heart failure. Eur J Heart Fail. 2011;13:207 213. doi: 10.1093/eurjhf/hfq218. Bozkurt et al 213. Iacobellis G, Corradi D, Sharma AM. Epicardial adipose tissue: anatomic, biomolecular and clinical relationships with the heart. Nat Clin Pract Cardiovasc Med. 