Evidence map›Paper›PMID 17985199›Full record

Trial reportEuropean journal of epidemiology2008

Inflammation a possible link between economical stress and coronary heart disease.

Katalin Gémes, Staffan Ahnve, Imre Janszky

Abstract readMulticenter StudyRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in European journal of epidemiology, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
3.0field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 40 citations in OpenAlex.

  1. Trial
  2. Physiological and Psychological Effects of a Walk in Urban Parks in Fall.International journal of environmental research and public health · 2015
    Trial
  3. Elucidation of a physiological adjustment effect in a forest environment: a pilot study.International journal of environmental research and public health · 2015
    Trial
  4. Income and recurrent events after a coronary event in women.European journal of epidemiology · 2008
    Trial
  5. Article
  6. Facing stress and inflammation: From the cell to the planet.World journal of experimental medicine · 2024
    Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. Observational study of 1-year mortality rates before and after a major earthquake among Chinese nonagenarians.The journals of gerontology. Series A, Biological sciences and medical sciences · 2011
    Article
  13. Article
  14. New studies, technology, and the progress of epidemiology.European journal of epidemiology · 2010
    Article
  15. The Generation R Study: design and cohort update 2010.European journal of epidemiology · 2010
    Article
  16. Early influences on cardiovascular and renal development.European journal of epidemiology · 2010
    Review
  17. The Rotterdam Study: 2010 objectives and design update.European journal of epidemiology · 2009
    Article
  18. Recent trends in cardiovascular epidemiology.European journal of epidemiology · 2009
    Article
  19. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 3 institutions in 2 countries.

Katalin GémesPreventive Medicine, Department of Public Health Sciences, Karolinska Institutet, Karolinska Hospital, Norrbacka 6th floor, 17176 Stockholm, Sweden.
Staffan Ahnve
Imre Janszky
Karolinska Institutet · SEKarolinska University Hospital · SESemmelweis University · HU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo assess the relationship between economical stress, as an indicator of SES, and inflammation in women patients with coronary heart disease (CHD).

designa cross-sectional study. SETTING AND

participantsTwo hundred and thirteen women patients recruited from two hospitals in Stockholm, Sweden; mean age 63+/-8, range 35-75 years, hospitalised for acute myocardial infarction, coronary angioplasty or bypass surgery between 1996 and 2000, examined in a stable phase, 1 year and 5 months (+/-2.5 months) after the index event.

main outcome measuresEconomical stress, and other SES indicators were assessed by questionnaires. Levels of high-sensitivity C-reactive protein (CRP) were measured by nephelometry and the concentrations of interleukin-6 (Il-6) and interleukin-1 receptor antagonist (Il-1ra) were determined by enzyme-linked immunoassay.

resultsAfter controlling for the potential confounders, i.e. treatment, menstruational, marital and education status in addition to age, patients having economical stress showed higher levels of hsCRP (2.79 vs. 1.83 mg/l, p=0.04), Il-6 (3.12 vs. 2.38 mg/l, p=0.015) and Il-1ra (599 vs. 456 mg/l, p=0.02). The association persisted after controlling for other measures of economical status, like personal and household income. According to our mediational analyses, lifestyle variables, especially BMI, could partly explain the observed association.

conclusionHigh economical stress was associated with higher Il-6, CRP and Il-1ra levels in women with stable CHD. The direction of causality cannot be inferred from such a cross-sectional study however, our results raise the possibility that increased inflammatory activity is a mediator for the effect of economical stress on adverse outcomes after a coronary event.

Indexed as

Socioeconomic FactorsAdultAgedCohort StudiesCoronary Artery DiseaseC-Reactive ProteinCross-Sectional StudiesFemaleHumansInflammationInterleukin 1 Receptor Antagonist ProteinInterleukin-6Middle AgedMyocardial InfarctionSwedenC-Reactive ProteinInterleukin 1 Receptor Antagonist ProteinInterleukin-6

Identifiers

PMID17985199
OpenAlexW2085253695

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.