Evidence map›Paper›PMID 19620271›Full record

ArticleCMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne2009

Trends in risk factors for cardiovascular disease in Canada: temporal, socio-demographic and geographic factors.

Douglas S Lee, Maria Chiu, Douglas G Manuel, Karen Tu, Xuesong Wang, Peter C Austin, Michelle Y Mattern, Tezeta F Mitiku, Lawrence W Svenson, Wayne Putnam and 3 more

Registry-linked trialAbstract read
In one paragraph

Article in CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02597205 (TAKEmeds Program), which is not on this map. Cited by 83 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
83citing papers in PubMed, 4 pooled it
–field-weighted citation impact
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.

NCT02597205 early_phase1completednot on this mapstarted 2015, after this paper: background citation

TAKEmeds Program: The Adherence and Knowledge Exchange Heart and Stroke Medicines Study

TypeinterventionalSponsorDuke Kunshan UniversityRan2015 to 2016Enrolled190ConditionsMyocardial InfarctionArmsphysician-facing app and patient-facing messages
3 · Its place in the literature

Who cites it

83 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Guideline
  2. Pooled it
  3. Guideline
  4. Comparison of cardiovascular risk profiles among ethnic groups using population health surveys between 1996 and 2007.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2010 · on this map
    Pooled it
  5. Effect of an intervention to improve the cardiovascular health of family members of patients with coronary artery disease: a randomized trial.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2014
    Trial
  6. Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. Article
  13. Article
  14. Association of Human Milk Fatty Acid Composition with Maternal Cardiometabolic Diseases: An Exploratory Prospective Cohort Study.Breastfeeding medicine : the official journal of the Academy of Breastfeeding Medicine · 2024
    Article
  15. Article
  16. CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2023
    Article
  17. Preventive care recommendations to promote health equity.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2023
    Article
  18. Article
  19. CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2023
    Article
  20. Vascular risk factors and stroke risk across the life span: A population-representative study of half a million people.International journal of stroke : official journal of the International Stroke Society · 2022
    Article

23 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors.

Douglas S LeeInstitute for Clinical Evaluative Sciences, Toronto, Ont. dlee@ices.on.ca
Maria Chiu
Douglas G Manuel
Karen Tu
Xuesong Wang
Peter C Austin
Michelle Y Mattern
Tezeta F Mitiku
Lawrence W Svenson
Wayne Putnam
William M Flanagan
Jack V Tu
Canadian Cardiovascular Outcomes Research Team

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTemporal trends in risk factors for cardiovascular disease and the impact of socio-economic status on these risk factors remain unclear.

methodsUsing data from the National Population Health Survey and the Canadian Community Health Survey, we examined national trends in heart disease, hypertension, diabetes mellitus, obesity and smoking prevalence from 1994 to 2005, adjusting for age and sex. We stratified data by income adequacy category, body mass index and region of residence.

resultsAn estimated 1.29 million Canadians reported having heart disease in 2005, representing increases of 19% for men and 2% for women, relative to 1994. Heart disease increased significantly in the lowest income category (by 27%), in the lower middle income category (by 37%) and in the upper middle income category (by 12%); however, it increased by only 6% in the highest income group. Diabetes increased in all but the highest income group: by 56% in the lowest income group, by 93% in the lower middle income group and by 59% in the upper middle income group. Hypertension increased in all income groups: by 85% in the lowest income group, by 80% in the lower middle income group, by 91% in the upper middle income group and by 117% in the highest income group. Obesity also increased in all income groups: by 20% in the lowest income group, by 25% in the lower middle income group, by 33% in the upper middle income group and by 37% in the highest income group. In addition to socio-economic status, obesity and overweight also modified the trends in risk factors. Diabetes increased to a greater extent among obese participants (61% increase) and overweight participants (25% increase), as did hypertension, which increased by 80% among obese individuals and by 74% among overweight individuals. Trends in diabetes, hypertension and obesity were consistent for all provinces.

interpretationDuring the study period, heart disease, hypertension, diabetes and obesity increased for all or most income groups in Canada. Further interventions supporting modification of lifestyle and risk factors are needed to prevent future cardiovascular disease.

Indexed as

AdultAge FactorsBody Mass IndexCanadaCardiovascular DiseasesCross-Sectional StudiesDemographyDiabetes MellitusFemaleGeographyHealth SurveysHeart DiseasesHumansHypertensionMaleObesity

Identifiers

PMID19620271
PMCPMC2717674

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.