Evidence map›Paper›PMID 21146673›Full record

Trial reportAmerican heart journal2010

The fat-mass and obesity-associated (FTO) gene, physical activity, and risk of incident cardiovascular events in white women.

Tariq Ahmad, Daniel I Chasman, Samia Mora, Guillaume Paré, Nancy R Cook, Julie E Buring, Paul M Ridker, I-Min Lee

Open access · greenAbstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in American heart journal, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed, 5 pooled it
6.7field-weighted citation impact, top 3% 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

36 citing papers in PubMed, 5 syntheses or guidelines pooled it, 66 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Article
  7. Associations BetweenBiology · 2026
    Article
  8. Review
  9. Review
  10. Article
  11. Article
  12. FTO in health and disease.Frontiers in cell and developmental biology · 2024
    Review
  13. Review
  14. Article
  15. Article
  16. The possible mechanisms of the effects of IRX3 gene on body weight: an overview.Archives of medical sciences. Atherosclerotic diseases · 2019
    Article
  17. Complex Relationship between Obesity and the Fat Mass and Obesity Locus.International journal of biological sciences · 2017
    Review
  18. Review
  19. Article
  20. Increased genetic risk for obesity in premature coronary artery disease.European journal of human genetics : EJHG · 2016
    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

8 authors at 4 institutions in 2 countries.

Tariq AhmadDivision of Cardiology, Department of Medicine, Duke University Medical Center, Durham, NC, USA.
Daniel I Chasman
Samia Mora
Guillaume Paré
Nancy R Cook
Julie E Buring
Paul M Ridker
I-Min Lee
Brigham and Women's Hospital · USHarvard University · USDuke Medical Center · USMcMaster University · CA

Funding

Women's Health Study: Continued Follow-upR01CA047988 · NCI · BRIGHAM AND WOMEN'S HOSPITAL · PI BURING, JULIE E., LEE, I-MIN · 1991 to 2014
$28.2M
Training Program in the Epidemiology of CVDT32HL007575 · NHLBI · HARVARD UNIVERSITY (MEDICAL SCHOOL) · PI BURING, JULIE E., RIDKER, PAUL M. · 1985 to 2019
$5.0M
Women's Health Study: Continued Follow-UpR01HL080467 · NHLBI · BRIGHAM AND WOMEN'S HOSPITAL · PI BURING, JULIE E. · 2005 to 2010
$4.5M
TRIAL OF VITAMIN E, BETA-CAROTENE &ASPRIN IN WOMENR01HL043851 · NHLBI · BRIGHAM AND WOMEN'S HOSPITAL · PI BURING, JULIE E · 1991 to 2000
$1.6M
NCI NIH HHS R01 CA047988NHLBI NIH HHS R01 HL043851NHLBI NIH HHS R01 HL080467NHLBI NIH HHS T32 HL007575
6 · The paper itself

Abstract

backgroundVariation in the Fat-Mass and Obesity-Associated (FTO) gene has been associated with obesity, diabetes, and hypertension. However, its association with cardiovascular disease (CVD) in healthy populations and any interaction with physical activity remain unclear.

methodsThe FTO rs8050136 allele was determined in a prospective cohort study of 21,674 apparently healthy White US women in the Women's Genome Health Study.

resultsDuring a mean follow-up of 12.7±2.0 years, 664 incident CVD events occurred. The risk allele (A) was associated with higher prevalence of hypertension, diabetes, and metabolic syndrome (all P<.05). In a multivariate model, there was significant association of the risk allele with CVD (hazard ratio [HR] per allele copy 1.14, 95% CI 1.01-1.28) that was no longer significant after additional adjustment for body mass index (BMI) (HR 1.10, 95% CI 0.97-1.23). There was statistical evidence of an interaction between FTO and physical activity (P=.048). We found a significant association of FTO with CVD only among less-active (≤8.8 metabolic equivalent-h/wk) women (HR 1.19, 95% CI 1.02-1.38) in multivariate analyses that included BMI. More-active women did not have this increased risk (HR 0.96, 95% CI 0.79-1.16]). In a model that adjusted for BMI, less-active/high-risk (A/A) women were at 54% increased risk of developing CVD (HR 1.54, 95% CI 1.13-2.11), compared to more-active/low-risk (C/C) women.

conclusionsCarriers of the FTO risk allele have an increased risk of CVD mediated by BMI. There appears to be an interaction with physical activity, such that this risk increase is only in less-active women.

Indexed as

AllelesAlpha-Ketoglutarate-Dependent Dioxygenase FTOAspirinBody Mass IndexCardiovascular DiseasesDNAFemaleFollow-Up StudiesGene FrequencyGenotypeHumansMiddle AgedMotor ActivityObesityPlatelet Aggregation InhibitorsProspective StudiesAlpha-Ketoglutarate-Dependent Dioxygenase FTOAspirinDNAFTO protein, humanPlatelet Aggregation InhibitorsProteins

Identifiers

PMID21146673
PMCPMC3058560
OpenAlexW2091559034

What OpenQuestion holds

Textmetadata
LicenceTDM
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.