Evidence map›Paper›PMID 21487397›Full record

ArticleInternational journal of obesity (2005)2012

Arterial stiffness, central blood pressure and body size in health and disease.

O O Kolade, T M O'Moore-Sullivan, M Stowasser, J S Coombes, R G Fassett, T H Marwick, J E Sharman

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in International journal of obesity (2005), 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 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.

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

16 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Association of Nondiabetic Glucometabolic Status and Aortic Stiffness in Community Hypertension Patients.Diabetes, metabolic syndrome and obesity : targets and therapy · 2022
    Article
  5. Article
  6. Observational
  7. Article
  8. Article
  9. Article
  10. Arterial Stiffness in Treated Hypertensive Patients With White-Coat Hypertension.Journal of clinical hypertension (Greenwich, Conn.) · 2017
    Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. More fuel in the obesity paradox debate.International journal of obesity (2005) · 2013
    Article
  16. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors.

O O KoladeThe University of Queensland, School of Human Movement Studies, Brisbane, Queensland, Australia.
T M O'Moore-Sullivan
M Stowasser
J S Coombes
R G Fassett
T H Marwick
J E Sharman

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBody size is associated with increased brachial systolic blood pressure (SBP) and aortic stiffness. The aims of this study were to determine the relationships between central SBP and body size (determined by body mass index (BMI), waist circumference and waist/hip ratio) in health and disease. We also sought to determine if aortic stiffness was correlated with body size, independent of BP.

methodsBMI, brachial BP and estimated central SBP (by SphygmoCor and radial P2) were recorded in controls (n=228), patients with diabetes (n=211), coronary artery disease (n=184) and end-stage kidney disease (n=68). Additional measures of waist circumference and arterial stiffness (aortic and brachial pulse wave velocity (PWV)) were recorded in a subgroup of 75 controls (aged 51 ± 12 years) who were carefully screened for factors affecting vascular function.

resultsBMI was associated with brachial (r=0.30; P<0.001) and central SBP (r=0.29; P<0.001) in the 228 controls, but not the patient populations (r<0.13; P>0.15 for all comparisons). In the control subgroup, waist circumference was also significantly correlated with brachial SBP (r=0.29; P=0.01), but not central SBP (r=0.22; P=0.07). Independent predictors of aortic PWV in the control subgroup were brachial SBP (β=0.43; P<0.001), age (β=0.37; P<0.001), waist circumference (β=0.39; P=0.02) and female sex (β=-0.24; P=0.03), but not BMI.

conclusionIn health, there are parallel increases in central and brachial SBP as BMI increases, but these relationships are not observed in the presence of chronic disease. Moreover, BP is a stronger correlate of arterial stiffness than body size.

Indexed as

Blood PressureBody Mass IndexVascular StiffnessBlood Flow VelocityBrachial ArteryCardiovascular DiseasesChronic DiseaseCross-Sectional StudiesDiabetes Mellitus, Type 2EchocardiographyFemaleHumansKidney Failure, ChronicMaleManometryMiddle Aged

Identifiers

PMID21487397

What OpenQuestion holds

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Registered trials

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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.