Evidence map›Paper›PMID 21933299›Full record

Trial reportMicrocirculation (New York, N.Y. : 1994)2011

Retinal microvascular changes and the risk of developing obesity: population-based cohort study.

Anoop Shankar, Charumathi Sabanayagam, Barbara E K Klein, Ronald Klein

Abstract readClinical Trial
In one paragraph

Trial report in Microcirculation (New York, N.Y. : 1994), 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–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

9 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Review
  5. Article
  6. Article
  7. Article
  8. Assessing Microvascular Function in Humans from a Chronic Disease Perspective.Journal of the American Society of Nephrology : JASN · 2017
    Review
  9. Review
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

4 authors.

Anoop ShankarDepartment of Community Medicine, West Virginia University School of Medicine, Morgantown, West Virginia 26506, USA. ashankar@hsc.wvu.edu
Charumathi Sabanayagam
Barbara E K Klein
Ronald Klein

Funding

Epidemiology of Age-related Hearing LossR37AG011099 · NIA · UNIVERSITY OF WISCONSIN-MADISON · PI CRUICKSHANKS, KAREN J · 2009 to 2018
$7.4M
Epidemiology of Retinopathy and other Complications in Long Term Type 1 DiabetesR01EY016379 · NEI · UNIVERSITY OF WISCONSIN-MADISON · PI KLEIN, BARBARA EDEN, KLEIN, RONALD · 2005 to 2016
$7.0M
EPIDEMIOLOGY OF AGE-RELATED HEARING LOSSR01AG011099 · NIA · UNIVERSITY OF WISCONSIN-MADISON · PI CRUICKSHANKS, KAREN J · 1993 to 2008
$6.1M
Novel Risk Factors for Chronic Kidney DiseaseR01DK073217 · NIDDK · UNIVERSITY OF WISCONSIN-MADISON · PI KLEIN, RONALD · 2006 to 2008
$800k
Association among serum perfluroalkyl chemicals,chronic kidney disease and cardioR03ES018888 · NIEHS · WEST VIRGINIA UNIVERSITY · PI SHANKAR, ANOOP · 2010 to 2011
$146k
NEI NIH HHS R01 EY016379NIA NIH HHS AG11099NIA NIH HHS R01 AG011099NIA NIH HHS R37 AG011099NIDDK NIH HHS DK73217NIDDK NIH HHS R01 DK073217NIEHS NIH HHS 5R03ES018888-02NIEHS NIH HHS R03 ES018888PHS HHS EYO6594
6 · The paper itself

Abstract

backgroundRecent studies have hypothesized that endothelial and microvascular dysfunction may play a role in the development of obesity. Previous studies have shown that retinal microvascular changes are associated with diabetes, hypertension, and cardiovascular disease. In contrast, few prospective studies have examined the association between retinal microvascular changes and the risk of developing obesity.

methodsWe examined n = 2089 nonobese subjects from a population-based cohort in Beaver Dam, Wisconsin (aged 44-85 years, 49% women). Retinal arteriolar and venular diameters were measured from baseline retinal photographs. The main outcome-of-interest was 15-year incidence of obesity.

resultsRetinal venular widening was positively associated with incident obesity over a 15-year follow-up period. This association was independent of age, gender, smoking, alcohol intake, education, physical activity, body mass index, serum cholesterol, and C-reactive protein levels. Compared with subjects with retinal venular diameter in the lowest tertile (referent), the multivariable relative risk (95% confidence interval) of obesity among subjects in the highest tertile was 1.68 (1.24-2.28); p-trend = 0.0005. In contrast, narrow retinal arterioles were not associated with obesity.

conclusionsIn a population-based cohort, we found that wider retinal venules are positively associated with risk of developing obesity, suggesting a role for microvascular dysfunction in its etiology.

Indexed as

MicrocirculationAdultAgedAged, 80 and overBody Mass IndexCholesterolC-Reactive ProteinFemaleFollow-Up StudiesHumansMaleMiddle AgedObesityRetinaRisk FactorsVenulesCholesterolC-Reactive Protein

Identifiers

PMID21933299
PMCPMC3221804

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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.