Evidence map›Paper›PMID 22588803›Full record

Trial reportEnvironmental health perspectives2012

Ambient temperature and biomarkers of heart failure: a repeated measures analysis.

Elissa H Wilker, Gloria Yeh, Gregory A Wellenius, Roger B Davis, Russell S Phillips, Murray A Mittleman

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Environmental health perspectives, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 2 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

32 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Self-Reported Outdoor Light Exposure Time and Incident Heart Failure.Journal of the American Heart Association · 2024
    Article
  9. Article
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  14. Review
  15. Article
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  18. Short-Term Effects of Heat on Mortality and Effect Modification by Air Pollution in 25 Italian Cities.International journal of environmental research and public health · 2018
    Article
  19. Article
  20. 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

6 authors.

Elissa H WilkerCardiovascular Epidemiology Research Unit, Beth Israel Deaconess Medical Center, Boston, Massachusetts 02215, USA. ewilker@bidmc.harvard.edu
Gloria Yeh
Gregory A Wellenius
Roger B Davis
Russell S Phillips
Murray A Mittleman

Funding

Translational Research Support CoreP30ES000002 · NIEHS · HARVARD UNIVERSITY (SCH OF PUBLIC HLTH) · PI JAIME ELIZABETH HART · 1985 to 2026
$44.6M
Training Program in Cardiovascular ResearchT32HL007374 · NHLBI · HARVARD UNIVERSITY (MEDICAL SCHOOL) · PI MITTLEMAN, MURRAY A · 1985 to 2019
$7.9M
Tai Chi Mind-Body Therapy for Chronic Heart FailureR01AT002454 · NCCIH · BETH ISRAEL DEACONESS MEDICAL CENTER · PI PHILLIPS, RUSSELL SCOTT · 2004 to 2007
$2.3M
Mechanisms of Air Pollution Health Effects in Subjects with Heart FailureR00ES015774 · NIEHS · BROWN UNIVERSITY · PI WELLENIUS, GREGORY A · 2009 to 2011
$747k
Climate Change and Cardiac Vulnerability in HumansR21ES020194 · NIEHS · HARVARD SCHOOL OF PUBLIC HEALTH · PI GOLD, DIANE R, ZANOBETTI, ANTONELLA · 2011 to 2012
$463k
Mechanisms of Air Pollution Health Effects in Subjects with Heart FailureK99ES015774 · NIEHS · BETH ISRAEL DEACONESS MEDICAL CENTER · PI WELLENIUS, GREGORY A · 2007 to 2008
$175k
NCCIH NIH HHS R0 1AT002454NHLBI NIH HHS T32 HL007374NHLBI NIH HHS T32-HL007374NIEHS NIH HHS ES0002NIEHS NIH HHS ES015774NIEHS NIH HHS ES090825NIEHS NIH HHS K99 ES015774NIEHS NIH HHS P30 ES000002NIEHS NIH HHS R00 ES015774NIEHS NIH HHS R21 ES020194NIEHS NIH HHS R2 ES020194-01
6 · The paper itself

Abstract

backgroundExtreme temperatures have been associated with hospitalization and death among individuals with heart failure, but few studies have explored the underlying mechanisms.

objectivesWe hypothesized that outdoor temperature in the Boston, Massachusetts, area (1- to 4-day moving averages) would be associated with higher levels of biomarkers of inflammation and myocyte injury in a repeated-measures study of individuals with stable heart failure.

methodsWe analyzed data from a completed clinical trial that randomized 100 patients to 12 weeks of tai chi classes or to time-matched education control. B-type natriuretic peptide (BNP), C-reactive protein (CRP), and tumor necrosis factor (TNF) were measured at baseline, 6 weeks, and 12 weeks. Endothelin-1 was measured at baseline and 12 weeks. We used fixed effects models to evaluate associations with measures of temperature that were adjusted for time-varying covariates.

resultsHigher apparent temperature was associated with higher levels of BNP beginning with 2-day moving averages and reached statistical significance for 3- and 4-day moving averages. CRP results followed a similar pattern but were delayed by 1 day. A 5°C change in 3- and 4-day moving averages of apparent temperature was associated with 11.3% [95% confidence interval (CI): 1.1, 22.5; p = 0.03) and 11.4% (95% CI: 1.2, 22.5; p = 0.03) higher BNP. A 5°C change in the 4-day moving average of apparent temperature was associated with 21.6% (95% CI: 2.5, 44.2; p = 0.03) higher CRP. No clear associations with TNF or endothelin-1 were observed.

conclusionsAmong patients undergoing treatment for heart failure, we observed positive associations between temperature and both BNP and CRP-predictors of heart failure prognosis and severity.

Indexed as

TemperatureAgedBiomarkersBostonCase-Control StudiesC-Reactive ProteinFemaleHeart FailureHumansMaleMiddle AgedNatriuretic Peptide, BrainTai JiTumor Necrosis Factor-alphaBiomarkersC-Reactive ProteinNatriuretic Peptide, BrainTumor Necrosis Factor-alpha

Identifiers

PMID22588803
PMCPMC3440076

What OpenQuestion holds

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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.