Evidence map›Paper›PMID 23460684›Full record

ArticlePediatrics2013

Triglyceride to HDL-C ratio and increased arterial stiffness in children, adolescents, and young adults.

Elaine M Urbina, Philip R Khoury, Connie E McCoy, Lawrence M Dolan, Stephen R Daniels, Thomas R Kimball

Erratum issuedOpen access · greenAbstract readEvaluation Study
In one paragraph

Article in Pediatrics, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 86 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
86citing papers in PubMed, 1 pooled it
10.5field-weighted citation impact, top 1% 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

86 citing papers in PubMed, 1 synthesis or guideline pooled it, 176 citations in OpenAlex.

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

4 · The record

Corrections and comments

  • Erratum issued
5 · Who and what money

Authors and funding

6 authors at 3 institutions in 1 country.

Elaine M UrbinaPreventive Cardiology, Cincinnati Children's Hospital Medical Center, 3333 Burnet Avenue, MLC-7002, Cincinnati, OH 45229, USA. elaine.urbina@cchmc.org
Philip R Khoury
Connie E McCoy
Lawrence M Dolan
Stephen R Daniels
Thomas R Kimball
Cincinnati Children's Hospital Medical Center · USUniversity of Cincinnati · USUniversity of Colorado Denver · US

Funding

Cincinnati Center for Clinical and Translational Sciences and TrainingUL1TR000077 · NCATS · UNIVERSITY OF CINCINNATI · PI HEUBI, JAMES E. · 2012 to 2014
$9.9M
CV Disease in Adolescents with Type 2 DiabetesR01HL076269 · NHLBI · CINCINNATI CHILDRENS HOSP MED CTR · PI KIMBALL, THOMAS R · 2005 to 2008
$2.7M
Vascular Dysfunction in Obesity and Metabolic SyndromeK23HL080447 · NHLBI · CINCINNATI CHILDRENS HOSP MED CTR · PI URBINA, ELAINE MOTT · 2006 to 2010
$663k
NCATS NIH HHS 8 UL1 TR000077-04NCATS NIH HHS UL1 TR000077NHLBI NIH HHS K23 HL080447NHLBI NIH HHS K23 HL080447-01A1NHLBI NIH HHS R01 HL076269
6 · The paper itself

Abstract

BACKGROUND AND

objectiveLipid levels are linked to early atherosclerosis. Risk stratification may be improved by using triglyceride to high-density lipoprotein cholesterol ratio (TG/HDL-C), which relates to arterial stiffness in adults. We tested whether TG/HDL-C was an independent predictor of arterial stiffness in youth.

methodsSubjects 10 to 26 years old (mean 18.9 years, 39% male, 56% non-Caucasian, n = 893) had laboratory, anthropometric, blood pressure, and arterial stiffness data collected (brachial distensibility, augmentation index, carotid-femoral pulse-wave velocity). Subjects were stratified into tertiles of TG/HDL-C (low, n = 227; mid, n = 288; high, n = 379).

resultsThere was a progressive rise in cardiovascular (CV) risk factors and arterial stiffness across TG/HDL-C ratio. The high TG/HDL-C ratio group had the stiffest vessels (all P < .03 by analysis of variance). TG/HDL-C as a continuous variable was an independent determinant of brachial distensibility in CV risk factor adjusted model and for carotid-femoral pulse-wave velocity in obese subjects, with trend for higher augmentation index.

conclusionsTG/HDL-C, an estimate of small, dense low-density lipoprotein cholesterol, is an independent determinant of arterial stiffness in adolescents and young adults, especially in obese youth. These data suggest that use of TG/HDL-C may be helpful in identifying young adults requiring aggressive intervention to prevent atherosclerotic CV diseases.

Indexed as

Vascular StiffnessAdolescentAdultArteriosclerosisBiomarkersChildCholesterol, HDLCross-Sectional StudiesFemaleHumansLinear ModelsMaleMultivariate AnalysisObesityRisk AssessmentRisk FactorsBiomarkersCholesterol, HDLTriglycerides

Identifiers

PMID23460684
PMCPMC3608484
OpenAlexW2143387778

What OpenQuestion holds

Textmetadata
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.