Evidence map›Paper›PMID 24713850›Full record

ArticleAmerican journal of hypertension2014

Blood pressure, low-density lipoprotein cholesterol, and incidences of coronary artery disease and ischemic stroke in Japanese: the Suita study.

Rumi Tsukinoki, Tomonori Okamura, Makoto Watanabe, Yoshihiro Kokubo, Aya Higashiyama, Kunihiro Nishimura, Misa Takegami, Yoshitaka Murakami, Akira Okayama, Yoshihiro Miyamoto

Open access · bronzeAbstract read
In one paragraph

Article in American journal of hypertension, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
2.0field-weighted citation impact, top 12% 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

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 27 citations in OpenAlex.

  1. Guideline
  2. Trial
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  5. Review
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  10. Association between theBioscience reports · 2018
    Article
  11. Nutrition & metabolism · 2018
    Article
  12. Article
  13. Impact of hypertension on the lifetime risk of coronary heart disease.Hypertension research : official journal of the Japanese Society of Hypertension · 2016
    Article
  14. 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

10 authors at 6 institutions in 1 country.

Rumi TsukinokiDepartment of Public Health Nursing, Osaka Medical College, Takatsuki, Osaka, Japan; rumitsukinoki@gmail.com.
Tomonori OkamuraDepartment of Preventive Medicine and Public Health, Keio University, Tokyo, Japan;
Makoto WatanabeDepartment of Preventive Cardiology, National Cerebral and Cardiovascular Center, Osaka, Japan;
Yoshihiro KokuboDepartment of Preventive Cardiology, National Cerebral and Cardiovascular Center, Osaka, Japan; Department of Preventive Medicine and Epidemiologic Informatics, National Cerebral and Cardiovascular Center, Osaka, Japan;
Aya HigashiyamaDepartment of Environmental and Preventive Medicine, Hyogo College of Medicine, Nishinomiya, Hyogo, Japan;
Kunihiro NishimuraDepartment of Preventive Medicine and Epidemiologic Informatics, National Cerebral and Cardiovascular Center, Osaka, Japan;
Misa TakegamiDepartment of Preventive Medicine and Epidemiologic Informatics, National Cerebral and Cardiovascular Center, Osaka, Japan;
Yoshitaka MurakamiDepartment of Medical Statistics, Shiga University of Medical Science, Otsu, Shiga, Japan;
Akira OkayamaFirst Institute of Health Service, Japan Anti-Tuberculosis Association, Tokyo, Japan.
Yoshihiro MiyamotoDepartment of Preventive Cardiology, National Cerebral and Cardiovascular Center, Osaka, Japan; Department of Preventive Medicine and Epidemiologic Informatics, National Cerebral and Cardiovascular Center, Osaka, Japan;
National Cerebral and Cardiovascular Center · JPHyogo Medical University · JPJapan Anti Tuberculosis Association · JPKeio University · JPOsaka Medical and Pharmaceutical University · JPShiga University of Medical Science · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBlood pressure (BP) and low-density lipoprotein cholesterol (LDL-C) are risk factors for coronary artery disease (CAD) and ischemic stroke. However, the hazards of their coexistence are not fully understood in Asian populations. We investigated whether the relationship between BP and cardiovascular disease (CVD) outcomes are modified by LDL-C level in a Japanese population.

methodsIndividuals aged 30-79 years (n = 5,151) were classified into 6 groups according to LDL-C levels (<140 and ≥140mg/dL or lipid medication) and BP levels (optimal BP, prehypertension, and hypertension; reference: low LDL-C and optimal BP). Hazard ratios (HRs) were calculated after adjusting for age, high-density lipoprotein cholesterol, diabetes, smoking status, and alcohol consumption. The effect modification of LDL-C on BP-CVD association was assessed using likelihood ratio tests.

resultsThere were 264 CAD and 215 ischemic stroke events during 13 years of follow-up. With low LDL-C, the HRs of prehypertension and hypertension for CAD were 2.01 and 4.71, respectively. Similar trends of HRs were observed with high LDL-C (optimal BP = 2.09, prehypertension = 3.45, hypertension = 5.94). However, the HRs for ischemic stroke did not differ between normal and high LDL-C levels at the same BP level. The apparent effect modification of LDL-C was not observed in the BP-CVD association in either CAD (P = 0.48) or ischemic stroke (P = 0.39).

conclusionsThe HRs for CAD in prehypertensive and hypertensive groups were higher than those in the optimal BP group at the same LDL-C levels in a Japanese population; however, there was no statistical effect modification of LDL-C on the BP-CAD association.

Indexed as

Asian PeopleBlood PressureAdultAgedBiomarkersBrain IschemiaChi-Square DistributionCholesterol, LDLCoronary Artery DiseaseDyslipidemiasFemaleHealth SurveysHumansHypertensionIncidenceJapanBiomarkersCholesterol, LDLAsianblood pressurecohort studycoronary artery diseasehypertensionincidenceischemic strokelow-density lipoprotein cholesterolSuita Study.

Identifiers

PMID24713850
PMCPMC4263939
OpenAlexW2167638950

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.