Evidence map›Paper›PMID 25277616›Full record

ArticleJournal of the American College of Cardiology2014

Fasting levels of high-sensitivity growth hormone predict cardiovascular morbidity and mortality: the Malmö Diet and Cancer study.

Erik Hallengren, Peter Almgren, Gunnar Engström, Bo Hedblad, Margaretha Persson, Jennifer Suhr, Andreas Bergmann, Olle Melander

Open access · hybridAbstract read
In one paragraph

Article in Journal of the American College of Cardiology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
3.6field-weighted citation impact, top 7% 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

19 citing papers in PubMed, 1 synthesis or guideline pooled it, 34 citations in OpenAlex.

  1. Pooled it
  2. Trial
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  6. Review
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  10. Review
  11. Article
  12. Growth Hormone (GH) and Cardiovascular System.International journal of molecular sciences · 2018
    Review
  13. Article
  14. A Functional Interplay between IGF-1 and Adiponectin.International journal of molecular sciences · 2017
    Review
  15. Article
  16. Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 2 countries.

Erik HallengrenDepartment of Clinical Sciences, Lund University, Malmö, Sweden; Department of Internal Medicine, Skåne University Hospital, Malmö, Sweden.
Peter AlmgrenDepartment of Clinical Sciences, Lund University, Malmö, Sweden.
Gunnar EngströmDepartment of Clinical Sciences, Lund University, Malmö, Sweden.
Bo HedbladDepartment of Clinical Sciences, Lund University, Malmö, Sweden; Department of Internal Medicine, Skåne University Hospital, Malmö, Sweden.
Margaretha PerssonDepartment of Clinical Sciences, Lund University, Malmö, Sweden; Department of Internal Medicine, Skåne University Hospital, Malmö, Sweden.
Jennifer SuhrICI Immunochemical Intelligence GmbH, Berlin, Germany.
Andreas BergmannSphingoTec GmbH, Hohen Neuendorf, Germany; Waltraut Bergmann Foundation, Hohen Neuendorf, Germany.
Olle MelanderDepartment of Clinical Sciences, Lund University, Malmö, Sweden; Department of Internal Medicine, Skåne University Hospital, Malmö, Sweden. Electronic address: olle.melander@med.lu.se.
Lund University · SESkåne University Hospital · SEInstitute for Bee Research · DE

Funding

European Research Council 282255
6 · The paper itself

Abstract

backgroundBoth pathological excess and deficiency of growth hormone (GH) are associated with cardiovascular mortality.

objectivesThe goal of this study was to test whether fasting levels of growth hormone measured with a high-sensitivity assay (hs-GH) predict cardiovascular morbidity and mortality at the population level.

methodsWe studied 4,323 participants (age 46 to 68 years; mean age 58 years; 59% women) of the Swedish, population-based Malmö Diet and Cancer study examined in 1991 to 1994. Using multivariate-adjusted Cox proportional hazards models, we related baseline levels of fasting hs-GH to incidence of coronary artery disease, stroke, congestive heart failure, all-cause mortality, and cardiovascular mortality.

resultsDuring a median follow-up of 16.2 years, hs-GH (hazard ratio [HR]/SD increment of natural logarithm of fasting hs-GH) was independently associated with increased risk of coronary artery disease (397 events; HR: 1.11; 95% confidence interval [CI]: 1.01 to 1.23; p = 0.04), stroke (251 events; HR: 1.18; 95% CI: 1.04 to 1.34; p = 0.01), congestive heart failure (107 events; HR: 1.25; 95% CI: 1.03 to 1.52; p = 0.02), all-cause mortality (645 events; HR: 1.17; 95% CI: 1.08 to 1.26; p < 0.001) and cardiovascular mortality (186 events; HR: 1.43; 95% CI: 1.24 to 1.66; p < 0.001). The addition of hs-GH to a model with conventional cardiovascular risk factors significantly reclassified risk, with a category-free net reclassification improvement (>0) of 0.542 (95% CI: 0.205 to 0.840) in cardiovascular mortality.

conclusionsHigher values of hs-GH were associated with an increased risk of cardiovascular morbidity and mortality.

Indexed as

AgedCardiovascular DiseasesCoronary Artery DiseaseDietFastingFemaleHeart FailureHuman Growth HormoneHumansMaleMiddle AgedMultivariate AnalysisNeoplasmsProportional Hazards ModelsRisk FactorsStrokeHuman Growth Hormonecardiovascular diseaseepidemiologygrowth hormonemortality

Identifiers

PMID25277616
PMCPMC4180127
OpenAlexW1740788410

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.