Evidence map›Paper›PMID 25477347›Full record

ArticleArteriosclerosis, thrombosis, and vascular biology2015

Sex differences in predictors of longitudinal changes in carotid artery stiffness: the Multi-Ethnic Study of Atherosclerosis.

Rebecca Stern, Matthew C Tattersall, Adam D Gepner, Claudia E Korcarz, Joel Kaufman, Laura A Colangelo, Kiang Liu, James H Stein

Open access · greenAbstract readComparative StudyMulticenter Study
In one paragraph

Article in Arteriosclerosis, thrombosis, and vascular biology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
1.0field-weighted citation impact, top 20% 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, 22 citations in OpenAlex.

  1. Trial
  2. Article
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  4. Article
  5. Article
  6. Asthma as a Systemic Disease: Cardiovascular Effects Associated with Asthma.Advances in experimental medicine and biology · 2023
    Article
  7. Article
  8. Review
  9. Article
  10. New insights into arterial stiffening: does sex matter?American journal of physiology. Heart and circulatory physiology · 2018
    Review
  11. Article
  12. Article
  13. Observational
  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

8 authors at 2 institutions in 1 country.

Rebecca SternFrom the Department of Medicine, Division of Cardiovascular Medicine, University of Wisconsin School of Medicine and Public Health, Madison (R.S., M.C.T., A.D.G., C.E.K., J.H.S.); Department of Epidemiology, University of Washington School of Public Health, Seattle (J.K.); and Department of Preventive Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL (L.A.C., K.L.).
Matthew C TattersallFrom the Department of Medicine, Division of Cardiovascular Medicine, University of Wisconsin School of Medicine and Public Health, Madison (R.S., M.C.T., A.D.G., C.E.K., J.H.S.); Department of Epidemiology, University of Washington School of Public Health, Seattle (J.K.); and Department of Preventive Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL (L.A.C., K.L.).
Adam D GepnerFrom the Department of Medicine, Division of Cardiovascular Medicine, University of Wisconsin School of Medicine and Public Health, Madison (R.S., M.C.T., A.D.G., C.E.K., J.H.S.); Department of Epidemiology, University of Washington School of Public Health, Seattle (J.K.); and Department of Preventive Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL (L.A.C., K.L.).
Claudia E KorcarzFrom the Department of Medicine, Division of Cardiovascular Medicine, University of Wisconsin School of Medicine and Public Health, Madison (R.S., M.C.T., A.D.G., C.E.K., J.H.S.); Department of Epidemiology, University of Washington School of Public Health, Seattle (J.K.); and Department of Preventive Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL (L.A.C., K.L.).
Joel KaufmanFrom the Department of Medicine, Division of Cardiovascular Medicine, University of Wisconsin School of Medicine and Public Health, Madison (R.S., M.C.T., A.D.G., C.E.K., J.H.S.); Department of Epidemiology, University of Washington School of Public Health, Seattle (J.K.); and Department of Preventive Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL (L.A.C., K.L.).
Laura A ColangeloFrom the Department of Medicine, Division of Cardiovascular Medicine, University of Wisconsin School of Medicine and Public Health, Madison (R.S., M.C.T., A.D.G., C.E.K., J.H.S.); Department of Epidemiology, University of Washington School of Public Health, Seattle (J.K.); and Department of Preventive Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL (L.A.C., K.L.).
Kiang LiuFrom the Department of Medicine, Division of Cardiovascular Medicine, University of Wisconsin School of Medicine and Public Health, Madison (R.S., M.C.T., A.D.G., C.E.K., J.H.S.); Department of Epidemiology, University of Washington School of Public Health, Seattle (J.K.); and Department of Preventive Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL (L.A.C., K.L.).
James H SteinFrom the Department of Medicine, Division of Cardiovascular Medicine, University of Wisconsin School of Medicine and Public Health, Madison (R.S., M.C.T., A.D.G., C.E.K., J.H.S.); Department of Epidemiology, University of Washington School of Public Health, Seattle (J.K.); and Department of Preventive Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL (L.A.C., K.L.). jhs@medicine.wisc.edu.
University of Washington · USNorthwestern University · US

Funding

Institute for Clinical and Translational Research (UL1)UL1RR025005 · NCRR · JOHNS HOPKINS UNIVERSITY · PI FORD, DANIEL ERNEST · 2007 to 2011
$75.8M
Institute for Clinical and Translational ResearchUL1TR001079 · NCATS · JOHNS HOPKINS UNIVERSITY · PI FORD, DANIEL ERNEST · 2013 to 2017
$60.1M
CTSA INFRASTRUCTURE FOR PEDIATRIC RESEARCHUL1RR024156 · NCRR · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI GINSBERG, HENRY N · 2006 to 2011
$53.0M
Project 5: ROS, Glutathione and Vascular Response to Diesel ExhaustP50ES015915 · NIEHS · UNIVERSITY OF WASHINGTON · PI KAUFMAN, JOEL DANIEL · 2008 to 2012
$11.8M
Training Program in Translational Cardiovascular Science (TPTCS)T32HL007936 · NHLBI · UNIVERSITY OF WISCONSIN-MADISON · PI Lee Lochbaum Eckhardt, Gail A Robertson · 2001 to 2026
$11.6M
Adjunctive Use of Apyrase to Fibrinolytic TherapyR44HL095169 · NHLBI · APT THERAPEUTICS, INC. · PI CHEN, RIDONG · 2012 to 2013
$1.3M
SUBCLINICAL CARDIOVASCULAR DISEASE STUDYN01HC095166 · HC · UNIVERSITY OF VERMONT &ST AGRIC COLLEGE · PI TRACY, RUSSELL P · 1999 to 2001
$758k
Reversibility of Cardiovascular Injury with CPAP Use: Mechanisms InvolvedK23HL094760 · NHLBI · UNIVERSITY OF WISCONSIN-MADISON · PI KORCARZ, CLAUDIA E · 2010 to 2014
$727k
SUBCLINICAL CARDIOVASCULAR DISEASE STUDY-FIELD CENTERN01HC095162 · HC · JOHNS HOPKINS UNIVERSITY · PI SZKLO, MOYSES A · 1999 to 2000
$694k
SUBCLINICAL CARDIOVASCULAR DISEASE STUDY--FIELD CENTERN01HC095161 · HC · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI SHEA, STEVEN · 1999 to 2001
$642k
SUBCLINICAL CARDIOVASCULAR DISEASE STUDY--FIELD CENTERN01HC095165 · HC · WAKE FOREST UNIVERSITY · PI BURKE, GREGORY L · 1999 to 2001
$616k
SUBCLINICAL CARDIOVASCULAR DISEASE STUDY--FIELD CENTERN01HC095160 · HC · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI SAAD, MOHAMMED F · 1999 to 2001
$592k
NCATS NIH HHS UL1 TR001079NCRR NIH HHS RR024156NCRR NIH HHS RR025005NCRR NIH HHS UL1 RR024156NCRR NIH HHS UL1 RR025005NHLBI NIH HHS HC95159NHLBI NIH HHS HC95160NHLBI NIH HHS HC95161NHLBI NIH HHS HC95162NHLBI NIH HHS HC95163NHLBI NIH HHS HC95164NHLBI NIH HHS HC95165NHLBI NIH HHS HC95166NHLBI NIH HHS HC95167NHLBI NIH HHS HC95168NHLBI NIH HHS HC95169NHLBI NIH HHS K23 HL094760NHLBI NIH HHS N01 HC095159NHLBI NIH HHS N01 HC095160NHLBI NIH HHS N01 HC095161NHLBI NIH HHS N01 HC095162NHLBI NIH HHS N01 HC095163NHLBI NIH HHS N01 HC095164NHLBI NIH HHS N01 HC095165NHLBI NIH HHS N01 HC095166NHLBI NIH HHS N01 HC095167NHLBI NIH HHS N01 HC095168NHLBI NIH HHS N01 HC095169NHLBI NIH HHS T32 HL007936NHLBI NIH HHS T32 HL 07936NIEHS NIH HHS ES015915NIEHS NIH HHS P50 ES015915
6 · The paper itself

Abstract

objectiveTo identify sex differences in predictors of longitudinal changes in carotid arterial stiffness in a multiethnic cohort. APPROACH AND

resultsCarotid artery distensibility coefficient (DC) and Young's elastic modulus (YEM) were measured in 2650 Multi-Ethnic Study of Atherosclerosis participants (45-84 years old and free of cardiovascular disease) at baseline and after a mean of 9.4 years. Predictors of changes in DC and YEM for each sex were evaluated using multivariable linear regression models. The 1236 men (46.6%) were 60.0 (SD, 9.3) years: 40% were white, 22% black, 16% Chinese, and 22% Hispanic. The 1414 (53.4%) women were 59.8 (9.4) years old with a similar race distribution. Despite similar rates of change in DC and YEM, predictors of changes in distensibility markers differed by sex. In men, Chinese (P=0.002) and black (P=0.003) race/ethnicity, systolic blood pressure (P=0.012), and diabetes mellitus (P=0.05) were associated with more rapidly decreasing DC (accelerated stiffening). Starting antihypertensive medication was associated with improved DC (P=0.03); stopping antihypertensives was associated with more rapid stiffening (increased YEM, P=0.05). In women, higher education was associated with slower stiffening (DC, P=0.041; YEM, P<0.001) as was use of lipid-lowering medication (P=0.03), whereas baseline use of antihypertensive medications (YEM, P=0.01) and systolic blood pressure (DC, P=0.02; P=0.04) predicted increasing stiffening in women.

conclusionsLongitudinal changes in carotid artery stiffness are associated with systolic blood pressure and antihypertensive therapy in both sexes; however, race/ethnicity (in men) and level of education (in women) may have different contributions between the sexes.

Indexed as

Vascular StiffnessAgedAged, 80 and overAge FactorsAntihypertensive AgentsAtherosclerosisBlood PressureCarotid ArteriesCarotid Artery DiseasesChi-Square DistributionEducational StatusElastic ModulusEthnicityFemaleHumansHypolipidemic AgentsAntihypertensive AgentsHypolipidemic Agentscardiovascular diseasescarotid arteriessex characteristicsvascular stiffnesswomen

Identifiers

PMID25477347
PMCPMC4304990
OpenAlexW2566203065

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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.