Evidence map›Paper›PMID 25500370›Full record

ArticleBMJ open2014

Prediabetes, elevated iron and all-cause mortality: a cohort study.

Arch G Mainous, Rebecca J Tanner, Thomas D Coates, Richard Baker

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in BMJ open, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02450500 (Prohealth@Home), which is not on this map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.8field-weighted citation impact, top 25% 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.

NCT02450500 nacompletednot on this mapstarted 2015, after this paper: background citation

Prohealth@Home: A Feasibility Study Investigating the Application of a Web Based Lifestyle App to Improve Glycaemic Control by Changing Dietary and Activity Behaviours in Individuals at High Risk of Type 2 Diabetes

TypeinterventionalSponsorUniversity of PlymouthRan2015 to 2016Enrolled10ConditionsPre-diabetesArmsLifestyle counselling
3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 16 citations in OpenAlex.

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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

4 authors at 3 institutions in 2 countries.

Arch G MainousDepartment of Health Services Research, Management and Policy, University of Florida, Gainesville, Florida, USA Department of Community Health and Family Medicine, University of Florida, Gainesville, Florida, USA.
Rebecca J TannerDepartment of Health Services Research, Management and Policy, University of Florida, Gainesville, Florida, USA.
Thomas D CoatesDepartment of Pediatrics and Pathology, University of Southern California, Keck School of Medicine, Los Angeles, California, USA.
Richard BakerDepartment of Health Sciences, University of Leicester, Leicester, UK.
University of Florida · USUniversity of Leicester · GBUniversity of Southern California · US

Funding

Hereditary Hemochromatosis and Telomere LengthU01DD000754 · DD · UNIVERSITY OF FLORIDA · PI MAINOUS, ARCH G · 2011 to 2013
$335k
NCBDD CDC HHS 1U01DD000754-01NCBDD CDC HHS U01 DD000754
6 · The paper itself

Abstract

objectivesData have indicated low to non-existent increased mortality risk for individuals with prediabetes, but it is unclear if the risk is increased when the patient has elevated iron markers. Our purpose was to examine the mortality risk among adults with prediabetes in the context of coexisting elevated transferrin saturation (TS) or serum ferritin.

settingData collected by the third National Health and Nutrition Examination Survey 1988-1994 (NHANES III) in the USA and by the National Center for Health Statistics for the National Death Index from 1988 to 2006.

participantsIndividuals age 40 and older who participated in the NHANES and provided a blood sample. PRIMARY OUTCOME VARIABLE: Mortality was measured as all-cause mortality.

resultsAdjusted analyses show that prediabetes has a small increased mortality risk (HR=1.04; 95% CI 1.00 to 1.08). Persons who had prediabetes and elevated serum ferritin had an increased HR for death (HR=1.14; 95% CI 1.04 to 1.24) compared with those who had normal ferritin and normal glucose. Among persons with prediabetes who had elevated TS, they had an increased mortality risk (HR=1.88; 95% CI 1.06 to 3.30) compared with those with normal TS levels and normal glucose.

conclusionsThe mortality risk of prediabetes is low. However, among individuals who have coexisting elevated iron markers, particularly TS, the risk rises substantially.

Indexed as

Cause of DeathAdultAgedBiomarkersBlood GlucoseCohort StudiesFemaleFerritinsHumansIronMaleMiddle AgedNutrition SurveysPrediabetic StateRiskTransferrinBiomarkersBlood GlucoseFerritinsIronTransferrinDIABETES & ENDOCRINOLOGYHAEMATOLOGY

Identifiers

PMID25500370
PMCPMC4265136
OpenAlexW2161169935

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

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.