Evidence map›Paper›PMID 25552515›Full record

ArticleAmerican journal of hypertension2015

Association of Uric Acid With Vascular Stiffness in the Framingham Heart Study.

Tapan Mehta, Eugene Nuccio, Kim McFann, Magdalena Madero, Mark J Sarnak, Diana Jalal

Open access · bronzeAbstract read
In one paragraph

Article in American journal of hypertension, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed, 1 pooled it
3.7field-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

42 citing papers in PubMed, 1 synthesis or guideline pooled it, 96 citations in OpenAlex.

  1. Pooled it
  2. Vascular Function and Uric Acid-Lowering in Stage 3 CKD.Journal of the American Society of Nephrology : JASN · 2017
    Trial
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 2 countries.

Tapan MehtaDivision of Renal Diseases and Hypertension, University of Colorado Anschutz Medical Center, Aurora, CO, USA; Tapan.mehta@ucdenver.edu.
Eugene NuccioDivision of Renal Diseases and Hypertension, University of Colorado Anschutz Medical Center, Aurora, CO, USA;
Kim McFannDivision of Renal Diseases and Hypertension, University of Colorado Anschutz Medical Center, Aurora, CO, USA;
Magdalena MaderoDepartment of Medicine, Division of Nephrology, Instituto Nacional de Cardiologia Ignacio Chavez, Mexico, Mexico;
Mark J SarnakDepartment of Medicine, Division of Nephrology, Tufts Medical Center, Boston, MA, USA.
Diana JalalDivision of Renal Diseases and Hypertension, University of Colorado Anschutz Medical Center, Aurora, CO, USA;
University of Colorado Anschutz Medical Campus · USInstituto Nacional de Cardiología · MXTufts Medical Center · US

Funding

Framingham: Inflammation, Genes &Cardiovascular DiseaseR01HL076784 · NHLBI · BOSTON UNIVERSITY MEDICAL CAMPUS · PI BENJAMIN, EMELIA J. · 2004 to 2008
$3.9M
Vascular Function in the Framingham Third GenerationR01HL070100 · NHLBI · BOSTON UNIVERSITY MEDICAL CAMPUS · PI BENJAMIN, EMELIA J. · 2002 to 2005
$2.4M
Aging and Inflammation: Longitudinal Markers and Genetics in the Framingham StudyR01AG028321 · NIA · BOSTON UNIVERSITY MEDICAL CAMPUS · PI BENJAMIN, EMELIA J. · 2006 to 2010
$1.8M
Uric Acid as a Mediator of Endothelial Dysfunction in Patients with CKDK23DK088833 · NIDDK · UNIVERSITY OF COLORADO DENVER · PI JALAL, DIANA I · 2010 to 2014
$897k
THE FRAMINGHAM HEART STUDY-N01HC25195-268025195-268025195N01HC025195 · HC · TRUSTEES OF BOSTON UNIVERSITY · PI WOLF, PHILIP A · 2002 to 2006
–
NHLBI NIH HHS N01 HC025195NHLBI NIH HHS N01-HC-25195NHLBI NIH HHS R01 HL070100NHLBI NIH HHS R01 HL076784NHLBI NIH HHS R01 HL70100NIA NIH HHS 1R01AG028321NIA NIH HHS R01 AG028321NIDDK NIH HHS 1K23DK088833NIDDK NIH HHS K23 DK088833NIDDK NIH HHS K24DK07820
6 · The paper itself

Abstract

backgroundUric acid is associated with increased risk of cardiovascular disease and arterial stiffness in patients with hypertension or stroke. It remains unknown if uric acid is associated with arterial stiffness in the general population.

methodsWe analyzed the association between serum uric acid levels and measures of arterial stiffness such as carotid-femoral pulse wave velocity (CF PWV), carotid-radial pulse wave velocity (CR PWV) and augmentation index (AI) in 4,140 participants from the Generation 3 Framingham cohort using linear regression.

resultsMean (SD) age was 40.0 (8.8) years and mean (SD) serum uric acid levels were 5.3 (1.5) mg/dl. Mean (SD) CF PWV was 7.0 (1.4) m/s. Individuals in the highest quartile of uric acid were more likely to be male, have a higher prevalence of hypertension, higher BMI, fasting glucose and insulin, and lower estimated glomerular filtration rate (eGFR). Multivariate adjusted means of CF PWV were 6.90, 6.94, 7.06, and 7.15 m/s for uric acid quartile 1, 2, 3, and 4 respectively. In unadjusted analysis each 1mg/dl increase in uric acid was associated with higher CF-PWV (β = 0.27; 95% CI = 0.25, 0.29; P < 0.0001). This was attenuated but remained significant after adjusting for age, sex, smoking, hypertension, BMI, fasting glucose, insulin, animal protein intake, and eGFR (β= 0.06; 95% CI = 0.02, 0.09; P < 0.0007). There was no association between serum uric acid levels and AI upon adjustment for cardiovascular risk factors.

conclusionsSerum uric acid levels are significantly associated with CF PWV and CR PWV in a younger Caucasian population.

Indexed as

Vascular StiffnessAdultAge FactorsBiomarkersCardiovascular DiseasesComorbidityCross-Sectional StudiesFemaleHealth SurveysHumansHyperuricemiaLeast-Squares AnalysisLinear ModelsMaleMassachusettsMiddle AgedBiomarkersUric Acidblood pressurehypertensionuric acidvascular stiffness.

Identifiers

PMID25552515
PMCPMC4542908
OpenAlexW2070711758

What OpenQuestion holds

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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.