Evidence map›Paper›PMID 26615716›Full record

ArticleThe British journal of nutrition2016

Impact of methods used to express levels of circulating fatty acids on the degree and direction of associations with blood lipids in humans.

Susan Sergeant, Ingo Ruczinski, Priscilla Ivester, Tammy C Lee, Timothy M Morgan, Barbara J Nicklas, Rasika A Mathias, Floyd H Chilton

Open access · hybridAbstract read
In one paragraph

Article in The British journal of nutrition, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 2 pooled it
3.4field-weighted citation impact, top 8% 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

32 citing papers in PubMed, 2 syntheses or guidelines pooled it, 49 citations in OpenAlex.

  1. Maternal Dietary Factors and the Risk of Autism Spectrum Disorders: A Systematic Review of Existing Evidence.Autism research : official journal of the International Society for Autism Research · 2020
    Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Article
  6. Review
  7. The influence ofFrontiers in nutrition · 2025
    Article
  8. Article
  9. Impact ofFrontiers in nutrition · 2023
    Article
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  11. Article
  12. Article
  13. Peritraumatic Plasma Omega-3 Fatty Acid Concentration Predicts Chronic Pain Severity Following Thermal Burn Injury.Journal of burn care & research : official publication of the American Burn Association · 2022
    Observational
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 1 country.

Susan Sergeant1Center for Botanical Lipids and Inflammatory Disease Prevention,Wake Forest School of Medicine,Medical Center Blvd,Winston-Salem,NC 27157,USA.
Ingo Ruczinski3Department of Biostatistics,Bloomberg School of Public Health,Johns Hopkins University,Baltimore,MD 21205,USA.
Priscilla Ivester1Center for Botanical Lipids and Inflammatory Disease Prevention,Wake Forest School of Medicine,Medical Center Blvd,Winston-Salem,NC 27157,USA.
Tammy C Lee1Center for Botanical Lipids and Inflammatory Disease Prevention,Wake Forest School of Medicine,Medical Center Blvd,Winston-Salem,NC 27157,USA.
Timothy M Morgan5Department of Public Health Sciences/Biostatistical Sciences,Wake Forest School of Medicine,Medical Center Blvd,Winston-Salem,NC 27157,USA.
Barbara J Nicklas6Department of Internal Medicine/Gerontology and Geriatric Medicine,Wake Forest School of Medicine,Medical Center Blvd,Winston-Salem,NC 27157,USA.
Rasika A Mathias7Department of Medicine,Division of Allergy and Clinical Immunology,The Johns Hopkins University,Baltimore,MD 21224,USA.
Floyd H Chilton1Center for Botanical Lipids and Inflammatory Disease Prevention,Wake Forest School of Medicine,Medical Center Blvd,Winston-Salem,NC 27157,USA.
Wake Forest University · USJohns Hopkins Medicine · USJohns Hopkins University · US

Funding

The Wake Forest Center for Botanical Lipids and Inflammatory Disease PreventionP50AT002782 · NCCIH · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI CHILTON, FLOYD H · 2005 to 2014
$15.3M
Loss of fat tissue and functional responses to exercise in older, obese adultsR01AG020583 · NIA · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI NICKLAS, BARBARA J · 2002 to 2013
$4.0M
Effect of fat loss on functional and cardiovascular benefits of aerobic exerciseR01HL093713 · NHLBI · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI NICKLAS, BARBARA J · 2009 to 2013
$3.4M
NCCIH NIH HHS P50 AT002782NHLBI NIH HHS R01 HL093713NIA NIH HHS R01 AG020583
6 · The paper itself

Abstract

Numerous studies have examined relationships between disease biomarkers (such as blood lipids) and levels of circulating or cellular fatty acids. In such association studies, fatty acids have typically been expressed as the percentage of a particular fatty acid relative to the total fatty acids in a sample. Using two human cohorts, this study examined relationships between blood lipids (TAG, and LDL, HDL or total cholesterol) and circulating fatty acids expressed either as a percentage of total or as concentration in serum. The direction of the correlation between stearic acid, linoleic acid, dihomo-γ-linolenic acid, arachidonic acid and DHA and circulating TAG reversed when fatty acids were expressed as concentrations v. a percentage of total. Similar reversals were observed for these fatty acids when examining their associations with the ratio of total cholesterol:HDL-cholesterol. This reversal pattern was replicated in serum samples from both human cohorts. The correlations between blood lipids and fatty acids expressed as a percentage of total could be mathematically modelled from the concentration data. These data reveal that the different methods of expressing fatty acids lead to dissimilar correlations between blood lipids and certain fatty acids. This study raises important questions about how such reversals in association patterns impact the interpretation of numerous association studies evaluating fatty acids and their relationships with disease biomarkers or risk.

Indexed as

AdultAgedArachidonic AcidBiomarkersBlack or African AmericanBody Mass IndexCholesterolCholesterol, HDLCholesterol, LDLFatty AcidsFemaleHumansLinoleic AcidLipidsMaleMiddle AgedArachidonic AcidBiomarkersCholesterolCholesterol, HDLCholesterol, LDLFatty AcidsLinoleic AcidLipidsstearic acidStearic AcidsTriglyceridesARA arachidonic acidArachidonic acidDEMO DietExerciseLA linoleic acidLinoleic acidLipid biomarkersMetabolism and Obesity in Older WomenOA oleic acidPUFATC total cholesterol

Identifiers

PMID26615716
PMCPMC4697295
OpenAlexW2184021537

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.