Evidence map›Paper›PMID 26905362›Full record

ArticleChest2016

Exhaled Nitric Oxide Levels Among Adults With Excessive Alcohol Consumption.

Majid Afshar, Jill A Poole, Guichan Cao, Ramon Durazo, Richard C Cooper, Elizabeth J Kovacs, Joseph H Sisson

Open access · bronzeAbstract read
In one paragraph

Article in Chest, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
0.6field-weighted citation impact, top 35% 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

8 citing papers in PubMed, 18 citations in OpenAlex.

  1. Trial
  2. Article
  3. Review
  4. Article
  5. Review
  6. Article
  7. Article
  8. Alcohol drivesAmerican journal of physiology. Lung cellular and molecular physiology · 2017
    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

7 authors at 2 institutions in 1 country.

Majid AfsharDivision of Pulmonary and Critical Care Medicine, Loyola University Chicago Health Sciences Campus, Maywood, IL; Department of Public Health Sciences, Stritch School of Medicine, Loyola University Chicago Health Sciences, Maywood, IL; Alcohol Research Program, Stritch School of Medicine, Loyola University Chicago Health Sciences, Maywood, IL. Electronic address: majid.afshar@luhs.org.
Jill A PooleDivision of Pulmonary, Critical Care, Sleep and Allergy, Department of Medicine, University of Nebraska Medical Center, Omaha, NE.
Guichan CaoDepartment of Public Health Sciences, Stritch School of Medicine, Loyola University Chicago Health Sciences, Maywood, IL.
Ramon DurazoDepartment of Public Health Sciences, Stritch School of Medicine, Loyola University Chicago Health Sciences, Maywood, IL.
Richard C CooperDepartment of Public Health Sciences, Stritch School of Medicine, Loyola University Chicago Health Sciences, Maywood, IL.
Elizabeth J KovacsDepartment of Surgery, Loyola University Chicago Health Sciences Campus, Maywood, IL; Alcohol Research Program, Stritch School of Medicine, Loyola University Chicago Health Sciences, Maywood, IL; Burn and Shock Trauma Research Institute, Stritch School of Medicine, Loyola University Chicago Health Sciences, Maywood, IL.
Joseph H SissonDivision of Pulmonary, Critical Care, Sleep and Allergy, Department of Medicine, University of Nebraska Medical Center, Omaha, NE.
Loyola University Chicago · USUniversity of Nebraska Medical Center · US

Funding

ETHANOL MEDIATED CILIA MOTILITY DYSFUNCTIONR01AA008769 · NIAAA · UNIVERSITY OF NEBRASKA MEDICAL CENTER · PI SISSON, JOSEPH H · 1996 to 2016
$4.4M
ETHANOL EFFECTS ON RECOVERY FROM THERMAL INJURYR01AA012034 · NIAAA · LOYOLA UNIVERSITY CHICAGO · PI KOVACS, ELIZABETH J. · 1999 to 2012
$4.2M
Role of pattern recognition receptors in organic dust-induced airway inflammationR01ES019325 · NIEHS · UNIVERSITY OF NEBRASKA MEDICAL CENTER · PI POOLE, JILL A · 2010 to 2020
$3.7M
Ethanol Effects on Recovery after InjuryR01GM115257 · NIGMS · UNIVERSITY OF COLORADO DENVER · PI KOVACS, ELIZABETH J. · 2015 to 2018
$1.7M
NIAAA NIH HHS R01 AA008769NIAAA NIH HHS R01 AA012034NIEHS NIH HHS R01 ES019325NIGMS NIH HHS R01 GM115257
6 · The paper itself

Abstract

backgroundMore than one-quarter of the US population qualify as excessive alcohol consumers. Alcohol use impacts several lung diseases, and heavy consumption has been associated with poor clinical outcomes. The fractional excretion of exhaled nitric oxide (Feno) has clinical implications in multiple airways diseases. We hypothesized that excessive alcohol intake is associated with lower Feno levels.

methodsTo test this hypothesis, we examined a sample consisting of 12,059 participants, aged 21 to 79 years, interviewed between 2007 and 2012 from the National Health and Examination Survey. Two valid Feno measurements that were reproducible were recorded. Alcohol questionnaire data were used to define the following alcohol groups: never drinkers, nonexcessive drinkers, excessive drinkers, and former excessive drinkers. The natural logarithm of Feno values [ln(Feno)] as well as blood eosinophil count and C-reactive protein were used as dependent variables to test the association with alcohol groups including multivariable linear regression models with adjustment for predictors of Feno.

resultsExcessive alcohol consumption comprised 3,693 (26.9%) of the US sample population. Controlling for all other factors, excessive alcohol consumption had a negative association and was an independent predictor for ln(Feno) levels in comparison with the never-drinker group (-0.11; 95% CI, -0.17 to -0.06; P < .001). ln(Feno) levels decreased across categories of increasing alcohol use (P < .001).

conclusionsAccounting for alcohol use in the interpretation of Feno levels should be an additional consideration, and further investigations are warranted to explore the complex interaction between alcohol and nitric oxide in the airways.

Indexed as

Alcohol DrinkingRespiratory Tract DiseasesAdultAgedBreath TestsC-Reactive ProteinExhalationFemaleHumansMaleMiddle AgedNitric OxidePredictive Value of TestsC-Reactive ProteinNitric Oxideairway inflammationalcoholC-reactive proteinepidemiology (pulmonary)exhaled nitric oxide

Identifiers

PMID26905362
PMCPMC4980555
OpenAlexW2282060184

What OpenQuestion holds

Textmetadata
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.