Evidence map›Paper›PMID 27056753›Full record

ArticleJournal of diabetes and its complications2016

Reduced brachial artery distensibility in patients with type 1 diabetes.

Philip Ljunggren, David M Maahs, Per Johansson, Johnny Ludvigsson, Laura Pyle, Rachel Sippl, R Paul Wadwa, Janet Snell-Bergeon

Abstract readValidation Study
In one paragraph

Article in Journal of diabetes and its complications, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
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

4 citing papers in PubMed.

  1. Article
  2. Article
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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

8 authors.

Philip LjunggrenMedical Faculty, Linköping University, 582 25, Linköping, Sweden.
David M MaahsBarbara Davis Center for Childhood Diabetes, Department of Pediatrics, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.
Per JohanssonMedical Faculty, Linköping University, 582 25, Linköping, Sweden.
Johnny LudvigssonDiv of Pediatrics, Department of Clinical and Experimental Medicine, Linköping University, 582 25, Linköping, Sweden.
Laura PyleDepartment of Biostatistics and Informatics, Colorado School of Public Health, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.
Rachel SipplBarbara Davis Center for Childhood Diabetes, Department of Pediatrics, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.
R Paul WadwaBarbara Davis Center for Childhood Diabetes, Department of Pediatrics, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.
Janet Snell-BergeonBarbara Davis Center for Childhood Diabetes, Department of Pediatrics, University of Colorado Anschutz Medical Campus, Aurora, CO, USA. Electronic address: Janet.Snell-Bergeon@ucdenver.edu.

Funding

ZOPOLRESTAT PHARMACOKINETICS IN DIABETICS WITH VARYING RENAL FUNCTIONM01RR000051 · NCRR · UNIVERSITY OF COLORADO DENVER · PI KOSMISKI, LISA A. · 1985 to 2008
$52.6M
Colorado Clinical and Translational Science Institute (UL1)UL1TR000154 · NCATS · UNIVERSITY OF COLORADO DENVER · PI SOKOL, RONALD J. · 2012 to 2013
$20.4M
UCHSC DIABETES ENDOCRINOLOGY RESEARCH CENTERP30DK057516 · NIDDK · UNIVERSITY OF COLORADO DENVER · PI HUTTON, JOHN C · 2000 to 2010
$14.0M
SUBCLINICAL HEART DISEASE IN INSULIN-DEPENDENT DIABETESR01HL061753 · NHLBI · UNIVERSITY OF COLORADO DENVER · PI REWERS, MARIAN J. · 1999 to 2007
$5.2M
Complications and Comorbidities of Type 1 DiabetesR01HL113029 · NHLBI · UNIVERSITY OF COLORADO DENVER · PI SNELL-BERGEON, JANET KATHLEEN · 2013 to 2016
$2.9M
Determinants of Accelerated CVD in Type 1 DiabetesR01HL079611 · NHLBI · UNIVERSITY OF COLORADO DENVER · PI REWERS, MARIAN J. · 2004 to 2007
$2.3M
NCATS NIH HHS UL1 TR000154NCRR NIH HHS M01 RR000051NHLBI NIH HHS R01 HL061753NHLBI NIH HHS R01 HL079611NHLBI NIH HHS R01 HL113029NIDDK NIH HHS P30 DK057516
6 · The paper itself

Abstract

BACKGROUND AND

aimsIn patients with type 1 diabetes mellitus (T1D), cardiovascular disease (CVD) events are more common and occur earlier in life than in non-diabetics. Reduced brachial artery distensibility (BrachD) is an independent risk factor for development of CVD. Our aim was to determine if adults with T1D have lower BrachD compared to adults without diabetes and also to determine how age and gender affect the relationship of BrachD with T1D status. MATERIALS AND

methodsBrachD was measured using the Dynapulse instrument in 829 participants (352 with T1D, 477 non-diabetics). An ANCOVA model was used to test the association of BrachD with age, sex, and T1D, and the significance of an age*sex*T1D interaction.

resultsMean BrachD was lower in T1D patients vs. controls (6.43±1.46 vs. 7.16±1.48 % change per mmHg, p<0.0001). In a model adjusted for age, T1D, and sex, the interaction of age*T1D*sex was significant (p=0.0045). Younger women both with and without T1D had higher BrachD than men with and without T1D, but older women with and without T1D had lower BrachD compared to older men with and without T1D. Women with T1D had a steeper decline in BrachD with age than nondiabetic women.

conclusionsBrachD is lower in T1D patients than in non-diabetics, indicating increased vascular stiffness. Younger females have higher BrachD than males, but the decline with age in BrachD is steeper for women, particularly among those with T1D. BrachD may be an inexpensive, non-invasive method to ascertain increased CVD risk in this population.

Indexed as

Vascular StiffnessAdultAge FactorsBrachial ArteryCardiovascular DiseasesCohort StudiesColoradoCross-Sectional StudiesDiabetes Mellitus, Type 1Diabetic AngiopathiesDiabetic CardiomyopathiesEarly DiagnosisFemaleHumansLongitudinal StudiesMaleArterial stiffnessBrachial artery distensibilityCardiovascular diseaseCoronary artery calciumType 1 diabetes

Identifiers

PMID27056753
PMCPMC4912899

What OpenQuestion holds

Textmetadata
LicenceTDM
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.