Evidence map›Paper›PMID 27165091›Full record

ArticleBMC pulmonary medicine2016

The temporal relationship between poor lung function and the risk of diabetes.

Suneela Zaigham, Peter M Nilsson, Per Wollmer, Gunnar Engström

Open access · goldAbstract read
In one paragraph

Article in BMC pulmonary medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
2.6field-weighted citation impact, top 10% 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

24 citing papers in PubMed, 1 synthesis or guideline pooled it, 63 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. Extrapulmonary Comorbidities Associated with Chronic Obstructive Pulmonary Disease: A Review.International journal of chronic obstructive pulmonary disease · 2024
    Review
  13. Article
  14. Article
  15. Triglyceride-Glucose Index is a Risk Marker of Incident COPD Events in Women.International journal of chronic obstructive pulmonary disease · 2022
    Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. 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

4 authors at 1 institution in 1 country.

Suneela ZaighamDepartment of Clinical Sciences Malmö, Lund University, CRC 60:13, Jan Waldenströms gata 35, S-20502, Malmö, Sweden. suneela.zaigham@med.lu.se.
Peter M NilssonDepartment of Clinical Sciences Malmö, Lund University, CRC 60:13, Jan Waldenströms gata 35, S-20502, Malmö, Sweden.
Per WollmerDepartment of Translational Medicine, Lund University, Malmö, Sweden.
Gunnar EngströmDepartment of Clinical Sciences Malmö, Lund University, CRC 60:13, Jan Waldenströms gata 35, S-20502, Malmö, Sweden.
Lund University · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe association between impaired lung function and diabetes risk has been established in the past, however the temporal and causal relationships between the two remain unclear. We assessed the relationship between baseline FEV1 and FVC and risk of incident diabetes at different time intervals for participants in the Malmö Preventive Project cohort.

methodsBaseline lung function was assessed in 20,295 men and 7416 women during 1974-1992; mean age 43.4 ± 6.6 and 47.6 ± 7.8, respectively. Sex-specific quartiles of FEV1%predicted and FVC%predicted were created (Q4 = highest; reference). Follow-up time was divided into 10-year time intervals from baseline examination. Cox proportional hazards regression was used to assess the incidence of diabetes according to quartiles of FEV1 and FVC%predicted, after adjustments for baseline glucose and potential confounding factors.

resultsOver 37-years' follow-up there were 3753 and 993 incident diabetes events in men and women, respectively. When comparing FEV1%predicted in men (Q1 vs. Q4), the HR for diabetes was 1.64 (1.21-2.22) for events <10 years after baseline, 1.52 (1.27-1.81) for events 10-20 years after baseline, 1.39 (1.22-1.59) for events 20-30 years after baseline, and 1.46 (1.08-1.97) for events occurring >30 years after baseline. A broadly similar pattern was seen for FVC%predicted and for women.

conclusionsLow FEV1 precedes and significantly predicts future diabetes. This risk is still significant many years after the baseline FEV1 measurement in middle-aged men. These results suggest that there is a relationship between impaired lung function and diabetes risk beyond the effects of hyperglycemia on lung function.

Indexed as

Forced Expiratory VolumeVital CapacityAdultDiabetes MellitusFemaleFollow-Up StudiesHumansIncidenceLungMaleMass ScreeningMiddle AgedProportional Hazards ModelsRisk FactorsSpirometrySwedenDiabetesIncidenceLung function

Identifiers

PMID27165091
PMCPMC4863358
OpenAlexW2372367909

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.