Evidence map›Paper›PMID 27289411›Full record

Trial reportMayo Clinic proceedings2016

Prognostic Value of Adipokines in Predicting Cardiovascular Outcome: Explaining the Obesity Paradox.

Robert Wolk, Marnie Bertolet, Prachi Singh, Maria M Brooks, Richard E Pratley, Robert L Frye, Arshag D Mooradian, Martin K Rutter, Andrew D Calvin, Bernard R Chaitman and 2 more

Registry-linked trialOpen access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Mayo Clinic proceedings, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00006305 (Bypass Angioplasty Revascularization Investigation in Type 2 Diabetes), which is not on this map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
2.6field-weighted citation impact, top 11% 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.

NCT00006305 phase3completednot on this map

Bypass Angioplasty Revascularization Investigation in Type 2 Diabetes

TypeinterventionalSponsorUniversity of PittsburghRan2000 to 2009Enrolled2,368ConditionsCoronary Disease, Cardiovascular Diseases, Heart Diseases, Insulin ResistanceArmsAngioplasty, Transluminal, Percutaneous Coronary, other catheter-based interventions, Coronary Artery Bypass, Biguanides, thiazolidinediones, Insulin, sulfonylurea, ACE Inhibitors, Angiotensin Receptor Blockers, Beta Blockers, Calcium Channel Blockers
3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 29 citations in OpenAlex.

  1. Article
  2. Review
  3. Review
  4. Article
  5. Article
  6. Malnutrition outweighs the effect of the obesity paradox.Journal of cachexia, sarcopenia and muscle · 2022
    Observational
  7. Article
  8. Leptin as a Key between Obesity and Cardiovascular Disease.Journal of obesity & metabolic syndrome · 2020
    Review
  9. Review
  10. Article
  11. Article
  12. Article
  13. Review
  14. Observational
  15. Article
  16. Review
  17. Article
  18. Review
  19. Observational
  20. Review
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

12 authors at 6 institutions in 2 countries.

Robert WolkDivision of Cardiovascular Diseases, Mayo Clinic, Rochester, MN; Pfizer Inc., Groton, CT. Electronic address: Robert.Wolk@pfizer.com.
Marnie BertoletUniversity of Pittsburgh, Pittsburgh, PA.
Prachi SinghDivision of Cardiovascular Diseases, Mayo Clinic, Rochester, MN.
Maria M BrooksUniversity of Pittsburgh, Pittsburgh, PA.
Richard E PratleyFlorida Hospital Diabetes and Translational Research Institutes, Orlando.
Robert L FryeDivision of Cardiovascular Diseases, Mayo Clinic, Rochester, MN.
Arshag D MooradianDivision of Endocrinology, College of Medicine-Jacksonville, University of Florida, Jacksonville.
Martin K RutterEndocrinology and Diabetes Research Group, Institute of Human Development, University of Manchester, Manchester, UK; Manchester Diabetes Centre, Manchester Academic Health Science Centre, Manchester, UK.
Andrew D CalvinDivision of Cardiovascular Diseases, Mayo Clinic, Rochester, MN.
Bernard R ChaitmanDivision of Cardiology, St. Louis University School of Medicine, St. Louis, MO.
Virend K SomersDivision of Cardiovascular Diseases, Mayo Clinic, Rochester, MN.
BARI 2D Study Group
Mayo Clinic in Arizona · USUniversity of Pittsburgh · USJacksonville University · USSaint Louis University · USTranslational Research Institute for Metabolism and Diabetes · USUniversity of Manchester · GB

Funding

BARI II:Foreign RecruitmentU01HL061744 · NHLBI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI KELSEY, SHERYL F · 2000 to 2009
$55.4M
BARI II - FIBRINOLYSIS AND COAGULATION COREU01HL063804 · NHLBI · UNIVERSITY OF VERMONT &ST AGRIC COLLEGE · PI SOBEL, BURTON E · 2000 to 2006
$3.8M
ECONOMIC OUTCOMES OF TREATMENT STRATEGIES IN BAR1-2U01HL061748 · NHLBI · STANFORD UNIVERSITY · PI HLATKY, MARK A. · 2000 to 2006
$2.6M
BARI II GRANT PROPOSAL FOR ECG CORE LABORATORYU01HL061746 · NHLBI · SAINT LOUIS UNIVERSITY · PI CHAITMAN, BERNARD R · 2000 to 2008
$1.6M
Adipokines and Cardiovascular Disease in DiabetesR01HL087214 · NHLBI · MAYO CLINIC ROCHESTER · PI SOMERS, VIREND K · 2009 to 2010
$1.2M
Treatment and Risk Factor Determinants of Cardiovascular Outcomes in BARI 2DR21HL121495 · NHLBI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI BROOKS, MARIA MORI · 2013 to 2014
$222k
NHLBI NIH HHS R01 HL087214NHLBI NIH HHS R21 HL121495NHLBI NIH HHS U01 HL061744NHLBI NIH HHS U01 HL061746NHLBI NIH HHS U01 HL061748NHLBI NIH HHS U01 HL063804
6 · The paper itself

Abstract

objectiveTo evaluate the cardiovascular (CV) prognostic value of adipokines in a large prospective cohort of patients participating in the Bypass Angioplasty Revascularization Investigation 2 Diabetes trial. PATIENTS AND

methodsThe effects of the adipokine levels at baseline and change from baseline on the composite outcome (CV death, myocardial infarction, and stroke) were analyzed using unadjusted and fully adjusted Cox models in 2330 patients with type 2 diabetes and coronary artery disease who had participated in the Bypass Angioplasty Revascularization Investigation 2 Diabetes trial (from January 1, 2001, through December 1, 2008).

resultsIn a fully adjusted model, baseline leptin and change from baseline leptin were protective for CV events, whereas baseline adiponectin, baseline tumor necrosis factor α (TNF-α), change from baseline TNF-α, baseline C-reactive protein (CRP), and change from baseline CRP were harmful. The effect of baseline leptin on CV events depended on the body mass index (BMI), such that the hazard ratios (HRs) varied between 0.6 and 1.4 across the BMI quintiles (interaction P=.03). The same was true for baseline adiponectin (HR varied from 0.7 to 1.7; interaction P=.01), change from baseline monocyte chemoattractant protein-1 (HR varied from 0.8 to 1.8; interaction P=.03), change from baseline TNF-α (HR varied from 0.9 to 1.4; interaction P=.02), and change from baseline IL-6 (HR varied from 0.7 to 1.8; interaction P=.005).

conclusionAdipokines are independent predictors of CV events in patients with type 2 diabetes and coronary artery disease. The association between the specific adipokines and CV outcome varies depending on BMI. This reflects the complex pathophysiology of CV disease in obesity and may help explain the "obesity paradox."

trial registrationclinicaltrials.gov Identifier: NCT00006305.

Indexed as

AdipokinesAgedAge DistributionBiomarkersBlood PressureBody Mass IndexCardiovascular DiseasesComorbidityDiabetes Mellitus, Type 2FemaleHumansLinear ModelsLongitudinal StudiesMaleMiddle AgedObesityAdipokinesBiomarkers

Identifiers

PMID27289411
PMCPMC4935584
OpenAlexW2411744727

What OpenQuestion holds

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Registered trials

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.