Evidence map›Paper›PMID 27776526›Full record

ArticleCardiovascular diabetology2016

Association of metabolic syndrome and its components with arterial stiffness in Caucasian subjects of the MARK study: a cross-sectional trial.

Leticia Gomez-Sanchez, Luis Garcia-Ortiz, M Carmen Patino-Alonso, Jose I Recio-Rodriguez, Rigo Fernando, Ruth Marti, Cristina Agudo-Conde, Emiliano Rodriguez-Sanchez, Jose A Maderuelo-Fernandez, Rafel Ramos and 2 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Cardiovascular diabetology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01428934 (Improving Intermediate Risk Management. MARK Study), which is not on this map. Cited by 42 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed, 1 pooled it
7.4field-weighted citation impact, top 2% 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.

NCT01428934 completednot on this map

Improving Intermediate Risk Management. MARK Study

TypeobservationalSponsorFundacio d'Investigacio en Atencio Primaria Jordi Gol i GurinaRan2011 to 2016Enrolled2,495ConditionsMyocardial Infarction, Angina Pectoris, Stroke, Peripheral Arterial Disease
3 · Its place in the literature

Who cites it

42 citing papers in PubMed, 1 synthesis or guideline pooled it, 79 citations in OpenAlex.

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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

12 authors at 4 institutions in 1 country.

Leticia Gomez-SanchezPrimary Care Research Unit, The Alamedilla Health Center, 37003, Salamanca, Spain. leticiagmzsnchz@gmail.com.
Luis Garcia-OrtizPrimary Care Research Unit, The Alamedilla Health Center, 37003, Salamanca, Spain.
M Carmen Patino-AlonsoPrimary Care Research Unit, The Alamedilla Health Center, 37003, Salamanca, Spain.
Jose I Recio-RodriguezPrimary Care Research Unit, The Alamedilla Health Center, 37003, Salamanca, Spain.
Rigo FernandoSan Agustín Health Center, Illes Balears Health Service (IBSALUT), Palma of Mallorca, Spain.
Ruth MartiUnitat of Suport a the Recerca of Girona, Institut Universitari D'Investigació in Atenció Primària Jordi Gol (IDIAP Jordi Gol), Girona, Spain.
Cristina Agudo-CondePrimary Care Research Unit, The Alamedilla Health Center, 37003, Salamanca, Spain.
Emiliano Rodriguez-SanchezPrimary Care Research Unit, The Alamedilla Health Center, 37003, Salamanca, Spain.
Jose A Maderuelo-FernandezPrimary Care Research Unit, The Alamedilla Health Center, 37003, Salamanca, Spain.
Rafel RamosUnitat of Suport a the Recerca of Girona, Institut Universitari D'Investigació in Atenció Primària Jordi Gol (IDIAP Jordi Gol), Girona, Spain.
Manuel A Gomez-MarcosPrimary Care Research Unit, The Alamedilla Health Center, 37003, Salamanca, Spain.
MARK Group
Universidad de Salamanca · ESInstitut Universitari d'Investigació en Atenció Primària Jordi Gol · ESInstitut d'Investigació Biomèdica de Girona · ESInstituto de Investigación Biomédica de Salamanca · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe cardio-ankle vascular index (CAVI) and brachial-ankle pulse wave velocity (baPWV) can reflect both central and peripheral arterial stiffness. Metabolic syndrome (MetS) and its components may increase arterial stiffness and the risk of cardiovascular diseases. However, the correlation of MetS and its components with arterial stiffness is still not clear. The primary aim of this study is thus the relationship using baPWV and CAVI in Caucasian adults with intermediate cardiovascular risk. The secondary aim is to analyze sex differences.

methodsThis study analyzed 2351 subjects aged 35-74 years (mean, 61.4 ± 7.7 years) comprising 61.7 % males and enrolled in the improving interMediAte Risk management (MARK) study. CAVI was measured using a VaSera VS-1500

resultsMetS was found in 51.9 % of the subjects. All MetS components except reduced HDL-cholesterol (p = 0.578) were associated with CAVI. High density lipoprotein cholesterol (p = 0.075) and waist circumference (p = 0.315) were associated with baPWV. The different MetS components that assess dyslipidemia using the stiffness measures show different associations according to patient sex. The high blood pressure component had a greater odds ratio (OR) for both baPWV ≥ 17.5 m/sec (OR = 6.90, 95 % CI 3.52-13.519) and CAVI ≥ 9 (OR = 2.20, 95 % CI 1.63-1.90).

conclusionsMetS and all its components (except HDL-cholesterol with baPWV and CAVI and WC with baPWV) were associated with baPWV and CAVI. However, there were sex differences in the association of MetS and its components with baPWV and CAVI. Data from this study suggest a greater association of CAVI and baPWV values with MetS components in males than in females and indicate greater arterial stiffness in the event of simultaneously elevated blood pressure, fasting plasma glucose, and waist circumference. Trial Registration Clinical Trials.gov Identifier: https://clinicaltrials.gov/ct2/show/ NCT01428934. Registered 2 September 2011. Last updated September 8, 2016.

Indexed as

Vascular StiffnessWhite PeopleAgedAnkle Brachial IndexBiomarkersBlood GlucoseBlood PressureCardiovascular DiseasesChi-Square DistributionCross-Sectional StudiesFemaleHumansLinear ModelsLipidsLogistic ModelsMaleBiomarkersBlood GlucoseLipidsArterial stiffnessBrachial-ankle pulse wave velocityCardio-ankle vascular indexMetabolic syndrome

Identifiers

PMID27776526
PMCPMC5078926
OpenAlexW2537903918

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.