Evidence map›Paper›PMID 27793100›Full record

Trial reportBMC cardiovascular disorders2016

Association between markers of glycemia and carotid intima-media thickness: the MARK study.

Manuel A Gomez-Marcos, Leticia Gomez-Sanchez, Maria C Patino-Alonso, Jose I Recio-Rodriguez, Natividad Garcia Regalado, Rafel Ramos, Ruth Marti, Cristina Agudo-Conde, Emiliano Rodriguez-Sanchez, Jose A Maderuelo-Fernandez and 2 more

Registry-linked trialAbstract readClinical TrialMulticenter Study
In one paragraph

Trial report in BMC cardiovascular disorders, 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 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
–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.

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

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. 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

12 authors.

Manuel A Gomez-MarcosPrimary Care Research Unit, the Alamedilla Health Center, 37003, Salamanca, Spain. magomez@usal.es.
Leticia Gomez-SanchezPrimary Care Research Unit, the Alamedilla Health Center, 37003, Salamanca, Spain.
Maria C 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.
Natividad Garcia RegaladoCS San Agustín, Primare Care Ibsalut, Palma of Mallorca, Spain.
Rafel RamosResearch Unit, Family Medicine, Girona, Spain.
Ruth MartiResearch Unit, Family Medicine, 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.
Luis Garcia-OrtizPrimary Care Research Unit, the Alamedilla Health Center, 37003, Salamanca, Spain.
MARK Group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCarotid intima-media thickness (C-IMT) is a reliable predictor of cardiovascular events. We Investigated the relationship between markers of glycemia and C-IMT in intermediate-risk cardiovascular patients.

methodsThis study analyzed 427 subjects, aged 35 to 74 years (mean, 60.3 ± 8.5 years), 55 % women, enrolled into the MARK study. Including 231 subjects defined as normal glucose, 104 subjects classified as prediabetes and 92 with type 2 diabetes mellitus. Carotid ultrasound was used to measure C-IMT and the presence of plaques. Fasting plasma glucose (mg/dl) and glycated hemoglobin (%) (HbA1c) were measured using standard enzymatic automated methods. Postprandial glucose (mg/dl) was self-measured by patients at home 2 h after meals (breakfast, lunch and dinner) for 1 day.

resultsThe C-IMT shows a positive correlation with fasting plasma glucose, postprandial glucose and HbA1c. Multiple linear regression analysis showed a positive association between HbA1c and C-IMT, with a 0.016 mm and 0.019 mm increase in mean and maximum C-IMT per 1 % increase in HbA1c. In addition, an association between fasting plasma glucose and C-IMT was found with an increase of 0.004 and 0.005 mm in mean and maximum C-IMT per 10 mg/dl in fasting plasma glucose. We also observed a graded association between fasting plasma glucose, postprandial glucose and HbA1c and the presence of carotid target organ damage (TOD), with an odds ratio of 1.013, 1.010 and 1.425, respectively.

conclusionThe results of this study suggest that the fasting plasma glucose and HbA1c, but not postprandial glucose, are associated with C-IMT media and maximum. The patients who present with a metabolic glucose alteration have more risk of developing carotid TOD.

trial registrationClinicalTrials.gov; Identifier: NCT01428934 .

Indexed as

Carotid Intima-Media ThicknessForecastingAdultAgedBiomarkersBlood GlucoseCardiovascular DiseasesCarotid ArteriesCross-Sectional StudiesFemaleFollow-Up StudiesGlucose Tolerance TestGlycated HemoglobinHumansIncidenceMaleBiomarkersBlood GlucoseGlycated HemoglobinFasting plasma glucoseGlycosylated hemoglobinIntima-media thicknessPostprandial glucose

Identifiers

PMID27793100
PMCPMC5084362

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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.