Evidence map›Paper›PMID 27993539›Full record

ArticleDiabetes & metabolic syndrome2017

The association between HDL particle concentration and incident metabolic syndrome in the multi-ethnic Dallas Heart Study.

Preethi Mani, Hao-Yu Ren, Ian J Neeland, Darren K McGuire, Colby R Ayers, Amit Khera, Anand Rohatgi

Open access · greenAbstract read
In one paragraph

Article in Diabetes & metabolic syndrome, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
1.0field-weighted citation impact, top 20% 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

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 27 citations in OpenAlex.

  1. Can biomarkers be used to improve diagnosis and prediction of metabolic syndrome in childhood cancer survivors? A systematic review.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2021
    Pooled it
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  8. WWOX and metabolic regulation in normal and pathological conditions.Journal of molecular medicine (Berlin, Germany) · 2022
    Review
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  15. HDL and Reverse Cholesterol Transport Biomarkers.Methodist DeBakey cardiovascular journal
    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

7 authors at 3 institutions in 1 country.

Preethi ManiDepartment of Internal Medicine, UT Southwestern Medical Center, United States.
Hao-Yu RenDepartment of Internal Medicine, UT Southwestern Medical Center, United States.
Ian J NeelandDepartment of Cardiology, UT Southwestern Medical Center, United States.
Darren K McGuireDepartment of Cardiology, UT Southwestern Medical Center, United States.
Colby R AyersDepartment of Cardiology, UT Southwestern Medical Center, United States.
Amit KheraDepartment of Cardiology, UT Southwestern Medical Center, United States.
Anand RohatgiDepartment of Cardiology, UT Southwestern Medical Center, United States. Electronic address: Anand.rohatgi@utsouthwestern.edu.
Southwestern Medical CenterThe University of Texas Southwestern Medical Center · USSouthwestern Medical Center · US

Funding

UT Southwestern Center for Translational Medicine (UL1/KL2/TL1)UL1TR001105 · NCATS · UT SOUTHWESTERN MEDICAL CENTER · PI TOTO, ROBERT DANIEL · 2013 to 2017
$24.5M
Moving Beyond HDL Cholesterol, HDL Function as a Coronary Disease BiomarkerK08HL118131 · NHLBI · UT SOUTHWESTERN MEDICAL CENTER · PI ROHATGI, ANAND KUMAR · 2013 to 2017
$665k
NCATS NIH HHS UL1 TR001105NHLBI NIH HHS K08 HL118131
6 · The paper itself

Abstract

aimsMetabolic syndrome (MetS) increases atherosclerotic cardiovascular disease (ASCVD) risk. Low HDL cholesterol (HDL-C) is a diagnostic criterion of MetS and a major ASCVD risk factor. HDL particle concentration (HDL-P) associates with incident ASCVD independent of HDL-C, but its association with incident MetS has not been studied. We hypothesized that HDL-P would be inversely associated with incident metabolic syndrome independent of HDL-C and markers of adiposity and insulin resistance. MATERIALS AND

methodsHDL-P was measured by NMR and visceral fat by MRI in participants of the Dallas Heart Study, a probability-based population sample of adults age 30-65. Participants with prevalent MetS, DM, CVD, and any systemic illlness were excluded. Incident MetS as defined by NCEP ATPIII criteria was determined in all participants after median follow-up period of 7.0 years.

resultsAmong 1120 participants without DM or MetS at baseline (57% women, 45% Black, mean age 43), 22.8% had incident MetS at follow-up. HDL-P and HDL-C were modestly correlated (r=0.54, p<0.0001). In models adjusted for traditional risk factors and MetS risk factors including visceral fat, HS-CRP, triglyceride to HDL-C ratio, and HOMA-IR, the lowest quartile of HDL-P was associated with a 2-fold increased risk of incident MetS (OR 2.1, 95%CI 1.4-3.1; p=0.0003).

conclusionsLow HDL-P is independently associated with incident MetS after adjustment for traditional risk factors, lipid parameters, adiposity, inflammation, and markers of insulin resistance. Further studies are warranted to validate these findings and elucidate the mechanisms underpinning this association.

Indexed as

AdultAgedAtherosclerosisBiomarkersCase-Control StudiesCholesterol, HDLEthnicityFemaleFollow-Up StudiesHumansIncidenceMaleMetabolic SyndromeMiddle AgedPrognosisProspective StudiesBiomarkersCholesterol, HDLHDL particle concentrationLipidsMetabolic syndrome

Identifiers

PMID27993539
PMCPMC6190917
OpenAlexW2565670320

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.