Evidence map›Paper›PMID 28390663›Full record

ArticleNutrition, metabolism, and cardiovascular diseases : NMCD2017

The impact of using sagittal abdominal diameter to predict major cardiovascular events in European patients with type 2 diabetes.

K Rådholm, A Tengblad, E Dahlén, T Länne, J Engvall, F H Nystrom, C J Östgren

Registry-linked trialAbstract readComparative Study
PubMed Publisher
In one paragraph

Article in Nutrition, metabolism, and cardiovascular diseases : NMCD, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01049737 (Cardiovascular Risk Factors in Patients With Diabetes -a Prospective Study in Primary Care), which is not on this map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
2.3field-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.

NCT01049737 completednot on this map

Cardiovascular Risk Factors in Patients With Diabetes -a Prospective Study in Primary Care

TypeobservationalSponsorLinkoeping UniversityRan2005 to 2012Enrolled761ConditionsDiabetes Mellitus Type 2, Cardiovascular Diseases
3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 31 citations in OpenAlex.

  1. Article
  2. Pharmacotherapy for Obesity: Recent Updates.Clinical pharmacology : advances and applications · 2025
    Review
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  14. Sagittal abdominal diameter predicts cardiovascular events.Nutrition, metabolism, and cardiovascular diseases : NMCD · 2017
    Article
  15. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 1 institution in 1 country.

K RådholmDivision of Community Medicine, Primary Care, Department of Medicine and Health Sciences, Faculty of Medicine and Health Sciences, Linköping University, Department of Local Care West, County Council of Östergötland, SE-581 83 Linköping, Sweden. Electronic address: karin.radholm@liu.se.
A TengbladDivision of Community Medicine, Primary Care, Department of Medicine and Health Sciences, Faculty of Medicine and Health Sciences, Linköping University, Department of Local Care West, County Council of Östergötland, SE-581 83 Linköping, Sweden.
E DahlénDivision of Community Medicine, Primary Care, Department of Medicine and Health Sciences, Faculty of Medicine and Health Sciences, Linköping University, Department of Local Care West, County Council of Östergötland, SE-581 83 Linköping, Sweden.
T LänneDivision of Cardiovascular Medicine, Department of Medical and Health Sciences, Faculty of Medicine and Health Sciences, Linköping University, SE-58185 Linköping, Sweden.
J EngvallDepartment of Clinical Physiology, Faculty of Medicine and Health Sciences, Linköping University, Linköping, SE-58183, Sweden.
F H NystromDivision of Cardiovascular Medicine, Department of Medical and Health Sciences, Faculty of Medicine and Health Sciences, Linköping University, SE-58185 Linköping, Sweden.
C J ÖstgrenDivision of Community Medicine, Primary Care, Department of Medicine and Health Sciences, Faculty of Medicine and Health Sciences, Linköping University, Department of Local Care West, County Council of Östergötland, SE-581 83 Linköping, Sweden.
Linköping University · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

aimsObesity is associated with diabetes type 2 and one of the most important risk factors for cardiovascular disease. We explored if sagittal abdominal diameter (SAD) is a better predictor of major cardiovascular events than waist circumference (WC) and body mass index (BMI) in type 2 diabetes. METHODS AND

resultsThe CARDIPP study consists of a cohort of patients with type 2 diabetes. In this study we used data from 635 participants with no previous myocardial infarction or stroke, with a mean follow-up time of 7.1 years. SAD, WC and BMI were measured at baseline and the end-point was first cardiovascular event, measured as a composite of ICD-10 codes for acute myocardial infarction, stroke or cardiovascular mortality. SAD was significantly higher in the major cardiovascular event group compared to participants that did not suffer a major cardiovascular event during follow-up (p < 0.001). SAD >25 cm was the only anthropometric measurement that remained associated with major cardiovascular events when adjusted for modifiable and non-modifiable factors (hazard ratio 2.81, 95% confidence interval 1.37-5.76, p = 0.005).

conclusionSAD with the cut off level of >25 cm, if confirmed in larger studies, may be used as a more independent risk-assessment tool compared with WC in clinical practice, to identify persons with type 2 diabetes at high cardiovascular risk. ClinicalTrials.gov: NCT01049737.

Indexed as

Sagittal Abdominal DiameterAdiposityAgedCardiovascular DiseasesDiabetes Mellitus, Type 2FemaleHumansMaleMiddle AgedObesity, AbdominalPredictive Value of TestsPrognosisProspective StudiesReproducibility of ResultsRisk AssessmentRisk FactorsAnthropometric measurementsCardiovascular riskDiabetesObesity

Identifiers

PMID28390663
OpenAlexW2587822603

What OpenQuestion holds

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Read underepoch 390

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.