Evidence map›Paper›PMID 28499385›Full record

ArticleCardiovascular diabetology2017

Target organ damage and incident type 2 diabetes mellitus: the Strong Heart Study.

Giovanni de Simone, Wenyu Wang, Lyle G Best, Fawn Yeh, Raffaele Izzo, Costantino Mancusi, Mary J Roman, Elisa T Lee, Barbara V Howard, Richard B Devereux

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Cardiovascular diabetology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00005134 (Strong Heart Study), which is not on this map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
3.9field-weighted citation impact, top 5% 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.

NCT00005134 completednot on this map

Strong Heart Study

TypeobservationalSponsorNational Heart, Lung, and Blood Institute (NHLBI)Ran1988 to 2005ConditionsCardiovascular Diseases, Heart Diseases, Atherosclerosis, Asthma
3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 36 citations in OpenAlex.

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  10. Insulin Resistance the Hinge Between Hypertension and Type 2 Diabetes.High blood pressure & cardiovascular prevention : the official journal of the Italian Society of Hypertension · 2020
    Review
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  15. Correlations of Circadian Rhythm Disorder of Blood Pressure with Arrhythmia and Target Organ Damage in Hypertensive Patients.Medical science monitor : international medical journal of experimental and clinical research · 2019
    Article
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  20. Observational
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

10 authors at 5 institutions in 2 countries.

Giovanni de SimoneHypertension Research Center and Department of Translational Medical Sciences, Federico II University Hospital, via S. Pansini 5, bld 1, 80131, Naples, Italy. simogi@unina.it.ORCID 0000-0001-8567-9881
Wenyu WangCenter for American Indian Health Research, College of Public Health, University of Oklahoma, Oklahoma City, OK, USA.
Lyle G BestEpidemiology Department, Missouri Breaks Industries Research Inc, Timber Lake, SD, USA.
Fawn YehCenter for American Indian Health Research, College of Public Health, University of Oklahoma, Oklahoma City, OK, USA.
Raffaele IzzoHypertension Research Center and Department of Translational Medical Sciences, Federico II University Hospital, via S. Pansini 5, bld 1, 80131, Naples, Italy.
Costantino MancusiHypertension Research Center and Department of Translational Medical Sciences, Federico II University Hospital, via S. Pansini 5, bld 1, 80131, Naples, Italy.
Mary J RomanWeill Cornell Medicine, New York, NY, USA.
Elisa T LeeCenter for American Indian Health Research, College of Public Health, University of Oklahoma, Oklahoma City, OK, USA.
Barbara V HowardMedStar Health Research Institute, Washington, DC, USA.
Richard B DevereuxWeill Cornell Medicine, New York, NY, USA.
Cornell University · USUniversity of Oklahoma · USFederico II University Hospital · ITGeorgetown-Howard Universities Center for Clinical and Translational Science · USMissouri Breaks Industries Research (United States) · US

Funding

Maternal Morbidity and Mortality: Risk Factors, Early Detection and Personalized InterventionUL1TR001409 · NCATS · GEORGETOWN UNIVERSITY · PI GONDRE-LEWIS, MARJORIE C, MELLMAN, THOMAS A · 2015 to 2024
$37.8M
VEGF VECTOR TO ISCHEMIC MYOCARDIUM W/DIFFUSE CORONARY DISEASEM01RR000047 · NCRR · WEILL MEDICAL COLL OF CORNELL UNIV · PI MCQUIGGAN, MARGARET M · 1985 to 2007
$36.4M
HYPERGEN: GENETICS OF LEFT VENTRICULAR HYPERTROPHYR01HL055673 · NHLBI · UNIVERSITY OF MINNESOTA TWIN CITIES · PI ARNETT, DONNA K · 1996 to 2016
$18.1M
CVD in American Indians Study and Data Management Center and OK Field CenterR01HL109284 · NHLBI · UNIVERSITY OF OKLAHOMA HLTH SCIENCES CTR · PI STONER, JULIE A · 2013 to 2018
$4.6M
CARDIOVASCULAR EVALUATION--STRONG HEART STUDY PHASE IVU01HL065521 · NHLBI · WEILL MEDICAL COLL OF CORNELL UNIV · PI DEVEREUX, RICHARD B · 2000 to 2013
$4.3M
NHLBI FAMILY BLOOD PRESSURE PROGRAM-HYPERGEN-MPLS FCU01HL054496 · NHLBI · UNIVERSITY OF MINNESOTA TWIN CITIES · PI PANKOW, JAMES S · 2000 to 2004
$3.2M
NCATS NIH HHS UL1 TR001409NCRR NIH HHS M01 RR000047NHLBI NIH HHS R01 HL055673NHLBI NIH HHS R01 HL109284NHLBI NIH HHS U01 HL054496NHLBI NIH HHS U01 HL065521
6 · The paper itself

Abstract

backgroundRecent analyses in a registry of hypertensive patients suggested that preceding left ventricular (LV) hypertrophy (LVH) and/or carotid atherosclerosis are associated with incident type 2 diabetes, independent of confounders. We assess the relation between prevalent cardio-renal target organ damage (TOD) and subsequent incident type 2 diabetes in a population-based study with high prevalence of obesity.

methodsWe selected 2887 non-diabetic participants from two cohorts of the Strong Heart Study (SHS). Clinical exam, laboratory tests and echocardiograms were performed. Adjudicated TODs were LVH, left atrium (LA) dilatation, and high urine albumin/creatinine ratio (UACR). Multivariable logistic regression models were used to identify variables responsible for the association between initial TODs and incident diabetes at 4-year follow-up (FU).

resultsAfter 4 years, 297 new cases of diabetes (10%) were identified, 216 of whom exhibited baseline impaired fasting glucose (IFG, 73%, p < 0.0001). Participants developing type 2 diabetes exhibited higher inflammatory markers, fat-free mass and adipose mass and higher prevalence of initial LVH and LA dilatation than those without (both p < 0.04). In multivariable logistic regression, controlling for age, sex, family relatedness, presence of arterial hypertension and IFG, all three indicators of TOD predicted incident diabetes (all p < 0.01). However, the effects of TOD was offset when body fat and inflammatory markers were introduced into the model.

conclusionsIn this population-based study with high prevalence of obesity, TOD precedes clinical appearance of type 2 diabetes and is related to the preceding metabolic status, body composition and inflammatory status. Trial registration Trial registration number: NCT00005134, Name of registry: Strong Heart Study, URL of registry: https://clinicaltrials.gov/ct2/show/NCT00005134, Date of registration: May 25, 2000, Date of enrolment of the first participant to the trial: September 1988.

Indexed as

AdiposityAdultAlbuminuriaBiomarkersBlood GlucoseChi-Square DistributionCreatinineDiabetes Mellitus, Type 2Diabetic NephropathiesDisease ProgressionEchocardiography, DopplerFemaleHeart AtriaHumansHypertrophy, Left VentricularIncidenceBiomarkersBlood GlucoseCreatinineInflammation MediatorsArterial hypertensionBody compositionInflammationLeft atrial dilatationLeft ventricular hypertrophyTarget organ damage

Identifiers

PMID28499385
PMCPMC5427627
OpenAlexW2613741065

What OpenQuestion holds

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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.