Evidence map›Paper›PMID 28541544›Full record

ArticleThe Journal of clinical endocrinology and metabolism2017

Hemoglobin Glycation Index Is Associated With Cardiovascular Diseases in People With Impaired Glucose Metabolism.

Chang Ho Ahn, Se Hee Min, Dong-Hwa Lee, Tae Jung Oh, Kyoung Min Kim, Jae Hoon Moon, Sung Hee Choi, Kyong Soo Park, Hak Chul Jang, Joon Ha and 2 more

Open access · bronzeAbstract read
In one paragraph

Article in The Journal of clinical endocrinology and metabolism, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 51 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
51citing papers in PubMed, 2 pooled it
4.6field-weighted citation impact, top 4% 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

51 citing papers in PubMed, 2 syntheses or guidelines pooled it, 87 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 5 institutions in 2 countries.

Chang Ho AhnDepartment of Internal Medicine, Seoul National University College of Medicine, Seoul 03080, South Korea.
Se Hee MinDepartment of Internal Medicine, Seoul National University College of Medicine, Seoul 03080, South Korea.
Dong-Hwa LeeDepartment of Internal Medicine, Seoul National University College of Medicine, Seoul 03080, South Korea.
Tae Jung OhDepartment of Internal Medicine, Seoul National University College of Medicine, Seoul 03080, South Korea.
Kyoung Min KimDepartment of Internal Medicine, Seoul National University College of Medicine, Seoul 03080, South Korea.
Jae Hoon MoonDepartment of Internal Medicine, Seoul National University College of Medicine, Seoul 03080, South Korea.
Sung Hee ChoiDepartment of Internal Medicine, Seoul National University College of Medicine, Seoul 03080, South Korea.
Kyong Soo ParkDepartment of Internal Medicine, Seoul National University College of Medicine, Seoul 03080, South Korea.
Hak Chul JangDepartment of Internal Medicine, Seoul National University College of Medicine, Seoul 03080, South Korea.
Joon HaLaboratory of Biological Modeling, National Institute of Diabetes and Digestive and Kidney Diseases, National Institutes of Health, Bethesda, Maryland 20892.
Arthur S ShermanLaboratory of Biological Modeling, National Institute of Diabetes and Digestive and Kidney Diseases, National Institutes of Health, Bethesda, Maryland 20892.
Soo LimDepartment of Internal Medicine, Seoul National University College of Medicine, Seoul 03080, South Korea.
Seoul National University · KRSeoul National University Bundang Hospital · KRNational Institute of Diabetes and Digestive and Kidney Diseases · USNational Institutes of Health · USSeoul National University Hospital · KR

Funding

Modeling Pathogenesis of Type 2 DiabetesZIADK075137 · NIDDK · NATIONAL INSTITUTE OF DIABETES AND DIGESTIVE AND KIDNEY DISEASES · PI SHERMAN, ARTHUR · 2016 to 2025
$3.3M
6 · The paper itself

Abstract

Context: There is a substantial interindividual variation in the association between glycated hemoglobin (HbA1c) and plasma glucose concentrations. Its impact on cardiovascular disease (CVD) has not been comprehensively evaluated. Objective: We examined associations between interindividual variations in HbA1c, which was estimated as the hemoglobin glycation index (HGI), and CVD. Design, Setting, and Participants: We performed a cross-sectional analysis with 1248 treatment-naïve subjects with prediabetes or diabetes. The HGI was defined as the measured HbA1c minus predicted HbA1c, which was calculated from the linear relationship between HbA1c and fasting plasma glucose levels. Main Outcome Measures: The prevalence of composite and individual CVDs including coronary artery disease (CAD), stroke, and peripheral artery disease (PAD). Results: The overall prevalence of composite CVD was 10.3% and individual prevalences of CAD, stroke, and PAD were 5.7%, 5.1%, and 1.3%, respectively. All prevalences significantly increased from the first to third tertile of HGI. In multivariate analysis, the highest HGI tertile was independently associated with composite CVD [odds ratio (95% confidence interval): 2.81 (1.59-4.98)], and individual CAD [2.30 (1.12-4.73)], stroke [3.40 (1.50-7.73)], and PAD [6.37 (1.18-34.33)] after adjustment for other CVD risk factors including HbA1c levels. Two consecutive measurements of HGI obtained on different days showed good correlation (r = 0.651, P < 0.001) and high concordance rate in the tertile classification (69.1%). Conclusions: High HGI was independently associated with overall and individual CVDs. This result suggests that discrepancy between HbA1c and fasting glucose levels can reflect vascular health in subjects with impaired glucose metabolism.

Indexed as

AdultAgedBlood GlucoseCardiovascular DiseasesCohort StudiesCoronary Artery DiseaseCross-Sectional StudiesDiabetes MellitusFemaleGlucose IntoleranceGlucose Tolerance TestGlycated HemoglobinHumansMaleMiddle AgedPeripheral Arterial DiseaseBlood GlucoseGlycated Hemoglobinhemoglobin A1c protein, human

Identifiers

PMID28541544
PMCPMC6283438
OpenAlexW2620078758

What OpenQuestion holds

Textmetadata
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.