Evidence map›Paper›PMID 28647689›Full record

ArticleJournal of the American Heart Association2017

Associations of Cigarette Smoking With Subclinical Inflammation and Atherosclerosis: ELSA-Brasil (The Brazilian Longitudinal Study of Adult Health).

Sina Kianoush, Mohammad Yawar Yakoob, Mahmoud Al-Rifai, Andrew P DeFilippis, Marcio S Bittencourt, Bruce B Duncan, Isabela M Bensenor, Aruni Bhatnagar, Paulo A Lotufo, Michael J Blaha

Open access · goldAbstract readMulticenter Study
In one paragraph

Article in Journal of the American Heart Association, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers.

0numbers the graph read from it
0cells of the map it votes in
45citing papers in PubMed
6.4field-weighted citation impact, top 2% 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

45 citing papers in PubMed, 102 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

10 authors at 5 institutions in 2 countries.

Sina KianoushJohns Hopkins Ciccarone Center for the Prevention of Heart Disease, Baltimore, MD.
Mohammad Yawar YakoobJohns Hopkins Ciccarone Center for the Prevention of Heart Disease, Baltimore, MD.
Mahmoud Al-RifaiJohns Hopkins Ciccarone Center for the Prevention of Heart Disease, Baltimore, MD.
Andrew P DeFilippisJohns Hopkins Ciccarone Center for the Prevention of Heart Disease, Baltimore, MD.
Marcio S BittencourtCenter for Clinical and Epidemiologic Research, University of São Paulo, Brazil.
Bruce B DuncanPostgraduate Studies Program and Hospital de Clínicas de Porto Alegre, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil.
Isabela M BensenorCenter for Clinical and Epidemiologic Research, University of São Paulo, Brazil.
Aruni BhatnagarSchool of Medicine, University of Louisville, KY.
Paulo A LotufoCenter for Clinical and Epidemiologic Research, University of São Paulo, Brazil mblaha1@jhmi.edu palotufo@usp.br.
Michael J BlahaJohns Hopkins Ciccarone Center for the Prevention of Heart Disease, Baltimore, MD mblaha1@jhmi.edu palotufo@usp.br.
Universidade de São Paulo · BRHospital de Clínicas de Porto Alegre · BRJohns Hopkins University · USUniversity of Kansas · USUniversity of Louisville · US

Funding

Research Training and Education Core (Core D) P50HL120163 · NHLBI · AMERICAN HEART ASSOCIATION · PI BHATNAGAR, ARUNI, ROBERTSON, ROSE MARIE · 2013 to 2017
$20.1M
ConProject-006U54HL120163 · NHLBI · AMERICAN HEART ASSOCIATION · PI BHATNAGAR, ARUNI, ROBERTSON, ROSE MARIE · 2018 to 2022
$18.8M
NHLBI NIH HHS P50 HL120163NHLBI NIH HHS U54 HL120163
6 · The paper itself

Abstract

backgroundThere is a need to identify sensitive biomarkers of early tobacco-related cardiovascular disease. We examined the association of smoking status, burden, time since quitting, and intensity, with markers of inflammation and subclinical atherosclerosis. METHODS AND

resultsWe studied 14 103 participants without clinical cardiovascular disease in ELSA-Brasil (Brazilian Longitudinal Study of Adult Health). We evaluated baseline cross-sectional associations between smoking parameters and inflammation (high-sensitivity C-reactive protein [hsCRP]) and measures of subclinical atherosclerosis (carotid intima-media thickness, ankle-brachial index, and coronary artery calcium [CAC]). The cohort included 1844 current smokers, 4121 former smokers, and 8138 never smokers. Mean age was 51.7±8.9 years; 44.8% were male. After multivariable adjustment, compared with never smokers, current smokers had significantly higher levels of hsCRP (β=0.24, 0.19-0.29 mg/L;

conclusionsStrong associations were observed between smoking status, burden, and intensity with inflammation (hsCRP) and subclinical atherosclerosis (carotid intima-media thickness, ankle-brachial index, CAC). These markers of early cardiovascular disease injury may be used for the further study and regulation of traditional and novel tobacco products.

Indexed as

AdultAgedAnkle Brachial IndexAsymptomatic DiseasesAtherosclerosisBiomarkersBrazilCarotid Artery DiseasesCarotid Intima-Media ThicknessChi-Square DistributionCoronary AngiographyCoronary Artery DiseaseC-Reactive ProteinCross-Sectional StudiesFemaleHumansBiomarkersC-Reactive ProteinInflammation Mediatorsatherosclerosisinflammationsmokingsubclinical atherosclerosis risk factortobacco products

Identifiers

PMID28647689
PMCPMC5669156
OpenAlexW2650488012

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.