Evidence map›Paper›PMID 28665956›Full record

ArticlePloS one2017

Gender-differences in the associations between circulating creatine kinase, blood pressure, body mass and non-alcoholic fatty liver disease in asymptomatic asians.

Chih-Hsuan Yen, Kuang-Te Wang, Ping-Ying Lee, Chuan-Chuan Liu, Ya-Ching Hsieh, Jen-Yuan Kuo, Bernard E Bulwer, Chung-Lieh Hung, Shun-Chuan Chang, Shou-Chuan Shih and 3 more

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
1.2field-weighted citation impact, top 21% 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

14 citing papers in PubMed, 24 citations in OpenAlex.

  1. Article
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  7. Article
  8. Sex differences in the human metabolome.Biology of sex differences · 2022
    Review
  9. Article
  10. Muscle pain and muscle weakness in COVID19 patients: Cross-talk with statins - Preliminary results.Biomedicine & pharmacotherapy = Biomedecine & pharmacotherapie · 2022
    Article
  11. Article
  12. Article
  13. Creatine Kinase and Blood Pressure: A Systematic Review.Medical sciences (Basel, Switzerland) · 2019
    Review
  14. 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

13 authors at 7 institutions in 4 countries.

Chih-Hsuan YenDivision of Cardiology, Department of Internal Medicine, Mackay Memorial Hospital, Taipei, Taiwan.
Kuang-Te WangDivision of Cardiology, Department of Internal Medicine, Mackay Memorial Hospital, Taitung branch, Taiwan.
Ping-Ying LeeDivision of Cardiology, Department of Internal Medicine, Mackay Memorial Hospital, Taipei, Taiwan.
Chuan-Chuan LiuMackay Medical College, New Taipei County, Taiwan.
Ya-Ching HsiehDepartment of Anesthesiology, Peking University First Hospital, Beijing, China.
Jen-Yuan KuoDivision of Cardiology, Department of Internal Medicine, Mackay Memorial Hospital, Taipei, Taiwan.
Bernard E BulwerNonivasive Cardiology, Brigham and Women's Hospital, Boston, Massachusetts, United States of America.
Chung-Lieh HungDivision of Cardiology, Department of Internal Medicine, Mackay Memorial Hospital, Taipei, Taiwan.
Shun-Chuan ChangMackay Medical College, New Taipei County, Taiwan.
Shou-Chuan ShihDivision of Gastroenterology, Department of Internal Medicine, MacKay Memorial Hospital, Taipei, Taiwan.
Kuang-Chun HuDivision of Gastroenterology, Department of Internal Medicine, MacKay Memorial Hospital, Taipei, Taiwan.
Hung-I YehDivision of Cardiology, Department of Internal Medicine, Mackay Memorial Hospital, Taipei, Taiwan.
Carolyn S P LamNational Heart Centre Singapore and Duke-National University of Singapore Medical School, Singapore, Singapore.
Mackay Medical College · TWMackay Memorial Hospital · TWTaipei Medical University · TWMCPHS University · USNational Taiwan University · TWNational University Heart Centre Singapore · SGPeking University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCreatine kinase (CK) is a pivotal regulatory enzyme in energy metabolism linked to both blood pressure and cardio-metabolic components. However, data is lacking in a large population of asymptomatic Asians. METHODS AND

resultsCardio-metabolic assessment including anthropometric measures and non-alcoholic fatty liver disease (NAFLD) were evaluated by abdominal echo in 4,562 consecutive subjects who underwent an annual health survey. Serum CK levels were related to blood pressure components [systolic blood pressure (SBP), diastolic blood pressure (DBP), and pulse pressure (PP)], anthropometric measures, and excessive adiposity in liver as indicated by NAFLD. Circulating CK levels ranged from 4 to 1842 IU/L (mean [SE]: 108.7 [1.1] IU/L) in the study population which consisted of 2522 males (mean age: 48.7 ± 11.2) and 2040 females (mean age: 49.4±11.5). In general, male subjects presented with higher circulating CK levels than females (mean ± SE: 127.3 ± 1.5 vs. 85.5 ± 1.3 IU/L, respectively, p < .001). Gender-differences in circulating CK levels were also observed with increasing age, which showed a more pronounced positive relationship with age in female subjects (gender interaction: p < .05). Furthermore, an elevated circulating CK level was independently associated with higher blood pressure, waist circumference and fat mass (FM), greater body mass index (BMI), increased lower estimated glomerular filtration rate (eGFR) and presence of NAFLD in multivariate analysis (all p < .05), with CK elevation more pronounced with greater BMI and FM in males compared with females (sex interaction: p < .05).

conclusionIn a large asymptomatic Asian population, circulating CK levels were increased with more advanced age, higher blood pressure, and greater body mass with gender differences. Our findings may be useful in interpreting elevated CK from subjects free of ongoing myocardial damage.

Indexed as

Asian PeopleBlood PressureBody Mass IndexSex FactorsAdultCreatine KinaseFemaleGlomerular Filtration RateHumansMaleMiddle AgedNon-alcoholic Fatty Liver DiseaseCreatine Kinase

Identifiers

PMID28665956
PMCPMC5493338
OpenAlexW2733408710

What OpenQuestion holds

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LicenceCC BY
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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.