Evidence map›Paper›PMID 28915883›Full record

ArticleLipids in health and disease2017

Plasma trans-fatty acids levels and mortality: a cohort study based on 1999-2000 National Health and Nutrition Examination Survey (NHANES).

Haibo Li, Qian Zhang, Jiangen Song, Anshi Wang, Yunfei Zou, Lei Ding, Yufeng Wen

Abstract read
In one paragraph

Article in Lipids in health and disease, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

21 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
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  4. Article
  5. Article
  6. Article
  7. Article
  8. Validity and reproducibility of the intake ofThe British journal of nutrition · 2023
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  9. Review
  10. Article
  11. Omega-9 fatty acids: potential roles in inflammation and cancer management.Journal, genetic engineering & biotechnology · 2022
    Review
  12. Article
  13. Differential Effects of Ruminant and Industrial 18-CarbonMolecules (Basel, Switzerland) · 2021
    Article
  14. Article
  15. Review
  16. Article
  17. Article
  18. Observational
  19. Industrially producedBMJ open · 2019
    Article
  20. 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

7 authors.

Haibo LiSchool of Public Health, Wannan Medical College, No. 22 Western Wenchang Road, Wuhu, 241002, China.
Qian ZhangDepartment of Epidemiology and Biostatistics, School of Public Health, Anhui Medical University, Hefei, 230032, China.
Jiangen SongSchool of Public Health, Wannan Medical College, No. 22 Western Wenchang Road, Wuhu, 241002, China.
Anshi WangSchool of Public Health, Wannan Medical College, No. 22 Western Wenchang Road, Wuhu, 241002, China.
Yunfei ZouSchool of Public Health, Wannan Medical College, No. 22 Western Wenchang Road, Wuhu, 241002, China.
Lei DingSchool of Public Health, Wannan Medical College, No. 22 Western Wenchang Road, Wuhu, 241002, China.
Yufeng WenSchool of Public Health, Wannan Medical College, No. 22 Western Wenchang Road, Wuhu, 241002, China. yfwmanu@sina.com.ORCID http://orcid.org/0000-0002-9261-0759

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTrans-fatty acids (TFAs) occur in small amounts in nature but became widely produced by the food industry. The hazardous effects of different TFA subtypes to human health are controversial. We aimed to evaluate the association of plasma TFAs levels (elaidic acid, vaccenic acid, palmitelaidic acid, and linoelaidic acid) with mortality.

methodsUtilizing 1999-2000 Nutrition Examination Survey (NHANES) and linked mortality data, we performed a cohort study with 1456 participants and used Cox proportional hazards models and penalized smoothing spline plots to elucidate the relationships between TFAs and all-cause, cardiovascular diseases (CVD) and cancer mortality.

resultsDuring 16,034 person-years of follow-up, a total of 221 deaths occurred. In the multivariate model, including mutual adjustment for the 4 TFA subtypes, elaidic acid associated with higher all-cause mortality (hazard ratio (HR) = 2.00, 95% confidence interval (CI) = 1.18 to 3.40, fourth quartiles versus second quartiles) and CVD mortality (HR = 1.64, 95% CI = 1.07 to 2.50, per 10 units increase). Higher palmitelaidic acid levels were associated with increased cancer mortality (HR = 2.91, 95% CI = 1.09 to 7.81, fourth quartiles versus second quartiles). A J-shaped pattern was observed in the regression curve of elaidic acid and all-cause mortality, as well palmitelaidic acid and cancer mortality.

conclusionsPlasma elaidic acid levels are associated with higher risk of all-cause and CVD mortality, and palmitelaidic acid levels are associated with higher cancer mortality in later life. Further studies are needed to investigate current inconsistent results in this field and the possible underlying mechanisms.

Indexed as

MortalityAdultCardiovascular DiseasesCohort StudiesCross-Sectional StudiesFatty Acids, MonounsaturatedFemaleHumansMaleMiddle AgedNeoplasmsNutrition SurveysOleic AcidOleic AcidsProportional Hazards ModelsRisk Factorselaidic acidFatty Acids, MonounsaturatedOleic AcidOleic Acidspalmitoleic acidTrans Fatty AcidsCancerCardiovascular diseasesMortalityTrans-fatty acids

Identifiers

PMID28915883
PMCPMC5603045

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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.