Evidence map›Paper›PMID 28946871›Full record

ArticleCardiovascular diabetology2017

NTproBNP in insulin-resistance mediated conditions: overweight/obesity, metabolic syndrome and diabetes. The population-based Casale Monferrato Study.

Stefano Baldassarre, Salvatore Fragapani, Antonio Panero, Debora Fedele, Silvia Pinach, Manuela Lucchiari, Anna Rita Vitale, Giulio Mengozzi, Gabriella Gruden, Graziella Bruno

Open 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. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
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.

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

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 61 citations in OpenAlex.

  1. Re-appraisal of the obesity paradox in heart failure: a meta-analysis of individual data.Clinical research in cardiology : official journal of the German Cardiac Society · 2021
    Pooled it
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  11. Loss-of-function N178T variant of the human P2YFrontiers in pharmacology · 2022
    Article
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  13. Article
  14. Cardiac natriuretic peptides.Nature reviews. Cardiology · 2020
    Review
  15. Observational
  16. Article
  17. Article
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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 3 institutions in 2 countries.

Stefano BaldassarreDept. of Medical Sciences, University of Torino, corso Dogliotti 14, 10126, Turin, Italy.
Salvatore FragapaniDept. of Medical Sciences, University of Torino, corso Dogliotti 14, 10126, Turin, Italy.
Antonio PaneroDept. of Medical Sciences, University of Torino, corso Dogliotti 14, 10126, Turin, Italy.
Debora FedeleDept. of Medical Sciences, University of Torino, corso Dogliotti 14, 10126, Turin, Italy.
Silvia PinachDept. of Medical Sciences, University of Torino, corso Dogliotti 14, 10126, Turin, Italy.
Manuela LucchiariClinical Chemistry Laboratory, Azienda Ospedaliero-Universitaria Città della Salute e della Scienza, Turin, Italy.
Anna Rita VitaleClinical Chemistry Laboratory, Azienda Ospedaliero-Universitaria Città della Salute e della Scienza, Turin, Italy.
Giulio MengozziClinical Chemistry Laboratory, Azienda Ospedaliero-Universitaria Città della Salute e della Scienza, Turin, Italy.
Gabriella GrudenDept. of Medical Sciences, University of Torino, corso Dogliotti 14, 10126, Turin, Italy.
Graziella BrunoDept. of Medical Sciences, University of Torino, corso Dogliotti 14, 10126, Turin, Italy. graziella.bruno@unito.it.ORCID 0000-0002-3011-8304
University of Turin · ITAzienda Ospedaliera Citta' della Salute e della Scienza di Torino · ITDepartment of Medical Sciences · BY

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

aimsNTproBNP and BNP levels are reduced in obese subjects, but population-based data comparing the pattern of this relationship in the full spectrum of insulin-resistance mediated conditions, overweight/obesity, metabolic syndrome and diabetes, are limited.

methodsThe study-base were 3244 individuals aged 45-74 years, none of whom had heart failure, 1880 without diabetes and 1364 with diabetes, identified as part of two surveys of the population-based Casale Monferrato Study. All measurements were centralized. We examined with multiple linear regression and cubic regression splines the relationship between NTproBNP and BMI, independently of known risk factors and confounders. A logistic regression analysis was also performed to assess the effect of overweight/obesity (BMI ≥ 25 kg/m

resultsOut of the overall cohort of 3244 people, overweight/obesity was observed in 1118 (59.4%) non-diabetic and 917 (67.2%) diabetic subjects, respectively. In logistic regression, compared to normal weight individuals, those with a BMI ≥ 25 kg/m

conclusionsNT-proBNP levels are lower in overweight/obesity, even in those with diabetes. Both insulin-resistance and chronic low-grade inflammation are involved in this relationship. Further intervention studies are required to clarify the potential role of drugs affecting the natriuretic peptides system on body weight and risk of diabetes.

Indexed as

Population SurveillanceAgedBiomarkersCohort StudiesCross-Sectional StudiesDiabetes MellitusFemaleHumansInsulin ResistanceItalyMaleMetabolic SyndromeMiddle AgedNatriuretic Peptide, BrainObesityOverweightBiomarkersNatriuretic Peptide, BrainPeptide Fragmentspro-brain natriuretic peptide (1-76)CRPCVDMetabolic syndromeNatriuretic peptidesSurvey

Identifiers

PMID28946871
PMCPMC5613356
OpenAlexW2757970417

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.