Evidence map›Paper›PMID 29039145›Full record

ArticleEndocrine2017

Adiponectin circulating levels and 10-year (2002-2012) cardiovascular disease incidence: the ATTICA Study.

Ioannis Kyrou, Olga Tsantarlioti, Demosthenes B Panagiotakos, Constantine Tsigos, Ekavi Georgousopoulou, Christina Chrysohoou, Ioannis Skoumas, Dimitrios Tousoulis, Christodoulos Stefanadis, Christos Pitsavos and 1 more

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In one paragraph

Article in Endocrine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
2.1field-weighted citation impact, top 13% 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

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.

  1. Pooled it
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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

11 authors at 3 institutions in 2 countries.

Ioannis KyrouDepartment of Science of Dietetics and Nutrition, School of Health Science and Education, Harokopio University, Athens, Greece.ORCID http://orcid.org/0000-0002-6997-3439
Olga TsantarliotiDepartment of Science of Dietetics and Nutrition, School of Health Science and Education, Harokopio University, Athens, Greece.
Demosthenes B PanagiotakosDepartment of Science of Dietetics and Nutrition, School of Health Science and Education, Harokopio University, Athens, Greece. dbpanag@hua.gr.ORCID http://orcid.org/0000-0001-8583-153X
Constantine TsigosDepartment of Science of Dietetics and Nutrition, School of Health Science and Education, Harokopio University, Athens, Greece.
Ekavi GeorgousopoulouDepartment of Science of Dietetics and Nutrition, School of Health Science and Education, Harokopio University, Athens, Greece.
Christina ChrysohoouFirst Cardiology Clinic, School of Medicine, University of Athens, Athens, Greece.
Ioannis SkoumasFirst Cardiology Clinic, School of Medicine, University of Athens, Athens, Greece.
Dimitrios TousoulisFirst Cardiology Clinic, School of Medicine, University of Athens, Athens, Greece.
Christodoulos StefanadisFirst Cardiology Clinic, School of Medicine, University of Athens, Athens, Greece.
Christos PitsavosFirst Cardiology Clinic, School of Medicine, University of Athens, Athens, Greece.
ATTICA study group
National and Kapodistrian University of Athens · GRHarokopio University of Athens · GRAston University · GB

Funding

Hellenic Atherosclerosis Society HAS2003Hellenic Cardiology Society HCS2002
6 · The paper itself

Abstract

purposeAdiponectin is an adipokine with anti-inflammatory and cardiovascular-protective properties. Existing epidemiological evidence is conflicting on the exact relationship between adiponectin and long-term cardiovascular disease (CVD) risk. Our aim was to prospectively assess whether circulating adiponectin is associated with long-term incident CVD.

methodsA population-based, prospective study in adults (>18 years) without previous CVD history (ATTICA study). Circulating total adiponectin levels were measured at baseline (2001-2002) in a sub-sample (n = 531; women/men: 222/309; age: 40 ± 11 years) of the ATTICA cohort and complete 10-year follow-up data were available in 366 of these participants (women/men: 154/212; age: 40 ± 12 years).

resultsAfter adjusting for multiple factors, including age, sex, body mass index, waist circumference, smoking, physical activity, Mediterranean diet adherence, hypertension, diabetes, and hypercholesterolemia, our logistic regression analysis indicates that an increase in circulating total adiponectin levels by 1 unit was associated with 36% lower CVD risk (relative risk [RR]: 0.64, 95% confidence interval [CI] 0.42-0.96; p = 0.03). Further adjusting for interleukin-6 plasma levels had no significant impact (RR: 0.60, 95% CI 0.38-0.94; p = 0.03), while additional adjustment for circulating C-reactive protein (CRP) modestly attenuated this association (RR: 0.63, 95% CI 0.40-0.99; p = 0.046).

conclusionsIn our study, elevated circulating total adiponectin levels were associated with lower 10-year CVD risk in adults without previous CVD, independently of other established CVD risk factors. This association appeared to be modestly attenuated by CRP, yet was not mediated by interleukin-6 which is the main endocrine/circulating pro-inflammatory cytokine.

Indexed as

AdiponectinAdultAge FactorsBody Mass IndexCardiovascular DiseasesDiet, MediterraneanFemaleFollow-Up StudiesGreeceHealth SurveysHumansIncidenceMaleMiddle AgedProspective StudiesRisk FactorsAdiponectinADIPOQ protein, humanAdiponectinATTICA studyCardiovascular diseaseCVD risk

Identifiers

PMID29039145
OpenAlexW2766242439

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.