Evidence map›Paper›PMID 29195493›Full record

ArticleCardiovascular diabetology2017

Adiponectin, biomarkers of inflammation and changes in cardiac autonomic function: Whitehall II study.

Christian Stevns Hansen, Dorte Vistisen, Marit Eika Jørgensen, Daniel R Witte, Eric J Brunner, Adam G Tabák, Mika Kivimäki, Michael Roden, Marek Malik, Christian Herder

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 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
3.7field-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

26 citing papers in PubMed, 49 citations in OpenAlex.

  1. Trial
  2. Observational
  3. Adipokine in Metabolic Liver Disease: Adipo-Brain-Liver Cross talk.International journal of endocrinology · 2026
    Review
  4. Article
  5. Article
  6. Article
  7. Review
  8. Review
  9. Article
  10. Article
  11. Review
  12. Review
  13. Article
  14. Article
  15. Article
  16. Article
  17. Review
  18. Article
  19. Observational
  20. Article
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 6 institutions in 4 countries.

Christian Stevns HansenSteno Diabetes Center Copenhagen, Niels Steensens Vej 2-4, 2820, Gentofte, Denmark. christian.stevns.hansen@regionh.dk.ORCID http://orcid.org/0000-0002-5782-3476
Dorte VistisenSteno Diabetes Center Copenhagen, Niels Steensens Vej 2-4, 2820, Gentofte, Denmark.
Marit Eika JørgensenSteno Diabetes Center Copenhagen, Niels Steensens Vej 2-4, 2820, Gentofte, Denmark.
Daniel R WitteDepartment of Public Health, Aarhus University, Aarhus, Denmark.
Eric J BrunnerDepartment of Epidemiology and Public Health, University College London, London, UK.
Adam G TabákDepartment of Epidemiology and Public Health, University College London, London, UK.
Mika KivimäkiDepartment of Epidemiology and Public Health, University College London, London, UK.
Michael RodenInstitute for Clinical Diabetology, German Diabetes Center, Leibniz Center for Diabetes Research at Heinrich Heine University Düsseldorf, Düsseldorf, Germany.
Marek MalikNational Heart and Lung Institute, Imperial College, London, UK.
Christian HerderInstitute for Clinical Diabetology, German Diabetes Center, Leibniz Center for Diabetes Research at Heinrich Heine University Düsseldorf, Düsseldorf, Germany.
Steno Diabetes Centers · DKDeutsches Diabetes-Zentrum e.V. · DEUniversity College London · GBAarhus University · DKImperial College London · GBSemmelweis University · HU

Funding

Socio-economic status and heterogeneity in agingR01AG013196 · NIA · UNIVERSITY OF LONDON INST OF NEUROLOGY · PI MARMOT, MICHAEL G, SINGH-MANOUX, ARCHANA · 1996 to 2013
$3.5M
Socioeconomic gradient in CHD in early old ageR01HL036310 · NHLBI · UNIVERSITY OF LONDON · PI KIVIMAKI, MIKA J, MARMOT, MICHAEL G · 1986 to 2012
$3.1M
British Heart Foundation RG/13/2/30098British Heart Foundation RG/16/11/32334British Heart Foundation and the US National Institutes of Health R01AG013196British Heart Foundation and the US National Institutes of Health R01HL36310Medical Research Council MR/K013351/1NHLBI NIH HHS R01 HL036310NIA NIH HHS R01 AG013196The UK Medical Research Council K013351
6 · The paper itself

Abstract

backgroundBiomarkers of inflammation and adiponectin are associated with cardiovascular autonomic neuropathy (CAN) in cross-sectional studies, but prospective data are scarce. This study aimed to assess the associations of biomarkers of subclinical inflammation and adiponectin with subsequent changes in heart rate (HR) and heart rate variability (HRV) in non-diabetic and diabetic individuals.

methodsData are based on up to 25,050 person-examinations for 8469 study participants of the Whitehall II cohort study. Measures of CAN included HR and several HRV indices. Associations between baseline serum levels of high-sensitivity C-reactive protein (hsCRP), interleukin (IL)-6, IL-1 receptor antagonist (IL-1Ra) and adiponectin and 5-year changes in HR and six HRV indices were estimated using mixed-effects models adjusting for age, sex, ethnicity, body mass index (BMI), metabolic covariates and medication. A modifying effect of diabetes was tested.

resultsHigher levels of IL-1Ra were associated with higher increases in HR. Additional associations with measures of HRV were observed for hsCRP, IL-6 and IL-1Ra, but these associations were explained by BMI and other confounders. Associations between adiponectin, HR and HRV differed depending on diabetes status. Higher adiponectin levels were associated with more pronounced decreases in HR and increases in three measures of HRV reflecting both sympathetic and vagal activity, but these findings were limited to individuals with type 2 diabetes.

conclusionsHigher IL-1Ra levels appeared as novel risk marker for increases in HR. Higher adiponectin levels were associated with a more favourable development of cardiovascular autonomic function in individuals with type 2 diabetes independently of multiple confounders.

Indexed as

Heart RateAdiponectinAdultAgedAutonomic Nervous SystemAutonomic Nervous System DiseasesBiomarkersC-Reactive ProteinDiabetes Mellitus, Type 2Diabetic NeuropathiesFemaleHeartHeart DiseasesHumansInflammationInflammation MediatorsAdiponectinADIPOQ protein, humanBiomarkersC-Reactive ProteinIL1RN protein, humanIL6 protein, humanInflammation MediatorsInterleukin 1 Receptor Antagonist ProteinInterleukin-6AdipokineCardiovascular autonomic neuropathyCardiovascular diseaseHeart rateInflammationPrediction

Identifiers

PMID29195493
PMCPMC5710029
OpenAlexW2772125915

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.