Evidence map›Paper›PMID 29712737›Full record

ArticleHypertension (Dallas, Tex. : 1979)2018

FGF23 (Fibroblast Growth Factor-23) and Incident Hypertension in Young and Middle-Aged Adults: The CARDIA Study.

Ehimare Akhabue, Samantha Montag, Jared P Reis, Lindsay R Pool, Rupal Mehta, Clyde W Yancy, Lihui Zhao, Myles Wolf, Orlando M Gutierrez, Mercedes R Carnethon and 1 more

Open access · bronzeAbstract readMulticenter Study
In one paragraph

Article in Hypertension (Dallas, Tex. : 1979), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 1 pooled it
3.5field-weighted citation impact, top 7% 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

30 citing papers in PubMed, 1 synthesis or guideline pooled it, 38 citations in OpenAlex.

  1. Pooled it
  2. Article
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  7. Article
  8. Emerging concepts on the FGF23 regulation and activity.Molecular and cellular biochemistry · 2025
    Review
  9. Cardiac Rehabilitation Increases Plasma Klotho Levels.Journal of clinical medicine · 2024
    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

11 authors at 3 institutions in 1 country.

Ehimare AkhabueFrom the Northwestern University Feinberg School of Medicine, Chicago, IL (E.A., S.M., L.R.P., R.M., C.W.Y., L.Z., M.R.C., T.I.) ehimare.akhabue@northwestern.edu.
Samantha MontagFrom the Northwestern University Feinberg School of Medicine, Chicago, IL (E.A., S.M., L.R.P., R.M., C.W.Y., L.Z., M.R.C., T.I.).
Jared P ReisNational Heart, Lung, and Blood Institute, Bethesda, MD (J.P.R.).
Lindsay R PoolFrom the Northwestern University Feinberg School of Medicine, Chicago, IL (E.A., S.M., L.R.P., R.M., C.W.Y., L.Z., M.R.C., T.I.).
Rupal MehtaFrom the Northwestern University Feinberg School of Medicine, Chicago, IL (E.A., S.M., L.R.P., R.M., C.W.Y., L.Z., M.R.C., T.I.).
Clyde W YancyFrom the Northwestern University Feinberg School of Medicine, Chicago, IL (E.A., S.M., L.R.P., R.M., C.W.Y., L.Z., M.R.C., T.I.).
Lihui ZhaoFrom the Northwestern University Feinberg School of Medicine, Chicago, IL (E.A., S.M., L.R.P., R.M., C.W.Y., L.Z., M.R.C., T.I.).
Myles WolfDuke University School of Medicine, Durham, NC (M.W.).
Orlando M GutierrezUniversity of Alabama School of Medicine, Birmingham (O.M.G.).
Mercedes R CarnethonFrom the Northwestern University Feinberg School of Medicine, Chicago, IL (E.A., S.M., L.R.P., R.M., C.W.Y., L.Z., M.R.C., T.I.).
Tamara IsakovaFrom the Northwestern University Feinberg School of Medicine, Chicago, IL (E.A., S.M., L.R.P., R.M., C.W.Y., L.Z., M.R.C., T.I.).
Northwestern University · USDuke University · USNational Heart Lung and Blood Institute · US

Funding

University of Alabama at Birmingham's Diabetes Research CenterP30DK079626 · NIDDK · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI Kirk Michael Habegger · 2013 to 2026
$19.5M
NHLBI NIH HHS HHSN268200900041CNHLBI NIH HHS HHSN268201300025CNHLBI NIH HHS HHSN268201300026CNHLBI NIH HHS HHSN268201300027CNHLBI NIH HHS HHSN268201300028CNHLBI NIH HHS HHSN268201300029CNIDDK NIH HHS P30 DK079626
6 · The paper itself

Abstract

Blacks have the highest prevalence of hypertension in the United States. Higher levels of FGF23 (fibroblast growth factor-23) have been associated with worse cardiovascular outcomes. Whether FGF23 is associated with rising blood pressure (BP) and racial differences in incident hypertension is unclear. We studied 1758 adults (45.0±3.7 years; 57.8% female; 36.9% black) without hypertension or cardiovascular disease who participated in the year 20 (2005-2006) follow-up examination of the CARDIA study (Coronary Artery Risk Development in Young Adults). We investigated the associations of baseline (year 20) cFGF23 (C-terminal FGF23) levels with longitudinal BP patterns and incident hypertension (defined as being on antihypertensive medication, systolic BP ≥130 or diastolic BP ≥80 mm Hg) during 2 follow-up visits (years 25 and 30). During follow-up, 35.2% of participants developed hypertension. In multivariable linear mixed models, there were greater increases in systolic BP from year 20 to 25 and year 25 to 30 in the highest FGF23 quartile relative to the lowest quartile (+2.1 mm Hg,

Indexed as

AdolescentAdultAge FactorsBiomarkersBlood PressureCohort StudiesDisease ProgressionFemaleFibroblast Growth Factor-23Fibroblast Growth FactorsFollow-Up StudiesHumansHypertensionIncidenceMaleMiddle AgedBiomarkersFGF23 protein, humanFibroblast Growth Factor-23Fibroblast Growth Factorsadultblood pressurefibroblast growth factor 23follow-uphypertensionrisk, studies

Identifiers

PMID29712737
PMCPMC6002950
OpenAlexW2802094512

What OpenQuestion holds

Textmetadata
LicenceTDM
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.