Evidence map›Paper›PMID 30355576›Full record

ArticleBMJ (Clinical research ed.)2018

Genetic risk, incident stroke, and the benefits of adhering to a healthy lifestyle: cohort study of 306 473 UK Biobank participants.

Loes Ca Rutten-Jacobs, Susanna C Larsson, Rainer Malik, Kristiina Rannikmäe, MEGASTROKE consortium, International Stroke Genetics Consortium, Cathie L Sudlow, Martin Dichgans, Hugh S Markus, Matthew Traylor

Abstract read
In one paragraph

Article in BMJ (Clinical research ed.), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 167 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
167citing 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

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

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107 more citing papers are in PubMed but not listed here.

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.

Loes Ca Rutten-JacobsGerman Center for Neurodegenerative diseases (DZNE), Population Health Sciences, Sigmund-Freud-Strasse 27, 53127 Bonn, Germany.ORCID https://orcid.org/0000-0003-3223-885X
Susanna C LarssonUnit of Nutritional Epidemiology, Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden.
Rainer MalikInstitute for Stroke and Dementia Research (ISD), University Hospital, LMU Munich, Munich, Germany.
Kristiina RannikmäeCentre for Medical Informatics, Usher Institute of Population Health Sciences and Informatics, University of Edinburgh, Edinburgh, UK.
MEGASTROKE consortium
International Stroke Genetics Consortium
Cathie L SudlowCentre for Medical Informatics, Usher Institute of Population Health Sciences and Informatics, University of Edinburgh, Edinburgh, UK.
Martin DichgansInstitute for Stroke and Dementia Research (ISD), University Hospital, LMU Munich, Munich, Germany.
Hugh S MarkusDepartment of Clinical Neurosciences, Stroke Research Group, University of Cambridge, UK.
Matthew TraylorDepartment of Clinical Neurosciences, Stroke Research Group, University of Cambridge, UK.

Funding

Medical Research Council MC_PC_17228Medical Research Council MC_QA137853Medical Research Council MR/S004130/1
6 · The paper itself

Abstract

objectiveTo evaluate the associations of a polygenic risk score and healthy lifestyle with incident stroke.

designProspective population based cohort study.

settingUK Biobank Study, UK.

participants306 473 men and women, aged 40-73 years, recruited between 2006 and 2010.

main outcome measureHazard ratios for a first stroke, estimated using Cox regression. A polygenic risk score of 90 single nucleotide polymorphisms previously associated with stroke was constructed at P<1×10

resultsDuring a median follow-up of 7.1 years (2 138 443 person years), 2077 incident strokes (1541 ischaemic stroke, 287 intracerebral haemorrhage, and 249 subarachnoid haemorrhage) were ascertained. The risk of incident stroke was 35% higher among those at high genetic risk (top third of polygenic score) compared with those at low genetic risk (bottom third): hazard ratio 1.35 (95% confidence interval 1.21 to 1.50), P=3.9×10

conclusionIn this cohort study, genetic and lifestyle factors were independently associated with incident stroke. These results emphasise the benefit of entire populations adhering to a healthy lifestyle, independent of genetic risk.

Indexed as

Healthy LifestyleAdultAgedCerebral HemorrhageExerciseFemaleGenetic Predisposition to DiseaseHumansIncidenceMaleMiddle AgedMultifactorial InheritanceMyocardial InfarctionPatient CompliancePolymorphism, Single NucleotideProspective Studies

Identifiers

PMID30355576
PMCPMC6199557

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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.