Evidence map›Paper›PMID 31273013›Full record

ArticleBMJ open2019

Carotid artery intima-media thickness, distensibility and elasticity: population epidemiology and concordance in Australian children aged 11-12 years old and their parents.

Richard S Liu, Sophie Dunn, Anneke C Grobler, Katherine Lange, Denise Becker, Greta Goldsmith, John B Carlin, Markus Juonala, Melissa Wake, David P Burgner

Abstract readMulticenter Study
In one paragraph

Article in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–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

10 citing papers in PubMed.

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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.

Richard S Liu *Department of Paediatrics, The University of Melbourne, Parkville, Victoria, Australia.ORCID 0000-0002-0949-9229
Sophie Dunn *Murdoch Children's Research Institute, Parkville, Victoria, Australia.
Anneke C GroblerDepartment of Paediatrics, The University of Melbourne, Parkville, Victoria, Australia.ORCID 0000-0002-7809-7688
Katherine LangeDepartment of Paediatrics, The University of Melbourne, Parkville, Victoria, Australia.ORCID 0000-0002-8175-6285
Denise BeckerMurdoch Children's Research Institute, Parkville, Victoria, Australia.ORCID 0000-0003-0547-7740
Greta GoldsmithMurdoch Children's Research Institute, Parkville, Victoria, Australia.
John B CarlinMurdoch Children's Research Institute, Parkville, Victoria, Australia.ORCID 0000-0002-2694-9463
Markus JuonalaDepartment of Medicine, University of Turku, Turku, Finland.ORCID 0000-0001-9498-364X
Melissa WakeDepartment of Paediatrics, The University of Melbourne, Parkville, Victoria, Australia.ORCID 0000-0001-7501-9257
David P BurgnerDepartment of Paediatrics, The University of Melbourne, Parkville, Victoria, Australia.ORCID 0000-0002-8304-4302

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo describe a well-established marker of cardiovascular risk, carotid intima-media thickness (IMT) and related measures (artery distensibility and elasticity) in children aged 11-12 years old and mid-life adults, and examine associations within parent-child dyads.

designCross-sectional study (Child Health CheckPoint), nested within a prospective cohort study, the Longitudinal Study of Australian Children (LSAC).

settingAssessment centres in seven Australian major cities and eight selected regional towns, February 2015 to March 2016.

participantsOf all participating CheckPoint families (n=1874), 1489 children (50.0% girls) and 1476 parents (86.8% mothers) with carotid IMT data were included. Survey weights and methods were applied to account for LSAC's complex sample design and clustering within postcodes and strata. OUTCOME MEASURES: Ultrasound of the right carotid artery was performed using standardised protocols. Primary outcomes were mean and maximum far-wall carotid IMT, quantified using semiautomated edge detection software. Secondary outcomes were carotid artery distensibility and elasticity. Pearson's correlation coefficients and multivariable linear regression models were used to assess parent-child concordance. Random effects modelling on a subset of ultrasounds (with repeated measurements) was used to assess reliability of the child carotid IMT measure.

resultsThe average mean and maximum child carotid IMT were 0.50 mm (SD 0.06) and 0.58 mm (SD 0.05), respectively. In adults, average mean and maximum carotid IMT were 0.57 mm (SD 0.07) and 0.66 mm (SD 0.10), respectively. Mother-child correlations for mean and maximum carotid IMT were 0.12 (95% CI 0.05 to 0.23) and 0.10 (95% CI 0.03 to 0.21), respectively. For carotid artery distensibility and elasticity, mother-child correlations were 0.19 (95% CI 0.10 to 0.25) and 0.11 (95% CI 0.02 to 0.18), respectively. There was no strong evidence of father-child correlation in any measure.

conclusionsWe provide Australian values for carotid vascular measures and report a modest mother-child concordance. Both genetic and environmental exposures are likely to contribute to carotid IMT.

Indexed as

Carotid Intima-Media ThicknessParentsAdultAustraliaCarotid ArteriesChildCross-Sectional StudiesElasticityFemaleHumansLinear ModelsLongitudinal StudiesMaleMiddle AgedMultivariate AnalysisProspective Studieschildrendistensibilityepidemiological studiesinheritance patternsintima-media thicknessreference values

Identifiers

PMID31273013
PMCPMC6624035

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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.