Evidence map›Paper›PMID 31319915›Full record

ArticleJournal of the American College of Cardiology2019

Associations of Blood Pressure and Cholesterol Levels During Young Adulthood With Later Cardiovascular Events.

Yiyi Zhang, Eric Vittinghoff, Mark J Pletcher, Norrina B Allen, Adina Zeki Al Hazzouri, Kristine Yaffe, Pallavi P Balte, Alvaro Alonso, Anne B Newman, Diane G Ives and 8 more

Open access · hybridAbstract read
In one paragraph

Article in Journal of the American College of Cardiology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 124 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
124citing papers in PubMed, 4 pooled it
21.4field-weighted citation impact, top 1% 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

124 citing papers in PubMed, 4 syntheses or guidelines pooled it, 237 citations in OpenAlex.

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

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

18 authors at 9 institutions in 1 country.

Yiyi ZhangDivision of General Medicine, Columbia University, New York, New York.
Eric VittinghoffDepartment of Epidemiology and Biostatistics, School of Medicine, University of California-San Francisco, San Francisco, California.
Mark J PletcherDepartment of Epidemiology and Biostatistics, School of Medicine, University of California-San Francisco, San Francisco, California.
Norrina B AllenDepartment of Preventive Medicine, Northwestern University, Chicago, Illinois.
Adina Zeki Al HazzouriDivision of Epidemiology and Population Health Sciences, Department of Public Health Sciences, University of Miami, Miami, Florida.
Kristine YaffeDepartments of Psychiatry, Neurology, and Epidemiology, University of California-San Francisco, San Francisco, California.
Pallavi P BalteDivision of General Medicine, Columbia University, New York, New York.
Alvaro AlonsoDepartment of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, Georgia.
Anne B NewmanDepartments of Epidemiology, Medicine and Clinical and Translational Science Institute, University of Pittsburgh, Pittsburgh, Pennsylvania.
Diane G IvesCenter for Aging and Population Health, Department of Epidemiology, Graduate School of Public Health, University of Pittsburgh, Pittsburgh, Pennsylvania.
Jamal S RanaDivisions of Cardiology and Research, Kaiser Permanente Northern California, Oakland, California.
Donald Lloyd-JonesDepartment of Preventive Medicine, Northwestern University, Chicago, Illinois.
Ramachandran S VasanDepartment of Internal Medicine, Boston Medical Center, Boston University School of Medicine, Boston, Massachusetts; Department of Epidemiology, Boston University School of Public Health, Boston, Massachusetts; The Boston University and the National Heart, Lung, and Blood Institute's Framingham Heart Study, Framingham, Massachusetts.
Kirsten Bibbins-DomingoDepartment of Epidemiology and Biostatistics, School of Medicine, University of California-San Francisco, San Francisco, California.
Holly C GoodingDivision of Adolescent and Young Adult Medicine, Boston Children's Hospital, Boston, Massachusetts.
Sarah D de FerrantiDepartment of Cardiology, Boston Children's Hospital, Boston, Massachusetts.
Elizabeth C OelsnerDivision of General Medicine, Columbia University, New York, New York.
Andrew E MoranDivision of General Medicine, Columbia University, New York, New York. Electronic address: aem35@cumc.columbia.edu.
Columbia University · USUniversity of California, San Francisco · USBoston Children's Hospital · USNorthwestern University · USUniversity of Pittsburgh · USEmory University · USKaiser Permanente · USNational Heart Lung and Blood Institute · USUniversity of Miami · US

Funding

Institute for Clinical and Translational ResearchUL1TR001079 · NCATS · JOHNS HOPKINS UNIVERSITY · PI FORD, DANIEL ERNEST · 2013 to 2017
$60.1M
Wake Forest Clinical and Translational Science AwardUL1TR001420 · NCATS · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI ARD, JAMY D, FOLEY, KRISTIE L · 2015 to 2023
$32.3M
Clinical and Translational Science AwardUL1TR000040 · NCATS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI GINSBERG, HENRY N · 2012 to 2015
$26.2M
Exceptional Survival: Trajectories to Functional Aging (CHS All Stars)R01AG023629 · NIA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI NEWMAN, ANNE B. · 2004 to 2016
$9.5M
CHS research resources for the cardiovascular health of older adultsU01HL130114 · NHLBI · UNIVERSITY OF WASHINGTON · PI BURKE, GREGORY L, KRONMAL, RICHARD A · 2016 to 2019
$6.6M
CHS Events Follow-up StudyR01HL080295 · NHLBI · UNIVERSITY OF WASHINGTON · PI PSATY, BRUCE M · 2009 to 2014
$6.3M
CHS Events Follow-up StudyU01HL080295 · NHLBI · UNIVERSITY OF WASHINGTON · PI PSATY, BRUCE M · 2005 to 2008
$4.6M
Peripheral Nerve Function Decline in an Aged CohortR01AG028050 · NIA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI STROTMEYER, ELSA S. · 2007 to 2015
$3.5M
End of Life in the Very OldR01NR012459 · NINR · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI ALBERT, STEVEN M, LUNNEY, JUNE R · 2011 to 2015
$2.7M
Potential future benefits of cardiovascular risk factor control in today’s young adultsR01HL107475 · NHLBI · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI MORAN, ANDREW EDWARD · 2011 to 2018
$2.5M
Model Based Approach to Improving Hypertension Control in PopulationsR01HL130500 · NHLBI · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI MORAN, ANDREW EDWARD · 2016 to 2019
$2.4M
Healthy Heart, Healthy Brain? A Pooled Life-course Cohort for Dementia Risk AssessmentRF1AG054443 · NIA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI YAFFE, KRISTINE, ZEKI AL HAZZOURI, ADINA · 2017 to 2017
$1.9M
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6 · The paper itself

Abstract

backgroundBlood pressure (BP) and cholesterol are major modifiable risk factors for cardiovascular disease (CVD), but effects of exposures during young adulthood on later life CVD risk have not been well quantified.

objectiveThe authors sought to evaluate the independent associations between young adult exposures to risk factors and later life CVD risk, accounting for later life exposures.

methodsThe authors pooled data from 6 U.S. cohorts with observations spanning the life course from young adulthood to later life, and imputed risk factor trajectories for low-density lipoprotein (LDL) and high-density lipoprotein cholesterols, systolic and diastolic BP starting from age 18 years for every participant. Time-weighted average exposures to each risk factor during young (age 18 to 39 years) and later adulthood (age ≥40 years) were calculated and linked to subsequent risks of coronary heart disease (CHD), heart failure (HF), or stroke.

resultsA total of 36,030 participants were included. During a median follow-up of 17 years, there were 4,570 CHD, 5,119 HF, and 2,862 stroke events. When young and later adult risk factors were considered jointly in the model, young adult LDL ≥100 mg/dl (compared with <100 mg/dl) was associated with a 64% increased risk for CHD, independent of later adult exposures. Similarly, young adult SBP ≥130 mm Hg (compared with <120 mm Hg) was associated with a 37% increased risk for HF, and young adult DBP ≥80 mm Hg (compared with <80 mm Hg) was associated with a 21% increased risk.

conclusionsCumulative young adult exposures to elevated systolic BP, diastolic BP and LDL were associated with increased CVD risks in later life, independent of later adult exposures.

Indexed as

Blood PressureAdolescentAdultAgedAged, 80 and overAge FactorsCardiovascular DiseasesChildChild, PreschoolCholesterol, HDLCholesterol, LDLFemaleHumansMaleMiddle AgedProspective StudiesCholesterol, HDLCholesterol, LDLblood pressurecholesterolcoronary heart diseaseheart failurestrokeyoung adulthood

Identifiers

PMID31319915
PMCPMC6764095
OpenAlexW2961871611

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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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.