Evidence map›Paper›PMID 32785663›Full record

ArticleThe Journal of clinical endocrinology and metabolism2020

Plasma Dehydroepiandrosterone Sulfate and Cardiovascular Disease Risk in Older Men and Women.

Xiaoming Jia, Caroline Sun, Olive Tang, Ivan Gorlov, Vijay Nambi, Salim S Virani, Dennis T Villareal, George E Taffet, Bing Yu, Jan Bressler and 8 more

Open access · bronzeAbstract read
In one paragraph

Article in The Journal of clinical endocrinology and metabolism, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 3 pooled it
4.5field-weighted citation impact, top 4% 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

21 citing papers in PubMed, 3 syntheses or guidelines pooled it, 48 citations in OpenAlex.

  1. Pooled it
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  7. p16EMBO reports · 2026
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  19. Menopause, androgens, and cardiovascular ageing: a narrative review.Therapeutic advances in endocrinology and metabolism · 2022
    Review
  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

18 authors at 6 institutions in 1 country.

Xiaoming JiaBaylor College of Medicine, Houston, Texas.
Caroline SunBaylor College of Medicine, Houston, Texas.
Olive TangJohns Hopkins Bloomberg School of Public Health, Baltimore, Maryland.
Ivan GorlovBaylor College of Medicine, Houston, Texas.
Vijay NambiBaylor College of Medicine, Houston, Texas.
Salim S ViraniBaylor College of Medicine, Houston, Texas.
Dennis T VillarealBaylor College of Medicine, Houston, Texas.
George E TaffetBaylor College of Medicine, Houston, Texas.
Bing YuUniversity of Texas Health Science Center at Houston, Houston, Texas.
Jan BresslerUniversity of Texas Health Science Center at Houston, Houston, Texas.
Eric BoerwinkleUniversity of Texas Health Science Center at Houston, Houston, Texas.
B Gwen WindhamUniversity of Mississippi School of Medicine, Jackson, Mississippi.
James A de LemosUniversity of Texas-Southwestern Medical Center, Dallas, TX.
Kunihiro MatsushitaJohns Hopkins Bloomberg School of Public Health, Baltimore, Maryland.
Elizabeth SelvinJohns Hopkins Bloomberg School of Public Health, Baltimore, Maryland.
Erin D MichosJohns Hopkins School of Medicine, Baltimore, Maryland.
Ron C HoogeveenBaylor College of Medicine, Houston, Texas.
Christie M BallantyneBaylor College of Medicine, Houston, Texas.
Baylor College of Medicine · USJohns Hopkins University · USThe University of Texas Health Science Center at Houston · USMichael E. DeBakey VA Medical Center · USThe University of Texas Southwestern Medical Center · USUniversity of Mississippi · US

Funding

MEDICAL SCIENTIST TRAINING PROGRAMT32GM007309 · NIGMS · JOHNS HOPKINS UNIVERSITY · PI COX, ANDREA L · 1985 to 2019
$43.2M
Diabetes and Prediabetes in Older Adults in ARICR01DK089174 · NIDDK · JOHNS HOPKINS UNIVERSITY · PI SELVIN, ELIZABETH · 2011 to 2020
$6.4M
Profiling Cardiovascular Events and Biomarkers in the Very Old to Improve Personalized Approaches for the Prevention of Cardiac and Vascular DiseaseR01HL134320 · NHLBI · BAYLOR COLLEGE OF MEDICINE · PI BALLANTYNE, CHRISTIE MITCHELL, SELVIN, ELIZABETH · 2016 to 2019
$3.1M
Racial disparities in diabetes- and prediabetes-associated outcomes in older adultsF30DK120160 · NIDDK · JOHNS HOPKINS UNIVERSITY · PI TANG, OLIVE · 2018 to 2020
$145k
NHLBI NIH HHS HHSN268201700001CNHLBI NIH HHS HHSN268201700001INHLBI NIH HHS HHSN268201700002CNHLBI NIH HHS HHSN268201700002INHLBI NIH HHS HHSN268201700003CNHLBI NIH HHS HHSN268201700003INHLBI NIH HHS HHSN268201700004CNHLBI NIH HHS HHSN268201700004INHLBI NIH HHS HHSN268201700005CNHLBI NIH HHS HHSN268201700005INHLBI NIH HHS R01 HL134320NIDDK NIH HHS F30 DK120160NIDDK NIH HHS R01 DK089174NIGMS NIH HHS T32 GM007309
6 · The paper itself

Abstract

contextLower dehydroepiandrosterone-sulfate (DHEA-S) levels have been inconsistently associated with coronary heart disease (CHD) and mortality. Data are limited for heart failure (HF) and association between DHEA-S change and events.

objectiveAssess associations between low DHEA-S/DHEA-S change and incident HF hospitalization, CHD, and mortality in older adults.

designDHEA-S was measured in stored plasma from visits 4 (1996-1998) and 5 (2011-2013) of the Atherosclerosis Risk in Communities study. Follow-up for incident events: 18 years for DHEA-S level; 5.5 years for DHEA-S change.

settingGeneral community.

participantsIndividuals without prevalent cardiovascular disease (n = 8143, mean age 63 years).

main outcome measureAssociations between DHEA-S and incident HF hospitalization, CHD, or mortality; associations between 15-year change in DHEA-S (n = 3706) and cardiovascular events.

resultsDHEA-S below the 15th sex-specific percentile of the study population (men: 55.4 µg/dL; women: 27.4 µg/dL) was associated with increased HF hospitalization (men: hazard ratio [HR] 1.30, 95% confidence interval [CI], 1.07-1.58; women: HR 1.42, 95% CI, 1.13-1.79); DHEA-S below the 25th sex-specific percentile (men: 70.0 µg/dL; women: 37.1 µg/dL) was associated with increased death (men: HR 1.12, 95% CI, 1.01-1.25; women: HR 1.19, 95% CI, 1.03-1.37). In men, but not women, greater percentage decrease in DHEA-S was associated with increased HF hospitalization (HR 1.94, 95% CI, 1.11-3.39). Low DHEA-S and change in DHEA-S were not associated with incident CHD.

conclusionsLow DHEA-S is associated with increased risk for HF and mortality but not CHD. Further investigation is warranted to evaluate mechanisms underlying these associations.

Indexed as

AgedCardiovascular DiseasesCoronary DiseaseDehydroepiandrosterone SulfateFemaleHeart FailureHumansMaleMiddle AgedPostmenopauseRisk FactorsDehydroepiandrosterone SulfateagingDHEA-Sheart failuremortality

Identifiers

PMID32785663
PMCPMC7526732
OpenAlexW3077336428

What OpenQuestion holds

Textmetadata
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.