Evidence map›Paper›PMID 33141616›Full record

Observational studyCirculation. Genomic and precision medicine2020

Metabolomic Effects of Hormone Therapy and Associations With Coronary Heart Disease Among Postmenopausal Women.

Raji Balasubramanian, Olga Demler, Marta Guasch-Ferré, Nina P Paynter, Ryan Sheehan, Simin Liu, JoAnn E Manson, Jordi Salas-Salvadó, Miguel Á Martínez-Gonzalez, Frank B Hu and 2 more

Open access · bronzeAbstract readObservational Study
In one paragraph

Observational study in Circulation. Genomic and precision medicine, 2020. 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
1.0field-weighted citation impact, top 22% 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

10 citing papers in PubMed, 14 citations in OpenAlex.

  1. Effect of hormone therapy on tryptophan metabolism and atherosclerosis among postmenopausal women.Climacteric : the journal of the International Menopause Society · 2025
    Trial
  2. Article
  3. Review
  4. Recent advances in precision nutrition and cardiometabolic diseases.Revista espanola de cardiologia (English ed.) · 2025
    Review
  5. Article
  6. Article
  7. Article
  8. Observational
  9. Sex differences in the human metabolome.Biology of sex differences · 2022
    Review
  10. 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

12 authors at 5 institutions in 2 countries.

Raji BalasubramanianDepartment of Biostatistics & Epidemiology, University of Massachusetts-Amherst (R.B., R.S.).
Olga DemlerDivision of Preventive Medicine (O.D., J.P.P., J.E.M.), Brigham and Women's Hospital, Harvard Medical School.
Marta Guasch-FerréDepartment of Nutrition (M.G.-F., M.A.M.-G., F.B.H.).
Nina P PaynterDivision of Preventive Medicine (O.D., J.P.P., J.E.M.), Brigham and Women's Hospital, Harvard Medical School.
Ryan SheehanDepartment of Biostatistics & Epidemiology, University of Massachusetts-Amherst (R.B., R.S.).
Simin LiuDepartment of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, MA (S.L., J.E.M., F.B.H.).
JoAnn E MansonDivision of Preventive Medicine (O.D., J.P.P., J.E.M.), Brigham and Women's Hospital, Harvard Medical School.
Jordi Salas-SalvadóUniversitat Rovira i Virgili, Departament de Bioquímica i Biotecnologia, Unitat de Nutrició Humana, Hospital Universitari San Joan de Reus (J.S.-S.).
Miguel Á Martínez-GonzalezDepartment of Nutrition (M.G.-F., M.A.M.-G., F.B.H.).
Frank B HuDepartment of Nutrition (M.G.-F., M.A.M.-G., F.B.H.).
Clary ClishBroad Institute of the Massachusetts Institute of Technology & Harvard University, Cambridge, MA (C.C.).
Kathryn M RexrodeDivision of Women's Health (K.M.R.), Brigham and Women's Hospital, Harvard Medical School.
Brigham and Women's Hospital · USHarvard University · USInstituto de Salud Carlos III · ESUniversity of Massachusetts Amherst · USBroad Institute · US

Funding

Transgenic CoreP30DK046200 · NIDDK · TUFTS MEDICAL CENTER · PI CORKEY, BARBARA E. · 1992 to 2021
$25.0M
Mediterranean diet, Metabolites, and Cardiovascular DiseaseR01HL118264 · NHLBI · HARVARD UNIVERSITY D/B/A HARVARD SCHOOL OF PUBLIC HEALTH · PI HU, FRANK B, LAMUELA-RAVENTÓS, ROSA · 2013 to 2025
$6.8M
Dietary Interventions, Metabolites, and Risk of Type 2 DiabetesR01DK102896 · NIDDK · HARVARD SCHOOL OF PUBLIC HEALTH · PI HU, FRANK B, MARTINEZ GONZALEZ, MIGUEL A. · 2014 to 2017
$1.9M
Statistical Methods for large-scale, prospective, epidemiologic studiesR01HL122241 · NHLBI · UNIVERSITY OF MASSACHUSETTS AMHERST · PI BALASUBRAMANIAN, RAJI · 2015 to 2018
$1.5M
CHD Risk and Metabolomic Profiles of Discordant LipidsK01HL135342 · NHLBI · BRIGHAM AND WOMEN'S HOSPITAL · PI DEMLER, OLGA · 2017 to 2021
$857k
NHLBI NIH HHS HHSN268201300008CNHLBI NIH HHS HHSN268201600001CNHLBI NIH HHS HHSN268201600002CNHLBI NIH HHS HHSN268201600003CNHLBI NIH HHS HHSN268201600004CNHLBI NIH HHS HHSN268201600018CNHLBI NIH HHS K01 HL135342NHLBI NIH HHS R01 HL118264NHLBI NIH HHS R01 HL122241NIDDK NIH HHS P30 DK046200NIDDK NIH HHS R01 DK102896
6 · The paper itself

Abstract

backgroundIn the WHI-HT trials (Women's Health Initiative Hormone Therapy), treatment with oral conjugated equine estrogens and medroxyprogesterone acetate (CEE+MPA) resulted in increased risk of coronary heart disease (CHD), whereas oral conjugated equine estrogens (CEE) did not.

methodsFour hundred eighty-one metabolites were measured at baseline and at 1-year in 503 and 431 participants in the WHI CEE and CEE+MPA trials, respectively. The effects of randomized HT on the metabolite profiles at 1-year was evaluated in linear models adjusting for baseline metabolite levels, age, body mass index, race, incident CHD, prevalent hypertension, and diabetes. Metabolites with discordant effects by HT type were evaluated for association with incident CHD in 944 participants (472 CHD cases) in the WHI-OS (Women's Health Initiative Observational Study), with replication in an independent cohort of 980 men and women at high risk for cardiovascular disease.

resultsHT effects on the metabolome were profound; 62% of metabolites significantly changed with randomized CEE and 52% with CEE+MPA (false discovery rate-adjusted

conclusionsRandomized treatment with oral HT resulted in large metabolome shifts that generally favored CEE alone over CEE+MPA in term of CHD risk. Discordant metabolite effects between HT regimens may partially mediate the differences in CHD risk between the 2 WHI-HT trials.

Indexed as

MetabolomicsAgedAnimalsClinical Trials as TopicCoronary DiseaseEstrogens, Conjugated (USP)FemaleHormone Replacement TherapyHorsesHumansIncidenceMedroxyprogesterone AcetateMetabolomePlacebosPostmenopauseRisk FactorsEstrogens, Conjugated (USP)Medroxyprogesterone AcetatePlacebosTriglyceridescardiovascular diseaseestrogensheart diseasemedroxyprogesterone acetatemetabolomewomen

Identifiers

PMID33141616
PMCPMC8824616
OpenAlexW3094773959

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.