Evidence map›Paper›PMID 34088887›Full record

ArticleAging2021

Exacerbation of cardiovascular ageing by diabetes mellitus and its associations with acyl-carnitines.

Fei Gao, Jean-Paul Kovalik, Xiaodan Zhao, Vivian Jm Chow, Hannah Chew, Louis Ly Teo, Ru San Tan, Shuang Leng, See Hooi Ewe, Hong Chang Tan and 7 more

Open access · hybridAbstract read
In one paragraph

Article in Aging, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
1.1field-weighted citation impact, top 23% 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

19 citing papers in PubMed, 18 citations in OpenAlex.

  1. Trial
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  7. Metabolomic Pathways of Inflammation and Mitochondrial Dysfunction Are Related to Worsening Healthy Aging Index and Mortality.The journals of gerontology. Series A, Biological sciences and medical sciences · 2025
    Article
  8. Observational
  9. Review
  10. Observational
  11. Article
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  14. Adverse cardiovascular and metabolic perturbations among older women: 'fat-craving' hearts.Clinical research in cardiology : official journal of the German Cardiac Society · 2023
    Article
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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

17 authors at 5 institutions in 1 country.

Fei GaoNational Heart Centre Singapore, Singapore.
Jean-Paul KovalikDuke-NUS Medical School, Singapore.
Xiaodan ZhaoNational Heart Centre Singapore, Singapore.
Vivian Jm ChowNational Heart Centre Singapore, Singapore.
Hannah ChewNational Heart Centre Singapore, Singapore.
Louis Ly TeoNational Heart Centre Singapore, Singapore.
Ru San TanNational Heart Centre Singapore, Singapore.
Shuang LengNational Heart Centre Singapore, Singapore.
See Hooi EweNational Heart Centre Singapore, Singapore.
Hong Chang TanDuke-NUS Medical School, Singapore.
Tsze Yin TanDuke-NUS Medical School, Singapore.
Lye Siang LeeDuke-NUS Medical School, Singapore.
Jianhong ChingDuke-NUS Medical School, Singapore.
Bryan Mh KengNational Heart Centre Singapore, Singapore.
Liang ZhongNational Heart Centre Singapore, Singapore.
Woon-Puay KohHealthy Longevity Translational Research Programme, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
Angela S KohNational Heart Centre Singapore, Singapore.
Duke-NUS Medical School · SGNational Heart Centre Singapore · SGSingapore General Hospital · SGKK Women's and Children's Hospital · SGNational University of Singapore · SG

Funding

Prospective studies of cancer etiology and prevention in Shanghai and SingaporeR01CA144034 · NCI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI YUAN, JIAN-MIN · 2010 to 2014
$7.0M
Cancer epidemiology cohorts in Shanghai and Singapore UM1CA182876 · NCI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI YUAN, JIAN-MIN · 2014 to 2018
$4.3M
NCI NIH HHS R01 CA144034NCI NIH HHS UM1 CA182876
6 · The paper itself

Abstract

objectiveTo demonstrate differences in cardiovascular structure and function between diabetic and non-diabetic older adults. To investigate associations between acyl-carnitines and cardiovascular function as indexed by imaging measurements.

methodsA community-based cohort of older adults without cardiovascular disease underwent current cardiovascular imaging and metabolomics acyl-carnitines profiling based on current and archived sera obtained fifteen years prior to examination.

resultsA total of 933 participants (women 56%, n=521) with a mean age 63±13 years were studied. Old diabetics compared to old non-diabetics had lower myocardial relaxation (0.8±0.2 vs 0.9±0.3, p=0.0039); lower left atrial conduit strain (12±4.3 vs 14±4.1, p=0.045), lower left atrial conduit strain rate (-1.2±0.4 vs -1.3±0.5, p=0.042) and lower ratio of left atrial conduit strain to left atrial booster strain (0.5±0.2 vs 0.7±0.3, p=0.0029). Higher levels of archived short chain acyl-carnitine were associated with present-day impairments in myocardial relaxation (C5:1; OR 1.03, p=0.011), worse left atrial conduit strain function (C5:1; OR 1.03, p=0.037). Increases in hydroxylated acyl-carnitines were associated with worse left atrial conduit strain [(C4-OH; OR 1.05, p=0.0017), (C16:2-OH; OR 1.18, p=0.037)]. Current, archived and changes in long chain acyl-carnitines were associated with cardiovascular functions [(C16; OR 1.02, p=0.002), (C20:3; OR 1.01, p=0.014), (C14:3; OR 1.12, p=0.033), (C18:1; OR 1.01, p=0.018), (C18:2; OR 1.01, p=0.028), (C20:4; OR 1.10, p=0.038)] (all p<0.05).

conclusionOlder diabetic adults had significant impairments in left ventricular myocardial relaxation and left atrial strain, compared to older non-diabetic adults. Short chain and long chain, di-carboxyl and hydroxylated acyl-carnitines were associated with these cardiovascular functional differences.

Indexed as

AgedAgingCardiovascular SystemCarnitineDiabetes MellitusFemaleHumansMaleMiddle AgedacylcarnitineCarnitineagingcardiovasculardiabetes

Identifiers

PMID34088887
PMCPMC8221346
OpenAlexW3165298542

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.