Evidence map›Paper›PMID 34107965›Full record

ArticleCardiovascular diabetology2021

High plasma renin activity associates with obesity-related diabetes and arterial hypertension, and predicts persistent hypertension after bariatric surgery.

Lucia La Sala, Elena Tagliabue, Elaine Vieira, Antonio E Pontiroli, Franco Folli

Open access · goldAbstract read
In one paragraph

Article in Cardiovascular diabetology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
1.4field-weighted citation impact, top 21% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 13 citations in OpenAlex.

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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

5 authors at 4 institutions in 3 countries.

Lucia La SalaLab. of Cardiovascular and Dysmetabolic Disease, IRCCS MultiMedica, 20138, Milan, Italy. lucia.lasala@multimedica.it.
Elena TagliabueValue-based Healthcare Unit, IRCCS MultiMedica, Milan, Italy.
Elaine VieiraPostgraduate Program on Physical Education, Universidade Católica de Brasília, Taguatinga, DF, 71966-700, Brazil.
Antonio E PontiroliDipartimento di Scienze della Salute, Università degli Studi di Milano, 20142, Milan, Italy. antonio.pontiroli@unimi.it.ORCID 0000-0002-8217-7672
Franco FolliDipartimento di Scienze della Salute, Università degli Studi di Milano, 20142, Milan, Italy.
MultiMedica · ITAOL (United States) · USUniversidade Católica de Brasília · BRUniversity of Milan · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundInformation about the renin-angiotensin-aldosterone system (RAAS) in obese individuals before and after bariatric surgery is scarce. Aim of this study was to analyze the RAAS in severely obese subjects, in relation to anthropometric and metabolic variables, with special reference to glucose tolerance.

methods239 subjects were evaluated at baseline, and 181 one year after bariatric surgery [laparoscopic gastric banding (LAGB)].

resultsAt baseline, renin (plasma renin activity, PRA) was increased from normal to glucose tolerance and more in diabetes, also correlating with ferritin. After LAGB, the decrease of PRA and aldosterone was significant in hypertensive, but not in normotensive subjects, and correlatied with decrease of ferritin. PRA and glucose levels were predictive of persistent hypertension 1 year after LAGB.

conclusionsThese data support the role of RAAS in the pathophysiology of glucose homeostasis, and in the regulation of blood pressure in obesity. Ferritin, as a proxy of subclinical inflammation, could be another factor contributing to the cross-talk between RAAS and glucose metabolism.

Indexed as

Arterial PressureGastroplastyLaparoscopyRenin-Angiotensin SystemAdultBiomarkersBlood GlucoseFemaleHumansHypertensionMaleMiddle AgedObesityReninSeverity of Illness IndexTime FactorsBiomarkersBlood GlucoseReninAldosteroneBariatric surgeryDiabetesFerritinHOMA indexHypertensionLaparoscopic gastric banding (LAGB)ObesityReninWeight loss

Identifiers

PMID34107965
PMCPMC8191118
OpenAlexW3169281152

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.