Evidence map›Paper›PMID 34565764›Full record

ArticleJournal of atherosclerosis and thrombosis2022

Diabetes Mellitus Modifies the Association of Serum Triglycerides with Ischemic Cardiovascular Disease Mortality: The Ibaraki Prefectural Health Study (IPHS).

Kazumasa Yamagishi, Hiroyasu Iso, Toshimi Sairenchi, Fujiko Irie, Nobue Takizawa, Ai Koba, Takuji Tomizawa, Hitoshi Ota

Open access · diamondAbstract read
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Article in Journal of atherosclerosis and thrombosis, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.6field-weighted citation impact, top 31% 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

5 citing papers in PubMed, 8 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

8 authors at 5 institutions in 3 countries.

Kazumasa YamagishiDepartment of Public Health Medicine, Faculty of Medicine, and Health Services Research and Development Center, University of Tsukuba.
Hiroyasu IsoDepartment of Public Health Medicine, Faculty of Medicine, and Health Services Research and Development Center, University of Tsukuba.
Toshimi SairenchiDepartment of Public Health Medicine, Faculty of Medicine, and Health Services Research and Development Center, University of Tsukuba.
Fujiko IrieDepartment of Health and Welfare, Ibaraki Prefectural Office.
Nobue TakizawaDepartment of Health and Welfare, Ibaraki Prefectural Office.
Ai KobaDepartment of Public Health Medicine, Faculty of Medicine, and Health Services Research and Development Center, University of Tsukuba.
Takuji TomizawaIbaraki Health Service Association.
Hitoshi OtaIbaraki Prefectural Health Plaza.
Ibaraki Prefectural Police · JPUniversity of Tsukuba · JPDokkyo Medical University · JPHealth Services Research & Development · USIbaraki Womens Junior College · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimDiabetes mellitus and hypertriglyceridemia may adversely interact with the development of ischemic cardiovascular disease, but epidemiological evidence on this issue is scarce. We hypothesized that the impact of hypertriglyceridemia on ischemic cardiovascular disease (ischemic heart disease and ischemic stroke) would differ according to the presence or absence of diabetes mellitus and tested our a priori hypothesis under a large population-based prospective study.

methodsA total of 90,468 men and women aged 40-79 years in 1993 were enrolled in the Ibaraki Prefectural Health Study (IPHS), a community-based cohort study of Japanese. The participants' serum triglyceride levels (mostly nonfasting) were measured every 5 years, and the participants were followed up for mortality from ischemic cardiovascular disease through 2016. Hazard ratios (95% confidence intervals) were calculated according to 5-year updated triglyceride levels (<100, 100-149, 150-199, 200-299, and ≥ 300 mg/dl).

resultsDuring 1,795,877 person-years, there were 3,323 deaths from ischemic cardiovascular diseases (1,968 ischemic heart diseases and 1,355 ischemic strokes). We found no association between triglyceride levels and the risk of mortality from ischemic cardiovascular disease after adjustment for known cardiovascular risk factors. However, when stratified by the presence or absence of diabetes mellitus, excess mortality from ischemic cardiovascular disease appeared among participants with diabetes mellitus with triglyceride levels of ≥ 300 mg/dl. Further adjustment for high-density lipoprotein-cholesterol attenuated the association toward being statistically nonsignificant.

conclusionThe impact of high serum triglyceride levels on the risk of ischemic cardiovascular disease mortality was confined to participants with diabetes mellitus.

Indexed as

Cardiovascular DiseasesDiabetes MellitusHypertriglyceridemiaMyocardial IschemiaCohort StudiesFemaleHumansMaleProspective StudiesRisk FactorsTriglyceridesTriglyceridesCardiovascular diseaseCohort studyDiabetic dyslipidemiaEpidemiologyFollow-up studyRisk factor

Identifiers

PMID34565764
PMCPMC9444675
OpenAlexW3202164992

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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.