Evidence map›Paper›PMID 34784307›Full record

ArticleJournal of hypertension2022

Comprehensive biomarker profiling of hypertension in 36 985 Finnish individuals.

Joonatan Palmu, Emmi Tikkanen, Aki S Havulinna, Erkki Vartiainen, Annamari Lundqvist, Matti O Ruuskanen, Markus Perola, Mika Ala-Korpela, Pekka Jousilahti, Peter Würtz and 3 more

Open access · hybridAbstract read
In one paragraph

Article in Journal of hypertension, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
1.6field-weighted citation impact, top 15% 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

12 citing papers in PubMed, 19 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

13 authors at 4 institutions in 2 countries.

Joonatan PalmuDepartment of Medicine, Turku University Hospital and University of Turku, Turku.
Emmi TikkanenNightingale Health Plc.
Aki S HavulinnaDepartment of Public Health and Welfare, Finnish Institute for Health and Welfare.
Erkki VartiainenDepartment of Public Health and Welfare, Finnish Institute for Health and Welfare.
Annamari LundqvistDepartment of Public Health and Welfare, Finnish Institute for Health and Welfare.
Matti O RuuskanenDepartment of Computing, University of Turku, Turku, Finland.
Markus PerolaDepartment of Public Health and Welfare, Finnish Institute for Health and Welfare.
Mika Ala-KorpelaComputational Medicine, Faculty of Medicine, University of Oulu and Biocenter Oulu.
Pekka JousilahtiDepartment of Public Health and Welfare, Finnish Institute for Health and Welfare.
Peter WürtzNightingale Health Plc.
Veikko SalomaaDepartment of Public Health and Welfare, Finnish Institute for Health and Welfare.
Leo LahtiDepartment of Computing, University of Turku, Turku, Finland.
Teemu NiiranenDepartment of Medicine, Turku University Hospital and University of Turku, Turku.
Finnish Institute for Health and Welfare · FIUniversity of Turku · FIUniversity of Helsinki · FIUniversity of Oulu · FI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivePrevious studies on the association between metabolic biomarkers and hypertension have been limited by small sample sizes, low number of studied biomarkers, and cross-sectional study design. In the largest study to date, we assess the cross-sectional and longitudinal associations between high-abundance serum biomarkers and blood pressure (BP).

methodsWe studied cross-sectional (N = 36 985; age 50.5 ± 14.2; 53.1% women) and longitudinal (N = 4197; age 49.4 ± 11.8, 55.3% women) population samples of Finnish individuals. We included 53 serum biomarkers and other detailed lipoprotein subclass measures in our analyses. We studied the associations between serum biomarkers and BP using both conventional statistical methods and a machine learning algorithm (gradient boosting) while adjusting for clinical risk factors.

resultsFifty-one of 53 serum biomarkers were cross-sectionally related to BP (adjusted P < 0.05 for all). Conventional linear regression modeling demonstrated that LDL cholesterol, remnant cholesterol, apolipoprotein B, and acetate were positively, and HDL particle size was negatively, associated with SBP change over time (adjusted P < 0.05 for all). Adding serum biomarkers (cross-sectional root-mean-square error: 16.27 mmHg; longitudinal: 17.61 mmHg) in the model with clinical measures (cross-sectional: 16.70 mmHg; longitudinal 18.52 mmHg) improved the machine learning model fit. Glucose, albumin, triglycerides in LDL, glycerol, VLDL particle size, and acetoacetate had the highest importance scores in models related to current or future BP.

conclusionOur results suggest that serum lipids, and particularly LDL-derived and VLDL-derived cholesterol measures, and glucose metabolism abnormalities are associated with hypertension onset. Use of serum metabolite determination could improve identification of individuals at high risk of developing hypertension.

Indexed as

HypertensionAdultBiomarkersCholesterol, HDLCross-Sectional StudiesFemaleFinlandHumansMaleMiddle AgedRisk FactorsTriglyceridesBiomarkersCholesterol, HDLTriglycerides

Identifiers

PMID34784307
PMCPMC8815836
OpenAlexW3213003084

What OpenQuestion holds

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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.