Evidence map›Paper›PMID 34992157›Full record

SynthesisOpen heart2022

Environmental tobacco smoke and carotid intima-media thickness in healthy children and adolescents: a systematic review.

Dingbo Shu, Feng Chen, Chuan Zhang, Wentong Guo, Siyu Dai

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in Open heart, 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
0.9field-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.

  1. Article
  2. Erectile Dysfunction and Oxidative Stress: A Narrative Review.International journal of molecular sciences · 2025
    Review
  3. Article
  4. Article
  5. 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

5 authors at 4 institutions in 2 countries.

Dingbo Shu *School of Clinical Medicine, Hangzhou Normal University, Hangzhou, Zhejiang, China.
Feng Chen *Department of Paediatrics, The Chinese University of Hong Kong Faculty of Medicine, Hong Kong, China.
Chuan ZhangSchool of Physical Education and Sport, Central China Normal University, Wuhan, Hubei, China.
Wentong GuoDepartment of Computer Science, City University of Hong Kong, Hong Kong, China.
Siyu DaiSchool of Clinical Medicine, Hangzhou Normal University, Hangzhou, Zhejiang, China daisiyu@hznu.edu.cn.ORCID 0000-0001-9320-689X
Hangzhou Normal University · CNCentral China Normal University · CNChinese University of Hong Kong · HKCity University of Hong Kong · HK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Thicker carotid intima-media thickness (CIMT) has been a valid predictor for atherosclerosis development. A significant association between environmental tobacco smoke (ETS) and thickening of CIMT has been demonstrated in adults, whereas such association has scarcely been reviewed in paediatric population. The dominate electronic databases, including MEDLINE (Ovid), PubMed, Embase, CINAHL, Web of Science, Scopus, were searched from inception. Reference lists of retrieved articles were further scanned as to avoid any missing literatures. Newcastle-Ottawa scale was used to assess the quality of the included studies. Qualitative synthesis analyses were performed on the selected studies. 331 articles were retrieved, and 4 were finally selected. All four studies investigated the association between postnatal ETS and CIMT in children, and three of them reported a statistically significant positive association. Three studies investigated the association between prenatal maternal ETS and CIMT, and one of the three found a positive association. Two studies explored the association between postnatal maternal ETS and CIMT, one reported a positive association. Two studies used serum cotinine measurement to quantify ETS and demonstrated potential dose-response relationship with CIMT. ETS exposure may play an independent role in the development of cardiovascular risks in healthy children and adolescents. In the consideration of the great burden of respiratory and cardiovascular diseases, there is an urgent need of effective surveillance for paediatric population's ETS exposure to reduce smoke exposure.

Indexed as

Carotid Intima-Media ThicknessAdolescentCardiovascular DiseasesChildFemaleGlobal HealthHumansMaleMorbidityTobacco Smoke PollutionTobacco Smoke Pollutionaortic diseasescarotid artery diseasesepidemiologysmokingsystematic reviews as topic

Identifiers

PMID34992157
PMCPMC8739428
OpenAlexW4206433517

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.