Evidence map›Paper›PMID 35872887›Full record

ArticleFrontiers in cardiovascular medicine2022

U-Shaped Relationship of Non-HDL Cholesterol With All-Cause and Cardiovascular Mortality in Men Without Statin Therapy.

Rui-Xiang Zeng, Jun-Peng Xu, Yong-Jie Kong, Jia-Wei Tan, Li-Heng Guo, Min-Zhou Zhang

Abstract read
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Article in Frontiers in cardiovascular medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

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0cells of the map it votes in
21citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

Who cites it

21 citing papers in PubMed.

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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

6 authors.

Rui-Xiang ZengThe Second Clinical College of Guangzhou University of Chinese Medicine, Guangzhou, China.
Jun-Peng XuThe Second Clinical College of Guangzhou University of Chinese Medicine, Guangzhou, China.
Yong-Jie KongThe Second Clinical College of Guangzhou University of Chinese Medicine, Guangzhou, China.
Jia-Wei TanThe Second Clinical College of Guangzhou University of Chinese Medicine, Guangzhou, China.
Li-Heng GuoThe Second Clinical College of Guangzhou University of Chinese Medicine, Guangzhou, China.
Min-Zhou ZhangThe Second Clinical College of Guangzhou University of Chinese Medicine, Guangzhou, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Non-HDL-C is well established causal risk factor for the progression of atherosclerotic cardiovascular disease. However, there remains a controversial pattern of how non-HDL-C relates to all-cause and cardiovascular mortality, and the concentration of non-HDL-C where the risk of mortality is lowest is not defined. Methods: A population-based cohort study using data from the National Health and Nutrition Examination Survey (NHANES) from 1999 to 2014. Male participants without statin therapy were divided into the six groups according to non-HDL-C levels (<100, 100-129, 130-159, 160-189, 190-219, ≥220 mg/dl). Multivariable Cox proportional hazards models were conducted with a hazard ratio (HR) and corresponding 95% confidence interval (CI). To further explore the relationship between non-HDL-C and mortality, Kaplan-Meier survival curves, restricted cubic spline curves, and subgroup analysis were performed. Results: Among 12,574 individuals (average age 44.29 ± 16.37 years), 1,174(9.34%) deaths during a median follow-up 98.38 months. Both low and high non-HDL-C levels were significantly associated with increased risk of all-cause and cardiovascular mortality, indicating a U-shaped association. Threshold values were detected at 144 mg/dl for all-cause mortality and 142 mg/dl for cardiovascular mortality. Below the threshold, per 30 mg/dl increase in non-HDL-C reduced a 28 and 40% increased risk of all-cause ( Conclusions: Non-HDL-C was U-shaped related to all-cause and cardiovascular mortality among men without statin therapy.

Indexed as

all-cause mortalitycardiovascular mortalitymennon-HDL cholesterolU-shaped relationship

Identifiers

PMID35872887
PMCPMC9300868

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