Evidence map›Paper›PMID 35976089›Full record

ArticleClinical chemistry and laboratory medicine2022

Reference ranges for GDF-15, and risk factors associated with GDF-15, in a large general population cohort.

Paul Welsh, Dorien M Kimenai, Riccardo E Marioni, Caroline Hayward, Archie Campbell, David Porteous, Nicholas L Mills, Stephen O'Rahilly, Naveed Sattar

Open access · greenAbstract read
In one paragraph

Article in Clinical chemistry and laboratory medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 46 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
46citing papers in PubMed, 1 pooled it
8.0field-weighted citation impact, top 2% 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

46 citing papers in PubMed, 1 synthesis or guideline pooled it, 54 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

9 authors at 4 institutions in 1 country.

Paul WelshSchool of Cardiovascular & Metabolic Health, University of Glasgow, Glasgow, UK.
Dorien M KimenaiBHF Centre for Cardiovascular Science, University of Edinburgh, Edinburgh, UK.
Riccardo E MarioniInstitute of Genetics and Cancer (IGC), University of Edinburgh, Edinburgh, UK.
Caroline HaywardMRC Human Genetics Unit (HGU), University of Edinburgh, Edinburgh, UK.
Archie CampbellInstitute of Genetics and Cancer (IGC), University of Edinburgh, Edinburgh, UK.
David PorteousInstitute of Genetics and Cancer (IGC), University of Edinburgh, Edinburgh, UK.
Nicholas L MillsBHF Centre for Cardiovascular Science, University of Edinburgh, Edinburgh, UK.
Stephen O'RahillyMRC Metabolic Diseases Unit, Wellcome - MRC Institute of Metabolic Science, University of Cambridge, Cambridge, UK.
Naveed SattarSchool of Cardiovascular & Metabolic Health, University of Glasgow, Glasgow, UK.
Edinburgh Cancer Research · GBUniversity of Edinburgh · GBUniversity of Glasgow · GBWellcome/MRC Institute of Metabolic Science · GB

Funding

British Heart Foundation CH/F/21/90010British Heart Foundation RE/18/5/34216British Heart Foundation RE/18/6/34217British Heart Foundation RG/20/10/34966Medical Research Council MC_UU_00007/10Medical Research Council MC_UU_00014/1Medical Research Council MC_UU_12012/1Wellcome Trust
6 · The paper itself

Abstract

objectivesGrowth differentiation factor (GDF)-15 is attracting interest as a biomarker in several areas of medicine. We aimed to evaluate the reference range for GDF-15 in a general population, and to explore demographics, classical cardiovascular disease risk factors, and other cardiac biomarkers associated with GDF-15.

methodsGDF-15 was measured in serum from 19,462 individuals in the Generation Scotland Scottish Family Health Study. Associations of cardiometabolic risk factors with GDF-15 were tested using adjusted linear regression. Among 18,507 participants with no heart disease, heart failure, or stroke, and not pregnant, reference ranges (median and 97.5th centiles) were derived by decade age bands and sex.

resultsAmong males in the reference range population, median (97.5th centile) GDF-15 concentration at age <30 years was 537 (1,135) pg/mL, rising to 931 (2,492) pg/mL at 50-59 years, and 2,152 (5,972) pg/mL at ≥80 years. In females, median GDF-15 at age <30 years was 628 (2,195) pg/mL, 881 (2,323) pg/mL at 50-59 years, and 1847 (6,830) pg/mL at ≥80 years. Among those known to be pregnant, median GDF-15 was 19,311 pg/mL. After adjustment, GDF-15 was higher in participants with adverse cardiovascular risk factors, including current smoking (+26.1%), those with previous heart disease (+12.7%), stroke (+17.1%), heart failure (+25.3%), and particularly diabetes (+60.2%). GDF-15 had positive associations with cardiac biomarkers cardiac troponin I, cardiac troponin T, and N-terminal pro B-type natriuretic peptide (NT-proBNP).

conclusionsThese data define reference ranges for GDF-15 for comparison in future studies, and identify potentially confounding risk factors and mediators to be considered in interpreting GDF-15 concentrations.

Indexed as

Growth Differentiation Factor 15Heart FailureStrokeAdultAgedAged, 80 and overBiomarkersFemaleHumansMaleMiddle AgedNatriuretic Peptide, BrainPeptide FragmentsPregnancyPrognosisReference ValuesBiomarkersGrowth Differentiation Factor 15Natriuretic Peptide, BrainPeptide FragmentsTroponin ITroponin Tbiochemical markersguidelinesreference ranges

Identifiers

PMID35976089
PMCPMC9524804
OpenAlexW4292088915

What OpenQuestion holds

Textmetadata
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.