Evidence map›Paper›PMID 37218592›Full record

ArticleJournal of the American Heart Association2023

Long-Term High Level of Insulin Resistance Is Associated With an Increased Prevalence of Coronary Artery Calcification: The CARDIA Study.

Zezhi Ke, Rihua Huang, Xinghao Xu, Wenbin Liu, Suisui Wang, Xu Zhang, Ye Guo, Xiaodong Zhuang, Liao Zhen

Abstract read
In one paragraph

Article in Journal of the American Heart Association, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

20 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Drug-coated balloons and diabetes: a review.Cardiovascular diabetology · 2025
    Review
  10. Observational
  11. Article
  12. Review
  13. Observational
  14. Article
  15. Article
  16. Article
  17. Review
  18. Article
  19. Article
  20. 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

9 authors.

Zezhi KeCollege of Health Science Guangdong Pharmaceutical University Guangzhou Guangdong P. R. China.ORCID 0000-0002-4935-7524
Rihua HuangDepartment of Cardiology First Affiliated Hospital of Sun Yat-Sen University Guangzhou P. R. China.ORCID 0000-0002-5399-0074
Xinghao XuDepartment of Cardiology First Affiliated Hospital of Sun Yat-Sen University Guangzhou P. R. China.ORCID 0000-0002-6251-0802
Wenbin LiuCollege of Health Science Guangdong Pharmaceutical University Guangzhou Guangdong P. R. China.ORCID 0000-0002-7111-2638
Suisui WangCollege of Health Science Guangdong Pharmaceutical University Guangzhou Guangdong P. R. China.ORCID 0000-0002-4552-8760
Xu ZhangCollege of Health Science Guangdong Pharmaceutical University Guangzhou Guangdong P. R. China.
Ye GuoDepartment of Cardiology First Affiliated Hospital of Sun Yat-Sen University Guangzhou P. R. China.
Xiaodong ZhuangDepartment of Cardiology First Affiliated Hospital of Sun Yat-Sen University Guangzhou P. R. China.ORCID 0000-0001-6508-8507
Liao ZhenCollege of Health Science Guangdong Pharmaceutical University Guangzhou Guangdong P. R. China.ORCID 0000-0002-2806-3535

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background Coronary artery calcification (CAC) is a crucial indicator of subclinical atherosclerotic cardiovascular disease. The relationship between long-term insulin resistance (IR) trajectory and CAC has been explored in few studies. Therefore, this study aimed to investigate whether the long-term IR time series of young adults are associated with the incidence of CAC in midlife. Methods and Results In a cohort study comprising 2777 participants from the CARDIA (Coronary Artery Risk Development in Young Adults) study, the homeostasis model assessment for IR was used to measure IR levels, and group-based trajectory modeling was used to fit three 25-year homeostasis model assessments for IR trajectories. Logistic regression was used to estimate the association between the 3 homeostasis model assessments for IR trajectories and CAC events at year 25. The results showed that among 2777 participants (mean age, 50.10±3.58 years; 56.2% women; 46.4% Black), there were 780 incident CAC events after a 25-year follow-up. After full adjustment, the prevalence of CAC was higher in the moderate- (odds ratio [OR], 1.40 [1.10-1.76]) and the high-level homeostasis model assessments for IR trajectories (OR, 1.84 [1.21-2.78]) than in the low-level trajectory. This association was observed in obese individuals despite the negative interaction between IR and different types of obesity (all

Indexed as

Coronary Artery DiseaseInsulin ResistanceVascular CalcificationCohort StudiesFemaleHumansMaleMiddle AgedObesityPrevalenceRisk FactorsYoung Adultcoronary artery calcificationHOMA‐IR trajectoryinsulin resistanceobesity

Identifiers

PMID37218592
PMCPMC10381987

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.