Evidence map›Paper›PMID 38435749›Full record

ArticleFrontiers in endocrinology2024

Peripheral artery disease mediating the effect of metabolic syndrome related diseases on lower limb ulcers: Mendelian randomization analysis.

Huan Wang, Zhe Zhang, Linxuan Zou, Juewei Zhang, Zhuqiang Jia, Lin Zhao, Xin Han, Xiaohong Sun, Zhen Zhang, Junwei Zong and 1 more

Open access · goldAbstract read
In one paragraph

Article in Frontiers in endocrinology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
1.7field-weighted citation impact, top 18% 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

1 citing paper in PubMed, 3 citations in OpenAlex.

  1. 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

11 authors at 1 institution in 1 country.

Huan Wang *Department of Orthopaedic Surgery, The First Affiliated Hospital of Dalian Medical University, Dalian, China.
Zhe Zhang *Department of Orthopaedic Surgery, The First Affiliated Hospital of Dalian Medical University, Dalian, China.
Linxuan Zou *Department of Orthopaedic Surgery, The First Affiliated Hospital of Dalian Medical University, Dalian, China.
Juewei Zhang *Health Inspection and Quarantine, College of Medical Laboratory, Dalian Medical University, Dalian, China.
Zhuqiang JiaDepartment of Surgery, The First Affiliated Hospital of Dalian Medical University, Dalian, China.
Lin ZhaoDepartment of Quality Management, Dalian Municipal Central Hospital, Dalian, China.
Xin HanDepartment of Orthopaedic Surgery, The Second Affiliated Hospital of Dalian Medical University, Dalian, China.
Xiaohong SunDepartment of Nursing, The First Affiliated Hospital of Dalian Medical University, Dalian, China.
Zhen ZhangDepartment of Orthopaedic Surgery, The First Affiliated Hospital of Dalian Medical University, Dalian, China.
Junwei ZongDepartment of Orthopaedic Surgery, The First Affiliated Hospital of Dalian Medical University, Dalian, China.
Shouyu WangDepartment of Orthopaedic Surgery, The First Affiliated Hospital of Dalian Medical University, Dalian, China.
Dalian Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Previous observational studies have demonstrated a correlation between metabolic syndrome related diseases and an elevated susceptibility to ulcers of lower limb. It has been suggested that this causal relationship may be influenced by the presence of peripheral artery disease (PAD). Nevertheless, the precise contribution of these factors as determinants of ulcers of lower limb remains largely unexplored. Method: This research incorporated information on hypertension, BMI, hyperuricemia, type 2 diabetes, PAD, and ulcers of lower limb sourced from the GWAS database. Univariate Mendelian randomization (SVMR) and multivariate Mendelian randomization (MVMR) methods were employed to assess the association between metabolic syndrome related diseases, including hypertension, obesity, hyperuricemia, and type 2 diabetes, as well as to investigate whether this association was influenced by PAD. Results: Univariate Mendelian randomization analysis showed that genetically predicted hypertension, BMI, and type 2 diabetes were associated with an increased risk of PAD and ulcers of lower limb, and PAD was associated with an increased risk of ulcers of lower limb, but there is no causal relationship between hyperuricemia and ulcers of lower limb. The results of multivariate Mendelian randomization showed that PAD mediated the causal relationship between hypertension, obesity and ulcers of lower limb, but the relationship between type 2 diabetes and ulcers of lower limb was not mediated by PAD. Conclusion: Hypertension, BMI and type 2 diabetes can increase the risk of ulcers of lower limb, and PAD can be used as a mediator of hypertension and obesity leading to ulcers of lower limb, These findings may inform prevention and intervention strategies directed toward metabolic syndrome and ulcers of lower limb.

Indexed as

Diabetes Mellitus, Type 2HypertensionHyperuricemiaMetabolic DiseasesMetabolic SyndromePeripheral Arterial DiseaseHumansLower ExtremityMendelian Randomization AnalysisObesityUlcerbody mass indexhypertensionhyperuricemiaMendelian randomizationperipheral artery diseasetype 2 diabetesulcers of lower limb

Identifiers

PMID38435749
PMCPMC10905962
OpenAlexW4391841962

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.