Evidence map›Paper›PMID 38528787›Full record

ArticleEuropean journal of heart failure2024

Pre-diagnostic free androgen and estradiol levels influence heart failure risk in both women and men: A prospective cohort study in the UK Biobank.

Jungeun Lim, Maryam Hashemian, Batel Blechter, Véronique L Roger, Jason Y Y Wong

Open access · hybridAbstract read
In one paragraph

Article in European journal of heart failure, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
6.1field-weighted citation impact, top 3% 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Review
  4. Article
  5. Article
  6. Review
  7. Sex Differences in Heart Failure: A Step Forward.Interventional cardiology (London, England) · 2025
    Review
  8. Article
  9. Article
  10. 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 2 institutions in 1 country.

Jungeun LimEpidemiology and Community Health Branch, National Heart Lung and Blood Institute, Bethesda, MD, USA.ORCID https://orcid.org/0000-0002-1671-3131
Maryam HashemianEpidemiology and Community Health Branch, National Heart Lung and Blood Institute, Bethesda, MD, USA.
Batel BlechterOccupational and Environmental Epidemiology Branch, Division of Cancer Epidemiology and Genetics, National Cancer Institute, Rockville, MD, USA.
Véronique L RogerEpidemiology and Community Health Branch, National Heart Lung and Blood Institute, Bethesda, MD, USA.
Jason Y Y WongEpidemiology and Community Health Branch, National Heart Lung and Blood Institute, Bethesda, MD, USA.ORCID https://orcid.org/0000-0003-2820-2133
National Heart Lung and Blood Institute · USNational Cancer Institute · US

Funding

Biological mechanisms underlying the relationships between environmental exposures and risk of respiratory and cardiovascular diseasesZIAHL006285 · NHLBI · NATIONAL HEART, LUNG, AND BLOOD INSTITUTE · PI WONG, JASON · 2023 to 2025
$3.8M
Division of Cancer Epidemiology and Genetics, National Cancer Institute, Intramural fundingIntramural NIH HHS Z99 HL999999NHLBI Division of Intramural Research, Intramural funding
6 · The paper itself

Abstract

aimsSerum sex hormones have been linked to cardiovascular disease risk. However, their roles in the pathogenesis of heart failure (HF) in both men and women are unclear. We investigated the associations between free androgen, testosterone, and estradiol, and future risk of HF. METHODS AND

resultsThis prospective cohort study evaluated UK Biobank participants free of prevalent cardiovascular disease and HF at baseline. Unitless free androgen, testosterone, and estradiol indices were generated using serum concentrations of total testosterone (nmol/L), estradiol (pmol/L), sex hormone binding globulin (SHBG, nmol/L), and albumin (g/L) in blood collected at enrolment. Multivariable Cox regression was used to estimate hazard ratios (HRs) and 95% confidence intervals (CIs) of incident HF in relation to quartiles (Q) of free androgen (FAI), testosterone (FTI), estradiol (FEI) indices, and potential confounders. There were 180 712 men (including 5585 HF cases with FAI and 571 HF cases with FEI), and 177 324 women (including 2858 HF cases with FAI and 314 HF cases with FEI) with complete data. Increased FAI was associated with decreased HF risk in both men (HR

conclusionsSex hormones potentially influence HF pathogenesis and may offer pathways for interventions.

Indexed as

Biological Specimen BanksEstradiolHeart FailureTestosteroneAdultAgedAndrogensBiomarkersFemaleHumansIncidenceMaleMiddle AgedProspective StudiesRisk FactorsSex Hormone-Binding GlobulinAndrogensBiomarkersEstradiolSex Hormone-Binding GlobulinTestosteroneEstradiolHeart failureIncident riskMetabolismProspective cohort studyTestosterone

Identifiers

PMID38528787
PMCPMC11096034
OpenAlexW4393195913

What OpenQuestion holds

Textmetadata
LicenceTDM
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.