Evidence map›Paper›PMID 39420458›Full record

ArticleNursing research

Comorbid Diabetes Is Associated With Dyspnea Severity and Cardiometabolic Biomarkers in Black Adults With Heart Failure.

Brittany Butts, Julia Kamara, Alanna A Morris, Erica Davis, Melinda K Higgins, Sandra B Dunbar

Abstract read
In one paragraph

Article in Nursing research. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

The trial behind it

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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

2 citing papers in PubMed.

  1. Article
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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.

Brittany ButtsBrittany Butts, PhD, RN, FAHA , is Assistant Professor, Emory University Nell Hodgson Woodruff School of Nursing, Atlanta, Georgia; Julia Kamara is Undergraduate Research Assistant, Emory University College of Arts and Sciences, Atlanta, Georgia; Alanna A. Morris, MD, MSc , FAHA , is Senior Medical Director, Bayer, Atlanta, Georgia; and Erica Davis, PhD, RN , is Assistant Clinical Professor, Melinda K. Higgins, PhD , is Research Professor, and Sandra B. Dunbar, PhD, RN, FAAN, FAHA, FPCNA , is Research Professor and Charles Howard Candler Professor (Emerita), Emory University, Nell Hodgson Woodruff School of Nursing, Atlanta, Georgia.ORCID 0000-0002-4862-7086
Melinda K HigginsORCID 0000-0001-6579-5885

Funding

CTSA INFRASTRUCTURE FOR PEDIATRIC RESEARCHUL1RR025008 · NCRR · EMORY UNIVERSITY · PI STEPHENS, DAVID S · 2007 to 2011
$29.0M
Neuro HPA Project 1U54AG062334 · NIA · EMORY UNIVERSITY · PI Ighovwerha Ofotokun · 2018 to 2026
$12.2M
Training in Interventions to Improve Outcomes in Chronic ConditionsT32NR012715 · NINR · EMORY UNIVERSITY · PI GARY, REBECCA A, SONG, MI-KYUNG · 2012 to 2022
$3.2M
Pilot Administrative Core - Center for the Study of Symptom Science, Metabolomics and Multiple Chronic ConditionsP30NR018090 · NINR · EMORY UNIVERSITY · PI DUNBAR, SANDRA B. · 2018 to 2022
$3.2M
Midlife Vascular Risk Factors for Alzheimer's Disease in Persons with HFpEFK23AG076977 · NIA · EMORY UNIVERSITY · PI Brittany Butts · 2023 to 2026
$771k
NCRR NIH HHS UL1 RR025008NIA NIH HHS K23 AG076977NIA NIH HHS U54 AG062334NINR NIH HHS P30 NR018090NINR NIH HHS T32 NR012715
6 · The paper itself

Abstract

backgroundComorbidities such as Type 2 diabetes mellitus significantly and adversely influence heart failure outcomes, especially in Black adult populations. Likewise, heart failure has a negative effect on diabetes and cardiometabolic outcomes. Dyspnea, a common symptom of heart failure, often correlates with disease severity and prognosis. However, the relationship between comorbid diabetes, dyspnea severity, and cardiometabolic biomarkers in Black adults with heart failure remains understudied.

objectivesThe purpose of this pilot study was to examine differences in the distressing heart failure symptom of dyspnea and in cardiometabolic and inflammatory biomarkers in Black adults living with heart failure with and without diabetes.

methodsBlack adults with heart failure were enrolled in this cross-sectional pilot study. Cardiometabolic and inflammatory biomarkers were measured via multiplex immunoassay. Univariate general liner models were used to identify group differences between persons with heart failure with comorbid diabetes and those without, controlling for age, sex, and comorbid burden.

resultsParticipants were mostly female with a mean age of 55 years and mean left ventricular ejection fraction of 33%. Participants with diabetes exhibited higher dyspnea scores compared to those without diabetes, indicating greater symptom burden. Moreover, individuals with comorbid diabetes demonstrated higher levels of cardiometabolic and inflammatory markers. DISCUSSION: Comorbid diabetes was associated with higher dyspnea severity and adverse cardiometabolic profiles in Black adults with heart failure. These findings underscore the importance of targeted interventions addressing diabetes management and cardiometabolic risk factors to improve symptom control and outcomes in this high-risk population. Further research is warranted to elucidate the underlying mechanisms and develop tailored therapeutic strategies for managing comorbidities in persons with heart failure, particularly in minoritized communities.

Indexed as

Black or African AmericanComorbidityDiabetes Mellitus, Type 2DyspneaHeart FailureSeverity of Illness IndexAdultAgedBiomarkersCross-Sectional StudiesFemaleHumansMaleMiddle AgedPilot ProjectsBiomarkers

Identifiers

PMID39420458
PMCPMC11637969

What OpenQuestion holds

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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.