Evidence map›Paper›PMID 39604935›Full record

ArticleLipids in health and disease2024

Relationship between stroke and estimated glucose disposal rate: results from two prospective cohort studies.

Yutong Han, Kexin Zhang, Yue Luo, Bin Wan, Yaowen Zhang, Qinchuan Huang, Hanyu Liu, Yulin Leng, Chunguang Xie

Abstract read
In one paragraph

Article in Lipids in health and disease, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–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

11 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Observational
  11. 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.

Yutong HanChengdu University of Traditional Chinese Medicine, No. 37 Shi-Er-Qiao Road, Chengdu, Sichuan Province, 610072, People's Republic of China.
Kexin ZhangSouthwest Medical University, No.319 Zhongshan Road, Luzhou, Sichuan Province, 646000, People's Republic of China.
Yue LuoChengdu University of Traditional Chinese Medicine, No. 37 Shi-Er-Qiao Road, Chengdu, Sichuan Province, 610072, People's Republic of China.
Bin WanChengdu University of Traditional Chinese Medicine, No. 37 Shi-Er-Qiao Road, Chengdu, Sichuan Province, 610072, People's Republic of China.
Yaowen ZhangChengdu University of Traditional Chinese Medicine, No. 37 Shi-Er-Qiao Road, Chengdu, Sichuan Province, 610072, People's Republic of China.
Qinchuan HuangChengdu University of Traditional Chinese Medicine, No. 37 Shi-Er-Qiao Road, Chengdu, Sichuan Province, 610072, People's Republic of China.
Hanyu LiuChengdu University of Traditional Chinese Medicine, No. 37 Shi-Er-Qiao Road, Chengdu, Sichuan Province, 610072, People's Republic of China.
Yulin LengHospital of Chengdu University of Traditional Chinese Medicine, No. 39 Shi-Er-Qiao Road, Chengdu, Sichuan Province, 610072, People's Republic of China.
Chunguang XieHospital of Chengdu University of Traditional Chinese Medicine, No. 39 Shi-Er-Qiao Road, Chengdu, Sichuan Province, 610072, People's Republic of China. xiecg@cdutcm.edu.cn.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundInsulin resistance (IR) is a recognized contributor to stroke association, and the estimated glucose disposal rate (eGDR) is a dependable indicator of IR. However, the specific connections between eGDR, stroke prevalence, and overall mortality have not been thoroughly investigated. This study aimed to examine how eGDR correlates with stroke and overall death rate.

methodsThe study leveraged information from the National Health and Nutrition Examination Survey (NHANES) spanning from 2007 to 2016. To unravel the data, the team utilized logistic regression, cox proportional hazards models, and restricted cubic splines (RCS) Sensitivity analyses excluded participants with a stroke history within the previous two years. Results were validated through analysis of the China Health and Retirement Longitudinal Study (CHARLS).

resultsA higher eGDR is like a protective shield against strokes, with those in the top eGDR quartile exhibited a 60% reduction in stroke association (OR = 0.40, 95% CI, 0.22-0.73, P = 0.003). Additionally, a higher eGDR correlates with a lower overall death rate (HR = 0.71, 95% CI, 0.52-0.98, P = 0.037), particularly in individuals without a history of stroke. RCS analysis demonstrated that eGDR's influence on stroke association follows a non-linear pattern. Subgroup analysis revealed that the protective effect of eGDR was stronger in non-diabetic and non-hypertensive individuals.

conclusioneGDR is inversely related to both stroke association and mortality, affirming its utility as a predictive marker of stroke.

Indexed as

Blood GlucoseInsulin ResistanceStrokeAgedChinaFemaleHumansMaleMiddle AgedNutrition SurveysProportional Hazards ModelsProspective StudiesRisk FactorsBlood GlucoseCHARLSEstimated glucose disposal rateMortalityNHANESStroke

Identifiers

PMID39604935
PMCPMC11603670

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.