Evidence map›Paper›PMID 40437359›Full record

ArticleBMC cardiovascular disorders2025

The association between circulating palmitic acid levels and risk of premature coronary artery disease in Chinese patients: a case-control study.

Yingwen Chen, Yue Cao, Lingxiao Li, Peng Chen, Xiaomei Zhang, Shali Hao, Min Qiu, Yangguang Liu, Jiandi Wu, Yangxin Chen and 3 more

Abstract read
In one paragraph

Article in BMC cardiovascular disorders, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Multiple Roles of Palmitic Acid in Cardiovascular Diseases.Journal of inflammation research · 2025
    Review
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

13 authors.

Yingwen Chen *Department of Cardiology, The Eighth Affiliated Hospital, Southern Medical University (The First People's Hospital of Shunde), NO. 1 Jiazi Road, Lunjiao, Shunde District, Foshan City, Guangdong, 528308, China.
Yue Cao *Department of Cardiology, The Eighth Affiliated Hospital, Southern Medical University (The First People's Hospital of Shunde), NO. 1 Jiazi Road, Lunjiao, Shunde District, Foshan City, Guangdong, 528308, China.
Lingxiao LiDepartment of Cardiology, The Eighth Affiliated Hospital, Southern Medical University (The First People's Hospital of Shunde), NO. 1 Jiazi Road, Lunjiao, Shunde District, Foshan City, Guangdong, 528308, China.
Peng ChenDepartment of Cardiology, The Eighth Affiliated Hospital, Southern Medical University (The First People's Hospital of Shunde), NO. 1 Jiazi Road, Lunjiao, Shunde District, Foshan City, Guangdong, 528308, China.
Xiaomei ZhangLecong Hospital, Shunde district, Foshan, Guangdong, China.
Shali HaoDepartment of Cardiology, The Eighth Affiliated Hospital, Southern Medical University (The First People's Hospital of Shunde), NO. 1 Jiazi Road, Lunjiao, Shunde District, Foshan City, Guangdong, 528308, China.
Min QiuDepartment of Cardiology, The Eighth Affiliated Hospital, Southern Medical University (The First People's Hospital of Shunde), NO. 1 Jiazi Road, Lunjiao, Shunde District, Foshan City, Guangdong, 528308, China.
Yangguang LiuDepartment of Cardiology, The Eighth Affiliated Hospital, Southern Medical University (The First People's Hospital of Shunde), NO. 1 Jiazi Road, Lunjiao, Shunde District, Foshan City, Guangdong, 528308, China.
Jiandi WuDepartment of Cardiology, Affiliated Foshan Hospital (The Second People's Hospital of Foshan), Southern Medical University, Foshan, China.
Yangxin ChenSun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, China.
Zaopeng HeLecong Hospital, Shunde district, Foshan, Guangdong, China. hezaopeng@163.com.
Yunzhao HuDepartment of Cardiology, The Eighth Affiliated Hospital, Southern Medical University (The First People's Hospital of Shunde), NO. 1 Jiazi Road, Lunjiao, Shunde District, Foshan City, Guangdong, 528308, China. huyunzhao4406@163.com.
Yuli HuangDepartment of Cardiology, The Eighth Affiliated Hospital, Southern Medical University (The First People's Hospital of Shunde), NO. 1 Jiazi Road, Lunjiao, Shunde District, Foshan City, Guangdong, 528308, China. hyuli821@smu.edu.cn.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPalmitic acid (PA) is a risk factor for atherosclerosis but its significance in premature coronary artery disease (PCAD) remains poorly understood. Herein, we investigated the impact of circulating PA levels on the risk of PCAD occurrence in Chinese patients.

methodsIn this case control study, we included patients diagnosed with PCAD and age-matched non-CAD controls between June 2022 and December 2023. Participants' serum PA levels were quantified using ultra-performance liquid chromatography-mass spectrometry, and correlations with PCAD were determined using R (v4.2.2). The potential mediating effect of low density lipoprotein cholesterol (LDL-C) for the association between PA and PACD was also evaluated.

resultsIn this study of 393 adults (206 PCAD patients and 187 non-CAD controls), serum PA levels showed significant positive correlations with LDL-C and total cholesterol. Compared to controls, PCAD patients had higher proportions of males, smokers, and diabetics, along with elevated PA, LDL-C, and triglycerides, but reduced HDL-C (all P < 0.05). Elevated serum PA (per 10µmol/L increase, OR = 1.12, 95% CI = 1.05-1.20) was significantly associated with an increased risk of PCAD after adjustment for multivariable factors. Further adjustment for LDL-C levels attenuated, but remained statistically significant, the association between PA and PCAD (per 10µmol/L increase, OR = 1.10, 95% CI = 1.03-1.18). Mediation analysis showed that LDL-C mediated 16% of PA's total effect on PCAD.

conclusionsElevated PA circulating levels were found to be related with PCAD risks among Chinese, and increased LDL-C levels could partly mediate this effect.

Indexed as

Coronary Artery DiseasePalmitic AcidAdultAgedBiomarkersCase-Control StudiesChinaCholesterol, LDLEast Asian PeopleFemaleHumansMaleMiddle AgedRisk AssessmentRisk FactorsUp-RegulationBiomarkersCholesterol, LDLPalmitic AcidCoronary artery diseasePalmitic acidsRisk factorsSaturated fatty acidYoung patients

Identifiers

PMID40437359
PMCPMC12121069

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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.