Evidence map›Paper›PMID 40639059›Full record

ArticleHeart & lung : the journal of critical care

Inflammation markers associated with symptoms and neighborhood deprivation in black adults with heart failure.

Brittany Butts, Christopher Herring, Andrea Madariaga, Lucinda J Graven, Melinda K Higgins, Sandra B Dunbar

Abstract read
In one paragraph

Article in Heart & lung : the journal of critical care. 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
–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

1 citing paper in PubMed.

  1. Differential effects of neighborhood ambient PMInternational journal of health geographics · 2026
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors.

Brittany ButtsEmory University School of Nursing, 1520 Clifton Rd NE, Atlanta, GA 30322, USA. Electronic address: brittany.butts@emory.edu.
Christopher HerringEmory University School of Nursing, 1520 Clifton Rd NE, Atlanta, GA 30322, USA.
Andrea MadariagaPiedmont Hospital, 1133 Eagles Landing Pkwy, Stockbridge, GA 30281, USA.
Lucinda J GravenFlorida State University College of Nursing, 98 Varsity Way, Tallahassee, FL 32306, USA.
Melinda K HigginsEmory University School of Nursing, 1520 Clifton Rd NE, Atlanta, GA 30322, USA.
Sandra B DunbarEmory University School of Nursing, 1520 Clifton Rd NE, Atlanta, GA 30322, USA.

Funding

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
NIA NIH HHS K23 AG076977NIA NIH HHS U54 AG062334NINR NIH HHS P30 NR018090NINR NIH HHS T32 NR012715
6 · The paper itself

Abstract

backgroundBlack adults face a higher prevalence of heart failure (HF), with greater symptom burden and earlier onset compared to other populations. Systemic inflammation and socioeconomic factors, including neighborhood deprivation, contribute to these disparities. Understanding the interplay between inflammation, HF symptoms, and social determinants of health is critical for addressing inequities in HF outcomes.

objectivesThis study examines associations between inflammatory biomarkers and physical and psychological symptoms in Black adults with HF and explores the impact of neighborhood deprivation on these factors.

methodsBlack adults with HF (N = 41) were enrolled in this cross-sectional study. Blood samples were collected using Mitra Microsampling for biomarker analysis, including cytokines, chemokines, and xanthine oxidase (XO) activity. Symptoms were assessed using validated measures for dyspnea, fatigue, anxiety, depression, stress, and sleep disturbance. Neighborhood deprivation was evaluated using the Area Deprivation Index.

resultsElevated XO activity was significantly associated with dyspnea severity (β = 0.75, p < .001). Chemokines linked to T cell activation (e.g., CC motif ligand[CCL]-11, CXC motif ligand[CXCL]-8) correlated with HF symptoms and psychological distress, including anxiety and perceived stress. Higher neighborhood deprivation scores were associated with increased stress, sleep disturbance, and inflammatory biomarkers (e.g., interleukin[IL]-4, vascular cell adhesion molecule[VCAM]-1).

conclusionsThis study highlights the role of inflammation and neighborhood deprivation in HF symptomatology among Black adults. Targeting oxidative stress and inflammatory pathways, alongside addressing social determinants of health, may reduce symptom burden and improve outcomes in this population.

Indexed as

Black or African AmericanHeart FailureInflammationResidence CharacteristicsAgedBiomarkersCross-Sectional StudiesFemaleHumansMaleMiddle AgedSocioeconomic FactorsBiomarkersBiomarkersHeart failureInflammationOxidative stressSocial determinants of health

Identifiers

PMID40639059
PMCPMC12266658

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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.