Evidence map›Paper›PMID 40847315›Full record

ArticleCardiovascular diabetology2025

Lipid metabolism-related inflammatory indices (LMIIs) and incident peripheral artery diseases (PAD) in patients with type 2 diabetes mellitus (T2DM): a multicohort study from China and the UK biobank.

Yingying Wang, Qijing Jiang, Xiaoyan Li, Bichen Ren, Bingzhe Li, Hao Li, Yuan Fang, Zhihui Dong, Lihong Huang

Abstract readMulticenter Study
In one paragraph

Article in Cardiovascular diabetology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
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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

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3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Yingying Wang *Department of Biostatistics, Zhongshan Hospital, Fudan University, Shanghai, 200032, China.
Qijing Jiang *School of Public Health, Fudan University, Shanghai, 200032, China.
Xiaoyan Li *Center for Vascular Surgery and Wound Care, Jinshan Hospital, Fudan University, Shanghai, 201508, China.
Bichen RenDepartment of Vascular Surgery, Institute of Vascular Surgery, Zhongshan Hospital, Fudan University, Shanghai, 200032, China.
Bingzhe LiDepartment of Biostatistics, Zhongshan Hospital, Fudan University, Shanghai, 200032, China.
Hao LiDepartment of Biostatistics, Zhongshan Hospital, Fudan University, Shanghai, 200032, China.
Yuan FangDepartment of Vascular Surgery, Institute of Vascular Surgery, Zhongshan Hospital, Fudan University, Shanghai, 200032, China. fangpeter@126.com.
Zhihui DongDepartment of Vascular Surgery, Institute of Vascular Surgery, Zhongshan Hospital, Fudan University, Shanghai, 200032, China. dzh926@126.com.
Lihong HuangDepartment of Biostatistics, Zhongshan Hospital, Fudan University, Shanghai, 200032, China. huang.lihong@zs-hospital.sh.cn.

Funding

Basic Standard of Dataset for Diabetic Foot Disease Screening by the Shanghai Municipal Health Commission 2023WB06Development of Technical Standards for Hierarchical and Closed-Loop Prevention and Treatment of Diabetic Foot Disease by the Shanghai Science and Technology Commission 23DZ2203200National Nature Science Foundation of China 82273733Shanghai Shenkang Hospital Development Center Projects SHDC2023CRSO34
6 · The paper itself

Abstract

backgroundLipid metabolism-related inflammatory indices (LMIIs) have been recognized as potential biomarkers for the risks of atherosclerosis and major adverse cardiovascular events. This study aims to explore the associations of LMIIs, including neutrophil to high-density lipoprotein cholesterol ratio (NHR), monocyte to high-density lipoprotein cholesterol ratio (MHR), platelet to high-density lipoprotein cholesterol ratio (PHR), and lymphocyte to high-density lipoprotein cholesterol ratio (LHR), with the risk of incident peripheral artery disease (PAD) in elderly T2DM patients.

methodsA total of 2837 participants aged ≥ 60 years with T2DM from the Jinshan Cohort (China) and 13,542 participants from the UK Biobank (UK) were included in the primary analyses. According to the type of outcome variables, logistic regression models and Cox proportional-hazards models were used to estimate the risks of incident PAD associated with LMIIs. The methods of generalized propensity score (GPS), E-value and negative control exposure (NCE) were applied to control the potential confounding. Additionally, stratified analyses were performed across various populations to examine potential heterogeneity in the effects of LMIIs on PAD risk. Mediation effects of liver and kidney function-related indicators on associations between LMIIs and incident PAD were also explored.

resultsThe results from traditional regression models suggested positive associations of incident PAD with all four LMIIs. In the Jinshan Cohort, the odds ratios (ORs) and 95% confidence intervals (CIs) of PAD for one-unit increase in NHR (10

conclusionsElevated levels of LMIIs, such as NHR, MHR, PHR and LHR, were associated with an increased risk of incident PAD among elderly diabetic patients. These associations exhibited notable population heterogeneity, with stronger effects observed in females and individuals with higher HbA1c level. eGFR may serve as a mediating factor in the associations between LMIIs and the occurrence of PAD. These findings provide novel evidence for immune inflammation-based risk assessment and personalized preventive strategies for PAD.

Indexed as

Diabetes Mellitus, Type 2InflammationInflammation MediatorsLipid MetabolismLipidsPeripheral Arterial DiseaseAgedBiological Specimen BanksBiomarkersChinaFemaleHumansIncidenceMaleMiddle AgedPrognosisBiomarkersInflammation MediatorsLipids

Identifiers

PMID40847315
PMCPMC12372194

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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.