Evidence map›Paper›PMID 40993284›Full record

ArticleCommunications medicine2025

UK Biobank study of the association between circadian syndrome and cardio-kidney events or all-cause mortality.

Hong-Juan Yang, Hong Shu, Rui Chen, Qian Hou, Jia-Xin Huang, Rong-Chong Huang, Jian-Jun Li, Li-Chan Tao

Abstract read
In one paragraph

Article in Communications medicine, 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
–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

6 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Observational
  5. Article
  6. 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

8 authors.

Hong-Juan Yang *The Third Affiliated Hospital of Soochow University, Changzhou, China.ORCID http://orcid.org/0009-0007-0672-1780
Hong Shu *The Third Affiliated Hospital of Soochow University, Changzhou, China.ORCID http://orcid.org/0009-0006-6326-6748
Rui Chen *The Third Affiliated Hospital of Soochow University, Changzhou, China.
Qian HouThe Third Affiliated Hospital of Soochow University, Changzhou, China.ORCID http://orcid.org/0009-0001-2063-4241
Jia-Xin HuangThe Third Affiliated Hospital of Soochow University, Changzhou, China.
Rong-Chong HuangBeijing Friendship Hospital, Beijing, China. rchuang@ccmu.edu.cn.ORCID http://orcid.org/0000-0002-2607-2112
Jian-Jun LiCardiometabolic center, Fuwai hospital, Beijing, China. lijianjun938@126.com.ORCID http://orcid.org/0000-0003-2536-4364
Li-Chan TaoThe Third Affiliated Hospital of Soochow University, Changzhou, China. sherry0019@126.com.ORCID http://orcid.org/0000-0001-6814-0948

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCircadian syndrome (CircS) has demonstrated a strong association with the occurrence of cardiovascular disease (CVD), as well as chronic kidney disease (CKD). However, the association of CircS with cardiac-kidney events (CKE) or even mortality is unknown. This study was to evaluate whether CircS was related with CKE or all-cause mortality.

methodsThis prospective study analyzed data from 295,378 participants in the UK Biobank (UKB) cohort. CircS was characterized by the components of metabolic syndrome (MetS), along with short sleep and depression. We applied Cox regression analyses to examine the associations between CircS and composite outcome of CKE or all-cause mortality.

resultsAmong the 295,378 included participants (median age, 58 years; 55.7% female), we find that 28,027 primary outcome events are recorded during a median follow-up of 13.6 years. Findings reveal that CircS (hazard ratio [HR] 1.379; 95% confidence interval [CI] 1.319-1.441) demonstrates a significant positive association with the primary outcome. With the increase in CircS score, the risk of the primary outcome also increases. Among the seven components, depression (HR 1.518; 95% CI 1.426-1.616) emerges as the strongest contributing factor. Furthermore, we also find that CircS is a significant risk factor for CKE (HR 1.143; 95% CI 1.044-1.251) and has a greater impact on CKE with CVD-first and CKE with renal failure.

conclusionsCircS is strongly linked to increased CKE and all-cause mortality risk, highlighting the need for greater clinical focus on this syndrome. This correlation also provides theoretical support for the cardiovascular-kidney-metabolic syndrome concept.

Identifiers

PMID40993284
PMCPMC12460872

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.