Evidence map›Paper›PMID 41086986›Full record

ArticleJournal of advanced research2026

Preserved ratio impaired spirometry, plasma proteomics, and incident heart failure.

Yang Geng, Yi Ding, Yalong Pei, Xiya Zhou, Xujia Lu, Mingcan Xu, Yan Borné, Chaofu Ke

Abstract read
In one paragraph

Article in Journal of advanced research, 2026. 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

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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. 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

8 authors.

Yang GengDepartment of Epidemiology and Biostatistics, School of Public Health, Suzhou Medical College of Soochow University, Suzhou, Jiangsu, China.
Yi DingDepartment of Preventive Medicine, College of Clinical Medicine, Suzhou Vocational Health College, Suzhou, Jiangsu, China.
Yalong PeiDepartment of Epidemiology and Biostatistics, School of Public Health, Suzhou Medical College of Soochow University, Suzhou, Jiangsu, China.
Xiya ZhouDepartment of Epidemiology and Biostatistics, School of Public Health, Suzhou Medical College of Soochow University, Suzhou, Jiangsu, China.
Xujia LuDepartment of Epidemiology and Biostatistics, School of Public Health, Suzhou Medical College of Soochow University, Suzhou, Jiangsu, China.
Mingcan XuDepartment of Epidemiology and Biostatistics, School of Public Health, Suzhou Medical College of Soochow University, Suzhou, Jiangsu, China.
Yan BornéDepartment of Clinical Sciences Malmö, Lund University, Malmö, Sweden.
Chaofu KeDepartment of Epidemiology and Biostatistics, School of Public Health, Suzhou Medical College of Soochow University, Suzhou, Jiangsu, China. Electronic address: cfke@suda.edu.cn.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionEpidemiological evidence suggests the association of preserved ratio impaired spirometry (PRISm) at baseline with the risk of heart failure (HF), however, the associations between transitions of PRISm and incident HF remain to be clarified. Furthermore, the causal relationship and underlying biological mechanisms linking PRISm and HF are unclear.

objectivesThis study aimed to investigate the association between the normal-PRISm transition and incident HF, and further evaluate the causal relationship and underlying molecular mechanisms linking PRISm and HF.

methodsA total of 32,202 individuals with repeated spirometry and 40,047 individuals with proteomic data were included from the UK Biobank. Cox proportional hazards models were employed to estimate the association between the normal-PRISm transition and HF risk. Mendelian randomization (MR) analysis was performed to investigate the causal relationship between PRISm and HF. Mediation analysis was conducted to elucidate the mediation effects of 2,923 plasma proteins.

resultsCompared with consistent normal spirometry, the normal-PRISm transition was associated with an elevated risk of HF (hazard ratio: 1.814, 95 % CI: 1.128, 2.919). The MR suggested a causal link between PRISm and HF (odds ratio: 1.488, 95 % CI: 1.040, 2.130). In addition, 653 proteins demonstrated positive mediation effects, and the overall proteomic score mediated 59.63 % (95% CI: 46.98 %, 77.12 %) of the relationship between PRISm and HF.

conclusionIndividuals with the normal-PRISm transition were at an elevated risk of HF. The MR results suggested the causal link between PRISm and HF, and a variety of plasma proteins substantially mediated the relationship between PRISm and HF.

Indexed as

Blood ProteinsHeart FailureProteomicsSpirometryAgedFemaleHumansIncidenceMaleMendelian Randomization AnalysisMiddle AgedProportional Hazards ModelsRisk FactorsBlood ProteinsHeart failureMendelian randomizationPlasma proteomicsPreserved ratio impaired spirometry

Identifiers

PMID41086986
PMCPMC13316358

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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.