Evidence map›Paper›PMID 41239355›Full record

Observational studyBMC public health2025

Revealing the U-shaped nonlinear relationship between lipid accumulation product levels and cardiovascular disease risk using the large CHARLS cohort study in China.

Yuan-Bo Zhang, Chi Chen, Tao Zheng, Gang Sun

Abstract readObservational Study
In one paragraph

Observational study in BMC public health, 2025. 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. 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

4 authors.

Yuan-Bo Zhang *Department of Cardiology, The First Affiliated Hospital of Guizhou University of Traditional Chinese Medicine, # 83 Zhongshan Road, Gui Yang City, Gui Zhou Province, 550001, China.
Chi Chen *Department of Cardiology, The First Affiliated Hospital of Guizhou University of Traditional Chinese Medicine, # 83 Zhongshan Road, Gui Yang City, Gui Zhou Province, 550001, China.
Tao ZhengDepartment of Cardiology, The First Affiliated Hospital of Guizhou University of Traditional Chinese Medicine, # 83 Zhongshan Road, Gui Yang City, Gui Zhou Province, 550001, China. oulaosisonzhengtao@163.com.
Gang SunDepartment of Cardiology, The First Affiliated Hospital of Guizhou University of Traditional Chinese Medicine, # 83 Zhongshan Road, Gui Yang City, Gui Zhou Province, 550001, China.

Funding

the Science and Technology Support Plan of Guizhou Provincial Department of Science and Technology in 2020 [Project No. Qianke Support【2021】 General 064]
6 · The paper itself

Abstract

backgroundCardiovascular disease (CVD) poses a major health challenge in China. Lipid accumulation product (LAP), reflecting body fat distribution, has been associated with CVD risk. However, evidence regarding the relationship between LAP and CVD among Chinese populations remains limited.

methodsThis study utilized data from the China Health and Retirement Longitudinal Study, a large national cohort study. A total of 4,481 participants aged ≥ 45 years without CVD at baseline were included, with a 9-year follow-up. Cox regression analyses were performed to examine the association between LAP and CVD incidence. Subgroup and sensitivity analyses were also conducted.

resultsLAP was associated with CVD risk in a U-shaped manner, with higher risks observed at both low and high LAP levels (inflection point = 2.7). For LAP ≤ 2.7, the hazard ratio (HR) for CVD was 0.62 (95% CI: 0.40, 0.96, P = 0.0309), indicating a 38% decreased risk with increasing LAP. For LAP > 2.7, the HR was 1.22 (95% CI: 1.04, 1.44, P = 0.0153), suggesting a 22% increased risk.

conclusionThis study revealed a U-shaped nonlinear relationship between LAP and CVD risk in Chinese adults, with risks elevated at both low and high LAP levels. The findings suggest LAP could serve as an effective predictor for CVD among the Chinese population. Further studies are warranted to validate the results.

Indexed as

Cardiovascular DiseasesLipid Accumulation ProductAgedChinaCohort StudiesFemaleHeart Disease Risk FactorsHumansLongitudinal StudiesMaleMiddle AgedNonlinear DynamicsProportional Hazards ModelsRisk FactorsCardiovascular disease (CVD)China health and retirement longitudinal study (CHARLS)Lipid accumulation product (LAP)U-shaped relationship

Identifiers

PMID41239355
PMCPMC12619476

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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.