Evidence map›Paper›PMID 41413398›Full record

ArticleJournal of the American Heart Association2026

Associations of Perfluoroalkyl and Polyfluoroalkyl Substances With Cardiovascular Disease Incidence in Adults With Prediabetes: Findings From the Diabetes Prevention Program.

Pi-I Debby Lin, Andres Cardenas, Marinella Temprosa, Julianne Cook Botelho, Antonia M Calafat, Diane R Gold, Emily Oken, Abby F Fleisch

Abstract read
In one paragraph

Article in Journal of the American Heart Association, 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

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. 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.

Pi-I Debby LinDivision of Chronic Disease Research Across the Lifecourse, Department of Population Medicine Harvard Medical School and Harvard Pilgrim Health Care Institute Boston MA USA.ORCID 0000-0003-3564-4255
Andres CardenasDepartment of Epidemiology and Population Health Stanford University Stanford CA USA.ORCID 0000-0003-2284-3298
Marinella TemprosaDepartment of Biostatistics and Bioinformatics and Biostatistics Center Milken Institute School of Public Health, the George Washington University Washington DC USA.ORCID 0000-0002-9976-745X
Julianne Cook BotelhoDivision of Laboratory Sciences National Center for Environmental Health, Centers for Disease Control and Prevention Atlanta GA USA.
Antonia M CalafatDivision of Laboratory Sciences National Center for Environmental Health, Centers for Disease Control and Prevention Atlanta GA USA.ORCID 0000-0002-9796-7482
Diane R GoldDepartment of Environmental Health Harvard T.H. Chan School of Public Health Boston MA USA.
Emily OkenDivision of Chronic Disease Research Across the Lifecourse, Department of Population Medicine Harvard Medical School and Harvard Pilgrim Health Care Institute Boston MA USA.ORCID 0000-0003-2513-3339
Abby F FleischCenter for Interdisciplinary Population & Health Research MaineHealth Institute for Research Westbrook ME USA.

Funding

Long-term prospective associations of PFAS with musculoskeletal and cardiovascular health among older adultsR01ES024765 · NIEHS · HARVARD PILGRIM HEALTH CARE, INC. · PI Abby Fleisch, Emily Oken · 2015 to 2026
$3.9M
Prospective associations of childhood PFAS with metabolomic profiles, pubertal timing, and bone healthR01ES030101 · NIEHS · MAINEHEALTH · PI Abby Fleisch · 2019 to 2026
$3.6M
NIEHS NIH HHS R01 ES024765NIEHS NIH HHS R01 ES030101
6 · The paper itself

Abstract

backgroundPerfluoroalkyl and polyfluoroalkyl substances (PFAS) are persistent, widespread environmental contaminants linked to cardiometabolic outcomes including obesity, hyperlipidemia, and diabetes. We examined whether baseline plasma PFAS concentrations are associated with incident cardiovascular disease (CVD) in adults with prediabetes, leveraging data from DPPOS (Diabetes Prevention Program Outcomes Study).

methodsAmong 1382 participants, we quantified baseline plasma concentrations of 6 PFAS. We used Cox proportional hazards models to estimate the risks of developing CVD outcomes during a median of 21 years of follow-up for each PFAS and used quantile g-computation to evaluate the joint effect of all 6 PFAS. Effect modification by age, sex, menopausal status, diet, and physical activity was explored.

resultsThe incidence of major adverse cardiovascular events was 9.6%; 3.9% had CVD-related death. Each increase in interquartile range (1.1 ng/mL) in 2-(

conclusionIn adults with prediabetes, higher plasma concentrations of select PFAS, but not their mixture, were prospectively associated with increased CVD risk. These findings underscore PFAS as a potential environmental risk factor for CVD in high-risk populations.

Indexed as

Cardiovascular DiseasesEnvironmental ExposureEnvironmental PollutantsFluorocarbonsPrediabetic StateAdultAgedAlkanesulfonic AcidsCaprylatesClinical Trials, Phase III as TopicFemaleHumansIncidenceMaleMiddle AgedRandomized Controlled Trials as TopicAlkanesulfonic AcidsCaprylatesEnvironmental PollutantsFluorocarbonsperfluorooctane sulfonic acidperfluorooctanoic acidcardiovascular diseaseenvironmental exposurefluorocarbonsprediabetes

Identifiers

PMID41413398
PMCPMC12909047

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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.