Evidence mapPaperPMID 12948431Full record

ReviewCurrent hypertension reports2003

Impact of the obesity epidemic on hypertension and renal disease.

John E Hall, Daniel W Jones, Jay J Kuo, Alexandre da Silva, Lakshmi S Tallam, Jiankang Liu

Registry-linked trialAbstract readReview
PubMed Publisher
In one paragraph

Review in Current hypertension reports, 2003. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03912909 (Effects of SGLT-2 Inhibition on Sympathetic Nervous System Activity in Humans), which is not on this map. Cited by 29 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 1 pooled it
3.2field-weighted citation impact, top 8% of its field
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.

NCT03912909 phase4unknown statusstarted 2018, after this paper: background citation

Effects of SGLT-2 Inhibition on Sympathetic Nervous System Activity in Humans

Ran2018Enrolled30Registered outcomes7Posted comparisons0ConditionsMetabolic Syndrome, Obesity, Type 2 Diabetes MellitusArmsEmpagliflozin Oral Tablet [Jardiance], Placebo Oral Tablet
Open the trial in the graph
3 · Its place in the literature

Who cites it

29 citing papers in PubMed, 1 synthesis or guideline pooled it, 111 citations in OpenAlex.

  1. Obesity and central obesity as risk factors for incident dementia and its subtypes: a systematic review and meta-analysis.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2008
    Pooled it
  2. Review
  3. Review
  4. Review
  5. Article
  6. Review
  7. Article
  8. Article
  9. Review
  10. Article
  11. The Intricate Network of Adipokines and Stroke.International journal of endocrinology · 2015
    Review
  12. Review
  13. Obesity, hypertension, and chronic kidney disease.International journal of nephrology and renovascular disease · 2014
    Review
  14. Article
  15. Article
  16. Article
  17. Obesity and diabetic kidney disease.The Medical clinics of North America · 2013
    Review
  18. AT2 receptor non-peptide agonist C21 promotes natriuresis in obese Zucker rats.Hypertension research : official journal of the Japanese Society of Hypertension · 2012
    Article
  19. Anti-mullerian hormone as a predictor of time to menopause in late reproductive age women.The Journal of clinical endocrinology and metabolism · 2012
    Article
  20. 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

6 authors at 1 institution in 1 country.

John E HallDepartment of Physiology and Biophysics, University of Mississippi Medical Center, 2500 North State Street, Jackson, MS 39216-4505, USA. jehall@physiology.umsmed.edu
Daniel W Jones
Jay J Kuo
Alexandre da Silva
Lakshmi S Tallam
Jiankang Liu
Jackson Memorial Hospital · US

Funding

STRUCTURAL VASCULAR ADAPTATION OF THE MICROCIRCULATIONP01HL051971 · UNIVERSITY OF MISSISSIPPI MEDICAL CENTER · 1993 to 2005
$11.3M
NHLBI NIH HHS P01 HL 51971
6 · The paper itself

Abstract

Excess weight gain is a major cause of increased blood pressure in most patients with essential hypertension, and also greatly increases the risk for renal disease. Obesity raises blood pressure by increasing renal tubular reabsorption, impairing pressure natriuresis, causing volume expansion due to activation of the sympathetic nervous system and renin-angiotensin system, and by physical compression of the kidneys, especially when visceral obesity is present. The mechanisms of sympathetic nervous system activation in obesity may be due, in part, to hyperleptinemia that stimulates the hypothalamic pro-opiomelanocortin pathway. With prolonged obesity, there may be a gradual loss of nephron function that worsens with time and exacerbates hypertension. Weight reduction is an essential first step in the management of obesity hypertension and renal disease. Special considerations for the obese patient, in addition to adequately controlling the blood pressure, include correction of the metabolic abnormalities and protection of the kidneys from further injury.

Indexed as

AnimalsHumansHypertensionKidney DiseasesLeptinObesityRenin-Angiotensin SystemSympathetic Nervous SystemLeptin

Identifiers

PMID12948431
OpenAlexW2049525976

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

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 Socratic graph.