Trial reportInternational journal of obesity (2005)2009

Leptin, but not adiponectin, is a predictor of recurrent cardiovascular events in men: results from the LIPID study.

S Söderberg, D Colquhoun, A Keech, J Yallop, E H Barnes, C Pollicino, J Simes, A M Tonkin, P Nestel, LIPID Study Investigators

Abstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in International journal of obesity (2005), 2009. The graph read 1 number from its abstract, feeding 1 cell of the map: it favours the comparator in 1. Cited by 16 papers, 1 of them a synthesis that pooled it.

1number the graph read from it
1cell of the map it votes in
16citing papers in PubMed, 1 pooled it
3.4field-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.

← favours the treatmentfavours the comparator →
6.000 · no effect
Leptin levelspravastatin vs placebofavours the comparator · ascvd, dyslipidemiafeeds one cell of the map
Δ 6.000.04
Subjects randomly allocated to pravastatin had 6% lower leptin levels (P=0.04) than those allocated to placebo.

clause the extractor read what became the number

2 · Its place on the map

Where it lands on the map

Rows are treatments, columns are outcomes. The coloured squares are the cells this paper feeds, coloured by the vote it casts there. Click one to jump to what this paper adds to it.

supports the treatmentfavours the comparatorno clear differenceread, but no usable result
3 · What it changes

What it adds to each cell

For every cell the paper feeds: the belief in the claim with and without this paper, and this paper's estimate drawn against every other readable study in the cell. The ringed dot is this paper.

Statins×inflammation & biomarkers

ContradictsOpen on the map →What to test next →

7 readable studies in this cell: 2 favour the treatment, 4 find no difference, 1 favour the comparator.

Belief with this paper
0.48contested · 2 families support, 2 contradict · against placebo
Without it
0.50This paper moves it by −0.02.
← favours the treatmentfavours the comparator →
0 · no effect
This paper · 2009
Δ 6.00
NCT002899002,340 enrolled · 2006
Δ -0.80-9.60 to 7.50
NCT00728988499 enrolled · 2008
Δ -29.5-216 to 157
NCT0219706520 enrolled · 2014
Δ 13.0
4 · 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.

5 · Its place in the literature

Who cites it

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 52 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Review
  6. Observational
  7. Arterial Stiffness in Hypertension: an Update.Current hypertension reports · 2018
    Review
  8. Article
  9. The role of adipokines as prognostic factors of one-year mortality in hip fracture patients.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2017
    Article
  10. Article
  11. Review
  12. Article
  13. Pivotal roles of monocytes/macrophages in stroke.Mediators of inflammation · 2013
    Review
  14. Article
  15. Article
  16. Article
6 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

7 · Who and what money

Authors and funding

10 authors at 5 institutions in 2 countries.

S SöderbergDepartment of Public Health and Clinical Medicine, Cardiology, Umeå University, Umeå, Sweden.
D Colquhoun
A Keech
J Yallop
E H Barnes
C Pollicino
J Simes
A M Tonkin
P Nestel
LIPID Study Investigators
The University of Sydney · AUNational Heart Foundation of Australia · AUThe Heart Research Institute · AUThe University of Queensland · AUUmeå University · SE

Funding

No grant is acknowledged in the PubMed record.

8 · The paper itself

Abstract

The marked sentences are the ones the graph read a number from.

objectiveTo investigate the relationships between plasma leptin and adiponectin levels and recurrent cardiovascular events (cardiovascular death, nonfatal myocardial infarction and stroke) in men with earlier acute coronary syndromes. DESIGN, SUBJECTS AND MEASUREMENTS: A nested case-control study examined circulating leptin and adiponectin levels in plasma obtained 4-6 years after entry into the Long-Term Intervention with Pravastatin in Ischaemic Disease (LIPID) trial. Plasma was assayed from 184 men who suffered recurrent events within 4.4 years after blood collection and 184 matched controls who remained free of further events. The association between cardiovascular events and the explanatory variables was examined by conditional logistic regression analysis.

resultsRelative risk (RR) increased across increasing leptin quartiles; the highest quartile compared with the lowest quartile was related to the highest risk (P for trend=0.002); the increased risk remained after adjustment for risk factors (P=0.018) or for obesity (P=0.038), but in the final model (adjusted for randomized treatment, other drugs, LIPID risk score, age and body mass index), the risk was attenuated (RR=1.61, 95% CI: 0.72-3.57, P for trend=0.34). Adiponectin did not predict cardiovascular events. Subjects randomly allocated to pravastatin had 6% lower leptin levels (P=0.04) than those allocated to placebo.

conclusionPlasma leptin was a significant and independent predictor of recurrent cardiovascular events (cardiovascular death, nonfatal myocardial infarction and stroke) in men with earlier acute coronary syndromes.

Indexed as

AdiponectinAgedBiomarkersCardiovascular DiseasesCase-Control StudiesCoronary DiseaseHumansHydroxymethylglutaryl-CoA Reductase InhibitorsLeptinLogistic ModelsLongitudinal StudiesMaleMiddle AgedMyocardial InfarctionNatriuretic Peptide, BrainPeptide FragmentsAdiponectinBiomarkersHydroxymethylglutaryl-CoA Reductase InhibitorsLeptinNatriuretic Peptide, BrainPeptide FragmentsPravastatinpro-brain natriuretic peptide (1-76)

Identifiers

PMID19050671
OpenAlexW2056030610

What Socratic holds

Texttitle and abstract
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 Socratic graph.