Evidence map›Paper›PMID 32529242›Full record

Observational studyThe Journal of clinical endocrinology and metabolism2020

Vasculometabolic and Inflammatory Effects of Aldosterone in Obesity.

Charlotte D C C van der Heijden, Rob Ter Horst, Inge C L van den Munckhof, Kiki Schraa, Jacqueline de Graaf, Leo A B Joosten, A H Jan Danser, Mihai G Netea, Jaap Deinum, Joost Rutten and 1 more

Open access · hybridAbstract readObservational Study
In one paragraph

Observational study in The Journal of clinical endocrinology and metabolism, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.0field-weighted citation impact, top 23% 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.

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

9 citing papers in PubMed, 22 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. 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

11 authors at 3 institutions in 4 countries.

Charlotte D C C van der HeijdenDepartment of Internal Medicine, Radboud University Medical Center, Nijmegen, GA, the Netherlands.
Rob Ter HorstDepartment of Internal Medicine, Radboud University Medical Center, Nijmegen, GA, the Netherlands.
Inge C L van den MunckhofDepartment of Internal Medicine, Radboud University Medical Center, Nijmegen, GA, the Netherlands.
Kiki SchraaDepartment of Internal Medicine, Radboud University Medical Center, Nijmegen, GA, the Netherlands.
Jacqueline de GraafDepartment of Internal Medicine, Radboud University Medical Center, Nijmegen, GA, the Netherlands.
Leo A B JoostenDepartment of Internal Medicine, Radboud University Medical Center, Nijmegen, GA, the Netherlands.
A H Jan DanserDepartment of Internal Medicine, Erasmus Medical Center, Rotterdam, GD, the Netherlands.
Mihai G NeteaDepartment of Internal Medicine, Radboud University Medical Center, Nijmegen, GA, the Netherlands.
Jaap DeinumDepartment of Internal Medicine, Radboud University Medical Center, Nijmegen, GA, the Netherlands.
Joost RuttenDepartment of Internal Medicine, Radboud University Medical Center, Nijmegen, GA, the Netherlands.
Niels P RiksenDepartment of Internal Medicine, Radboud University Medical Center, Nijmegen, GA, the Netherlands.
Radboud University Nijmegen · NLErasmus MC · NLUniversity of Bonn · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

contextNot all obese individuals develop cardiovascular disease (CVD). Hyperaldosteronism is suggested to cause inflammation and metabolic dysregulation, and might contribute to CVD development in obese individuals.

objectiveWe aimed to investigate the association of aldosterone concentrations with inflammation, metabolic disturbances, and atherosclerosis in overweight and obese individuals. Additionally, we measured renin concentrations to investigate whether the observed effects reflected general activation of the renin-angiotensin-aldosterone system (RAAS).

designA cross-sectional cohort study (300-OB study) was conducted. Various inflammatory parameters, traits of the metabolic syndrome, lipidome and metabolome parameters, fat distribution, and carotid atherosclerosis were associated with plasma aldosterone and renin levels.

settingThe setting of this study was the Radboudumc (i.o. Radboudumc), the Netherlands. PATIENTS: A total of 302 individuals with a body mass index greater than or equal to 27 kg/m2 participated. MAIN OUTCOME MEASURES AND

resultsAldosterone was associated with various markers of inflammation and metabolic dysregulation, which partly differed from the associations observed for renin. Although both were associated with inflammatory cell numbers, only renin was associated with classical markers of systemic inflammation. Both were associated with the metabolic syndrome and hepatic steatosis. Of the traits that constitute metabolic syndrome, aldosterone, but not renin, was associated with triglyceride concentrations. Accordingly, aldosterone was associated with large very low-density lipoprotein particles; metabolomics studies further associated aldosterone with urate concentrations and derivatives of the linoleic acid metabolism pathway. Neither aldosterone nor renin was associated with atherosclerotic plaque thickness.

conclusionsAldosterone is not an important driver of systemic inflammation in the obese, whereas aldosterone concentrations and metabolic dysregulation are strongly intertwined in these individuals. Although prospective studies are necessary to validate these results, the independent effects of aldosterone on carotid atherosclerosis appear modest.

Indexed as

AgedAged, 80 and overAldosteroneAtherosclerosisBiomarkersCarotid ArteriesCross-Sectional StudiesFastingFemaleHumansHyperaldosteronismInflammationLinoleic AcidLipoproteins, VLDLMagnetic Resonance ImagingMaleAldosteroneBiomarkersLinoleic AcidLipoproteins, VLDLReninTriglyceridesaldosteroneatherosclerosisinflammationmetabolomicsobesityrenin-angiotensin-aldosterone system

Identifiers

PMID32529242
PMCPMC7320834
OpenAlexW3035052366

What Socratic holds

Textmetadata
LicenceCC BY
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.