Evidence map›Paper›PMID 36678332›Full record

ArticleNutrients2023

Association of Blood Urea Nitrogen with Cardiovascular Diseases and All-Cause Mortality in USA Adults: Results from NHANES 1999-2006.

Canlin Hong, Huiping Zhu, Xiaoding Zhou, Xiaobing Zhai, Shiyang Li, Wenzhi Ma, Keyang Liu, Kokoro Shirai, Haytham A Sheerah, Jinhong Cao

Abstract read
In one paragraph

Article in Nutrients, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed, 1 pooled it
–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

41 citing papers in PubMed, 1 synthesis or guideline pooled it.

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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

10 authors.

Canlin HongDepartment of Epidemiology and Biostatistics, School of Public Health, Wuhan University, Wuhan 430071, China.
Huiping ZhuSchool of Public Health, Capital Medical University, Beijing 100069, China.
Xiaoding ZhouSchool of Public Health, Capital Medical University, Beijing 100069, China.
Xiaobing ZhaiCenter for Artificial Intelligence Driven Drug Discovery, Faculty of Applied Sciences, Macao Polytechnic University, Macau 999078, China.
Shiyang LiDepartment of Epidemiology and Biostatistics, School of Public Health, Wuhan University, Wuhan 430071, China.
Wenzhi MaDepartment of Epidemiology and Biostatistics, School of Public Health, Wuhan University, Wuhan 430071, China.
Keyang LiuPublic Health, Department of Social Medicine, Osaka University Graduate School of Medicine, 2-2 Yamadaoka, Suita-shi 565-0871, Japan.
Kokoro ShiraiPublic Health, Department of Social Medicine, Osaka University Graduate School of Medicine, 2-2 Yamadaoka, Suita-shi 565-0871, Japan.
Haytham A SheerahInternational Collaborations Ministry of Health, Riyadh 11176, Saudi Arabia.ORCID 0000-0001-5949-6803
Jinhong CaoSchool of Management, Hubei University of Chinese Medicine, Wuhan 430065, China.

Funding

SEROTONIN'S ROLE IN PSYCHOBIOLOGY OF ANOREXIA NERVOSAK23MH002021 · NIMH · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI ATTIA, EVELYN · 2001 to 2005
$800k
Fundamental Research Funds for the Central Universities 2020YJ066Fundamental Research Funds for the Health Commission of Hubei Province SWSZFY2021Fundamental Research Funds for the Health Commission of Wuhan WHWSZFY2021National Natural Science Foundation of China 82173626
6 · The paper itself

Abstract

In the general population, there is little evidence of a link between blood urea nitrogen (BUN) and long-term mortality. The goal of this study was to explore whether higher BUN concentration is a predictor of cardiovascular disease (CVD) and all-cause mortality. From 1999 to 2006, the National Health and Nutrition Examination Survey (NHANES) included 17,719 adult individuals. Death outcomes were ascertained by linkage to the database records through 31 December 2015. The Cox proportional hazard regression model was used to calculate hazard ratios (HRs) and 95% confidence intervals (CIs) for CVD and all-cause mortality in individuals. We also performed stratified analyses based on age, gender, drinking, smoking, history of hypertension and diabetes. During a mean follow-up 11.65 years, a total of 3628 deaths were documented, of which 859 were due to CVD. Participants with higher BUN had a higher risk of CVD and all-cause death compared to those with lower BUN. After multifactor adjustment for demographics, major lifestyle factors, and hypertension and diabetes history, higher BUN levels compared with lower levels were significantly associated with higher risk of CVD (HR: 1.48 [1.08, 2.02], P-trend < 0.001) and all-cause mortality (HR: 1.48 [1.28, 1.72], P-trend < 0.001). In subgroup analyses, we found that the trend in the association of BUN with the risk of death remained strong in female subjects. Greater BUN levels were linked to higher CVD and all-cause mortality in the NHANES of American adults. The importance of BUN in predicting death is supported by our research.

Indexed as

Cardiovascular DiseasesDiabetes MellitusHypertensionAdultBlood Urea NitrogenFemaleHumansNutrition SurveysUnited Statesall-cause mortalityblood urea nitrogencardiovascular diseasesNational Health and Nutrition Examination Survey (NHANES)

Identifiers

PMID36678332
PMCPMC9865447

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.