Evidence map›Paper›PMID 37685186›Full record

ReviewFoods (Basel, Switzerland)2023

The Relationship between Mortality from Cardiovascular Diseases and Total Drinking Water Hardness: Systematic Review with Meta-Analysis.

Aleksandra Bykowska-Derda, Marcin Spychala, Magdalena Czlapka-Matyasik, Mariusz Sojka, Jerzy Bykowski, Mariusz Ptak

Open access · goldAbstract readReview
In one paragraph

Review in Foods (Basel, Switzerland), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
6.3field-weighted citation impact, top 2% 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

12 citing papers in PubMed, 39 citations in OpenAlex.

  1. Associations Between Domestic Water Hardness, Genetic Risk and Severe MASLD: A Large-Scale Cohort Study.FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 2026
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  6. Review
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  8. Domestic water hardness, genetic risk, and distinct phenotypes of cardiovascular disease.Environmental health : a global access science source · 2025
    Article
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  11. Review
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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

6 authors at 2 institutions in 1 country.

Aleksandra Bykowska-DerdaDepartment of Human Nutrition and Dietetics, Poznan University of Life Sciences, Wojska Polskiego 31, 60-624 Poznan, Poland.ORCID 0000-0002-1351-2895
Marcin SpychalaDepartment of Hydraulic and Sanitary Engineering, Poznan University of Life Sciences, Piątkowska 94A, 60-649 Poznan, Poland.ORCID 0000-0001-5204-2948
Magdalena Czlapka-MatyasikDepartment of Human Nutrition and Dietetics, Poznan University of Life Sciences, Wojska Polskiego 31, 60-624 Poznan, Poland.ORCID 0000-0002-6085-4855
Mariusz SojkaDepartment of Land Improvement, Environmental Development and Spatial Management, Poznań University of Life Sciences, Piątkowska 94E, 60-649 Poznan, Poland.ORCID 0000-0002-1453-0374
Jerzy BykowskiDepartment of Land Improvement, Environmental Development and Spatial Management, Poznań University of Life Sciences, Piątkowska 94E, 60-649 Poznan, Poland.
Mariusz PtakDepartment of Hydrology and Water Management, Adam Mickiewicz University, Krygowskiego 10, 61-680 Poznan, Poland.ORCID 0000-0003-1225-1686
University of Life Sciences in Poznań · PLAdam Mickiewicz University in Poznań · PL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundInterest in water chemical activity, its content, and its impact on human health has greatly increased throughout the last decade. Some studies suggest that drinking water with high hardness may have preventative effects on cardiovascular diseases. This study aims to investigate the association between drinking water hardness and cardiovascular disease (CVD) mortality.

methodsThe study selection process was designed to find the association between drinking water hardness and CVDs mortality. The search included both qualitative and quantitative research and was performed in three databases: Web of Science (Clarivate Analytics, Ann Arbor, MI, USA), PubMed (National Institute of Health, Bethesda, MA, USA), and Scopus (Elsevier, RELX Group plc, London, UK). The project was registered in the International Prospective Register of Systematic Reviews (PROSPERO), registration number: CRD42020213102.

resultsSeventeen studies out of a total of twenty-five studies qualitatively analyzed indicated a significant relation between total water hardness and protection from CVD mortality. The quantitative analysis concluded that high drinking water hardness has a significantly lowering effect on mortality from CVDs, however, the heterogeneity was high.

conclusionsThis systematic literature review shows that total water hardness could affect CVD prevention and mortality. Due to the many confounding factors in the studies, more research is needed.

Indexed as

arterial sclerosishearthypertensionwater hardness

Identifiers

PMID37685186
PMCPMC10486380
OpenAlexW4386282696

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.