Evidence mapPaperPMID 39614159Full record

ArticleBMC cardiovascular disorders2024

Inverse association between serum klotho levels and C-reactive protein levels in the US population: a cross-sectional study.

Xuelan Peng, Yingjie Hu, Jiarong Xu, Ling Chen, Wei Ren, Wenzhi Cai

Abstract read
In one paragraph

Article in BMC cardiovascular disorders, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
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

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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

3 citing papers in PubMed.

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4 · The record

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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.

Xuelan PengDepartment of Nursing, Shenzhen Hospital, Southern Medical University, Number 1333, Xinhu Road, Baoán District, Shenzhen, Guangdong, 518101, China.
Yingjie HuDepartment of Nursing, Shenzhen Hospital, Southern Medical University, Number 1333, Xinhu Road, Baoán District, Shenzhen, Guangdong, 518101, China.
Jiarong XuDepartment of Nursing, Shenzhen Hospital, Southern Medical University, Number 1333, Xinhu Road, Baoán District, Shenzhen, Guangdong, 518101, China.
Ling ChenDepartment of Nursing, Shenzhen Hospital, Southern Medical University, Number 1333, Xinhu Road, Baoán District, Shenzhen, Guangdong, 518101, China.
Wei RenDepartment of Nursing, Shenzhen Hospital, Southern Medical University, Number 1333, Xinhu Road, Baoán District, Shenzhen, Guangdong, 518101, China.
Wenzhi CaiDepartment of Nursing, Shenzhen Hospital, Southern Medical University, Number 1333, Xinhu Road, Baoán District, Shenzhen, Guangdong, 518101, China. caiwzh@smu.edu.cn.

Funding

Science, Technology and Innovation Commission of Shenzhen Municipality JCYJ20210324142406016
6 · The paper itself

Abstract

backgroundThe inverse relationship between serum Klotho levels and systemic inflammation, particularly C-reactive protein (CRP), has been suggested in limited studies. However, the association within a large and diverse population remains underexplored.

methodsWe conducted a cross-sectional study using data from the National Health and Nutrition Examination Survey (NHANES) to investigate the association between serum Klotho levels and CRP among a nationally representative sample of the US population. Multiple linear regression analyses were performed to assess this relationship while adjusting for relevant covariates. Stratified analysis with interaction, restricted cubic splines (RCS) were employed to support the research objectives.

resultsA total of 5901 participants had a mean age of 57.9 ± 11.0 years, with 49.4% of them being male and 50.6% of them being female. A negative association between serum Klotho and CRP was revealed in the fully adjusted model (β -0.26; 95% CI -0.41∼-0.11). When serum Klotho was taken as quartiles with Q1 as reference, the adjusted β that were lowest in Q4 were - 0.1 (95% CI -0.16∼-0.04, p-value = 0.002) in model 4, respectively. These statistics were robust in stratified analyses.

conclusionWhile our study demonstrates an inverse association between serum Klotho levels and CRP, suggesting a potential cardioprotective role of Klotho, it is important to note that our cross-sectional design does not permit the establishment of causality. Therefore, we cannot definitively conclude that increasing Klotho levels will directly reduce cardiovascular risk. Our findings do, however, highlight the need for further research to explore the potential of Klotho as a therapeutic target for cardiovascular health.

Indexed as

BiomarkersC-Reactive ProteinKlotho ProteinsNutrition SurveysAdultAgedCardiovascular DiseasesCross-Sectional StudiesFemaleGlucuronidaseHumansInflammation MediatorsMaleMiddle AgedRisk AssessmentUnited StatesBiomarkersC-Reactive ProteinGlucuronidaseInflammation MediatorsKlotho ProteinsKL protein, humanCross-sectional studyCRPNHANESSerum Klotho

Identifiers

PMID39614159
PMCPMC11606063

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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.