Evidence mapPaperPMID 15589072Full record

ArticleBiomedicine & pharmacotherapy = Biomedecine & pharmacotherapie2004

Effects of a statin group drug, pravastatin, on the insulin resistance in patients with metabolic syndrome.

Feyzullah Güçlü, Bilgin Ozmen, Zeliha Hekimsoy, Cengiz Kirmaz

Registry-linked trialAbstract readComparative Study
PubMed Publisher
In one paragraph

Article in Biomedicine & pharmacotherapy = Biomedecine & pharmacotherapie, 2004. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02754739 (Effect of Pravastatin in the Subjects With Prediabetes or Early Diabetes), which is not on this map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
8.7field-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.

NCT02754739 phase4completedstarted 2014, after this paper: background citation

Effect of Pravastatin in the Subjects With Prediabetes or Early Diabetes

Ran2014Enrolled44Registered outcomes10Posted comparisons0ConditionsDiabetes Mellitus, Prediabetic StateArmsNutritional education only, Placebo (for Pravastatin), pravastatin
Open the trial in the graph
3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 1 synthesis or guideline pooled it, 83 citations in OpenAlex.

  1. Pooled it
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  10. Diabetogenic effect of statins: a double-edged sword?Diabetes & metabolism journal · 2013
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  20. A novel membrane-based anti-diabetic action of atorvastatin.Biochemical and biophysical research communications · 2008
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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

4 authors at 1 institution in 1 country.

Feyzullah GüçlüDepartment of Internal Medicine, Faculty of Medicine, Celal Bayar University, Manisa, Turkey.
Bilgin Ozmen
Zeliha Hekimsoy
Cengiz Kirmaz
Manisa Celal Bayar University · TR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn West of Scotland Coronary Prevention Study (WOSCOPS), development of type 2 diabetes mellitus (DM) was found to decrease by 30% in pravastatin-treated patients. In the study, it is suggested that pleiotropic effects of pravastatin may be responsible too as well as its lipid lowering effect.

objectiveThe aim of this study was to assess the effects of pravastatin treatment on the insulin resistance in patients with metabolic syndrome with impaired glucose tolerance (IGT), by Homeostasis Model Assessment (HOMA) test, insulin sensitivity indices and glucose half activation time (glucose t1/2).

methodsStudy population consisted of 25 women who were diagnosed with metabolic syndrome. At baseline and 10 weeks after the 20 mg/daily tablet pravastatin treatment, waist/hip circumference, body weight and arterial blood pressure measurements, plasma glucose, total cholesterol, triglyceride, high density lipoprotein (HDL)-cholesterol, transaminases, glycosylated haemoglobin (A1C) and insulin level measurements were obtained along with HOMA test and insulin tolerance test after 12 h of fasting. Insulin sensitivity indices and glucose t1/2 were assessed.

resultsAfter the treatment, a statistically significant decrease was observed in arterial blood pressure values (P < 0.0001). While plasma total cholesterol, low density lipoprotein (LDL)-cholesterol, and triglyceride levels were found to decrease significantly and HDL-cholesterol levels increased significantly, a decrease in baseline insulin levels, an increase in insulin sensitivity levels were observed along with an decrease in glucose t1/2. Related to the improvement in aforementioned parameters, statistically significant decreases were noted in HOMA, postprandial and fasting glucose levels and A1C values (P < 0.0001).

conclusionOur study suggests that using pravastatin in the dyslipidemia treatment of metabolic syndrome with IGT may be an effective approach by its advantageous effects on insulin resistance. Based on this result, it is possible to say that this can be a risk lowering treatment approach for the development of type 2 DM.

Indexed as

Diabetes Mellitus, Type 2FemaleHumansInsulin ResistanceMetabolic SyndromeMiddle AgedPravastatinPravastatin

Identifiers

PMID15589072
OpenAlexW2156984585

What Socratic holds

Texttitle and abstract
Read underepoch 390

Registered trials

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.