Evidence mapPaperPMID 29476613Full record

Trial reportObesity (Silver Spring, Md.)2018

Effect of Progressive Weight Loss on Lactate Metabolism: A Randomized Controlled Trial.

Maria Chondronikola, Faidon Magkos, Jun Yoshino, Adewole L Okunade, Bruce W Patterson, Michael J Muehlbauer, Christopher B Newgard, Samuel Klein

Registry-linked trialOpen access · bronzeAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Obesity (Silver Spring, Md.), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04320264 (Metabolic Inflexibility is Related to Elevated Muscle Anaerobic Glycolysis), which is not on this map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
1.6field-weighted citation impact, top 17% 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.

NCT04320264 recruitingnot on this mapstarted 2020, after this paper: background citation

Metabolic Inflexibility is Related to Elevated Muscle Anaerobic Glycolysis

TypeobservationalSponsorEast Carolina UniversityRan2020 to 2025Enrolled100ConditionsMetabolic InflexibilityArmsWeight loss surgery
3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 31 citations in OpenAlex.

  1. Trial
  2. Article
  3. Review
  4. Lactate Metabolism in Health and Disease.Advances in experimental medicine and biology · 2025
    Review
  5. Review
  6. Observational
  7. Review
  8. Article
  9. Article
  10. Ockham's razor and the metabolic syndrome.Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery · 2021
    Review
  11. Article
  12. Article
  13. Plasma Lactate as a Marker for Metabolic Health.Exercise and sport sciences reviews · 2020
    Review
  14. Article
  15. 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

8 authors at 3 institutions in 2 countries.

Maria ChondronikolaCenter for Human Nutrition and Atkins Center of Excellence in Obesity Medicine, Washington University School of Medicine, St. Louis, Missouri, USA.ORCID 0000-0002-7762-065X
Faidon MagkosCenter for Human Nutrition and Atkins Center of Excellence in Obesity Medicine, Washington University School of Medicine, St. Louis, Missouri, USA.ORCID 0000-0002-1312-7364
Jun YoshinoCenter for Human Nutrition and Atkins Center of Excellence in Obesity Medicine, Washington University School of Medicine, St. Louis, Missouri, USA.ORCID 0000-0001-9833-4356
Adewole L OkunadeCenter for Human Nutrition and Atkins Center of Excellence in Obesity Medicine, Washington University School of Medicine, St. Louis, Missouri, USA.
Bruce W PattersonCenter for Human Nutrition and Atkins Center of Excellence in Obesity Medicine, Washington University School of Medicine, St. Louis, Missouri, USA.
Michael J MuehlbauerSarah W. Stedman Nutrition and Metabolism Center, Duke Molecular Physiology Institute, Duke University Medical Center, Durham, North Carolina, USA.
Christopher B NewgardSarah W. Stedman Nutrition and Metabolism Center, Duke Molecular Physiology Institute, Duke University Medical Center, Durham, North Carolina, USA.ORCID 0000-0002-1293-691X
Samuel KleinCenter for Human Nutrition and Atkins Center of Excellence in Obesity Medicine, Washington University School of Medicine, St. Louis, Missouri, USA.
Atkins (United States) · USDuke University · USAgency for Science, Technology and Research · SG

Funding

Tissue Analysis Imaging CoreP30DK052574 · NIDDK · WASHINGTON UNIVERSITY · 2000 to 2025
$13.7M
TRANSGENICS COREP60DK020579 · WASHINGTON UNIVERSITY · 1986 to 2005
$11.8M
Washington University Institute of Clinical and Translational SciencesUL1TR002345 · WASHINGTON UNIVERSITY · 2025 to 2025
$9.3M
Washington University Nutrition Obesity Research CenterP30DK056341 · WASHINGTON UNIVERSITY · 1999 to 2025
$5.7M
WU P&FP30DK020579 · NIDDK · WASHINGTON UNIVERSITY · 2022 to 2025
$5.6M
THERMOGENESIS AND EXERCISE IN LEAN, OBESE, AND DIABETICR01DK037948 · WEILL MEDICAL COLLEGE OF CORNELL UNIV · 1987 to 2005
$1.7M
NAD+ and metabolic flexibilityR01DK104995 · NIDDK · WASHINGTON UNIVERSITY · PI Samuel Klein · 2021 to 2023
$1.2M
The Washington University Center for Diabetes Translation ResearchP30DK092950 · WASHINGTON UNIVERSITY · 2025 to 2025
$850k
NCATS NIH HHS UL1 TR000448NCATS NIH HHS UL1 TR002345NCRR NIH HHS UL1 RR024992NIDDK NIH HHS P01 DK078669NIDDK NIH HHS P30 DK020579NIDDK NIH HHS P30 DK052574NIDDK NIH HHS P30 DK056341NIDDK NIH HHS P30 DK092950NIDDK NIH HHS P60 DK020579NIDDK NIH HHS R01 DK037948NIDDK NIH HHS R01 DK094483NIDDK NIH HHS R01 DK104995
6 · The paper itself

Abstract

objectiveLactate is an intermediate of glucose metabolism that has been implicated in the pathogenesis of insulin resistance. This study evaluated the relationship between glucose kinetics and plasma lactate concentration ([LAC]) before and after manipulating insulin sensitivity by progressive weight loss.

methodsForty people with obesity (BMI = 37.9 ± 4.3 kg/m

resultsAt baseline, fasting [LAC] correlated positively with endogenous glucose production rate (r = 0.532; P = 0.001) and negatively with insulin sensitivity, assessed as the insulin-stimulated glucose disposal (r = -0.361; P = 0.04). Progressive (5% through 16%) weight loss caused a progressive decrease in fasting [LAC], and the decrease in fasting [LAC] after 5% weight loss was correlated with the decrease in endogenous glucose production (r = 0.654; P = 0.002) and the increase in insulin sensitivity (r = -0.595; P = 0.007).

conclusionsThis study demonstrates the interrelationships among weight loss, hepatic and muscle glucose kinetics, insulin sensitivity, and [LAC], and it suggests that [LAC] can serve as an additional biomarker of glucose-related insulin resistance.

Indexed as

AdultFemaleGlucose Clamp TechniqueHumansInsulin ResistanceLactatesMaleWeight LossLactates

Identifiers

PMID29476613
PMCPMC5866193
OpenAlexW2793949981

What Socratic holds

Textmetadata
LicenceTDM
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.