Evidence mapPaperPMID 31228493Full record

ArticleDiabetes research and clinical practice2019

Change in CT-measured abdominal subcutaneous and visceral but not thigh fat areas predict future insulin sensitivity.

Amy W Liu, Sun Ok Song, Tomoshige Hayashi, Kyoko K Sato, Steven E Kahn, Donna L Leonetti, Wilfred Y Fujimoto, Edward J Boyko

Abstract read
In one paragraph

Article in Diabetes research and clinical practice, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

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

7 citing papers in PubMed.

  1. 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

8 authors.

Amy W LiuDepartment of Medicine, University of Washington, Seattle, WA, USA.
Sun Ok SongDepartment of Medicine, University of Washington, Seattle, WA, USA; Seattle Epidemiologic Research and Information Center, VA Puget Sound Health Care System, Seattle, WA, USA; Division of Endocrinology and Metabolism, Department of Internal Medicine, National Health Insurance Service Ilsan Hospital, Goyang, Republic of Korea. Electronic address: songsun7777@gmail.com.
Tomoshige HayashiDepartment of Preventive Medicine and Environmental Health, Osaka City University Graduate School of Medicine, Osaka, Japan.
Kyoko K SatoDepartment of Preventive Medicine and Environmental Health, Osaka City University Graduate School of Medicine, Osaka, Japan.
Steven E KahnHospital and Specialty Medicine Service, VA Puget Sound Health Care System, Seattle, WA, USA; Division of Metabolism, Endocrinology and Nutrition, Department of Medicine, University of Washington School of Medicine, Seattle, WA, USA.
Donna L LeonettiDepartment of Anthropology, University of Washington, Seattle, WA, USA.
Wilfred Y FujimotoDivision of Metabolism, Endocrinology and Nutrition, Department of Medicine, University of Washington School of Medicine, Seattle, WA, USA.
Edward J BoykoDepartment of Medicine, University of Washington, Seattle, WA, USA; Seattle Epidemiologic Research and Information Center, VA Puget Sound Health Care System, Seattle, WA, USA.

Funding

ZIPRASIDONE IN NORMAL HEPATIC FUNCTION SUBJECTS &IN HEPATIC DYSFUCTIN SUBJECTSM01RR000037 · UNIVERSITY OF WASHINGTON · 1985 to 2005
$28.0M
Vector and Transgenic Mouse CoreP30DK017047 · NIDDK · UNIVERSITY OF WASHINGTON · 1986 to 2025
$12.6M
PILOT STUDY--CLINICAL NUTRITION RESEARCHP30DK035816 · UNIVERSITY OF WASHINGTON · 1986 to 2025
$7.0M
METABOLIC EPIDEMIOLOGY OF NIDDMR01DK031170 · UNIVERSITY OF WASHINGTON · 1989 to 2000
$553k
CENTRAL OBESITY AND DISEASE RISK IN JAPANESE AMERICANSR01HL049293 · UNIVERSITY OF WASHINGTON · 1993 to 1996
NCRR NIH HHS M01 RR000037NHLBI NIH HHS R01 HL049293NIDDK NIH HHS P30 DK017047NIDDK NIH HHS P30 DK035816NIDDK NIH HHS R01 DK031170
6 · The paper itself

Abstract

aimsWe examined the longitudinal association between change in body composition directly measured by computed tomography (CT) and future insulin sensitivity.

methodsThis was a prospective study with 10 years of follow-up with 297 Japanese-American without diabetes. Intra-abdominal fat area (IAFA) and abdominal subcutaneous fat area (SCFA), and thigh SCFA were measured by CT. Insulin sensitivity was calculated by HOMA-IR and the Matsuda index.

resultsBaseline and change in IAFA were significantly and independently associated with change in HOMA-IR and Matsuda index during follow-up. In multivariate analysis, IAFA and 10-year change in IAFA (Δ IAFA) was significantly and positively associated with 10-year HOMA-IR (p < 0.001) and significantly and negatively associated with 10-year Matsuda index (p < 0.001). The association with Matsuda index though was non-linear and best modeled as a quadratic function (Δ IAFA + Δ IAFA

conclusionsAn increase in visceral adiposity predicts diminished insulin sensitivity over 10 years of follow-up independent of the size of this adipose depot at baseline.

Indexed as

AdiposityInsulin ResistanceAsianFemaleHumansIntra-Abdominal FatLongitudinal StudiesMaleMiddle AgedProspective StudiesRisk FactorsSubcutaneous Fat, AbdominalThighTomography, X-Ray ComputedHOMA-IRInsulin sensitivityMatsuda indexVisceral fat

Identifiers

PMID31228493
PMCPMC6698223

What Socratic holds

Textmetadata
LicenceTDM
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.