Evidence mapPaperPMID 33855209Full record

ArticleEndocrinology, diabetes & metabolism2021

Association between metformin and physical activity with glucose control in adults with type 2 diabetes.

Diana Abdalhk, Michael C Riddell, Sarah Swayze, Jennifer L Kuk

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Article in Endocrinology, diabetes & metabolism, 2021. 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

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

3 citing papers in PubMed.

  1. Trial
  2. Article
  3. 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

4 authors.

Diana AbdalhkSchool of Kinesiology and Health Science, York University, Toronto, Ontario, Canada.
Michael C RiddellSchool of Kinesiology and Health Science, York University, Toronto, Ontario, Canada.ORCID https://orcid.org/0000-0001-6556-7559
Sarah SwayzeSchool of Kinesiology and Health Science, York University, Toronto, Ontario, Canada.
Jennifer L KukSchool of Kinesiology and Health Science, York University, Toronto, Ontario, Canada.ORCID https://orcid.org/0000-0002-3425-6149

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: To examine the combined association between metformin use and physical activity on HbA1c in adults with type 2 diabetes. Research Design and Methods: Adults with type 2 diabetes from NHANES continuous survey (1999-2018, n = 6447) were classified as active and inactive based on self-reported engagement in moderate-to-vigorous or vigorous physical activity (MVPA or VigPA) and metformin use over the last month. Results: There was a significant negative main effect of metformin usage on HbA1c levels, independent of whether individuals engaged in modest levels of MVPA or VigPA. Moreover, there was a higher prevalence of metformin users with a HbA1c < 6.5% than non-metformin users with no differences by activity status (36.1%-39.5% versus 24.9%-29.7%, respectively). There was a significantly lower HbA1c level ( Conclusions: There appears to be independent benefits of metformin and regular physical activity on glucose control, but the impact of these two treatments are not necessarily additive. Based on this analyses, the benefit of physical activity on HbA1c levels in type 2 diabetes is likely more apparent in those not taking metformin, as compared to those who are.

Indexed as

Combined Modality TherapyDiabetes Mellitus, Type 2ExerciseExercise TherapyFemaleGlycated HemoglobinGlycemic ControlHumansHypoglycemic AgentsMaleMetforminMiddle AgedTreatment OutcomeGlycated Hemoglobinhemoglobin A1c protein, humanHypoglycemic AgentsMetformin

Identifiers

PMID33855209
PMCPMC8029551

What Socratic holds

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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.