Evidence map›Paper›PMID 33879765›Full record

ArticleTranslational psychiatry2021

Cross-sectional investigation of insulin resistance in youths with autism spectrum disorder. Any role for reduced brain glucose metabolism?

Melania Manco, Silvia Guerrera, Lucilla Ravà, Marta Ciofi Degli Atti, Silvia Di Vara, Giovanni Valeri, Stefano Vicari

Open access · goldAbstract read
In one paragraph

Article in Translational psychiatry, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 2 pooled it
2.3field-weighted citation impact, top 12% 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.

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

19 citing papers in PubMed, 2 syntheses or guidelines pooled it, 34 citations in OpenAlex.

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  15. Journal of clinical medicine · 2022
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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

7 authors at 1 institution in 2 countries.

Melania MancoResearch Area for Multifactorial Diseases and Complex Phenotypes, Bambino Gesù, Children's Hospital, IRCCS, Rome, Italy. melania.manco@opbg.net.ORCID 0000-0002-6581-975X
Silvia GuerreraResearch Area for Multifactorial Diseases and Complex Phenotypes, Bambino Gesù, Children's Hospital, IRCCS, Rome, Italy.
Lucilla RavàDepartment of Epidemiology, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy.
Marta Ciofi Degli AttiDepartment of Epidemiology, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy.
Silvia Di VaraDepartment of Neuroscience, Child Neuropsychiatric Unit, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy.ORCID 0000-0001-8880-5644
Giovanni ValeriResearch Area for Multifactorial Diseases and Complex Phenotypes, Bambino Gesù, Children's Hospital, IRCCS, Rome, Italy.
Stefano VicariResearch Area for Multifactorial Diseases and Complex Phenotypes, Bambino Gesù, Children's Hospital, IRCCS, Rome, Italy.
Bambino Gesù Children's Hospital · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The autism spectrum disorder (ASD) is an etiologically heterogeneous disorder. Dysfunctions of the intermediate metabolism have been described in some patients. We speculate these metabolic abnormalities are associated with brain insulin resistance (IR), i.e., the reduced glucose metabolism at the level of the nervous central system. The Homeostasis model assessment of insulin resistance (HOMA-IR) is very often used in population studies as estimate of peripheral IR and it has been recently recognized as proxy of brain IR. We investigated HOMA-IR in 60 ASD patients aged 4-18 years and 240 healthy controls, also aged 4-18 years, but unmatched for age, sex, body weight, or body mass index (BMI). At multivariable linear regression model, the HOMA-IR was 0.31 unit higher in ASD individuals than in controls, after having adjusted for sex, age, BMI z-score category, and lipids that are factors known to influence HOMA-IR. Findings of this preliminary study suggest it is worth investigating brain glucose metabolism in larger population of patients with ASD by using gold standard technique. The recognition of a reduced glucose metabolism in some areas of the brain as marker of autism might have tremendous impact on our understanding of the pathogenic mechanisms of the disease and in terms of public health.

Indexed as

Autism Spectrum DisorderInsulin ResistanceAdolescentBlood GlucoseBody Mass IndexBrainCross-Sectional StudiesGlucoseHumansInsulinBlood GlucoseGlucoseInsulin

Identifiers

PMID33879765
PMCPMC8058067
OpenAlexW3154886111

What Socratic holds

Textmetadata
LicenceCC BY
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.