Evidence map›Paper›PMID 34794374›Full record

ArticleBMC gastroenterology2021

Independent associations of thyroid-related hormones with hepatic steatosis and insulin resistance in euthyroid overweight/obese Chinese adults.

Danyan Ma, Jinyang Zeng, Bingkun Huang, Fangfang Yan, Jiawen Ye, Yun Chen, Xiying Zeng, Xin Zheng, Fangsen Xiao, Mingzhu Lin and 2 more

Open access · goldAbstract read
In one paragraph

Article in BMC gastroenterology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
1.5field-weighted citation impact, top 18% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.

  1. Fatty liver index (FLI): more than a marker of hepatic steatosis.Journal of physiology and biochemistry · 2024
    Pooled it
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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

12 authors at 3 institutions in 1 country.

Danyan Ma *School of Medicine, Xiamen University, Xiamen, China.
Jinyang Zeng *Department of Endocrinology and Diabetes, The First Affiliated Hospital, Xiamen University, Xiamen, China.
Bingkun Huang *Department of Endocrinology and Diabetes, The First Affiliated Hospital, Xiamen University, Xiamen, China.
Fangfang YanDepartment of Endocrinology and Diabetes, The First Affiliated Hospital, Xiamen University, Xiamen, China.
Jiawen YeThe Third Clinical Medical College, Fujian Medical University, Fuzhou, China.
Yun ChenThe Third Clinical Medical College, Fujian Medical University, Fuzhou, China.
Xiying ZengThe Third Clinical Medical College, Fujian Medical University, Fuzhou, China.
Xin ZhengDepartment of Endocrinology and Diabetes, The First Affiliated Hospital, Xiamen University, Xiamen, China.
Fangsen XiaoDepartment of Endocrinology and Diabetes, The First Affiliated Hospital, Xiamen University, Xiamen, China.
Mingzhu LinDepartment of Endocrinology and Diabetes, The First Affiliated Hospital, Xiamen University, Xiamen, China.
Changqin LiuDepartment of Endocrinology and Diabetes, The First Affiliated Hospital, Xiamen University, Xiamen, China. liuchangqin@xmu.edu.cn.
Zhibin LiEpidemiology Research Unit, Translational Medical Research Center, The First Affiliated Hospital, Xiamen University, Xiamen, China. zhibinli33@hotmail.com.
First Affiliated Hospital of Xiamen University · CNFujian Medical University · CNXiamen University · CN

Funding

National Key R&D Program of China 2017YFC0907100Natural Science Foundation of China grant 81870611Natural Science Foundation of Fujian Province 2020J011242Open project of State Key Laboratory of Cellular Stress Biology, Xiamen University SKLCSB2019KF004
6 · The paper itself

Abstract

purposeThe aim of the study is to explore the independent association of free triiodothyronine (FT3), free thyroxine (FT4) and thyroid stimulating hormone (TSH) with hepatic steatosis and insulin resistance.

methodsA cross-sectional study of 88 overweight/obese adults who underwent anthropometric measurements [BMI, waist circumference (WC) and waist-to-height ratio (WHtR)], hepatic steatosis assessment (FibroScan) and thyroid-related hormones tests was conducted from 2018 to 2020 in Xiamen, China.

resultsSubjects with increasing tertiles of FT3 showed significantly higher levels of controlled attenuation parameter (CAP) ((295.4 ± 44.1, 290.1 ± 68.2 and 331.7 ± 43.6 (dB/m) for tertile 1-3, respectively, p = 0.007) and fatty liver index (FLI) score (47.7 (33.9-60.8), 61.5 (45.1-88.9) and 90.5 (84.5-94.8), respectively, p < 0.001). FT3 significantly and positively correlated with obesity index (BMI, WC, and WHtR), homeostatic model assessment of insulin resistance (HOMA-IR) and hepatic steatosis (CAP and FLI). Multivariable linear regression analyses with adjustment for potential confounding factors showed FT3 was independently associated with BMI (regression coefficient (β (95%CI): 0.024 (0.004-0.043), p = 0.020), HOMA-IR (β (95%CI): 0.091 (0.007-0.174), p = 0.034), CAP (β (95%CI): 25.45 (2.59-48.31), p = 0.030) and FLI (β (95%CI): 0.121 (0.049-0.194), p = 0.001). Neither FT4 nor TSH was significantly associated with any indicators of obesity, insulin resistance or hepatic steatosis.

conclusionsIncreased FT3, but not FT4 or TSH, was independently associated with higher risks of hepatic steatosis and insulin resistance in euthyroid overweight/obese Chinese adults. Trial registration Registration is not applicable for our study.

Indexed as

Fatty LiverInsulin ResistanceAdultChinaCross-Sectional StudiesHumansObesityOverweightThyroid GlandThyroid HormonesThyrotropinThyroxineTriiodothyronineThyroid HormonesThyrotropinThyroxineTriiodothyronineControlled attenuation parameter (CAP)Fatty liver index (FLI)Free triiodothyronine (FT3)Hepatic steatosisInsulin resistance

Identifiers

PMID34794374
PMCPMC8603528
OpenAlexW3171866710

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.