Evidence mapPaperPMID 36923417Full record

SynthesisFrontiers in immunology2023

Association of normal weight obesity phenotype with inflammatory markers: A systematic review and meta-analysis.

Nami Mohammadian Khonsari, Fereshteh Baygi, Ozra Tabatabaei-Malazy, Sahar Mohammadpoor Nami, Amir Ehsani, Sasan Asadi, Mostafa Qorbani

Full text readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Frontiers in immunology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing 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

18 citing papers in PubMed.

  1. Malnutrition in Obesity: When BMI-Based Screening Masks Clinical Risk.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2026
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  12. Adolescents with Normal Weight Obesity Have Less Dry Lean Mass Compared to Obese Counterparts.International journal of environmental research and public health · 2025
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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.

Nami Mohammadian KhonsariNon-Communicable Diseases Research Center, Alborz University of Medical Sciences, Karaj, Iran.
Fereshteh BaygiResearch Unit of General Practice, Department of Public Health, University of Southern Denmark, Odense, Denmark.
Ozra Tabatabaei-MalazyEndocrinology and Metabolism Population Sciences Institute, Non-Communicable Diseases Research Center, Tehran University of Medical Sciences, Tehran, Iran.
Sahar Mohammadpoor NamiNon-Communicable Diseases Research Center, Alborz University of Medical Sciences, Karaj, Iran.
Amir EhsaniDepartment of Pediatric, Iran University of Medical Sciences, Tehran, Iran.
Sasan AsadiNon-Communicable Diseases Research Center, Alborz University of Medical Sciences, Karaj, Iran.
Mostafa QorbaniNon-Communicable Diseases Research Center, Alborz University of Medical Sciences, Karaj, Iran.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Individuals with normal weight could suffer from obesity based on their body fat percentage (also known as normal weight obesity (NWO)), thus being at risk of significant morbidity and mortality compared to the general population. It seems that inflammatory pathways and chronic inflammation are significant contributors to the pathogenicity of NWO. This study aimed to assess and pool the association of proinflammatory and anti-inflammatory cytokines with NWO. Methods: In this systematic review and meta-analysis, online international databases (PubMed, Scopus, EMBASE, Web of Science, and Google Scholar) were searched until August 2022. All observational studies with an English full text comparing the mean levels of proinflammatory and anti-inflammatory cytokines (e.g., C-reactive protein (CRP), various types of interleukins (IL) s, tumor necrosis factor-alpha (TNF)) and white blood cell (WBC) count, in subjects with NWO and "normal weight non-obese (NWNO)" were included. Two researchers independently screened, reviewed and assessed the quality of included studies. The remaining articles' data were extracted post-screening. The heterogeneity between studies was assessed using the I Results: From the initial 559 studies, 21 and 19 were included in the qualitative and quantitative synthesis, respectively. In the systematic review, 8 studies reported a significant association between various proinflammatory cytokines (CRP, IL Conclusion: The findings of this study show that NWO was associated with high levels of CRP and IL6. Therefore, inflammatory pathways may play a role in the pathogenicity of NWO.

Indexed as

Interleukin-6ObesityAnti-Inflammatory AgentsC-Reactive ProteinCytokinesHumansInterleukinsPhenotypeTumor Necrosis Factor-alphaAnti-Inflammatory AgentsC-Reactive ProteinCytokinesInterleukin-6InterleukinsTumor Necrosis Factor-alphaCRPinflammationinflammatory markersinterleukinnormal weight obesityNWO

Identifiers

PMID36923417
PMCPMC10010388

What Socratic holds

Textfull text, public
LicenceCC BY
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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.