Evidence map›Paper›PMID 36949492›Full record

ArticleDiabetology & metabolic syndrome2023

Perirenal fat thickness and liver fat fraction are independent predictors of MetS in adults with overweight and obesity suspected with NAFLD: a retrospective study.

Li Wang, Yuning Pan, Xianwang Ye, Yongmeng Zhu, Yandong Lian, Hui Zhang, Miao Xu, Mengxiao Liu, Xinzhong Ruan

Open access · goldFull text read
In one paragraph

Article in Diabetology & metabolic syndrome, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
2.6field-weighted citation impact, top 10% 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, 12 citations in OpenAlex.

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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

9 authors at 2 institutions in 1 country.

Li WangDepartment of Radiology, Ningbo First Hospital, No. 59, Liuting Street, Haishu District, Ningbo, Zhejiang, 315010, China.
Yuning PanDepartment of Radiology, Ningbo First Hospital, No. 59, Liuting Street, Haishu District, Ningbo, Zhejiang, 315010, China.
Xianwang YeDepartment of Radiology, Ningbo First Hospital, No. 59, Liuting Street, Haishu District, Ningbo, Zhejiang, 315010, China.
Yongmeng ZhuDepartment of Radiology, Ningbo First Hospital, No. 59, Liuting Street, Haishu District, Ningbo, Zhejiang, 315010, China.
Yandong LianDepartment of Radiology, Ningbo First Hospital, No. 59, Liuting Street, Haishu District, Ningbo, Zhejiang, 315010, China.
Hui ZhangDepartment of Radiology, Ningbo First Hospital, No. 59, Liuting Street, Haishu District, Ningbo, Zhejiang, 315010, China.
Miao XuDepartment of Endocrinology, Ningbo First Hospital, No. 59, Liuting Street, Haishu District, Ningbo, Zhejiang, 315010, China.
Mengxiao LiuMR Collaborations, Siemens healthineers, No.278, Zhouzhu Road, Pudong New District, Shanghai, 200090, China.
Xinzhong RuanDepartment of Radiology, Ningbo First Hospital, No. 59, Liuting Street, Haishu District, Ningbo, Zhejiang, 315010, China. xinzhong_ruan@163.com.
Ningbo First Hospital · CNSiemens (China) · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNonalcoholic fatty liver disease (NAFLD) has a multidirectional relationship with metabolic syndrome (MetS) and used to be considered a hepatic manifestation of MetS. Perirenal fat, as a part of visceral adipose tissue (VAT), was reported to be correlated with MetS components, but data for intraorgan fat are lacking. This study was undertaken to assess the value of peripheral and intraorgan fat to predict MetS in adults with overweight and obesity with suspected NAFLD.

methodsWe studied 134 sequential adults (mean age, 31.5 years; 47% female) with overweight and obesity with suspected NAFLD. All participants underwent abdominal magnetic resonance imaging (MRI) examination. Anthropometric and metabolic parameters and perirenal fat thickness (PRFT), subcutaneous adipose tissue thickness (SATT), liver fat fraction (LFF), pancreas fat fraction (PFF), and lumbar spine fat fraction (LSFF) were collected. MetS was defined according to the International Diabetes Federation (IDF) criteria. Statistical analyses included basic statistics, linear correlation and logistic regression analysis.

resultsA total of 63 adults with MetS and 71 adults with advanced liver steatosis (grades 2 and 3) were included in our study. Patients with MetS had greater PRFT (p = 0.026) and LFF (p < 0.001), as well as greater homeostasis model assessment of insulin resistance (HOMA-IR), alanine transaminase (ALT), aspartate transaminase (AST), and decreased SATT. MetS patients had a higher proportion of advanced steatosis than those without MetS (P < 0.001). The MetS score was associated with PRFT and LFF. Logistic regression analysis showed that the PRFT and LFF were independent predictors of MetS after adjusting for age and sex. A cutoff of 9.15 mm for PRFT and 14.68% for LFF could be predictive of MetS.

conclusionsThis study shows that the absolute cutoff level of 9.15 mm for PRFT and 14.68% for LFF may be clinically important markers for identifying patients who are at high risk of MetS among adults with overweight and obesity with suspected NAFLD, irrespective of sex and age. Moreover, ectopic fat levels in pancreas and lumbar spine are positively associated with PRFT.

trial registrationNot applicable.

Indexed as

Intraorgan fatMetabolic syndromeNonalcoholic fatty liver diseasePerirenal fat

Identifiers

PMID36949492
PMCPMC10035216
OpenAlexW4353029178

What Socratic holds

Textfull text, public
LicenceCC BY
measurements read29
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.