Evidence mapPaperPMID 38569471Full record

ArticleCell metabolism2024

Cardiometabolic characteristics of people with metabolically healthy and unhealthy obesity.

Max C Petersen, Gordon I Smith, Hector H Palacios, Sarah S Farabi, Mihoko Yoshino, Jun Yoshino, Kevin Cho, Victor G Davila-Roman, Mahalakshmi Shankaran, Ruteja A Barve and 7 more

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in Cell metabolism, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02706262 (Complex Effects of Dietary Manipulation on Metabolic Function, Inflammation and Health), which is not on this map. Cited by 80 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
80citing papers in PubMed, 1 pooled it
35.3field-weighted citation impact, top 1% 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.

NCT02706262 naactive not recruitingnot on this map

Complex Effects of Dietary Manipulation on Metabolic Function, Inflammation and Health

TypeinterventionalSponsorWashington University School of MedicineRan2016 to 2027Enrolled180ConditionsObesity, Insulin ResistanceArmsMetabolically abnormal obese - Mediterranean diet, Metabolically abnormal obese - Low carbohydrate ketogenic diet, Metabolically abnormal obese - Plant-based, very-low-fat diet, Annual Follow-up Visits
3 · Its place in the literature

Who cites it

80 citing papers in PubMed, 1 synthesis or guideline pooled it, 108 citations in OpenAlex.

  1. Pooled it
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  11. Measurement of glycolysis with heavy water labeling.The Journal of biological chemistry · 2026
    Article
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  18. Parenting to promote eating, body image, and weight-related health in young adults.Journal of family psychology : JFP : journal of the Division of Family Psychology of the American Psychological Association (Division 43) · 2026
    Article
  19. Review
  20. Article

20 more citing papers are in PubMed but not listed here.

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

17 authors at 5 institutions in 2 countries.

Max C PetersenCenter for Human Nutrition, Washington University in St. Louis, St. Louis, MO, USA; Division of Endocrinology, Metabolism, and Lipid Research, Washington University in St. Louis, St. Louis, MO, USA.
Gordon I SmithCenter for Human Nutrition, Washington University in St. Louis, St. Louis, MO, USA.
Hector H PalaciosCenter for Human Nutrition, Washington University in St. Louis, St. Louis, MO, USA.
Sarah S FarabiCenter for Human Nutrition, Washington University in St. Louis, St. Louis, MO, USA; Goldfarb School of Nursing at Barnes-Jewish College, St. Louis, MO, USA.
Mihoko YoshinoCenter for Human Nutrition, Washington University in St. Louis, St. Louis, MO, USA.
Jun YoshinoCenter for Human Nutrition, Washington University in St. Louis, St. Louis, MO, USA; Division of Nephrology, Endocrinology and Metabolism, Department of Internal Medicine, Keio University School of Medicine, Tokyo, Japan.
Kevin ChoDepartment of Chemistry, Washington University in St. Louis, St. Louis, MO, USA.
Victor G Davila-RomanCardiovascular Imaging and Clinical Research Core Laboratory, Cardiovascular Division, Washington University in St. Louis, St. Louis, MO, USA.
Mahalakshmi ShankaranUniversity of California, Berkeley, Berkeley, CA, USA.
Ruteja A BarveDepartment of Genetics, Washington University in St. Louis, St. Louis, MO, USA.
Jinsheng YuDepartment of Genetics, Washington University in St. Louis, St. Louis, MO, USA.
Jennifer H SternDivision of Endocrinology, Department of Medicine, University of Arizona College of Medicine, Tucson, AZ, USA.
Bruce W PattersonCenter for Human Nutrition, Washington University in St. Louis, St. Louis, MO, USA.
Marc K HellersteinUniversity of California, Berkeley, Berkeley, CA, USA.
Gerald I ShulmanDepartments of Internal Medicine and Cellular & Molecular Physiology, Yale School of Medicine, New Haven, CT, USA.
Gary J PattiDepartment of Chemistry, Washington University in St. Louis, St. Louis, MO, USA.
Samuel KleinCenter for Human Nutrition, Washington University in St. Louis, St. Louis, MO, USA. Electronic address: sklein@wustl.edu.
Washington University in St. Louis · USUniversity of California, Berkeley · USKeio University · JPUniversity of Arizona · USYale University · US

Funding

Tissue Analysis Imaging CoreP30DK052574 · NIDDK · WASHINGTON UNIVERSITY · 2000 to 2025
$13.7M
TRANSGENICS COREP60DK020579 · WASHINGTON UNIVERSITY · 1986 to 2005
$11.8M
Yale Diabetes Research CenterP30DK045735 · YALE UNIVERSITY · 1993 to 2025
$10.2M
Washington University Institute of Clinical and Translational SciencesUL1TR002345 · WASHINGTON UNIVERSITY · 2025 to 2025
$9.3M
Washington University Nutrition Obesity Research CenterP30DK056341 · WASHINGTON UNIVERSITY · 1999 to 2025
$5.7M
WU P&FP30DK020579 · NIDDK · WASHINGTON UNIVERSITY · 2022 to 2025
$5.6M
DIABETES &RELATED METABOLIC DISEASEST32DK007120 · WASHINGTON UNIVERSITY · 1986 to 2025
$3.4M
Washington University Institute of Clinical and Translational Sciences (KL2)KL2TR002346 · WASHINGTON UNIVERSITY · 2025 to 2025
$1.4M
Mechanism of Renal Cortical Insulin ResistanceR01DK133143 · YALE UNIVERSITY · 2025 to 2025
$573k
NCATS NIH HHS KL2 TR002346NCATS NIH HHS UL1 TR002345NIDDK NIH HHS P30 DK020579NIDDK NIH HHS P30 DK045735NIDDK NIH HHS P30 DK052574NIDDK NIH HHS P30 DK056341NIDDK NIH HHS P60 DK020579NIDDK NIH HHS R01 DK113984NIDDK NIH HHS R01 DK133143NIDDK NIH HHS T32 DK007120
6 · The paper itself

Abstract

There is considerable heterogeneity in the cardiometabolic abnormalities associated with obesity. We evaluated multi-organ system metabolic function in 20 adults with metabolically healthy obesity (MHO; normal fasting glucose and triglycerides, oral glucose tolerance, intrahepatic triglyceride content, and whole-body insulin sensitivity), 20 adults with metabolically unhealthy obesity (MUO; prediabetes, hepatic steatosis, and whole-body insulin resistance), and 15 adults who were metabolically healthy lean. Compared with MUO, people with MHO had (1) altered skeletal muscle biology (decreased ceramide content and increased expression of genes involved in BCAA catabolism and mitochondrial structure/function); (2) altered adipose tissue biology (decreased expression of genes involved in inflammation and extracellular matrix remodeling and increased expression of genes involved in lipogenesis); (3) lower 24-h plasma glucose, insulin, non-esterified fatty acids, and triglycerides; (4) higher plasma adiponectin and lower plasma PAI-1 concentrations; and (5) decreased oxidative stress. These findings provide a framework of potential mechanisms responsible for MHO and the metabolic heterogeneity of obesity. This study was registered at ClinicalTrials.gov (NCT02706262).

Indexed as

Cardiovascular DiseasesInsulin ResistanceMetabolic SyndromeObesity, Metabolically BenignAdultBody Mass IndexHumansObesityRisk FactorsTriglyceridesTriglyceridesadipose tissuebeta cell functioninsulin resistanceinsulin sensitivitymetabolically healthy obesityobesityskeletal muscle

Identifiers

PMID38569471
PMCPMC11025492
OpenAlexW4393535636

What Socratic holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

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.