Evidence mapPaperPMID 39820340Full record

ArticleThe Journal of clinical endocrinology and metabolism2025

Longitudinal Association of Statin Treatment With Insulin Sensitivity and Beta-Cell Function in the PROMISE Cohort.

Kira Zhi Hua Lai, Stewart B Harris, Ravi Retnakaran, Anthony J G Hanley, Ute I Schwarz

Abstract read
In one paragraph

Article in The Journal of clinical endocrinology and metabolism, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. Article
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

5 authors.

Kira Zhi Hua LaiDepartment of Nutritional Sciences, Faculty of Medicine, University of Toronto, Toronto M5S 1A8, Canada.
Stewart B HarrisDepartment of Family Medicine, Western University, London N6A 5A5, Canada.
Ravi RetnakaranDivision of Endocrinology and Metabolism, University of Toronto, Toronto M5S 1A8, Canada.
Anthony J G HanleyDepartment of Nutritional Sciences, Faculty of Medicine, University of Toronto, Toronto M5S 1A8, Canada.ORCID 0000-0002-6364-2444
Ute I SchwarzDepartment of Physiology and Pharmacology, Western University, London N6A 5A5, Canada.ORCID 0000-0003-1569-1580

Funding

Heart and Stroke Foundation of Canada # G-22-0032139
6 · The paper itself

Abstract

contextStatin treatment lowers low-density lipoprotein (LDL) cholesterol, thereby reducing cardiovascular risk. Meta-analyses of clinical trials report a higher risk of new-onset type 2 diabetes with statins. Current clinical evidence regarding effects of statins on insulin sensitivity and beta-cell function is limited.

objectiveWe examined the effects of statin treatment on longitudinal changes in early-risk phenotypes for type 2 diabetes.

methodsThe PROMISE cohort is a longitudinal study of adults at risk for type 2 diabetes. Data from baseline and 3 follow-up visits over 9 years were used to estimate insulin sensitivity (insulin sensitivity index, homeostatic model assessment for insulin sensitivity) and beta-cell function (insulinogenic index/homeostatic model assessment for insulin resistance, insulin secretion sensitivity index-2). Statin use was self-reported. Associations of statins with changes in metabolic markers were determined through generalized estimating equations.

resultsOver 9 years, 169 of 498 participants (aged 50 years, 74% female) received a statin, predominantly rosuvastatin and atorvastatin. Compared to those with no statin treatment, statin users had lower insulin sensitivity (5.32%-6.36%) and beta-cell function (4.93%-7.59%) (P < .001), adjusting for metabolic risk factors. Rosuvastatin was associated with decreased insulin sensitivity and beta-cell function, while atorvastatin showed moderate inverse association with beta-cell function and insulin sensitivity. In female participants, statins reduced insulin sensitivity and beta-cell function, while in male participants only beta-cell function was altered.

conclusionStatin treatment was associated with lowered insulin sensitivity and beta-cell function with potential differential effects among statin agents and the sexes.

Indexed as

Diabetes Mellitus, Type 2Hydroxymethylglutaryl-CoA Reductase InhibitorsInsulin ResistanceInsulin-Secreting CellsAdultAgedCohort StudiesFemaleHumansLongitudinal StudiesMaleMiddle AgedHydroxymethylglutaryl-CoA Reductase Inhibitorsinsulin secretioninsulin sensitivitynew-onset diabetes mellitusobservational studysex differencesstatin treatment

Identifiers

PMID39820340
PMCPMC12448594

What Socratic holds

Texttitle and abstract
LicenceCC BY-NC-ND
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.