Evidence map›Paper›PMID 40774652›Full record

ArticleDiabetes research and clinical practice2025

Regional and systemic adipose mass and peripheral conduit artery function.

Denis J Wakeham, Benjamin E Beckman, Mona Mashayekhi, James M Luther, Erica M Garner, Bradley Perkins, Joann Gottlieb, Kevin Niswender, Christopher M Hearon, Nancy J Brown and 1 more

Abstract read
In one paragraph

Article in Diabetes research and clinical practice, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

11 authors.

Denis J WakehamInstitute for Exercise and Environmental Medicine, Texas Health Presbyterian Hospital Dallas, Dallas, TX, United States; Division of Cardiology, The University of Texas Southwestern Medical Center, Dallas, TX, United States; Division of Vascular Medicine, The University of Texas Southwestern Medical Center, Dallas, TX, United States.
Benjamin E BeckmanInstitute for Exercise and Environmental Medicine, Texas Health Presbyterian Hospital Dallas, Dallas, TX, United States.
Mona MashayekhiDivision of Diabetes, Endocrinology and Metabolism, Department of Medicine, Vanderbilt University Medical Center, Nashville, TN, United States.
James M LutherDivision of Diabetes, Endocrinology and Metabolism, Department of Medicine, Vanderbilt University Medical Center, Nashville, TN, United States.
Erica M GarnerDivision of Diabetes, Endocrinology and Metabolism, Department of Medicine, Vanderbilt University Medical Center, Nashville, TN, United States.
Bradley PerkinsDivision of Diabetes, Endocrinology and Metabolism, Department of Medicine, Vanderbilt University Medical Center, Nashville, TN, United States.
Joann GottliebDivision of Diabetes, Endocrinology and Metabolism, Department of Medicine, Vanderbilt University Medical Center, Nashville, TN, United States.
Kevin NiswenderDivision of Diabetes, Endocrinology and Metabolism, Department of Medicine, Vanderbilt University Medical Center, Nashville, TN, United States.
Christopher M HearonInstitute for Exercise and Environmental Medicine, Texas Health Presbyterian Hospital Dallas, Dallas, TX, United States; Department of Applied Clinical Research, The University of Texas Southwestern Medical Center, Dallas, TX, United States.
Nancy J BrownYale School of Medicine, New Haven, CT, United States.
Joshua A BeckmanDivision of Vascular Medicine, The University of Texas Southwestern Medical Center, Dallas, TX, United States. Electronic address: Joshua.beckman@utsouthwestern.edu.

Funding

Vanderbilt Institute for Clinical and Translational Research (VICTR) -Identifying correlates of functional immunity in SARS-CoV-2 convalescent plasmaUL1TR002243 · NCATS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI Paul A. Harris, Wesley H Self · 2017 to 2026
$130.7M
Vanderbilt Diabetes Research CenterP30DK020593 · NIDDK · VANDERBILT UNIVERSITY MEDICAL CENTER · PI Marcela Brissova · 2012 to 2026
$29.3M
Institutional Career Development CoreKL2TR002245 · NCATS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI Julie A. Bastarache · 2017 to 2026
$9.3M
The Effect of SGLT2 Inhibition on Adipose Tissue Inflammation and Endothelial FunctionK23HL159351 · NHLBI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI Mona Mashayekhi · 2023 to 2026
$742k
NCATS NIH HHS KL2 TR002245NCATS NIH HHS UL1 TR002243NHLBI NIH HHS K23 HL159351NIDDK NIH HHS P30 DK020593
6 · The paper itself

Abstract

introductionVascular function and metabolic function are inherently coupled. While prior studies have linked body mass index (BMI) and visceral adiposity to reduced FMD, the relationship between whole-body and limb-specific adiposity and vascular function in adults with pre-diabetic levels of insulin resistance remains unclear.

methodsWe assessed body composition (DEXA), insulin resistance (HOMA-IR and Matsuda Index), and brachial artery FMD in 93 pre-diabetic individuals (69 % Female) aged 18-65 with obesity (BMI ≥ 30 kg/m

resultsFMD was not associated with BMI (r = 0.12, p = 0.24), total body fat (kg) (r = -0.12, p = 0.31), or arm fat (kg) (r = 0.00, p = 0.99). In contrast, there was an inverse correlation between FMD and Waist:Hip ratio (r = -0.24, p = 0.03), total body lean mass (r = -0.32, p = 0.005) and arm lean mass (r = -0.25, p < 0.03). The correlation between FMD and Waist:Hip ratio persisted after adjusting for HOMA-IR (r =  - 0.31, P = 0.01), the Matsuda Index (r =  - 0.31, P < 0.01) and sex (r = -0.35, p = 0.006).

conclusionIn adults with obesity and insulin resistance, higher visceral adiposity, but not systemic and regional fat mass, is independently associated with impaired vascular function. These findings suggest that visceral fat distribution may have detrimental effects on vascular health, distinct from its impact on insulin sensitivity.

Indexed as

Adipose TissueAdiposityBrachial ArteryObesityAdolescentAdultAgedBody CompositionBody Mass IndexFemaleHumansInsulin ResistanceMaleMiddle AgedYoung AdultAdiposityInsulin resistanceLean massPre-diabetesVascular function

Identifiers

PMID40774652
PMCPMC13082910

What Socratic holds

Textmetadata
LicenceTDM
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.