Evidence map›Paper›PMID 41501800›Full record

Trial reportBMC endocrine disorders2026

The role of short-term metformin in regulating zinc and adipose tissue-derived biomarkers in children with obesity and insulin resistance.

Humeyra Acikan, Ayse Isik, Emre Sarikaya, Sabahattin Muhtaroglu, Nihal Hatipoglu

Registry-linked trialAbstract readClinical Trial
In one paragraph

Trial report in BMC endocrine disorders, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It reports registered trial NCT06266598. 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.

NCT06266598 phase4completed

The Effect of Anti-diabetic Treatment Applied in Childhood Obesity on Zinc, Zinc α-2 Glycoprotein and Peroxisome Proliferation Activating Receptor-γ Levels

Ran2019Enrolled52Registered outcomes2Posted comparisons0ConditionsChildhood Obesity, Insulin ResistanceArmsMetformin
Open the trial in the graph
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

5 authors.

Humeyra AcikanDepartment of Medical Biochemistry, Faculty of Medicine, Erciyes University, Kayseri, Turkey.
Ayse IsikDepartment of Medical Biochemistry, Faculty of Medicine, Erciyes University, Kayseri, Turkey.
Emre SarikayaDepartment of Pediatric Endocrinology, Faculty of Medicine, Erciyes University, Kayseri, Turkey.
Sabahattin MuhtarogluDepartment of Medical Biochemistry, Faculty of Medicine, Erciyes University, Kayseri, Turkey.
Nihal HatipogluDepartment of Pediatric Endocrinology, Faculty of Medicine, Erciyes University, Kayseri, Turkey. nihalhatipoglu@yahoo.com.

Funding

Bilimsel Araştırma Projeleri, Erciyes Üniversitesi 10745
6 · The paper itself

Abstract

aimTo evaluate the short-term effects of metformin treatment on serum zinc (Zn), zinc-α2-glycoprotein (ZAG), peroxisome proliferator-activated receptor gamma (PPARγ), leptin (LEP), and adiponectin (ADIPO) levels in obese and insulin-resistant children compared with healthy controls.

methodsFifty-two children with obesity and insulin resistance (IR) and 33 age-matched healthy controls were included. The patient group received metformin for three months alongside lifestyle advice. Anthropometric data and the serum levels of Zn, ZAG, PPARγ, LEP, and ADIPO were measured before and after treatment. The outcomes were also analyzed on the basis of weight change.

resultsAt baseline, the obesity group presented lower ZAG and ADIPO and higher LEP and IR indices than the control group did (p < 0.001). After treatment, BMI, insulin, HOMA-IR, and HDL-C improved. The serum Zn, ZAG, ADIPO, and LEP levels increased significantly (p < 0.05), whereas the PPARγ level remained unchanged. Although 73% had lost weight, 27% had gained weight. In the weight-gain group, both LEP and ADIPO increased, suggesting a weight-independent adipokine response to metformin.

conclusionMetformin led to short-term improvements in metabolic and adipokine profiles in children with obesity and IR. The increase in ADIPO, even among those who gained weight, may reflect the potential weight-independent effect of metformin on insulin sensitivity. CLINICAL

trial registrationClinicalTrials.gov, NCT06266598. Registration date: February 11, 2024.

Indexed as

Adipose TissueBiomarkersHypoglycemic AgentsInsulin ResistanceMetforminPediatric ObesityZincAdiponectinAdolescentCase-Control StudiesChildFemaleFollow-Up StudiesHumansLeptinMaleAdiponectinBiomarkersHypoglycemic AgentsLeptinMetforminPPAR gammaZincZn-Alpha-2-GlycoproteinAdipokinesChildhood obesityInsulin resistanceMetforminWeight lossZinc

Identifiers

PMID41501800
PMCPMC12870910

What Socratic holds

Texttitle and abstract
LicenceCC BY-NC-ND
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.