Evidence map›Paper›PMID 12450311›Full record

ArticleEndocrine2002

Effects of postmenopausal hormone replacement therapy on insulin resistance.

Kenan Saglam, Zülfikar Polat, M Ilker Yilmaz, Mustafa Gulec, Seda B Akinci

Abstract read
PubMed Publisher
In one paragraph

Article in Endocrine, 2002. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
1.8field-weighted citation impact, top 16% 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

14 citing papers in PubMed, 41 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Article
  4. Review
  5. Effects ofVeterinary research forum : an international quarterly journal · 2018
    Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Estradiol regulates insulin signaling and inflammation in adipose tissue.Hormone molecular biology and clinical investigation · 2014
    Article
  11. Article
  12. Review
  13. Review
  14. Intravenous estrogens increase insulin clearance and action in postmenopausal women.American journal of physiology. Endocrinology and metabolism · 2003
    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 at 2 institutions in 1 country.

Kenan SaglamGülhane Military Medical Academy, Department of Internal Medicine, Hacettepe University, Etlik-Ankara, Turkey. ksaglam@gata.edu.tr
Zülfikar Polat
M Ilker Yilmaz
Mustafa Gulec
Seda B Akinci
Turkish Armed Forces · TRHacettepe University · TR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Postmenopausal hormone replacement therapy (HRT) protects women from the risk of cardiovascular system disease, osteoporosis, and dementia. There are conflicting reports about the effects of HRT on insulin resistance. The purpose of this study was to investigate the effects of HRT on insulin resistance with the hyperinsulinemic euglycemic clamp technique, the most sensitive technique measuring insulin resistance. Conjugated estrogen (0.625 mg/d) and medroxyprogesterone acetate (5 mg/d) were given to 15 postmenopausal women with insulin resistance. After 3 mo of HRT, the M value (total glucose consumption) increased 28% (p < 0.001), low-density lipoprotein (LDL) cholesterol decreased 12.9% (p < 0.044), high-density lipoprotein (HDL) cholesterol increased 17% (p < 0.009), total cholesterol decreased 9.1% (p < 0.016), and serum insulin decreased 33% (p < 0.022) compared to baseline values before HRT was started. No significant changes in glucose, C-peptide, and triglyceride levels were observed. Whereas there were no differences regarding glucose, total cholesterol, LDL cholesterol, HDL cholesterol, and triglyceride levels between the insulin-resistant (n = 15) and non-insulin-resistantwomen (n = 24) (p > 0.05), there were significant differences in M value, insulin, and C-peptide levels between these groups (p < 0.05). We believe that HRT with this combination may protect postmenopausal women from coronary artery disease (CAD) through its beneficial effects on insulin resistance, hyperinsulinemia, and lipid levels, which are considered to be important factors in CAD pathogenesis.

Indexed as

Estrogen Replacement TherapyCholesterol, HDLCholesterol, LDLC-PeptideEstrogens, Conjugated (USP)FemaleGlucose Clamp TechniqueHumansInsulinInsulin ResistanceMedroxyprogesterone AcetateMiddle AgedReference ValuesTriglyceridesCholesterol, HDLCholesterol, LDLC-PeptideEstrogens, Conjugated (USP)InsulinMedroxyprogesterone AcetateTriglycerides

Identifiers

PMID12450311
OpenAlexW2033733313

What OpenQuestion holds

Textmetadata
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 OpenQuestion graph.