Evidence map›Paper›PMID 18349062›Full record

ArticleThe Journal of clinical endocrinology and metabolism2008

Lower visceral and subcutaneous but higher intermuscular adipose tissue depots in patients with growth hormone and insulin-like growth factor I excess due to acromegaly.

Pamela U Freda, Wei Shen, Steven B Heymsfield, Carlos M Reyes-Vidal, Eliza B Geer, Jeffrey N Bruce, Dympna Gallagher

Open access · bronzeAbstract readComparative StudyValidation Study
In one paragraph

Article in The Journal of clinical endocrinology and metabolism, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 77 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
77citing papers in PubMed, 3 pooled it
3.1field-weighted citation impact, top 8% 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

77 citing papers in PubMed, 3 syntheses or guidelines pooled it, 139 citations in OpenAlex.

  1. Pooled it
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  13. Growth Hormone, Not Simply Just a Hormone for Growth.Endocrinology and metabolism (Seoul, Korea) · 2026
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  18. Observational
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17 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

7 authors at 3 institutions in 1 country.

Pamela U FredaDepartment of Medicine, Columbia University, College of Physicians and Surgeons, 650 West 168th Street, New York, NY 10032, USA. puf1@columbia.edu
Wei Shen
Steven B Heymsfield
Carlos M Reyes-Vidal
Eliza B Geer
Jeffrey N Bruce
Dympna Gallagher
Columbia University · USMount Sinai Hospital · USSt. Luke's-Roosevelt Hospital Center · US

Funding

RESEARCH TRAININGP30DK026687 · NIDDK · ST. LUKE'S-ROOSEVELT INST FOR HLTH SCIS · PI Anthony W Ferrante, DYMPNA GALLAGHER · 1986 to 2026
$33.0M
ZOLEDRONIC ACID IN PROSTATE CANCERM01RR000645 · NCRR · COLUMBIA UNIV NEW YORK MORNINGSIDE · PI COLTEN, HARVEY R · 1985 to 2006
$27.0M
WEIGHT LOSS--BONE &SKELETAL MUSCLE HOMEOSTASIS IN NIDDMP01DK042618 · NIDDK · ST. LUKE'S-ROOSEVELT INST FOR HLTH SCIS · PI GALLAGHER, DYMPNA · 1990 to 2005
$7.8M
New Approaches to the Evaluation and Treatment of AcromegalyR01DK064720 · NIDDK · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI FREDA, PAMELA U · 2004 to 2013
$3.8M
New Approaches to the Evaluation and Treatment of AcromegalyK24DK073040 · NIDDK · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI FREDA, PAMELA U · 2005 to 2014
$1.5M
NCRR NIH HHS M01 RR000645NCRR NIH HHS RR 00645NIDDK NIH HHS K24 DK 073040NIDDK NIH HHS K24 DK073040NIDDK NIH HHS P01 DK042618NIDDK NIH HHS P01 DK 42618NIDDK NIH HHS P30 DK026687NIDDK NIH HHS P30 DK 26687NIDDK NIH HHS R01 DK 064720NIDDK NIH HHS R01 DK064720
6 · The paper itself

Abstract

contextGH and IGF-I are important regulators of metabolism and body composition. In acromegaly, a state of GH and IGF-I excess, the lipolytic and insulin antagonistic effects of GH may alter adipose tissue (AT) distribution.

objectivesOur objective was to test the hypothesis that in acromegaly whole-body AT mass is less and to examine for the first time the relationship between GH/IGF-I excess and intermuscular AT (IMAT), an AT depot associated with insulin resistance in other populations. DESIGN, SETTING, AND PATIENTS: We conducted a cross-sectional study in 24 adults with active acromegaly compared with predicted models developed in 315 healthy non-acromegaly subjects. OUTCOME MEASURES: Mass of AT in the visceral AT (VAT), sc AT (SAT), and IMAT compartments from whole-body magnetic resonance imaging and serum levels of GH, IGF-I, insulin, and glucose were measured.

resultsVAT and SAT were less in active acromegaly (P < 0.0001); these were 68.2 +/- 27% and 79.5 +/- 15% of predicted values, respectively. By contrast, IMAT was greater (P = 0.0052) by 185.6 +/- 84% of predicted. VAT/trunk AT ratios were inversely related to IGF-I levels (r = 0.544; P = 0.0054). Acromegaly subjects were insulin resistant.

conclusionsVAT and SAT, most markedly VAT, are less in acromegaly. The proportion of trunk AT that is VAT is less with greater disease activity. IMAT is greater in acromegaly, a novel finding, which suggests that increased AT in muscle could be associated with GH-induced insulin resistance. These findings have implications for understanding the role of GH in body composition and metabolic risk in acromegaly and other clinical settings of GH use.

Indexed as

Body Fat DistributionAcromegalyAdolescentAdultAgedAged, 80 and overCross-Sectional StudiesFemaleGrowth HormoneHumansInsulin-Like Growth Factor IIntra-Abdominal FatMaleMiddle AgedModels, BiologicalModels, TheoreticalGrowth HormoneInsulin-Like Growth Factor I

Identifiers

PMID18349062
PMCPMC2435633
OpenAlexW2127457975

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.