Evidence map›Paper›PMID 19851442›Full record

SynthesisPLoS genetics2009

Meta-analysis of the INSIG2 association with obesity including 74,345 individuals: does heterogeneity of estimates relate to study design?

Iris M Heid, Cornelia Huth, Ruth J F Loos, Florian Kronenberg, Vera Adamkova, Sonia S Anand, Kristin Ardlie, Heike Biebermann, Peter Bjerregaard, Heiner Boeing and 55 more

Open access · goldAbstract readMeta-Analysis
In one paragraph

Synthesis in PLoS genetics, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 3 pooled it
6.7field-weighted citation impact, top 3% 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

30 citing papers in PubMed, 3 syntheses or guidelines pooled it, 76 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
  5. Article
  6. Associations of theJournal of personalized medicine · 2021
    Article
  7. Review
  8. Article
  9. Article
  10. Impact of home visit capacity on genetic association studies of late-onset Alzheimer's disease.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2017
    Article
  11. Article
  12. Article
  13. Meta-analysis in clinical trials revisited.Contemporary clinical trials · 2015
    Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Review
  19. Article
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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

65 authors at 20 institutions in 14 countries.

Iris M HeidHelmholtz Zentrum München, German Research Center for Environmental Health, Neuherberg, Germany. iris.heid@klinik.uni-regensburg.de
Cornelia Huth
Ruth J F Loos
Florian Kronenberg
Vera Adamkova
Sonia S Anand
Kristin Ardlie
Heike Biebermann
Peter Bjerregaard
Heiner Boeing
Claude Bouchard
Marina Ciullo
Jackie A Cooper
Dolores Corella
Christian Dina
James C Engert
Eva Fisher
Francesc Francès
Philippe Froguel
Johannes Hebebrand
Robert A Hegele
Anke Hinney
Margret R Hoehe
Frank B Hu
Jaroslav A Hubacek
Steve E Humphries
Steven C Hunt
Thomas Illig
Marjo-Riita Järvelin
Marika Kaakinen
Barbara Kollerits
Heiko Krude
Jitender Kumar
Leslie A Lange
Birgit Langer
Shengxu Li
Andreas Luchner
Helen N Lyon
David Meyre
Karen L Mohlke
Vincent Mooser
Almut Nebel
Thuy Trang Nguyen
Bernhard Paulweber
Louis Perusse
Lu Qi
Tuomo Rankinen
Dieter Rosskopf
Stefan Schreiber
Shantanu Sengupta
Rossella Sorice
Anita Suk
Gudmar Thorleifsson
Unnur Thorsteinsdottir
Henry Völzke
Karani S Vimaleswaran
Nicholas J Wareham
Dawn Waterworth
Salim Yusuf
Cecilia Lindgren
Mark I McCarthy
Christoph Lange
Joel N Hirschhorn
Nan Laird
H-Erich Wichmann
Harvard University · USMedical Research Council · GBBroad Institute · USHelmholtz Zentrum München · DECharité - Universitätsmedizin Berlin · DEdeCODE Genetics (Iceland) · ISGerman Institute of Human Nutrition · DEGlaxoSmithKline (United States) · USInnsbruck Medical University · ATInstitute of Genetics and Biophysics · ITInstitute of Genomics and Integrative Biology · INInstitut Pasteur de Lille · FRKiel University · DEMax Planck Institute for Molecular Genetics · DEMcMaster University · CAPennington Biomedical Research Center · USUniversitat de València · ESUniversität Greifswald · DEUniversity of Duisburg-Essen · DEUniversity of North Carolina at Chapel Hill · US

Funding

VIRAL DAMAGE TO BRAIN AND NEUROMUSCULAR SYSTEMM01RR000064 · NCRR · UNIVERSITY OF UTAH · PI SWOBODA, KATHRYN J. · 1985 to 2008
$21.7M
Cell Interactions in the Inflamed Intestinal MucosaR01DK075787 · NIDDK · BOSTON CHILDREN'S HOSPITAL · PI JOEL N HIRSCHHORN · 2007 to 2026
$13.1M
Targeted Genetic Analysis of T2D and Quantitative TraitsR01DK072193 · NIDDK · UNIV OF NORTH CAROLINA CHAPEL HILL · PI KAREN L. MOHLKE · 2005 to 2026
$11.3M
MORBIDITY/MORTALITY RELATED TO GASTRIC BYPASS SURGERYR01DK055006 · NIDDK · UNIVERSITY OF UTAH · PI HOPKINS, PAUL N · 2000 to 2014
$7.8M
HERITAGE STUDY: GENETICS, EXERCISE &RISK FACTORSR01HL045670 · NHLBI · LSU PENNINGTON BIOMEDICAL RESEARCH CTR · PI RANKINEN, TUOMO · 1992 to 2010
$6.8M
Genetics of cardiovascular risk factors in large founder population birth controlR01HL087679 · NHLBI · MASSACHUSETTS INSTITUTE OF TECHNOLOGY · PI HIRSCHHORN, JOEL N · 2007 to 2009
$4.0M
Genetic Epidemiology of Body Mass Index, Adiposity and Weight GainR01DK078150 · NIDDK · UNIV OF NORTH CAROLINA CHAPEL HILL · PI MOHLKE, KAREN L. · 2007 to 2010
$2.3M
British Heart Foundation PG2005/015Medical Research Council G0600331Medical Research Council MC_U106188470NCRR NIH HHS M01 RR000064NHLBI NIH HHS 5R01HL087679-02NHLBI NIH HHS HL-045670NHLBI NIH HHS R01 HL045670NHLBI NIH HHS R01 HL087679NIDDK NIH HHS 1 R01 DK075787-01A1NIDDK NIH HHS DK078150NIDDK NIH HHS R01 DK055006NIDDK NIH HHS R01 DK072193NIDDK NIH HHS R01 DK075787NIDDK NIH HHS R01 DK078150
6 · The paper itself

Abstract

The INSIG2 rs7566605 polymorphism was identified for obesity (BMI> or =30 kg/m(2)) in one of the first genome-wide association studies, but replications were inconsistent. We collected statistics from 34 studies (n = 74,345), including general population (GP) studies, population-based studies with subjects selected for conditions related to a better health status ('healthy population', HP), and obesity studies (OB). We tested five hypotheses to explore potential sources of heterogeneity. The meta-analysis of 27 studies on Caucasian adults (n = 66,213) combining the different study designs did not support overall association of the CC-genotype with obesity, yielding an odds ratio (OR) of 1.05 (p-value = 0.27). The I(2) measure of 41% (p-value = 0.015) indicated between-study heterogeneity. Restricting to GP studies resulted in a declined I(2) measure of 11% (p-value = 0.33) and an OR of 1.10 (p-value = 0.015). Regarding the five hypotheses, our data showed (a) some difference between GP and HP studies (p-value = 0.012) and (b) an association in extreme comparisons (BMI> or =32.5, 35.0, 37.5, 40.0 kg/m(2) versus BMI<25 kg/m(2)) yielding ORs of 1.16, 1.18, 1.22, or 1.27 (p-values 0.001 to 0.003), which was also underscored by significantly increased CC-genotype frequencies across BMI categories (10.4% to 12.5%, p-value for trend = 0.0002). We did not find evidence for differential ORs (c) among studies with higher than average obesity prevalence compared to lower, (d) among studies with BMI assessment after the year 2000 compared to those before, or (e) among studies from older populations compared to younger. Analysis of non-Caucasian adults (n = 4889) or children (n = 3243) yielded ORs of 1.01 (p-value = 0.94) or 1.15 (p-value = 0.22), respectively. There was no evidence for overall association of the rs7566605 polymorphism with obesity. Our data suggested an association with extreme degrees of obesity, and consequently heterogeneous effects from different study designs may mask an underlying association when unaccounted for. The importance of study design might be under-recognized in gene discovery and association replication so far.

Indexed as

AdolescentAdultFemaleGenetics, PopulationGenome-Wide Association StudyHumansIntracellular Signaling Peptides and ProteinsMaleMembrane ProteinsMiddle AgedObesityPolymorphism, GeneticResearch DesignYoung AdultINSIG2 protein, humanIntracellular Signaling Peptides and ProteinsMembrane Proteins

Identifiers

PMID19851442
PMCPMC2757909
OpenAlexW2103336510

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Registered trials

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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.