Evidence map›Paper›PMID 21294771›Full record

SynthesisDiabetic medicine : a journal of the British Diabetic Association2011

An FTO variant is associated with Type 2 diabetes in South Asian populations after accounting for body mass index and waist circumference.

S D Rees, M Islam, M Z I Hydrie, B Chaudhary, S Bellary, S Hashmi, J P O'Hare, S Kumar, D K Sanghera, N Chaturvedi and 7 more

Abstract readMeta-Analysis
In one paragraph

Synthesis in Diabetic medicine : a journal of the British Diabetic Association, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 49 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
49citing papers in PubMed, 5 pooled it
6.4field-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

49 citing papers in PubMed, 5 syntheses or guidelines pooled it, 83 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Trial
  7. Trial
  8. Trial
  9. Trial
  10. Review
  11. Article
  12. Article
  13. Association of fat mass and obesity-associated (Journal of diabetes and metabolic disorders · 2022
    Review
  14. Review
  15. Article
  16. Review
  17. Article
  18. Review
  19. Article
  20. 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

17 authors at 9 institutions in 3 countries.

S D ReesCollege of Medical and Dental Sciences, University of Birmingham, Birmingham, UK.
M Islam
M Z I Hydrie
B Chaudhary
S Bellary
S Hashmi
J P O'Hare
S Kumar
D K Sanghera
N Chaturvedi
A H Barnett
A S Shera
M N Weedon
A Basit
T M Frayling
M A Kelly
T H Jafar
Aga Khan University · PKBaqai Institute of Diabetology and Endocrinology · PKUniversity of Birmingham · GBUniversity of Warwick · GBHeart of England NHS Foundation Trust · GBImperial College London · GBPeninsula College of Medicine and Dentistry · GBUniversity of Exeter · GBUniversity of Oklahoma Health Sciences Center · US

Funding

Genome-wide Association Scan to Identify Risk Genes for Type 2 Diabetes in AsianR01DK082766 · NIDDK · UNIVERSITY OF OKLAHOMA HLTH SCIENCES CTR · PI SANGHERA, DHARAMBIR K. · 2009 to 2011
$2.3M
Indo-US Collaboration in Genomic Studies on DiabetesK01TW006087 · FIC · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI SANGHERA, DHARAMBIR K · 2002 to 2007
$778k
FIC NIH HHS K01 TW006087NIDDK NIH HHS R01 DK082766Wellcome TrustWellcome Trust 080747/Z/06/Z
6 · The paper itself

Abstract

aimsA common variant, rs9939609, in the FTO (fat mass and obesity) gene is associated with adiposity in Europeans, explaining its relationship with diabetes. However, data are inconsistent in South Asians. Our aim was to investigate the association of the FTO rs9939609 variant with obesity, obesity-related traits and Type 2 diabetes in South Asian individuals, and to use meta-analyses to attempt to clarify to what extent BMI influences the association of FTO variants with diabetes in South Asians.

methodsWe analysed rs9939609 in two studies of Pakistani individuals: 1666 adults aged ≥40 years from the Karachi population-based Control of Blood Pressure and Risk Attenuation (COBRA) study and 2745 individuals of Punjabi ancestry who were part of a Type 2 diabetes case-control study (UK Asian Diabetes Study/Diabetes Genetics in Pakistan; UKADS/DGP). The main outcomes were BMI, waist circumference and diabetes. Regression analyses were performed to determine associations between FTO alleles and outcomes. Summary estimates were combined in a meta-analysis of 8091 South Asian individuals (3919 patients with Type 2 diabetes and 4172 control subjects), including those from two previous studies.

resultsIn the 4411 Pakistani individuals from this study, the age-, sex- and diabetes-adjusted association of FTO variant rs9939609 with BMI was 0.45 (95%CI 0.24-0.67) kg/m(2) per A-allele (P=3.0 × 10(-5) ) and with waist circumference was 0.88 (95% CI 0.36-1.41) cm per A-allele (P=0.001). The A-allele (30% frequency) was also significantly associated with Type 2 diabetes [per A-allele odds ratio (95%CI) 1.18 (1.07-1.30); P=0.0009]. A meta-analysis of four South Asian studies with 8091 subjects showed that the FTO A-allele predisposes to Type 2 diabetes [1.22 (95%CI 1.14-1.31); P=1.07 × 10(-8) ] even after adjusting for BMI [1.18 (95%CI 1.10-1.27); P=1.02 × 10(-5) ] or waist circumference [1.18 (95%CI 1.10-1.27); P=3.97 × 10(-5) ].

conclusionsThe strong association between FTO genotype and BMI and waist circumference in South Asians is similar to that observed in Europeans. In contrast, the strong association of FTO genotype with diabetes is only partly accounted for by BMI.

Indexed as

Asian PeopleBody Mass IndexAdolescentAdultCardiovascular DiseasesDiabetes Mellitus, Type 2Diabetic AngiopathiesFemaleGenetic Predisposition to DiseaseHumansMaleMiddle AgedObesityPolymorphism, Single NucleotideWaist CircumferenceYoung Adult

Identifiers

PMID21294771
PMCPMC3095685
OpenAlexW2158032094

What OpenQuestion 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 OpenQuestion graph.