Evidence map›Paper›PMID 21477504›Full record

ArticlePreventing chronic disease2011

Identifying metabolic syndrome in African American children using fasting HOMA-IR in place of glucose.

Sushma Sharma, Robert H Lustig, Sharon E Fleming

Registry-linked trialAbstract readComparative Study
In one paragraph

Article in Preventing chronic disease, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01039116 (Taking Action Together), which is not on this map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing 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.

NCT01039116 nacompletednot on this map

Taking Action Together: Development, Implementation and Evaluation of Community-Based Programs That Aims to Reduce Risk of Type 2 Diabetes in High BMI African American Children.

TypeinterventionalSponsorUniversity of California, BerkeleyRan2005 to 2009Enrolled240ConditionsType 2 DiabetesArmsHigh Intensity, Low Intensity
3 · Its place in the literature

Who cites it

14 citing papers in PubMed.

  1. Trial
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  6. Article
  7. Review
  8. Observational
  9. Observational
  10. Article
  11. Adipokines Vaspin and Visfatin in Obese Children.Open access Macedonian journal of medical sciences · 2015
    Article
  12. Prevalence of cardiometabolic risk factors and metabolic syndrome in obese Kuwaiti adolescents.Diabetes, metabolic syndrome and obesity : targets and therapy · 2014
    Article
  13. Article
  14. 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

3 authors.

Sushma SharmaDepartment of Nutritional Sciences and Toxicology, 212 Morgan Hall, University of California at Berkeley, Berkeley, CA 94720-3104, USA. sushma@berkeley.edu
Robert H Lustig
Sharon E Fleming

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionMetabolic syndrome (MetS) is increasing among young people. We compared the use of homeostasis model assessment of insulin resistance (HOMA-IR) with the use of fasting blood glucose to identify MetS in African American children.

methodsWe performed a cross-sectional analysis of data from a sample of 105 children (45 boys, 60 girls) aged 9 to 13 years with body mass indexes at or above the 85th percentile for age and sex. Waist circumference, blood pressure, and fasting levels of blood glucose, insulin, triglycerides, and high-density lipoprotein cholesterol were measured.

resultsWe found that HOMA-IR is a stronger indicator of MetS in children than blood glucose. Using HOMA-IR as 1 of the 5 components, we found a 38% prevalence of MetS in this sample of African American children and the proportion of false negatives decreased from 94% with blood glucose alone to 13% with HOMA-IR. The prevalence of MetS was higher in obese than overweight children and higher among girls than boys.

conclusionUsing HOMA-IR was preferred to fasting blood glucose because insulin resistance was more significantly interrelated with the other 4 MetS components.

Indexed as

Black or African AmericanChildInsulin ResistanceAdolescentBlood GlucoseBlood PressureCaliforniaCross-Sectional StudiesFastingFemaleHomeostasisHumansMaleMetabolic SyndromeObesityOverweightBlood Glucose

Identifiers

PMID21477504
PMCPMC3103569

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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 OpenQuestion graph.