Evidence map›Paper›PMID 21676394›Full record

Trial reportFertility and sterility2011

Divergent effects of a combined hormonal oral contraceptive on insulin sensitivity in lean versus obese women.

Kai I Cheang, Paulina A Essah, Susmeeta Sharma, Edmond P Wickham, John E Nestler

Registry-linked trialOpen access · bronzeAbstract readClinical TrialComparative Study
In one paragraph

Trial report in Fertility and sterility, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00205504 (Oral Contraceptives in the Metabolic Syndrome), which is not on this map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.9field-weighted citation impact, top 14% 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.

NCT00205504 phase4completednot on this map

Oral Contraceptives in the Metabolic Syndrome

TypeinterventionalSponsorVirginia Commonwealth UniversityRan2005 to 2009Enrolled46ConditionsMetabolic Syndrome X, Insulin Resistance, Obesity, Cardiovascular DiseasesArmsOrtho Tri Cyclen
3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 15 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Review
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.

Kai I CheangDepartment of Pharmacotherapy and Outcomes Science, School of Pharmacy, Virginia Commonwealth University, Richmond, Virginia, USA. kicheang@vcu.edu
Paulina A Essah
Susmeeta Sharma
Edmond P Wickham
John E Nestler
Virginia Commonwealth University · USVirginia Commonwealth University Medical Center · US

Funding

CTSA INFRASTRUCTURE FOR PEDIATRIC RESEARCHUL1RR031990 · NCRR · VIRGINIA COMMONWEALTH UNIVERSITY · PI CLORE, JOHN N. · 2010 to 2011
$7.7M
POLYCYSTIC OVARY SYNDROME: ROLE OF INSULIN RESISTANCEK24HD040237 · NICHD · VIRGINIA COMMONWEALTH UNIVERSITY · PI NESTLER, JOHN E · 2001 to 2009
$887k
Adiponectin and Endothelial Dysfunction in AdolescentsK23HD053742 · NICHD · VIRGINIA COMMONWEALTH UNIVERSITY · PI WICKHAM, EDMOND PRYCE · 2009 to 2013
$673k
Insulin and the Polycystic Ovary SyndromeK23HD049454 · NICHD · VIRGINIA COMMONWEALTH UNIVERSITY · PI CHEANG, KAI I · 2006 to 2010
$633k
NCRR NIH HHS UL1 RR031990NCRR NIH HHS UL1RR031990NICHD NIH HHS K23 HD049454NICHD NIH HHS K23HD049454NICHD NIH HHS K23 HD053742NICHD NIH HHS K23HD053742NICHD NIH HHS K24 HD040237NICHD NIH HHS K24HD40237
6 · The paper itself

Abstract

objectiveTo evaluate the effects of a commonly used combined hormonal oral contraceptive (OC) on carbohydrate metabolism in obese as compared with lean women.

design6-month prospective study.

settingClinical research center at an academic medical center. PATIENT(S): Premenopausal nondiabetic women with body mass index <25 kg/m(2) (n = 15) or >30 kg/m(2) (n = 14). INTERVENTION(S): Ethinyl estradiol (35 μg) and norgestimate (0.18/0.215/0.25 mg) for 6 cycles. MAIN OUTCOME MEASURE(S): Insulin sensitivity by frequent sampling intravenous glucose tolerance test; other indices of insulin sensitivity (homeostatic model assessment of insulin sensitivity index [ISI HOMA], the Matsuda index); fasting lipid panel. RESULT(S): Insulin sensitivity changed from 6.62 ± 3.69 min(-1)/mIU/L (baseline) to 8.23 ± 3.30 min(-1)/mIU/L (6 months) in lean women, and from 4.36 ± 2.32 to 3.82 ± 2.32 min(-1)/mIU/L in obese women. Divergent effects on insulin sensitivity were also observed with ISI HOMA and the Matsuda index. Low-density lipoprotein increased by approximately 20 mg/dL in both the lean and obese groups. CONCLUSION(S): Lean and obese women exhibit differential changes in insulin sensitivity when given 6 months of a commonly used oral contraceptive. The mechanisms of these differences and whether these divergent effects persist in the long term require further investigation.

Indexed as

Insulin ResistanceAcademic Medical CentersAdultAnalysis of VarianceBlood GlucoseBlood PressureBody Mass IndexContraceptives, Oral, CombinedContraceptives, Oral, HormonalDrug Administration ScheduleDrug CombinationsEthinyl EstradiolFemaleGlucose Tolerance TestHumansInsulinBlood GlucoseContraceptives, Oral, CombinedContraceptives, Oral, HormonalDrug CombinationsEthinyl EstradiolInsulinLipoproteins, LDLnorgestimate, ethinyl estradiol drug combinationNorgestrel

Identifiers

PMID21676394
PMCPMC3143285
OpenAlexW2050590444

What OpenQuestion holds

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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.