Evidence map›Paper›PMID 22279028›Full record

ArticleDiabetes care2012

Helicobacter pylori infection is associated with an increased rate of diabetes.

Christie Y Jeon, Mary N Haan, Caroline Cheng, Erin R Clayton, Elizabeth R Mayeda, Joshua W Miller, Allison E Aiello

Open access · hybridAbstract read
In one paragraph

Article in Diabetes care, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 110 papers, 10 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
110citing papers in PubMed, 10 pooled it
23.8field-weighted citation impact, top 1% 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

110 citing papers in PubMed, 10 syntheses or guidelines pooled it, 223 citations in OpenAlex.

  1. Pooled it
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  5. Impaired glucose regulation, SARS-CoV-2 infections and adverse COVID-19 outcomes.Translational research : the journal of laboratory and clinical medicine · 2022
    Pooled it
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  8. Chinese medical journal · 2018
    Pooled it
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  10. Is chronic toxoplasmosis a risk factor for diabetes mellitus? A systematic review and meta-analysis of case-control studies.The Brazilian journal of infectious diseases : an official publication of the Brazilian Society of Infectious Diseases
    Pooled it
  11. Article
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  14. Glucolipid Metabolic Disorders andInternational journal of endocrinology · 2026
    Review
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  18. The Effect ofAdvanced biomedical research · 2025
    Article
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50 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 4 institutions in 1 country.

Christie Y JeonCenter for Infectious Diseases Epidemiologic Research, Mailman School of Public Health, Columbia University, New York, New York, USA.
Mary N Haan
Caroline Cheng
Erin R Clayton
Elizabeth R Mayeda
Joshua W Miller
Allison E Aiello
University of Michigan–Ann Arbor · USUniversity of California, San Francisco · USColumbia University · USUniversity of California, Davis · US

Funding

EPIDEMIOLOGY OF FUNCTIONAL STATUS IN ELDERLY HISPANICSR01AG012975 · NIA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI HAAN, MARY N · 1997 to 2015
$13.8M
Diabetes in older Latinos, stress and brain changesR01DK060753 · NIDDK · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI HAAN, MARY N. · 2002 to 2004
$1.4M
Life Course Socioeconomics, Acculturation, & Type-2 Diabetes Risk Among LatinosR56DK087864 · NIDDK · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI AIELLO, ALLISON E · 2010 to 2010
$208k
NIA NIH HHS AG12975NIA NIH HHS R01 AG012975NIDDK NIH HHS DK60753NIDDK NIH HHS R01 DK060753NIDDK NIH HHS R56 DK087864NIDDK NIH HHS R56DK087864
6 · The paper itself

Abstract

objectiveChronic infections could be contributing to the socioeconomic gradient in chronic diseases. Although chronic infections have been associated with increased levels of inflammatory cytokines and cardiovascular disease, there is limited evidence on how infections affect risk of diabetes. RESEARCH DESIGN AND

methodsWe examined the association between serological evidence of chronic viral and bacterial infections and incident diabetes in a prospective cohort of Latino elderly. We analyzed data on 782 individuals aged >60 years and diabetes-free in 1998-1999, whose blood was tested for antibodies to herpes simplex virus 1, varicella virus, cytomegalovirus, Helicobacter pylori, and Toxoplasma gondii and who were followed until June 2008. We used Cox proportional hazards regression to estimate the relative incidence rate of diabetes by serostatus, with adjustment for age, sex, education, cardiovascular disease, smoking, and cholesterol levels.

resultsIndividuals seropositive for herpes simplex virus 1, varicella virus, cytomegalovirus, and T. gondii did not show an increased rate of diabetes, whereas those who were seropositive for H. pylori at enrollment were 2.7 times more likely at any given time to develop diabetes than seronegative individuals (hazard ratio 2.69 [95% CI 1.10-6.60]). Controlling for insulin resistance, C-reactive protein and interleukin-6 did not attenuate the effect of H. pylori infection.

conclusionsWe demonstrated for the first time that H. pylori infection leads to an increased rate of incident diabetes in a prospective cohort study. Our findings implicate a potential role for antibiotic and gastrointestinal treatment in preventing diabetes.

Indexed as

AgedAged, 80 and overCohort StudiesCytomegalovirus InfectionsDiabetes MellitusFemaleHelicobacter InfectionsHelicobacter pyloriHumansMaleMiddle AgedProspective Studies

Identifiers

PMID22279028
PMCPMC3322696
OpenAlexW2108928221

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.