Evidence map›Paper›PMID 23450052›Full record

ArticleThe Journal of clinical endocrinology and metabolism2013

Effects of endogenous androgens and abdominal fat distribution on the interrelationship between insulin and non-insulin-mediated glucose uptake in females.

Uche Ezeh, Marita Pall, Ruchi Mathur, Damini Dey, Daniel Berman, Ida Y Chen, Daniel A Dumesic, Ricardo Azziz

Open access · bronzeAbstract readControlled Clinical Trial
In one paragraph

Article in The Journal of clinical endocrinology and metabolism, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 2 pooled it
3.4field-weighted citation impact, top 9% 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

17 citing papers in PubMed, 2 syntheses or guidelines pooled it, 37 citations in OpenAlex.

  1. Adipose Tissue Dysfunction in Polycystic Ovary Syndrome.The Journal of clinical endocrinology and metabolism · 2023
    Pooled it
  2. Pooled it
  3. Trial
  4. Review
  5. Obesity and Polycystic Ovary Syndrome.Journal of obesity & metabolic syndrome · 2024
    Review
  6. Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Physiology (Bethesda, Md.) · 2017
    Review
  15. Article
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  17. 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

8 authors at 3 institutions in 1 country.

Uche EzehDepartment of Obstetrics and Gynecology and Center for Androgen-Related Disorders, Cedars-SinaiMedical Center, Los Angeles, CA 90048, USA.
Marita Pall
Ruchi Mathur
Damini Dey
Daniel Berman
Ida Y Chen
Daniel A Dumesic
Ricardo Azziz
Reprogenetics · USAugusta University · USCedars-Sinai Medical Center · US

Funding

UCLA Clinical and Translational Science InstituteUL1TR000124 · NCATS · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI DUBINETT, STEVEN M. · 2012 to 2015
$57.0M
ADRENAL ANDROGEN EXCESS IN THE POLYCYSTIC OVARY SYNDROMER01HD029364 · NICHD · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI AZZIZ, RICARDO · 1993 to 2011
$2.2M
INSULIN SIGNALING DEFECTS IN PCOSR01DK073632 · NIDDK · CEDARS-SINAI MEDICAL CENTER · PI AZZIZ, RICARDO · 2006 to 2010
$1.9M
NCATS NIH HHS UL1 TR000124NICHD NIH HHS R01 HD029364NICHD NIH HHS R01-HD29364NIDDK NIH HHS R01 DK073632NIDDK NIH HHS R01-DK073632
6 · The paper itself

Abstract

backgroundPolycystic ovary syndrome (PCOS) is associated with hyperandrogenism and insulin resistance. Glucose disposal occurs via noninsulin-mediated glucose uptake (NIMGU) and insulin-mediated glucose uptake (IMGU). It is unknown whether in PCOS NIMGU increases to compensate for declining IMGU and whether androgens and fat distribution influence this relationship.

objectivesThe objective of the study was to compare in women with PCOS and controls the interrelationship between NIMGU [ie, glucose effectiveness (Sg)] and IMGU [ie, the insulin sensitivity index (Si)] and the role of androgens and fat distribution.

participantsTwenty-eight PCOS (by National Institutes of Health 1990 criteria) and 28 control (age, race, and body mass index matched) women were prospectively studied. A subset of 16 PCOS subjects and 16 matched controls also underwent abdominal computed tomography.

main outcome measuresGlucose disposal (by a frequently sampled iv glucose tolerance test), circulating androgens, and abdominal fat distribution [by waist to hip ratio and visceral (VAT) and sc (SAT) adipose tissue content] were measured.

resultsPCOS women had lower mean Si and similar Sg and abdominal fat distribution compared with controls. PCOS women with Si below the PCOS median (more insulin resistant) had a lower mean Sg than controls with Si above the control median (more insulin sensitive). In PCOS only, body mass index, free T, modified Ferriman-Gallwey score, and waist to hip ratio independently predicted Sg, whereas Si did not. In PCOS, VAT and SAT independently and negatively predicted Si and Sg, respectively.

conclusionThe decreased IMGU in PCOS is not accompanied by a compensatory increase in NIMGU or associated with excessive VAT accumulation. Increased general obesity, SAT, and hyperandrogenism are primary predictors of the deterioration of NIMGU in PCOS.

Indexed as

Body Fat DistributionAbdominal FatAdministration, IntravenousAdultAndrogensBlood GlucoseBody CompositionCase-Control StudiesFemaleGlucoseGlucose Tolerance TestHumansInsulinPolycystic Ovary SyndromeSex FactorsYoung AdultAndrogensBlood GlucoseGlucoseInsulin

Identifiers

PMID23450052
PMCPMC3615210
OpenAlexW2047588346

What OpenQuestion holds

Textmetadata
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.