Evidence map›Paper›PMID 23515448›Full record

ArticleThe Journal of clinical endocrinology and metabolism2013

Slow-twitch fiber proportion in skeletal muscle correlates with insulin responsiveness.

Charles A Stuart, Melanie P McCurry, Anna Marino, Mark A South, Mary E A Howell, Andrew S Layne, Michael W Ramsey, Michael H Stone

Registry-linked trialOpen access · bronzeAbstract read
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. It is linked to trial NCT00727779 (Mechanisms by Which Strength Training Ameliorates the Metabolic Syndrome), which is not on this map. Cited by 106 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
106citing papers in PubMed, 3 pooled it
6.1field-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.

NCT00727779 nacompletednot on this map

Mechanisms by Which Strength Training Ameliorates the Metabolic Syndrome

TypeinterventionalSponsorEast Tennessee State UniversityRan2008 to 2013Enrolled50ConditionsMetabolic SyndromeArmsstrength training
3 · Its place in the literature

Who cites it

106 citing papers in PubMed, 3 syntheses or guidelines pooled it, 217 citations in OpenAlex.

  1. Pooled it
  2. PROKR1-CREB-NR4A2 axis for oxidative muscle fiber specification and improvement of metabolic function.Proceedings of the National Academy of Sciences of the United States of America · 2024
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  10. Local Suppression ofJournal of microbiology and biotechnology · 2026
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46 more citing papers are in PubMed but not listed here.

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 1 institution in 1 country.

Charles A StuartDepartment of Internal Medicine, Quillen College of Medicine, East Tennessee State University, P.O. Box 70622, Johnson City, Tennessee 37614-0622, USA. stuartc@etsu.edu
Melanie P McCurry
Anna Marino
Mark A South
Mary E A Howell
Andrew S Layne
Michael W Ramsey
Michael H Stone
East Tennessee State University · US

Funding

Mechanisms by which strength training ameliorates the Metabolic SyndromeR15DK080488 · NIDDK · EAST TENNESSEE STATE UNIVERSITY · PI STUART, CHARLES A · 2008 to 2011
$607k
NIDDK NIH HHS DK080488NIDDK NIH HHS R15 DK080488
6 · The paper itself

Abstract

contextThe metabolic syndrome, characterized by central obesity with dyslipidemia, hypertension, and hyperglycemia, identifies people at high risk for type 2 diabetes.

objectiveOur objective was to determine how the insulin resistance of the metabolic syndrome is related to muscle fiber composition.

designThirty-nine sedentary men and women (including 22 with the metabolic syndrome) had insulin responsiveness quantified using euglycemic clamps and underwent biopsies of the vastus lateralis muscle. Expression of insulin receptors, insulin receptor substrate-1, glucose transporter 4, and ATP synthase were quantified with immunoblots and immunohistochemistry. PARTICIPANTS AND

settingParticipants were nondiabetic, metabolic syndrome volunteers and sedentary control subjects studied at an outpatient clinic.

main outcome measuresInsulin responsiveness during an insulin clamp and the fiber composition of a muscle biopsy specimen were evaluated.

resultsThere were fewer type I fibers and more mixed (type IIa) fibers in metabolic syndrome subjects. Insulin responsiveness and maximal oxygen uptake correlated with the proportion of type I fibers. Insulin receptor, insulin receptor substrate-1, and glucose transporter 4 expression were not different in whole muscle but all were significantly less in the type I fibers of metabolic syndrome subjects when adjusted for fiber proportion and fiber size. Fat oxidation and muscle mitochondrial expression were not different in the metabolic syndrome subjects.

conclusionLower proportion of type I fibers in metabolic syndrome muscle correlated with the severity of insulin resistance. Even though whole muscle content was normal, key elements of insulin action were consistently less in type I muscle fibers, suggesting their distribution was important in mediating insulin effects.

Indexed as

Insulin ResistanceAdultAntigens, CDATP Synthetase ComplexesBody Mass IndexDiabetes Mellitus, Type 2FemaleGlucose Transporter Type 4HumansInsulin Receptor Substrate ProteinsMaleMetabolic SyndromeMiddle AgedMuscle Fibers, Fast-TwitchMuscle Fibers, Slow-TwitchObesityAntigens, CDATP Synthetase ComplexesGlucose Transporter Type 4INSR protein, humanInsulin Receptor Substrate ProteinsIRS1 protein, humanReceptor, InsulinSLC2A4 protein, human

Identifiers

PMID23515448
PMCPMC3644602
OpenAlexW2168498537

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.