Evidence map›Paper›PMID 23780370›Full record

Trial reportThe Journal of clinical endocrinology and metabolism2013

Brown fat activation mediates cold-induced thermogenesis in adult humans in response to a mild decrease in ambient temperature.

Kong Y Chen, Robert J Brychta, Joyce D Linderman, Sheila Smith, Amber Courville, William Dieckmann, Peter Herscovitch, Corina M Millo, Alan Remaley, Paul Lee and 1 more

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report 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 99 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
99citing papers in PubMed, 4 pooled it
9.5field-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

99 citing papers in PubMed, 4 syntheses or guidelines pooled it, 171 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. The Effects of 10-Week Strength Training in the Winter on Brown-like Adipose Tissue Vascular Density.International journal of environmental research and public health · 2022
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  12. Mapping of human brown adipose tissue in lean and obese young men.Proceedings of the National Academy of Sciences of the United States of America · 2017
    Trial
  13. Human brown adipose tissue [(15)O]O2 PET imaging in the presence and absence of cold stimulus.European journal of nuclear medicine and molecular imaging · 2016
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  17. Review
  18. Article
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39 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

11 authors at 1 institution in 1 country.

Kong Y ChenDiabetes, Endocrinology, and Obesity Branch, National Institute of Diabetes and Digestive and Kidney Diseases, Clinical Center, National Institutes of Health, Bethesda, Maryland 20892-1613, USA.
Robert J Brychta
Joyce D Linderman
Sheila Smith
Amber Courville
William Dieckmann
Peter Herscovitch
Corina M Millo
Alan Remaley
Paul Lee
Francesco S Celi
National Institutes of Health · US

Funding

Development of obesity and metabolic clinical research programsZIADK071014 · NIDDK · NATIONAL INSTITUTE OF DIABETES AND DIGESTIVE AND KIDNEY DISEASES · PI CHEN, KONG · 2009 to 2025
$12.3M
Thyroid hormone action on glucose and energy metabolism in vivo studiesZIADK047057 · NIDDK · NATIONAL INSTITUTE OF DIABETES AND DIGESTIVE AND KIDNEY DISEASES · PI CELI, FRANCESCO S · 2009 to 2013
$2.8M
Role of BK-Beta 1 in flow-dependent K+ secretion in the CNTR01DK071014 · NIDDK · UNIVERSITY OF NEBRASKA MEDICAL CENTER · PI SANSOM, STEVEN · 2007 to 2015
$2.7M
Thyroid hormone conversion in vitro and ex vivo studiesZ01DK075001 · NIDDK · NATIONAL INSTITUTE OF DIABETES AND DIGESTIVE AND KIDNEY DISEASES · PI CELI, FRANCESCO S · 2005 to 2008
$948k
Thyroid hormone action on glucose and energy metabolism in vivo studiesZ01DK047057 · NIDDK · NATIONAL INSTITUTE OF DIABETES AND DIGESTIVE AND KIDNEY DISEASES · PI CELI, FRANCESCO S · 2008 to 2008
$481k
Development of technologies to support obesity and metabolic researchZ01DK071014 · NIDDK · NATIONAL INSTITUTE OF DIABETES AND DIGESTIVE AND KIDNEY DISEASES · PI CHEN, KONG · 2008 to 2008
$319k
Intramural NIH HHS Z01 DK075001NIDDK NIH HHS R01 DK071014NIDDK NIH HHS Z01-DK047057-06NIDDK NIH HHS Z01 DK071014NIDDK NIH HHS Z01-DK075001-09
6 · The paper itself

Abstract

contextThe contribution of brown adipose tissue (BAT) to the energy balance in humans exposed to sustainable cold has not been completely established, partially because of measurement limitations of both BAT activity and energy expenditure (EE).

objectiveThe objective of the study was to characterize the role of BAT activation in cold-induced thermogenesis (CIT).

designThis study was a single-blind, randomized crossover intervention.

settingThe study was conducted at the National Institutes of Health Clinical Center. STUDY

participantsThirty-one healthy volunteers participated in the study.

interventionsThe intervention included mild cold exposure. MAIN OUTCOMES: CIT and BAT activation were the main outcomes in this study.

methodsOvernight EE measurement by whole-room indirect calorimeter at 24 °C or 19 °C was followed by 2-[18F]-fluoro-2-deoxy-D-glucose positron emission tomography (PET) scan. After 36 hours, volunteers crossed over to the alternate study temperature under identical conditions. BAT activity was measured in a 3-dimensional region of interest in the upper torso by comparing the uptake at the two temperatures.

resultsTwenty-four volunteers (14 males, 10 females) had a complete data set. When compared with 24 °C, exposure at 19 °C resulted in increased EE (5.3 ± 5.9%, P < .001), indicating CIT response and mean BAT activity (10.5 ± 11.1%, P < .001). Multiple regression analysis indicated that a difference in BAT activity (P < .001), age (P = .01), and gender (P = .037) were independent contributors to individual variability of CIT.

conclusionsA small reduction in ambient temperature, within the range of climate-controlled buildings, is sufficient to increase human BAT activity, which correlates with individual CIT response. This study uncovers for the first time a spectrum of BAT activation among healthy adults during mild cold exposure not previously recognized by conventional PET and PET-computed tomography methods. The enhancement of cold-induced BAT stimulation may represent a novel environmental strategy in obesity treatment.

Indexed as

Energy MetabolismThermogenesisAdipose Tissue, BrownAdiposityAdultAge FactorsAir ConditioningCalorimetry, IndirectCold TemperatureCross-Over StudiesFemaleFluorodeoxyglucose F18HumansImaging, Three-DimensionalMalePositron-Emission TomographyFluorodeoxyglucose F18Radiopharmaceuticals

Identifiers

PMID23780370
PMCPMC3701264
OpenAlexW2003966355

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.