Evidence map›Paper›PMID 24047926›Full record

Trial reportThe Diabetes educator

Diabetes self-management and leptin in Mexican Americans with type 2 diabetes: the Starr County border health initiative.

Sharon A Brown, Kamiar Kouzekanani, Alexandra A García, Philip R Orlander, Craig L Hanis

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in The Diabetes educator. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 2 pooled it
0.4field-weighted citation impact, top 40% 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

7 citing papers in PubMed, 2 syntheses or guidelines pooled it, 12 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Article
  6. Review
  7. Family interventions to improve diabetes outcomes for adults.Annals of the New York Academy of Sciences · 2015
    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.

Sharon A BrownSchool of Nursing, The University of Texas at Austin, TX, USA (Dr Brown, Prof García)
Kamiar KouzekananiTexas A&M University, Corpus Christi, TX, USA (Dr Kouzekanani)
Alexandra A GarcíaSchool of Nursing, The University of Texas at Austin, TX, USA (Dr Brown, Prof García)
Philip R OrlanderThe University of Texas Medical School at Houston, TX, USA (Dr Orlander)
Craig L HanisThe University of Texas Health Science Center at Houston, TX, USA (Prof Hanis)
The University of Texas at Austin · USThe University of Texas Health Science Center at Houston · US

Funding

EDUCATION AND GROUP SUPPORT FOR DIABETIC HISPANICSR01DK048160 · NIDDK · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI BROWN, SHARON A · 1994 to 2003
$1.7M
NIDDK NIH HHS DK048160NIDDK NIH HHS R01 DK048160
6 · The paper itself

Abstract

purposeThe purpose of the study was to (1) characterize leptin in Mexican Americans with poorly controlled type 2 diabetes, (2) examine relationships among leptin and indicators of diabetes status (body mass index and A1C), and (3) explore the effects of a culturally tailored diabetes self-management education intervention on leptin.

methodsIn Starr County, an impoverished Texas-Mexico border community, 252 Mexican Americans with type 2 diabetes were recruited to test a diabetes self-management education intervention culturally tailored in terms of language, dietary recommendations, social emphasis, family participation, and incorporation of cultural health beliefs. Groups of 8 participants were randomized to experimental or wait-listed control conditions. Outcomes were measured at 3, 6, and 12 months; by 12 months, 109 had complete leptin data.

resultsMost participants were women and, on average, 55 years of age, diagnosed with diabetes for 8 years, obese, and in poor glycemic control. Three variables-body mass index, sex, A1C-explained 36% of the variance in baseline leptin; there were no intervention effects on leptin. Sex, time, and gender × time interaction effects on leptin were statistically significant; greater increases in leptin over time occurred in women compared to men. In women, fasting blood glucose changes from baseline to 12 months significantly predicted leptin changes from baseline to 12 months; in men, body mass index changes predicted leptin change.

conclusionsWith increasing obesity rates, further research is warranted to determine if leptin is a useful intervention target in type 2 diabetes.

Indexed as

Community Health ServicesMexican AmericansSelf CareAdultBlood GlucoseBody Mass IndexCultural CharacteristicsDiabetes Mellitus, Type 2FemaleGlycated HemoglobinHealth BehaviorHealth PromotionHumansLeptinMaleMexicoBlood GlucoseGlycated Hemoglobinhemoglobin A1c protein, humanLeptin

Identifiers

PMID24047926
PMCPMC8359772
OpenAlexW2312471944

What OpenQuestion holds

Textmetadata
LicenceTDM
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.