Evidence map›Paper›PMID 24089539›Full record

ArticleDiabetes care2013

Short leg length, a marker of early childhood deprivation, is associated with metabolic disorders underlying type 2 diabetes: the PROMISE cohort study.

Luke W Johnston, Stewart B Harris, Ravi Retnakaran, Hertzel C Gerstein, Bernard Zinman, Jill Hamilton, Anthony J Hanley

Open access · bronzeAbstract read
In one paragraph

Article in Diabetes care, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
4.4field-weighted citation impact, top 6% 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

21 citing papers in PubMed, 31 citations in OpenAlex.

  1. Article
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  5. Humero-femoral index and diabetes risk in the US population- a case study.Journal of diabetes and metabolic disorders · 2023
    Article
  6. Article
  7. Article
  8. Implications of leg length for metabolic health and fitness.Evolution, medicine, and public health · 2022
    Article
  9. Article
  10. Review
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  12. Article
  13. Article
  14. Article
  15. Leg length and type 2 diabetes: what's the link?Current opinion in clinical nutrition and metabolic care · 2015
    Review
  16. Article
  17. Article
  18. Article
  19. Dual X-Ray absorptiometry leg length in youth.Journal of clinical densitometry : the official journal of the International Society for Clinical Densitometry
    Article
  20. 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

7 authors at 4 institutions in 1 country.

Luke W JohnstonCorresponding author: Anthony J. Hanley, anthony.hanley@utoronto.ca.
Stewart B Harris
Ravi Retnakaran
Hertzel C Gerstein
Bernard Zinman
Jill Hamilton
Anthony J Hanley
University of Toronto · CAHospital for Sick Children · CAMcMaster University · CAWestern University · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveShort leg length, a marker of early childhood deprivation, has been used in studies of the association of early life conditions with adult chronic disease risk. The objective of this study was to determine the cross-sectional associations of leg length with measures of insulin sensitivity and β-cell function. RESEARCH DESIGN AND

methodsSubjects (n = 462) at risk for type 2 diabetes were recruited into the PROspective Metabolism and ISlet cell Evaluation (PROMISE) longitudinal cohort. Leg length was calculated from sitting and standing height at the 3-year clinical examination. Glucose tolerance status was determined using an oral glucose tolerance test. Insulin sensitivity was assessed using homeostasis model assessment of insulin resistance (HOMA-IR) and the Matsuda insulin sensitivity index (ISI), while the insulinogenic index over HOMA-IR (IGI/IR) and the insulin secretion sensitivity index 2 (ISSI-2) determined β-cell function. Multiple linear regression analysis was conducted, adjusting for covariates including age, sex, ethnicity, family history of diabetes, waist, and weight.

resultsLeg length and leg-to-height ratio were significantly associated with HOMA-IR (β = -0.037, β = -10.49, respectively; P < 0.0001), ISI (β = 0.035, β = 8.83, respectively; P < 0.0001), IGI/IR (β = 0.021, P < 0.05; β = 7.60, P < 0.01, respectively), and ISSI-2 (β = 0.01, P < 0.03; β = 3.34, P < 0.01, respectively) after adjustment for covariates. The association of shorter leg length with lower insulin sensitivity was most evident for those with high waist circumferences.

conclusionsShorter legs were independently associated with lower insulin sensitivity and β-cell function, suggesting that early childhood deprivation may increase the risk of developing diabetes.

Indexed as

AdultBody Weights and MeasuresCanadaCohort StudiesCross-Sectional StudiesDiabetes Mellitus, Type 2FemaleGlucose Tolerance TestHumansInsulinInsulin ResistanceInsulin-Secreting CellsLegMaleMiddle AgedProspective StudiesInsulin

Identifiers

PMID24089539
PMCPMC3816896
OpenAlexW2163952693

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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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.