Evidence map›Paper›PMID 24554005›Full record

Trial reportDiabetologia2014

Circulating natriuretic peptide concentrations reflect changes in insulin sensitivity over time in the Diabetes Prevention Program.

Geoffrey A Walford, Yong Ma, Costas A Christophi, Ronald B Goldberg, Petr Jarolim, Edward Horton, Kieren J Mather, Elizabeth Barrett-Connor, Jaclyn Davis, Jose C Florez and 2 more

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Diabetologia, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
2.0field-weighted citation impact, top 12% 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

12 citing papers in PubMed, 27 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Cardiac natriuretic peptides.Nature reviews. Cardiology · 2020
    Review
  10. Article
  11. Article
  12. 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

12 authors at 6 institutions in 1 country.

Geoffrey A WalfordDiabetes Research Center (Diabetes Unit), Massachusetts General Hospital, Boston, MA, USA.
Yong Ma
Costas A Christophi
Ronald B Goldberg
Petr Jarolim
Edward Horton
Kieren J Mather
Elizabeth Barrett-Connor
Jaclyn Davis
Jose C Florez
Thomas J Wang
Diabetes Prevention Program Research Group
George Washington University · USBrigham and Women's Hospital · USCenter for Human Genetics · USMassachusetts General Hospital · USUniversity of California, San Diego · USVanderbilt University Medical Center · US

Funding

HARVARD CLINICAL AND TRANSLATIONAL SCIENCE CENTER (UL1)UL1RR025758 · NCRR · HARVARD MEDICAL SCHOOL · PI NADLER, LEE MARSHALL · 2008 to 2011
$91.4M
Vector and Transgenic Mouse CoreP30DK017047 · NIDDK · UNIVERSITY OF WASHINGTON · PI Julie Mathieu · 1986 to 2026
$41.4M
TRAINING PROGRAM IN ENDOCRINOLOGY AND DIABETEST32DK007028 · NIDDK · MASSACHUSETTS GENERAL HOSPITAL · PI Karen K Miller · 1986 to 2026
$18.5M
PRIMARY PREVENTION TRIAL (DPT-2)U01DK048380 · NIDDK · NORTHWESTERN UNIVERSITY AT CHICAGO · PI WALLIA, AMISHA · 1994 to 2021
$9.2M
Post DPP Followup StudyU01DK048406 · NIDDK · INDIANA UNIV-PURDUE UNIV AT INDIANAPOLIS · PI DE GROOT, MARY K. · 1994 to 2021
$9.1M
Fine-mapping and Characterization of Metabolic Loci in the DPP Outcomes StudyR01DK072041 · NIDDK · MASSACHUSETTS GENERAL HOSPITAL · PI FLOREZ, JOSE CARLOS · 2005 to 2017
$7.6M
Intramural NIH HHSNCRR NIH HHS UL1 RR025758NHLBI NIH HHS R01-HL-08675NIDDK NIH HHS DK007028NIDDK NIH HHS P30 DK017047NIDDK NIH HHS R01 DK072041NIDDK NIH HHS T32 DK007028NIDDK NIH HHS U01 DK048380NIDDK NIH HHS U01 DK048406
6 · The paper itself

Abstract

aims/hypothesisWe aimed to study the relationship between measures of adiposity, insulin sensitivity and N-terminal pro-B-type natriuretic peptide (NT-proBNP) in the Diabetes Prevention Program (DPP).

methodsThe DPP is a completed clinical trial. Using stored samples from this resource, we measured BMI, waist circumference (WC), an insulin sensitivity index (ISI; [1/HOMA-IR]) and NT-proBNP at baseline and at 2 years of follow-up in participants randomised to placebo (n = 692), intensive lifestyle intervention (n = 832) or metformin (n = 887).

resultsAt baseline, log NT-proBNP did not differ between treatment arms and was correlated with baseline log ISI (p < 0.0001) and WC (p = 0.0003) but not with BMI (p = 0.39). After 2 years of treatment, BMI decreased in the lifestyle and metformin groups (both p < 0.0001); WC decreased in all three groups (p < 0.05 for all); and log ISI increased in the lifestyle and metformin groups (both p < 0.001). The change in log NT-proBNP did not differ in the lifestyle or metformin group vs the placebo group (p > 0.05 for both). In regression models, the change in log NT-proBNP was positively associated with the change in log ISI (p < 0.005) in all three study groups after adjusting for changes in BMI and WC, but was not associated with the change in BMI or WC after adjusting for changes in log ISI. CONCLUSION/

interpretationCirculating NT-proBNP was associated with a measure of insulin sensitivity before and during preventive interventions for type 2 diabetes in the DPP. This relationship persisted after adjustment for measures of adiposity and was consistent regardless of whether a participant was treated with placebo, intensive lifestyle intervention or metformin.

Indexed as

Insulin ResistanceAdipose TissueAdiposityAdultBlood GlucoseBody Mass IndexDiabetes MellitusDiabetes Mellitus, Type 2FemaleHumansInsulinLife StyleMaleMetforminMiddle AgedNatriuretic Peptide, BrainBlood GlucoseInsulinMetforminNatriuretic Peptide, BrainPeptide Fragmentspro-brain natriuretic peptide (1-76)

Identifiers

PMID24554005
PMCPMC4158711
OpenAlexW2138726258

What OpenQuestion holds

Texttitle and abstract
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.