Evidence map›Paper›PMID 25039824›Full record

ArticleClinical endocrinology2015

Fibroblast growth factor-21, body composition, and insulin resistance in pre-pubertal and early pubertal males and females.

Lynae J Hanks, Krista Casazza, Ambika P Ashraf, Stephenie Wallace, Orlando M Gutiérrez

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Clinical endocrinology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02725879 (Association of Serum Fibroblast Growth Factor 21), which is not on this map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
1.7field-weighted citation impact, top 16% 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.

NCT02725879 completednot on this map

Association of Serum Fibroblast Growth Factor 21 (FGF-21) Levels With Resting Metabolic Rate (RMR), in Children and Adolescents With Hashimoto's Thyroiditis.

TypeobservationalSponsorAristotle University Of ThessalonikiRan2015 to 2020Enrolled90ConditionsHashimoto Disease
3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 25 citations in OpenAlex.

  1. Article
  2. Article
  3. Weight gain during the menopause transition: Evidence for a mechanism dependent on protein leverage.BJOG : an international journal of obstetrics and gynaecology · 2023
    Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Serum FGF21 Levels in Obese Korean Children and Adolescents.Journal of obesity & metabolic syndrome · 2017
    Article
  10. Article
  11. Observational
  12. Article
  13. 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

5 authors at 2 institutions in 1 country.

Lynae J HanksChildren's Hospital of Alabama, University of Alabama at Birmingham (UAB), Birmingham, AL, USA.
Krista Casazza
Ambika P Ashraf
Stephenie Wallace
Orlando M Gutiérrez
Children's of Alabama · USUniversity of Alabama at Birmingham Hospital · US

Funding

University of Alabama at Birmingham's Diabetes Research CenterP30DK079626 · NIDDK · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI Kirk Michael Habegger · 2013 to 2026
$19.5M
UAB-UCSD O'Brien Core Center for Acute Kidney Injury ResearchP30DK079337 · NIDDK · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI MEHTA, RAVINDRA L. · 2008 to 2022
$18.3M
TRAINING IN CELLULAR PHYSIOLOGY MEMBRANE TRANSPORTT32DK007545 · NIDDK · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI GUTIERREZ, ORLANDO M · 1987 to 2023
$4.5M
Impact of disordered mineral metabolism on stroke and cognitive impairmentR01NS080850 · NINDS · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI GUTIERREZ, ORLANDO M · 2012 to 2016
$1.2M
Puberty-Related Intervention to Improve Metabolic Outcomes - The PRIMO StudyR00DK083333 · NIDDK · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI CASAZZA, KRISTA · 2011 to 2013
$726k
Racial Differences in Phosphorus Metabolism in Health and in Kidney DiseaseK23DK081673 · NIDDK · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI GUTIERREZ, ORLANDO M · 2008 to 2012
$687k
Phosphorus-based Food Additives, Mineral Metabolism and Cardiovascular HealthR03DK095005 · NIDDK · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI GUTIERREZ, ORLANDO M · 2012 to 2014
$543k
NIDDK NIH HHS K23 DK081673NIDDK NIH HHS K23DK081673NIDDK NIH HHS P30 DK079337NIDDK NIH HHS P30 DK079626NIDDK NIH HHS R00 DK083333NIDDK NIH HHS R00DK083333NIDDK NIH HHS R03 DK095005NIDDK NIH HHS R03DK095005NIDDK NIH HHS T32 DK007545NIDDK NIH HHS T32DK007545NINDS NIH HHS R01 NS080850
6 · The paper itself

Abstract

objectiveAccumulating evidence derived primarily from animal models suggests that fibroblast growth factor-21 (FGF-21) may affect the musculoskeletal system via effects on the capacity of tissues to respond to insulin. A proportion of musculoskeletal properties and underpinnings of promoting/preventing insulin resistance are established early in the pubertal transition. Thus, the objective of this study was to test the hypothesis that insulin resistance and/or obesity will promote greater FGF-21 concentration which will be inversely associated with musculoskeletal parameters [lean mass and bone mineral content (BMC)] in pre-/early pubertal children. Given the sexual dimorphic nature of musculoskeletal development of fat mass accrual, differences by obesity status and sex were also investigated.

designCross-sectional. PATIENTS: Children ages 7-12 years (n = 69, 38% male, 48% non-Hispanic black, 45% obese). MEASUREMENTS: Fasting FGF-21, glucose and insulin measures were obtained. An estimate of insulin resistance was derived using the homoeostatic model assessment of insulin resistance (HOMA-IR). Body composition (BMC, lean mass and fat mass) was assessed by DXA. Multivariate regression analysis was used to evaluate the influence of FGF-21 on BMC, lean mass and HOMA-IR as dependent variables. Obesity status was established based on BMI z-score.

resultsFGF-21 concentrations did not differ by obesity status or by sex. There was an inverse association between FGF-21 and BMC among nonobese individuals (P = 0·01) and an inverse association between FGF-21 and lean mass among females (P = 0·02), which were both independent of fat mass. FGF-21 was inversely associated with HOMA-IR in males, but not females (P = 0·04).

conclusionsThe existence of relationships of FGF-21 with musculoskeletal parameters and insulin resistance raises the possibility of crosstalk between these systems. These findings suggest that circulating FGF-21 may differ in its association with bone, lean mass and insulin resistance depending on sex and weight status.

Indexed as

Body CompositionInsulin ResistanceBlood GlucoseBody Mass IndexBody WeightBone DensityChildFemaleFibroblast Growth FactorsHumansInsulinMaleObesityPubertyRegression AnalysisSex FactorsBlood Glucosefibroblast growth factor 21Fibroblast Growth FactorsInsulin

Identifiers

PMID25039824
PMCPMC4289452
OpenAlexW2167899388

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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.