Evidence map›Paper›PMID 25316435›Full record

ArticleDiabetologia2015

Comparison of HOMA-IR, HOMA-β% and disposition index between US white men and Japanese men in Japan: the ERA JUMP study.

Vasudha Ahuja, Takashi Kadowaki, Rhobert W Evans, Aya Kadota, Tomonori Okamura, Samar R El Khoudary, Akira Fujiyoshi, Emma J M Barinas-Mitchell, Takashi Hisamatsu, Abhishek Vishnu and 8 more

Abstract readComparative Study
In one paragraph

Article in Diabetologia, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

32 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

18 authors.

Vasudha AhujaDepartment of Epidemiology, University of Pittsburgh, 130 N. Bellefield Avenue, Suite 546, Pittsburgh, PA, 15213, USA.
Takashi Kadowaki
Rhobert W Evans
Aya Kadota
Tomonori Okamura
Samar R El Khoudary
Akira Fujiyoshi
Emma J M Barinas-Mitchell
Takashi Hisamatsu
Abhishek Vishnu
Katsuyuki Miura
Hiroshi Maegawa
Aiman El-Saed
Atsunori Kashiwagi
Lewis H Kuller
Hirotsugu Ueshima
Akira Sekikawa
ERA JUMP Study Group

Funding

Foreign CohortR01HL068200 · NHLBI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI SEKIKAWA, AKIRA · 2003 to 2012
$5.6M
NHLBI NIH HHS R01 HL068200NHLBI NIH HHS R01 HL68200
6 · The paper itself

Abstract

aims/hypothesisAt the same level of BMI, white people have less visceral adipose tissue (VAT) and are less susceptible to developing type 2 diabetes than Japanese people. No previous population-based studies have compared insulin resistance and insulin secretion between these two races in a standardised manner that accounts for VAT. We compared HOMA-IR, HOMA of beta cell function (HOMA-β%) and disposition index (DI) in US white men and Japanese men in Japan.

methodsWe conducted a population-based, cross-sectional study, comprising 298 white men and 294 Japanese men aged 40-49 years without diabetes. Insulin, glucose, VAT and other measurements were performed at the University of Pittsburgh. We used ANCOVA to compare geometric means of HOMA-IR, HOMA-β% and DI, adjusting for VAT and other covariates.

resultsWhite men had higher HOMA-IR, HOMA-β% and DI than Japanese men, and the difference remained significant (p < 0.01) after adjusting for VAT (geometric mean [95% CI]): 3.1 (2.9, 3.2) vs 2.5 (2.4, 2.6), 130.8 (124.6, 137.3) vs 86.7 (82.5, 91.0), and 42.4 (41.0, 44.0) vs 34.8 (33.6, 36.0), respectively. Moreover, HOMA-IR, HOMA-β% and DI were significantly higher in white men even after further adjustment for BMI, impaired fasting glucose and other risk factors. CONCLUSIONS/

interpretationThe higher VAT-adjusted DI in white men than Japanese men may partly explain lower susceptibility of white people than Japanese people to developing type 2 diabetes. The results, however, should be interpreted with caution because the assessment of insulin indices was made using fasting samples and adjustment was not made for baseline glucose tolerance. Further studies using formal methods to evaluate insulin indices are warranted.

Indexed as

Asian PeopleWhite PeopleAdultAnalysis of VarianceBlood GlucoseBody CompositionBody Mass IndexCross-Sectional StudiesGenetic Predisposition to DiseaseHomeostasisHumansInsulin ResistanceIntra-Abdominal FatJapanMaleMiddle AgedBlood Glucose

Identifiers

PMID25316435
PMCPMC4289411

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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.