Evidence map›Paper›PMID 25419241›Full record

ArticleDiabetology & metabolic syndrome2014

Glucose homeostasis and insulin resistance: prevalence, gender differences and predictors in adolescents.

Irena Aldhoon-Hainerová, Hana Zamrazilová, Lenka Dušátková, Barbora Sedláčková, Petr Hlavatý, Martin Hill, Richard Hampl, Marie Kunešová, Vojtěch Hainer

Abstract read
In one paragraph

Article in Diabetology & metabolic syndrome, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing 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

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

  1. Pooled it
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  18. Sex differences in diabetes and kidney disease: mechanisms and consequences.American journal of physiology. Renal physiology · 2019
    Review
  19. Article
  20. Insulin Resistance in Children.Frontiers in endocrinology · 2019
    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

9 authors.

Irena Aldhoon-HainerováInstitute of Endocrinology, Obesity Management Center, Národní 8, 116 94 Prague 1, Czech Republic ; Department of Pediatrics and Center for Research of Diabetes, Metabolism and Nutrition, Third Faculty of Medicine, Charles University, Šrobárova 50, 100 34 Prague 10, Czech Republic.
Hana ZamrazilováInstitute of Endocrinology, Obesity Management Center, Národní 8, 116 94 Prague 1, Czech Republic.
Lenka DušátkováInstitute of Endocrinology, Obesity Management Center, Národní 8, 116 94 Prague 1, Czech Republic ; Faculty of Science, Charles University, Albertov 6, 128 43 Prague 2, Czech Republic.
Barbora SedláčkováInstitute of Endocrinology, Obesity Management Center, Národní 8, 116 94 Prague 1, Czech Republic ; Faculty of Science, Charles University, Albertov 6, 128 43 Prague 2, Czech Republic.
Petr HlavatýInstitute of Endocrinology, Obesity Management Center, Národní 8, 116 94 Prague 1, Czech Republic.
Martin HillInstitute of Endocrinology, Obesity Management Center, Národní 8, 116 94 Prague 1, Czech Republic.
Richard HamplInstitute of Endocrinology, Obesity Management Center, Národní 8, 116 94 Prague 1, Czech Republic.
Marie KunešováInstitute of Endocrinology, Obesity Management Center, Národní 8, 116 94 Prague 1, Czech Republic.
Vojtěch HainerInstitute of Endocrinology, Obesity Management Center, Národní 8, 116 94 Prague 1, Czech Republic.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAdolescence, due to transient pubertal insulin resistance (IR), is associated with a higher risk for disturbances of glucose metabolism. The aim of our study was 1) to investigate the prevalence of disturbances of glucose metabolism, 2) to define gender specific homeostasis model assessment of insulin resistance (HOMA-IR) thresholds associated with increased cardiometabolic risks and 3) to provide predictors of HOMA-IR.

methodsThe studied cohort consisted of Czech adolescents aged 13.0-17.9 years: 1,518 individuals of general population and three studied groups according weight category (615 normal weight, 230 overweight and 683 obese). The prevalence of IR, impaired fasting glucose (IFG) and type 2 diabetes was assessed. Risky HOMA-IR thresholds based on components of metabolic syndrome were investigated. HOMA-IR prediction was calculated taking into account age, blood pressure, multiple anthropometric, biochemical and hormonal parameters.

resultsIn general population cohort, the prevalence of IFG and type 2 diabetes was 7.0% and <0.5%, respectively. Boys regardless of weight presented significantly higher levels of blood glucose and higher prevalence of IFG than girls. Obese boys were found more insulin resistant than obese girls. HOMA-IR thresholds of 3.6 for girls and 4.4 for boys were associated with increased cardiometabolic risks. For both genders, the model of HOMA-IR prediction was composed of age, BMI, ratio of free triiodthyronine to free thyroxine, gamma-glutamyltransferase activity and levels of triglycerides and sex hormone-binding globulin.

conclusionsThe type 2 diabetes in adolescents, including those who were obese, was rarely diagnosed. Obese adolescent boys were at greater risk for IR and for IFG than obese girls. In adolescence, thresholds of HOMA-IR in contrast to predictors were found gender specific.

Indexed as

AdolescenceGlucose homeostasisHOMA-IR predictionInsulin resistanceMetabolic syndromeObesityType 2 diabetes

Identifiers

PMID25419241
PMCPMC4240882

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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.