Evidence map›Paper›PMID 25547717›Full record

Observational studyJournal of diabetes and its complications2015

Adipose tissue content, muscle performance and physical function in obese adults with type 2 diabetes mellitus and peripheral neuropathy.

Daniel C Bittel, Adam J Bittel, Lori J Tuttle, Mary K Hastings, Paul K Commean, Michael J Mueller, W Todd Cade, David R Sinacore

Abstract readComparative StudyObservational Study
In one paragraph

Observational study in Journal of diabetes and its complications, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed, 2 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

40 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Article
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  7. Article
  8. The Association Between Sarcopenia and Diabetes: From Pathophysiology Mechanism to Therapeutic Strategy.Diabetes, metabolic syndrome and obesity : targets and therapy · 2023
    Review
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  17. FGF-2-dependent signaling activated in aged human skeletal muscle promotes intramuscular adipogenesis.Proceedings of the National Academy of Sciences of the United States of America · 2021
    Article
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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

8 authors.

Daniel C BittelProgram in Physical Therapy, Washington University School of Medicine, 4444 Forest Park Ave, St Louis, MO, 63110. Electronic address: bitteld@wusm.wustl.edu.
Adam J BittelProgram in Physical Therapy, Washington University School of Medicine, 4444 Forest Park Ave, St Louis, MO, 63110.
Lori J TuttleDoctor of Physical Therapy Program, School of Exercise and Nutritional Sciences, San Diego State University, 5500 Campanile Dr, San Diego, CA, 92182.
Mary K HastingsProgram in Physical Therapy, Washington University School of Medicine, 4444 Forest Park Ave, St Louis, MO, 63110.
Paul K CommeanProgram in Physical Therapy, Washington University School of Medicine, 4444 Forest Park Ave, St Louis, MO, 63110.
Michael J MuellerProgram in Physical Therapy, Washington University School of Medicine, 4444 Forest Park Ave, St Louis, MO, 63110.
W Todd CadeProgram in Physical Therapy, Washington University School of Medicine, 4444 Forest Park Ave, St Louis, MO, 63110.
David R SinacoreProgram in Physical Therapy, Washington University School of Medicine, 4444 Forest Park Ave, St Louis, MO, 63110.

Funding

Washington University Institute of Clinical and Translational Sciences (UL1)UL1RR024992 · NCRR · WASHINGTON UNIVERSITY · PI EVANOFF, BRADLEY A · 2007 to 2011
$45.4M
Washington University Institute of Clinical and Translational SciencesUL1TR000448 · NCATS · WASHINGTON UNIVERSITY · PI EVANOFF, BRADLEY A · 2012 to 2016
$41.4M
Washington University Nutrition Obesity Research CenterP30DK056341 · NIDDK · WASHINGTON UNIVERSITY · PI Dominic N Reeds · 1999 to 2026
$30.2M
MULTICENTER CAREER DEVELOPMENT PROGRAM FOR PHYSICAL AND OCCUPATIONAL THERAPYK12HD055931 · NICHD · WASHINGTON UNIVERSITY · PI HAYES, MARCIE HARRIS · 2007 to 2021
$12.7M
National Center for Muscle Rehabilitation ResearchR24HD050837 · NICHD · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI LIEBER, RICHARD L., WARD, SAMUEL RICHARD · 2005 to 2014
$7.2M
DOCTORAL TRAINING PROGRAM IN MOVEMENT SCIENCET32HD007434 · NICHD · WASHINGTON UNIVERSITY · PI Michael D Harris, Catherine Lang · 1993 to 2026
$4.2M
NCATS NIH HHS UL1 TR000448NCRR NIH HHS UL1 RR024992NICHD NIH HHS K12 HD055931NICHD NIH HHS R24 HD050837NICHD NIH HHS R24HD650837NICHD NIH HHS T32 HD007434NICHD NIH HHS T32HD007434-19NIDDK NIH HHS P30 DK056341
6 · The paper itself

Abstract

aimsTo determine leg intermuscular (IMAT) and subcutaneous (SQAT) adipose tissue and their relationships with muscle performance and function in obese adults with and without type 2 diabetes and peripheral neuropathy (T2DMPN).

methodsSeventy-nine age-matched obese adults were studied, 13 T2DM, 54 T2DMPN, and 24 obese controls. Leg fat (%IMAT, %SQAT) volumes were quantified using MRI. Ankle plantar flexion (PF) torque and power were assessed with isokinetic dynamometry. Physical function was assessed with 9-item Physical Performance Test (PPT), 6-minute walk distance, single-limb balance, and time to ascend 10 stairs. One-way ANOVAs determined group differences, and multiple regression predicted PPT score from disease status, % IMAT, and PF power.

resultsT2DMPN participants had 37% greater IMAT volumes and 15% lower SQAT volumes than controls (p =. 01). T2DMPN and T2DM showed reduced PF torque and power compared to controls. T2DMPN participants had lower PPT score, 6-minute walk, single-limb balance, and stair climbing than controls (all p<.05). %IMAT volume correlated inversely, and %SQAT correlated directly, with PPT. Leg %IMAT and disease status predicted 49% of PPT score.

conclusionsT2DMPN may represent a shift in adipose tissue accumulation from SQAT to IMAT depots, which is inversely associated with muscle performance and physical function.

Indexed as

AdiposityPsychomotor PerformanceAdipose Tissue, WhiteAgedBody Mass IndexDiabetes Mellitus, Type 2Diabetic NeuropathiesFemaleHumansLegMagnetic Resonance ImagingMaleMatched-Pair AnalysisMiddle AgedMuscle DevelopmentMuscle, SkeletalAdipose tissueDiabetesMuscleNeuropathyPhysical function

Identifiers

PMID25547717
PMCPMC4333054

What OpenQuestion holds

Textmetadata
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.