Evidence map›Paper›PMID 25774226›Full record

ArticleDiabetology & metabolic syndrome2015

Peripheral neuropathy is associated with insulin resistance independent of metabolic syndrome.

Ling Han, Lijin Ji, Jing Chang, Jian Wen, Wenting Zhao, Hongli Shi, Linuo Zhou, Yiming Li, Renming Hu, Ji Hu and 1 more

Open access · goldAbstract read
In one paragraph

Article in Diabetology & metabolic syndrome, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 2 pooled it
2.7field-weighted citation impact, top 9% 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

31 citing papers in PubMed, 2 syntheses or guidelines pooled it, 62 citations in OpenAlex.

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  12. Analysis of Factors Related to Type 2 Diabetic Peripheral Neuropathy Based on Flash Glucose Monitoring System.Medical science monitor : international medical journal of experimental and clinical research · 2023
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  17. Systems Biology to Address Unmet Medical Needs in Neurological Disorders.Methods in molecular biology (Clifton, N.J.) · 2022
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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

11 authors at 2 institutions in 1 country.

Ling Han *Department of Endocrinology and Metabolism, Huashan Hospital, Fudan University, No, 12 Wulumuqi Middle Road, Jing'an District, Shanghai 200040 China.
Lijin Ji *Department of Endocrinology and Metabolism, Huashan Hospital, Fudan University, No, 12 Wulumuqi Middle Road, Jing'an District, Shanghai 200040 China.
Jing Chang *Department of the Third Internal Medicine, Affiliated hospital of Shandong Academy of Medical Sciences, No. 38 Wuyingshan Road, Shandong, 250031 China.
Jian WenDepartment of Endocrinology, the Second Affiliated Hospital of Soochow University, Jiangsu, 215004 China.
Wenting ZhaoDepartment of Endocrinology and Metabolism, Huashan Hospital, Fudan University, No, 12 Wulumuqi Middle Road, Jing'an District, Shanghai 200040 China.
Hongli ShiDepartment of Endocrinology and Metabolism, Huashan Hospital, Fudan University, No, 12 Wulumuqi Middle Road, Jing'an District, Shanghai 200040 China.
Linuo ZhouDepartment of Endocrinology and Metabolism, Huashan Hospital, Fudan University, No, 12 Wulumuqi Middle Road, Jing'an District, Shanghai 200040 China.
Yiming LiDepartment of Endocrinology and Metabolism, Huashan Hospital, Fudan University, No, 12 Wulumuqi Middle Road, Jing'an District, Shanghai 200040 China.
Renming HuDepartment of Endocrinology and Metabolism, Huashan Hospital, Fudan University, No, 12 Wulumuqi Middle Road, Jing'an District, Shanghai 200040 China.
Ji HuDepartment of Endocrinology, the Second Affiliated Hospital of Soochow University, Jiangsu, 215004 China.
Bin LuDepartment of Endocrinology and Metabolism, Huashan Hospital, Fudan University, No, 12 Wulumuqi Middle Road, Jing'an District, Shanghai 200040 China.
Fudan University · CNChinese Academy of Medical Sciences & Peking Union Medical College · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo determine the association of insulin resistance, metabolic syndrome (MetS) with peripheral neuropathy (PN).

methodsThis cross-sectional study consisted of 2035 subjects in Shanghai who were classified as with MetS and without MetS. The new International Diabetes Federation (IDF) criterion was used to define MetS. HOMA-IR was applied to evaluate insulin resistance. All subjects underwent complete foot examination. PN was assessed according to the neuropathy symptom and neuropathy disability scores. Binary logistic regression was performed to analyze the contributions of insulin resistance, features of MetS to PN.

results(1) The percentage of PN was 4.0% in our study. Patients with MetS (47.7%) had a higher percentage of PN (5.5% vs. 2.6%, respectively, P = 0.001). With the components of MetS increased (non-MetS, three, four, five), a linear increase in the proportion of peripheral neuropathy was observed (2.6%, 4.8%, 5.6% and 7.2%; respectively, P for trend = 0.001). (2) In patients with PN, the average age of patients was significantly older than the corresponding non-PN patients. Waist circumference, fasting blood glucose, HbA1c, proportion of treatment for diabetes and hypertension were significantly higher in PN group compared with non-PN group in MetS patients. (3) The frequency of dysglycemia was the highest in PN patients both with and without MetS (96.2% and 82.1%, P = 0.084). (4) After adjusting for gender and smoking history, the PN was associated with MetS [odds ratio (OR) 2.0; 95% confidence interval (CI) 1.2, 3.2; P = 0.006], and age (OR 1.1; 95% CI 1.1, 1.1; P < 0.001). When HOMA-IR was added to this binary logistic regression, the association of PN with MetS disappeared (P = 0.110), but the PN was still associated with HOMA-IR (OR 1.2; 95% CI 1.1, 1.4, P < 0.001).

conclusionsIn metabolic syndrome, insulin resistance might play an important role in the development of peripheral neuropathy.

Indexed as

DysglycemiaInsulin resistanceMetabolic syndromePeripheral neuropathy

Identifiers

PMID25774226
PMCPMC4359792
OpenAlexW2129580944

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LicenceCC BY
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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.