Evidence map›Paper›PMID 25969718›Full record

ArticleJournal of diabetes investigation2015

Ezetimibe combined with standard diet and exercise therapy improves insulin resistance and atherosclerotic markers in patients with metabolic syndrome.

Kyoko Ohbu-Murayama, Hisashi Adachi, Yuji Hirai, Mika Enomoto, Ako Fukami, Aya Obuchi, Ayako Yoshimura, Sachiko Nakamura, Yume Nohara, Erika Nakao and 2 more

Open access · goldAbstract read
In one paragraph

Article in Journal of diabetes investigation, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 28% 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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Review
  4. Review
  5. Article
  6. Review
  7. Article
  8. 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

12 authors at 1 institution in 1 country.

Kyoko Ohbu-MurayamaDepartment of Internal Medicine, Division of Cardio-Vascular Medicine Kurume, Japan.
Hisashi AdachiDepartment of Community Medicine, Kurume University School of Medicine Kurume, Japan.
Yuji HiraiDepartment of Internal Medicine, Division of Cardio-Vascular Medicine Kurume, Japan.
Mika EnomotoDepartment of Internal Medicine, Division of Cardio-Vascular Medicine Kurume, Japan.
Ako FukamiDepartment of Internal Medicine, Division of Cardio-Vascular Medicine Kurume, Japan.
Aya ObuchiDepartment of Internal Medicine, Division of Cardio-Vascular Medicine Kurume, Japan.
Ayako YoshimuraDepartment of Internal Medicine, Division of Cardio-Vascular Medicine Kurume, Japan.
Sachiko NakamuraDepartment of Internal Medicine, Division of Cardio-Vascular Medicine Kurume, Japan.
Yume NoharaDepartment of Internal Medicine, Division of Cardio-Vascular Medicine Kurume, Japan.
Erika NakaoDepartment of Internal Medicine, Division of Cardio-Vascular Medicine Kurume, Japan.
Yoko UmekiDepartment of Internal Medicine, Division of Cardio-Vascular Medicine Kurume, Japan.
Yoshihiro FukumotoDepartment of Internal Medicine, Division of Cardio-Vascular Medicine Kurume, Japan.
Kurume University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

AIMS/

introductionEzetimibe lowers serum lipid levels by inhibiting intestinal absorption of dietary and biliary cholesterol. However, the effect of ezetimibe on insulin resistance remains unclear. The aim of the present study was to examine this issue in patients with metabolic syndrome in local-dwelling Japanese, who were not being treated with lipid-lowering drugs. MATERIALS AND

methodsIn 2009, 1,943 participants received a health examination in the Tanushimaru Study, a Japanese cohort of the Seven Countries Study, of whom 490 participants had metabolic syndrome. Among them, 61 participants (41 men and 20 women) were examined in the present study. They were treated with 10 mg of ezetimibe once a day for 24 weeks, combined with standard diet and exercise therapy.

resultsBodyweight (P < 0.001), body mass index (P < 0.001), systolic blood pressure (P = 0.003), diastolic blood pressure (P < 0.001), triglycerides (P = 0.002), non-high-density lipoprotein cholesterol (P = 0.001), low-density lipoprotein cholesterol (P < 0.001) and homeostasis model assessment of insulin resistance (P = 0.011) significantly decreased after the observational period. There were no statistically significant differences in the effects of ezetimibe between men and women. Univariate analysis showed that the reduction of homeostasis model assessment of insulin resistance was not associated with the improvement of other metabolic components.

conclusionsEzetimibe combined with standard diet and exercise therapy improves not only bodyweight and atherogenic lipid profiles, but also insulin resistance, blood pressure and anthropometric factors in metabolic syndrome in local-dwelling Japanese. Interestingly, the improvement of insulin resistance had no correlation with other metabolic components.

Indexed as

EzetimibeInsulin resistanceMetabolic syndrome

Identifiers

PMID25969718
PMCPMC4420565
OpenAlexW1982063268

What OpenQuestion holds

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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.