Evidence map›Paper›PMID 26020514›Full record

Trial reportPloS one2015

Helicobacter pylori Infection Increases Insulin Resistance and Metabolic Syndrome in Residents Younger than 50 Years Old: A Community-Based Study.

Li-Wei Chen, Chih-Yi Chien, Kai-Jie Yang, Sheng-Fong Kuo, Chih-Hung Chen, Rong-Nan Chien

Open access · goldAbstract readClinical Trial
In one paragraph

Trial report in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 2 pooled it
8.6field-weighted citation impact, top 2% 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

34 citing papers in PubMed, 2 syntheses or guidelines pooled it, 67 citations in OpenAlex.

  1. Frontiers in medicine · 2026
    Pooled it
  2. Chinese medical journal · 2018
    Pooled it
  3. Association ofWorld journal of clinical pediatrics · 2026
    Article
  4. Elevated fasting glucose levels associated withJournal of medicine and life · 2025
    Observational
  5. Article
  6. Article
  7. Observational
  8. Article
  9. Review
  10. Observational
  11. Review
  12. Article
  13. Article
  14. Review
  15. Article
  16. Overview ofDiseases (Basel, Switzerland) · 2021
    Review
  17. Microorganisms · 2021
    Article
  18. Review
  19. Article
  20. Association ofExperimental and therapeutic medicine · 2019
    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

6 authors at 1 institution in 1 country.

Li-Wei ChenDepartment of Gastroenterology and Hepatology, Chang-Gung Memorial Hospital and University, Keelung, Taiwan; Community Medicine Research Center, Chang-Gung Memorial Hospital and University, Keelung, Taiwan.
Chih-Yi ChienCommunity Medicine Research Center, Chang-Gung Memorial Hospital and University, Keelung, Taiwan.
Kai-Jie YangCommunity Medicine Research Center, Chang-Gung Memorial Hospital and University, Keelung, Taiwan.
Sheng-Fong KuoCommunity Medicine Research Center, Chang-Gung Memorial Hospital and University, Keelung, Taiwan; Metabolism and Endocrinology, Chang-Gung Memorial Hospital and University, Keelung, Taiwan.
Chih-Hung ChenCommunity Medicine Research Center, Chang-Gung Memorial Hospital and University, Keelung, Taiwan; Metabolism and Endocrinology, Chang-Gung Memorial Hospital and University, Keelung, Taiwan.
Rong-Nan ChienDepartment of Gastroenterology and Hepatology, Chang-Gung Memorial Hospital and University, Keelung, Taiwan; Community Medicine Research Center, Chang-Gung Memorial Hospital and University, Keelung, Taiwan.
Keelung Chang Gung Memorial Hospital · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This study aimed to analyze the influence of H. pylori infection on insulin resistance and metabolic syndrome (MS) by multivariate analysis of a community-based cohort study. From January 2013 to February 2014,811 subjects were enrolled in a community-based cohort study from the northeastern region of Taiwan. All subjects received a demographic survey and blood tests, including an H. pylori antibody test, liver biochemistry tests, lipid profiles, sugar/insulin levels for Homeostatic model assessment (HOMA-IR index), and measurements of adipokines and inflammatory cytokines. A total of 264 men and 547 women were included in this study. The mean age was 59.2 ± 12.7 years. Subjects seropositive for H. pylori antibodies exhibited higher rates of hypertension, an increased incidence of a HOMA-IR index > 2.5 and a higher level of tumor necrosis factor-α than those without H. pylori antibodies. We found a significant difference in the presence of H. pylori antibodies between subjects with MS and those without MS (76.7% vs. 53.7%, p = 0.007) among subjects < 50 y/o. A HOMA-IR index >2.5, H. pylori antibody presence and leptin were predictors for MS in subjects < 50 y/o. The estimated odds ratio of MS for a subject with H. pylori antibodies was 3.717 (95% CI = 1.086-12.719) times that of a subject without H. pylori antibodies. In addition, no difference in H. pylori antibody status was detected for MS prediction in subjects that were ≧ 50 y/o (p = 0.861). In conclusion, subjects with H. pylori antibodies had a higher incidence of a HOMA-IR >2.5 than those without H pylori antibodies. For subjects aged < 50 y/o, the H. pylori antibody was a predictor for MS.

Indexed as

Helicobacter InfectionsHelicobacter pyloriInsulin ResistanceMetabolic SyndromeAgedAge FactorsAntibodies, BacterialCase-Control StudiesFemaleHumansHypertensionLeptinMaleMiddle AgedTaiwanAntibodies, BacterialLeptin

Identifiers

PMID26020514
PMCPMC4447445
OpenAlexW372747671

What OpenQuestion holds

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LicenceCC BY
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.