Evidence map›Paper›PMID 26511621›Full record

ArticleCardiovascular diabetology2015

Combined influence of nonalcoholic fatty liver and body size phenotypes on diabetes risk.

Tingting Du, Xuefeng Yu, Gang Yuan, Jianhua Zhang, Xingxing Sun

Abstract read
In one paragraph

Article in Cardiovascular diabetology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing 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

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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

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

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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

5 authors.

Tingting DuDepartment of Endocrinology, Tongji Medical College, Tongji Hospital, Huazhong University of Science and Technology, 430030, Wuhan, China. aduttsxx@163.com.
Xuefeng YuDepartment of Endocrinology, Tongji Medical College, Tongji Hospital, Huazhong University of Science and Technology, 430030, Wuhan, China. xuefengyu188@gmail.com.
Gang YuanDepartment of Endocrinology, Tongji Medical College, Tongji Hospital, Huazhong University of Science and Technology, 430030, Wuhan, China. fly.hippocampus@gmail.com.
Jianhua ZhangDepartment of Endocrinology, Tongji Medical College, Tongji Hospital, Huazhong University of Science and Technology, 430030, Wuhan, China. zhjh1205@hotmail.com.
Xingxing SunDepartment of Anesthesiology, Tongji Medical College, Tongji Hospital, Huazhong University of Science and Technology, 430030, Wuhan, China. sunxx1984@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWe aimed to determine the association between nonalcoholic fatty liver disease (NAFLD) and diabetes risk among body size phenotypes which was based on cross-classification of body mass index (BMI) categories (normal or overweight/obesity) and metabolic status (metabolically health or metabolically at-risk).

methodsWe conducted a cross-sectional analysis using a cohort of 10,761 apparently healthy Chinese adults who underwent comprehensive health checkups including abdominal ultrasonography. Subjects were classified as metabolically at-risk by having any two of the following, consistent with the Adult Treatment Panel-III metabolic syndrome definition: (1) systolic/diastolic blood pressure ≥130/85 mmHg, (2) triglycerides ≥1.7 mmol/L, (3) fasting blood glucose ≥5.6 mmol/L, (4) HDL-cholesterol ≥1.0/1.3 mmol/L for men/women.

resultsAmong participants without metabolically at-risk, multivariate-adjusted odds ratios (ORs) for diabetes from NAFLD compared with those without NAFLD in the normal-weight (BMI <23 kg/m(2)) and overweight/obese (BMI ≥23 kg/m(2)) group were 2.10 (1.85-3.93) and 1.85 (1.35-2.53), respectively. Among participants with metabolically at-risk, the significant association between NAFLD and diabetes was lost, regardless of obesity status. There were only 27.1% subjects with the presence of the three factors (overweight/obesity, NAFLD, and metabolically at-risk) occurring together, while the three factors occurring together was common (56.16%) in diabetic individuals. The multivariate-adjusted ORs for diabetes were 1.1 (0.61-1.98) for overweight/obesity, 2.23 (1.05-5.14) for NAFLD, and 8.04 (5.0-12.09) for metabolically at-risk. The OR for the presence of all the three factors occurring together was 23.22 (13.96-38.63).

conclusionsNAFLD was associated with diabetes risk among participants without metabolically at-risk. The clustering of overweight/obesity, NAFLD, and metabolically at-risk is common in diabetic subjects and strikingly and markedly increases the diabetes risk.

Indexed as

AdultBody Mass IndexChinaCholesterol, HDLCohort StudiesCross-Sectional StudiesDiabetes MellitusFemaleHumansLogistic ModelsMaleMetabolic SyndromeMiddle AgedMultivariate AnalysisNon-alcoholic Fatty Liver DiseaseObesityCholesterol, HDLTriglycerides

Identifiers

PMID26511621
PMCPMC4625438

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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.