Evidence map›Paper›PMID 26754041›Full record

Observational studyPediatric nephrology (Berlin, Germany)2016

The dose-response effect of insulin sensitivity on albuminuria in children according to diabetes type.

Amy K Mottl, Jasmin Divers, Dana Dabelea, David M Maahs, Lawrence Dolan, David Pettitt, Santica Marcovina, Giuseppina Imperatore, Catherine Pihoker, Michael Mauer and 2 more

Abstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Pediatric nephrology (Berlin, Germany), 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.5field-weighted citation impact, top 17% 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, 11 citations in OpenAlex.

  1. Article
  2. Pioglitazone in diabetic kidney disease: forgotten but not gone.Archives of medical sciences. Atherosclerotic diseases · 2022
    Article
  3. Review
  4. Article
  5. Review
  6. Article
  7. Review
  8. Insulin Sensitivity and Diabetic Kidney Disease in Children and Adolescents With Type 2 Diabetes: An Observational Analysis of Data From the TODAY Clinical Trial.American journal of kidney diseases : the official journal of the National Kidney Foundation · 2018 · on this map
    Observational
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 6 institutions in 1 country.

Amy K MottlUNC Division of Nephrology and Hypertension, University of North Carolina School of Medicine, Chapel Hill, NC, USA. amy_mottl@med.unc.edu.ORCID http://orcid.org/0000-0002-4258-1726
Jasmin DiversDepartment of Biostatistical Sciences, Wake Forest School of Medicine, Winston-Salem, NC, USA.
Dana DabeleaDepartment of Epidemiology, School of Public Health, University of Colorado Denver, Aurora, CO, USA.
David M MaahsBarbara Davis Center for Childhood Diabetes, University of Colorado Denver, Aurora, CO, USA.
Lawrence DolanDivision of Endocrinology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
David Pettitt, Santa Barbara, CA, USA.
Santica MarcovinaNorthwest Lipid Metabolism and Diabetes Research Laboratories, Department of Medicine, University of Washington, Seattle, WA, USA.
Giuseppina ImperatoreDivision of Diabetes Translation, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, GA, USA.
Catherine PihokerDepartment of Pediatrics, University of Washington, Seattle, WA, USA.
Michael MauerDepartment of Pediatrics, University of Minnesota Medical School, Minneapolis, MN, USA.
Elizabeth J Mayer-DavisDepartment of Nutrition, University of North Carolina School of Public Health, Chapel Hill, NC, USA.
SEARCH for Diabetes in Youth Study
University of North Carolina at Chapel Hill · USCenters for Disease Control and Prevention · USCincinnati Children's Hospital Medical Center · USColorado School of Public Health · USUniversity of California, Santa Barbara · USUniversity of Washington · US

Funding

Transform Dissemination and Implementation Science in CTSA ProgramsUL1TR002319 · NCATS · UNIVERSITY OF WASHINGTON · PI John K. Amory · 2017 to 2026
$100.0M
Institute of Translational Health SciencesUL1TR000423 · NCATS · UNIVERSITY OF WASHINGTON · PI DISIS, MARY L. · 2012 to 2016
$49.4M
LCenter for Clinical and Translational Science and TrainingUL1TR001425 · NCATS · UNIVERSITY OF CINCINNATI · PI HEUBI, JAMES E., KISSELA, BRETT M · 2015 to 2024
$37.5M
UNIV OF NORTH CAROLINA CLINICAL NUTRITION RESEARCH UNITP30DK056350 · NIDDK · UNIV OF NORTH CAROLINA CHAPEL HILL · PI SUSAN M. SMITH · 1999 to 2026
$31.6M
Colorado Clinical and Translational Science Institute (UL1)UL1TR000154 · NCATS · UNIVERSITY OF COLORADO DENVER · PI SOKOL, RONALD J. · 2012 to 2013
$20.4M
UCHSC DIABETES ENDOCRINOLOGY RESEARCH CENTERP30DK057516 · NIDDK · UNIVERSITY OF COLORADO DENVER · PI HUTTON, JOHN C · 2000 to 2010
$14.0M
SOUTH CAROLINA CLINICAL & TRANSLATIONAL RESEARCH INSTITUTE (SCTR)UL1RR029882 · NCRR · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI BRADY, KATHLEEN T. · 2009 to 2011
$10.1M
Cincinnati Center for Clinical and Translational Sciences and TrainingUL1TR000077 · NCATS · UNIVERSITY OF CINCINNATI · PI HEUBI, JAMES E. · 2012 to 2014
$9.9M
SEARCH for Diabetes in Youth Coordinating CenterU01DP000250 · DP · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI BELL, RONNY A · 2005 to 2009
$4.8M
SEARCH For Diabetes in Youth, Phase 3: Cohort Study-Carolina CenterU18DP002708 · DP · UNIV OF NORTH CAROLINA CHAPEL HILL · PI MAYER-DAVIS, ELIZABETH J · 2010 to 2014
$3.6M
SEARCH for Diabetes in Youth 2: Colorado CenterU01DP000247 · DP · UNIVERSITY OF COLORADO DENVER · PI DABELEA, DANA · 2005 to 2009
$3.6M
SEARCH for Diabetes in Youth 2: South Carolina CenterU01DP000254 · DP · UNIV OF NORTH CAROLINA CHAPEL HILL · PI MAYER-DAVIS, ELIZABETH J · 2005 to 2009
$3.5M
HSRD VA HIR 10-001NCATS NIH HHS 8 UL1 TR000077NCATS NIH HHS UL1 TR000077NCATS NIH HHS UL1 TR000154NCATS NIH HHS UL1 TR000423NCATS NIH HHS UL1 TR001425NCATS NIH HHS UL1 TR002319NCATS NIH HHS UL1 TR00423NCCDPHP CDC HHS 1U18DP002709NCCDPHP CDC HHS DP-05-069NCCDPHP CDC HHS DP-10-001NCCDPHP CDC HHS U01 DP000244NCCDPHP CDC HHS U01 DP000246NCCDPHP CDC HHS U01 DP000247NCCDPHP CDC HHS U01 DP000248NCCDPHP CDC HHS U01 DP000250NCCDPHP CDC HHS U01 DP000254NCCDPHP CDC HHS U18DP000247-06A1NCCDPHP CDC HHS U18 DP002708NCCDPHP CDC HHS U18DP002708NCCDPHP CDC HHS U18 DP002709NCCDPHP CDC HHS U18 DP002710NCCDPHP CDC HHS U18DP002710-01NCCDPHP CDC HHS U18 DP002714NCCDPHP CDC HHS U18DP002714NCCDPHP CDC HHS U18 DP006134NCRR NIH HHS UL1 RR029882NCRR NIH HHS UL1RR029882NIDDK NIH HHS K23 DK093804NIDDK NIH HHS P30 DK056350NIDDK NIH HHS P30 DK057516NIDDK NIH HHS P30 DK57516PHS HHS PA 00097PHS HHS U48/CCU419249PHS HHS U48/CCU519239PHS HHS U48/CCU819241-3PHS HHS U48/CCU919219PHS HHS U58/CCU019235-4
6 · The paper itself

Abstract

backgroundInsulin resistance is associated with microalbuminuria among youth with diabetes mellitus. We sought to determine the dose-response effect of insulin sensitivity (IS) on the magnitude of albuminuria and whether there is a threshold below which urine albumin excretion increases.

methodsThese analyses included participants from the SEARCH for Diabetes in Youth Study with incident diabetes who completed a baseline study visit (n = 2988). We estimated IS using a validated equation incorporating waist circumference, HbA1C, and fasting serum triglycerides. Multivariate regression analyses were performed to assess the effect of IS on urine albumin creatinine ratio (UACR), stratified by diabetes type. The IS threshold was then determined using segmented regressions within each diabetes type and incorporated into the multivariate model.

resultsThere was an association between IS and UACR in type 2 diabetes only (beta = -0.39; p < 0.001). There was strong statistical evidence for a threshold effect of IS score on UACR in the group of youth with type 2 (beta = 0.40; p < 0.001) but not type 1 diabetes (p = 0.3).

conclusionsIn cross-sectional analyses, there is a negative association between IS and UACR in youth with type 2 but not type 1 diabetes, and this association likely includes a threshold effect of IS on UACR.

Indexed as

Insulin ResistanceAdolescentAlbuminuriaChildCreatinineCross-Sectional StudiesDiabetes Mellitus, Type 1Diabetes Mellitus, Type 2Diabetic NephropathiesDose-Response Relationship, DrugFemaleGlycated HemoglobinHumansHypoglycemic AgentsInsulinKidney Function TestsCreatinineGlycated Hemoglobinhemoglobin A1c protein, humanHypoglycemic AgentsInsulinTriglyceridesInsulin resistanceMetabolic syndromeMicroalbuminuriaNephropathyUrine:albumin creatinine ratio

Identifiers

PMID26754041
PMCPMC4841707
OpenAlexW2237872971

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.