Evidence map›Paper›PMID 27069678›Full record

ArticleJournal of obesity2016

Unhealthy Phenotype as Indicated by Salivary Biomarkers: Glucose, Insulin, VEGF-A, and IL-12p70 in Obese Kuwaiti Adolescents.

Mor-Li Hartman, J Max Goodson, Ping Shi, Jorel Vargas, Tina Yaskell, Danielle Stephens, Maryann Cugini, Hatice Hasturk, Roula Barake, Osama Alsmadi and 6 more

Open access · goldAbstract read
In one paragraph

Article in Journal of obesity, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.4field-weighted citation impact, top 19% 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

7 citing papers in PubMed, 14 citations in OpenAlex.

  1. Microbial dysbiosis in oral cavity determines obesity status in adolescents.Cellular and molecular life sciences : CMLS · 2025
    Article
  2. Exploring Salivary Biomarkers in Pediatric Obesity: A Scoping Review.International journal of molecular sciences · 2025
    Article
  3. Article
  4. Article
  5. Article
  6. Saliva diagnostics - Current views and directions.Experimental biology and medicine (Maywood, N.J.) · 2017
    Review
  7. 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

16 authors at 4 institutions in 2 countries.

Mor-Li HartmanDepartment of Applied Oral Sciences, The Forsyth Institute, Cambridge, MA 02142, USA.
J Max GoodsonDepartment of Applied Oral Sciences, The Forsyth Institute, Cambridge, MA 02142, USA.
Ping ShiDepartment of Applied Oral Sciences, The Forsyth Institute, Cambridge, MA 02142, USA.
Jorel VargasDepartment of Applied Oral Sciences, The Forsyth Institute, Cambridge, MA 02142, USA.
Tina YaskellDepartment of Applied Oral Sciences, The Forsyth Institute, Cambridge, MA 02142, USA.
Danielle StephensDepartment of Applied Oral Sciences, The Forsyth Institute, Cambridge, MA 02142, USA.
Maryann CuginiDepartment of Applied Oral Sciences, The Forsyth Institute, Cambridge, MA 02142, USA.
Hatice HasturkDepartment of Applied Oral Sciences, The Forsyth Institute, Cambridge, MA 02142, USA.
Roula BarakeDepartment of Nutrition, Dasman Diabetes Institute, 15462 Dasman, Kuwait.
Osama AlsmadiGenome Center, The Dasman Diabetes Institute, 15462 Dasman, Kuwait.
Sabiha Al-MutawaMinistry of Health, 13001 Safat, Kuwait.
Jitendra ArigaMinistry of Health, 13001 Safat, Kuwait.
Pramod SoparkarDepartment of Applied Oral Sciences, The Forsyth Institute, Cambridge, MA 02142, USA.
Jawad BehbehaniFaculty of Dentistry, Kuwait University, 13060 Safat, Kuwait.
Kazem BehbehaniDasman Diabetes Institute, 15462 Dasman, Kuwait.
Francine WeltyDivision of Cardiology, Beth Israel Deaconess Medical Center, Boston, MA 02215, USA.
Dasman Diabetes Institute · KWMinistry of Health · KWBeth Israel Deaconess Medical Center · USKuwait University · KW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveHere, we investigated the relationships between obesity and the salivary concentrations of insulin, glucose, and 20 metabolic biomarkers in Kuwaiti adolescents. Previously, we have shown that certain salivary metabolic markers can act as surrogates for blood concentrations.

methodsSalivary samples of whole saliva were collected from 8,317 adolescents. Salivary glucose concentration was measured by a high-sensitivity glucose oxidase method implemented on a robotic chemical analyzer. The concentration of salivary insulin and 20 other metabolic biomarkers was assayed in 744 randomly selected saliva samples by multiplexed bead-based immunoassay.

resultsObesity was seen in 26.5% of the adolescents. Salivary insulin predicting hyperinsulinemia occurred in 4.3% of normal-weight adolescents, 8.3% of overweight adolescents, and 25.7% of obese adolescents (p < 0.0001). Salivary glucose predicting hyperglycemia was found in only 3% of obese children and was not predictive (p = 0.89). Elevated salivary glucose and insulin occurring together was associated with elevated vascular endothelial growth factor and reduced salivary interleukin-12.

conclusionConsidering the surrogate nature of salivary insulin and glucose, this study suggests that elevated insulin may be a dominant sign of metabolic disease in adolescent populations. It also appears that a proangiogenic environment may accompany elevated glucose in obese adolescents.

Indexed as

AdolescentBiomarkersFemaleGlucoseHumansInsulinInsulin ResistanceInterleukin-12KuwaitMalePediatric ObesityPhenotypePredictive Value of TestsRisk FactorsSalivaVascular Endothelial Growth Factor ABiomarkersGlucoseInsulinInterleukin-12Vascular Endothelial Growth Factor A

Identifiers

PMID27069678
PMCPMC4812454
OpenAlexW2300863860

What OpenQuestion holds

Textmetadata
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.