Evidence map›Paper›PMID 27615667›Full record

ArticleJournal of diabetes and its complications

Adiposity is inversely associated with hippocampal volume in African Americans and European Americans with diabetes.

Fang-Chi Hsu, Mingxia Yuan, Donald W Bowden, Jianzhao Xu, S Carrie Smith, Lynne E Wagenknecht, Carl D Langefeld, Jasmin Divers, Thomas C Register, J Jeffrey Carr and 4 more

Open access · greenAbstract read
In one paragraph

Article in Journal of diabetes and its complications. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
1.3field-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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Review
  5. Review
  6. Review
  7. Article
  8. Article
  9. Article
  10. Relationships of Clinical and Computed Tomography-Imaged Adiposity with Cognition in Middle-Aged and Older African Americans.The journals of gerontology. Series A, Biological sciences and medical sciences · 2018
    Article
  11. Cerebral Structure and Cognitive Performance in African Americans and European Americans With Type 2 Diabetes.The journals of gerontology. Series A, Biological sciences and medical sciences · 2018
    Article
  12. Review
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

14 authors at 4 institutions in 2 countries.

Fang-Chi HsuDivision of Public Health Sciences, Department of Biostatistical Sciences, Wake Forest School of Medicine, Winston-Salem, NC, USA; Center for Public Health Genomics, Wake Forest School of Medicine, Winston-Salem, NC, USA.
Mingxia YuanDepartment of Internal Medicine, Section on Nephrology, Wake Forest School of Medicine, Winston-Salem, NC, USA; Department of Endocrinology, Beijing Tongren Hospital, Capital Medical University, Beijing, China.
Donald W BowdenCenters for Genomics and Personalized Medicine Research & Diabetes Research, Wake Forest School of Medicine, Winston-Salem, NC, USA; Department of Biochemistry, Wake Forest School of Medicine, Winston-Salem, NC, USA.
Jianzhao XuDepartment of Biochemistry, Wake Forest School of Medicine, Winston-Salem, NC, USA.
S Carrie SmithDepartment of Biochemistry, Wake Forest School of Medicine, Winston-Salem, NC, USA.
Lynne E WagenknechtDivision of Public Health Sciences, Department of Biostatistical Sciences, Wake Forest School of Medicine, Winston-Salem, NC, USA; Center for Public Health Genomics, Wake Forest School of Medicine, Winston-Salem, NC, USA.
Carl D LangefeldDivision of Public Health Sciences, Department of Biostatistical Sciences, Wake Forest School of Medicine, Winston-Salem, NC, USA; Center for Public Health Genomics, Wake Forest School of Medicine, Winston-Salem, NC, USA.
Jasmin DiversDivision of Public Health Sciences, Department of Biostatistical Sciences, Wake Forest School of Medicine, Winston-Salem, NC, USA; Center for Public Health Genomics, Wake Forest School of Medicine, Winston-Salem, NC, USA.
Thomas C RegisterDepartment of Pathology, Wake Forest School of Medicine, Winston-Salem, NC, USA.
J Jeffrey CarrDepartment of Radiology, Vanderbilt University Medical Center, Nashville, TN, USA.
Jeff D WilliamsonDepartment of Internal Medicine, Section on Gerontology and Geriatric Medicine, Wake Forest School of Medicine, Winston-Salem, NC, USA.
Kaycee M SinkDepartment of Internal Medicine, Section on Gerontology and Geriatric Medicine, Wake Forest School of Medicine, Winston-Salem, NC, USA.
Joseph A MaldjianDepartment of Radiology, Advanced Neuroscience Imaging Research (ANSIR) Laboratory, University of Texas Southwestern Medical Center, Dallas, TX, USA.
Barry I FreedmanCenter for Public Health Genomics, Wake Forest School of Medicine, Winston-Salem, NC, USA; Department of Internal Medicine, Section on Nephrology, Wake Forest School of Medicine, Winston-Salem, NC, USA. Electronic address: bfreedma@wakehealth.edu.
Wake Forest University · USAdvanced Imaging Research (United States) · USBeijing Tongren Hospital · CNVanderbilt University Medical Center · US

Funding

WORKER PROTECTION AGAINST AIRBORNE INFLUENZA - A PILOT STUDYM01RR007122 · NCRR · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI HUNDLEY, WILLIAM GREGORY · 1992 to 2010
$35.2M
Wake Forest Clinical and Translational Science AwardUL1TR001420 · NCATS · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI ARD, JAMY D, FOLEY, KRISTIE L · 2015 to 2023
$32.3M
Subclinical CVD in African American Type 2 DiabeticsR01DK071891 · NIDDK · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI FREEDMAN, BARRY IRA · 2007 to 2016
$4.5M
Genetic Epidemiology of Cerebrovascular Disease and Cognition in DiabetesR01NS058700 · NINDS · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI BOWDEN, DONALD W · 2008 to 2012
$3.0M
Cerebrovascular Disease and Cognitive Performance in African AmericansR01NS075107 · NINDS · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI DIVERS, JASMIN, FREEDMAN, BARRY IRA · 2011 to 2015
$2.8M
NCATS NIH HHS UL1 TR001420NCRR NIH HHS M01 RR007122NIDDK NIH HHS R01 DK071891NINDS NIH HHS R01 NS058700NINDS NIH HHS R01 NS075107
6 · The paper itself

Abstract

aimsTo assess associations between body mass index (BMI), waist circumference (WC), and computed tomography-determined volumes of pericardial, visceral, and subcutaneous adipose tissue with magnetic resonance imaging-(MRI) based cerebral structure and cognitive performance in individuals with type 2 diabetes (T2D).

methodsThis study was performed in 348 African Americans (AAs) and 256 European Americans (EAs) with T2D. Associations between adiposity measures with cerebral volumes of white matter (WMV), gray matter (GMV), white matter lesions, hippocampal GMV, and hippocampal WMV, cognitive performance and depression were examined using marginal models incorporating generalized estimating equations. All models were adjusted for age, sex, education, smoking, HbA1c, hypertension, statins, cardiovascular disease, MRI scanner (MRI outcomes only), and time between scans; some neuroimaging measures were additionally adjusted for intracranial volume.

resultsParticipants were 59.9% female with mean (SD) age 57.7(9.3)years, diabetes duration 9.6(6.8)years, and HbA1c 7.8(1.9)%. In AAs, inverse associations were detected between hippocampal GMV and both BMI (β [95% CI]-0.18 [-0.30, -0.07], P=0.0018) and WC (-0.23 [-0.35, -0.12], P=0.0001). In the full bi-ethnic sample, inverse associations were detected between hippocampal WMV and WC (P≤0.0001). Positive relationships were observed between BMI (P=0.0007) and WC (P<0.0001) with depression in EAs.

conclusionsIn patients with T2D, adiposity is inversely associated with hippocampal gray and white matter volumes.

Indexed as

AdiposityBody Mass IndexOrgan SizeAdipose TissueAgedBlack or African AmericanDiabetes Mellitus, Type 2FemaleGray MatterHippocampusHumansMagnetic Resonance ImagingMaleMiddle AgedTomography, X-Ray ComputedUnited StatesAdiposityAfrican AmericanBrainCognitionHippocampusType 2 diabetes

Identifiers

PMID27615667
PMCPMC5050135
OpenAlexW2514364216

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.