Evidence map›Paper›PMID 27881389›Full record

Trial reportThe American journal of clinical nutrition2017

Changes in skeletal muscle and organ size after a weight-loss intervention in overweight and obese type 2 diabetic patients.

Dympna Gallagher, David E Kelley, John Thornton, Lawrence Boxt, Xavier Pi-Sunyer, Edward Lipkin, Ebenezer Nyenwe, Isaiah Janumala, Stanley Heshka, MRI Ancillary Study Group of the Look AHEAD Research Group

Open access · bronzeAbstract readRandomized Controlled Trial
In one paragraph

Trial report in The American journal of clinical nutrition, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed
4.3field-weighted citation impact, top 6% 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

29 citing papers in PubMed, 53 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Article
  4. Understanding Impact of Anti-Obesity Medications on Skeletal Muscle Mass Change Is Confounded by Measurement Methods.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2026
    Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. Energy Regulation in Inflammatory Sarcopenia by the Purinergic System.International journal of molecular sciences · 2023
    Review
  13. Article
  14. Article
  15. Review
  16. Article
  17. Addressing Obesity to Promote Healthy Aging.Clinics in geriatric medicine · 2020
    Review
  18. Article
  19. Review
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 6 institutions in 1 country.

Dympna GallagherNew York Obesity Nutrition Research Center and dg108@columbia.edu.
David E KelleyObesity and Nutrition Research Center, University of Pittsburgh, Pittsburgh, PA.
John ThorntonNew York Obesity Nutrition Research Center and.
Lawrence BoxtDepartment of Radiology, St. Luke's Hospital, New York, NY.
Xavier Pi-SunyerNew York Obesity Nutrition Research Center and.
Edward LipkinDivision of Metabolism, University of Washington, Seattle, WA; and.
Ebenezer NyenweDivision of Endocrinology Diabetes and Metabolism, University of Tennessee, Martin, TN.
Isaiah JanumalaNew York Obesity Nutrition Research Center and.
Stanley HeshkaNew York Obesity Nutrition Research Center and.
MRI Ancillary Study Group of the Look AHEAD Research Group
Nutrition 21 (United States) · USColumbia University · USSt. Luke's Hospital · USUniversity of Pittsburgh · USUniversity of Tennessee at Martin · USUniversity of Washington · US

Funding

RESEARCH TRAININGP30DK026687 · NIDDK · ST. LUKE'S-ROOSEVELT INST FOR HLTH SCIS · PI Anthony W Ferrante, DYMPNA GALLAGHER · 1986 to 2026
$33.0M
Look AHEAD: Action for Health DiabetesU01DK057178 · NIDDK · ST. LUKE'S-ROOSEVELT INST FOR HLTH SCIS · PI LAFERRERE, BLANDINE B · 1999 to 2020
$21.2M
STUDY OF HEALTH OUTCOMES OF WEIGHT-LOSS (SHOW)U01DK057002 · NIDDK · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI JAKICIC, JOHN M · 1999 to 2020
$17.9M
SKELETAL MUSCLE FREE FATTY ACID UPTAKE AND OXIDATION IN OBESITYP30DK046204 · NIDDK · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI JAKICIC, JOHN M · 1992 to 2009
$7.9M
MRI Derived Organ &Tissue Mass Changes With Weight LossR01HL070298 · NHLBI · ST. LUKE'S ROOSEVELT HOSP CTR (NEW YORK) · PI GALLAGHER, DYMPNA · 2001 to 2003
$1.2M
NHLBI NIH HHS R01 HL070298NIDDK NIH HHS P30 DK026687NIDDK NIH HHS P30 DK046204NIDDK NIH HHS U01 DK057002NIDDK NIH HHS U01 DK057178
6 · The paper itself

Abstract

backgroundThe effect of a weight-loss intervention on the masses of lean tissues and organs in humans is not well known.

objectiveWe studied the effects of a diet and exercise weight-loss intervention on skeletal muscle (SM) mass and selected organs over 2 y using MRI in overweight adults with type 2 diabetes.

designParticipants were 53 women and 39 men [mean ± SD: age 58 ± 7 y; body mass index (BMI; in kg/m

resultsAdjusted for baseline weight, height, age, sex, and ethnicity, the ILI group weighed (mean ± SE) 6.6 ± 0.7 kg less after 1 y and 5.2 ± 0.7 kg less after 2 y, whereas the DSE group did not change significantly (-0.4 ± 0.6 and -1.0 ± 0.7 kg after 1 and 2 y, respectively; P-interaction < 0.001). Total SM decreased in both groups during year 1 (-1.4 ± 0.2 kg; P < 0.001) with appendicular SM regained during year 2. Liver and spleen masses decreased in the ILI group (-0.12 ± 0.02 and -0.006 ± 0.003 kg, respectively) but were unchanged in the DSE group (0.00 ± 0.02 and 0.004 ± 0.003 kg, respectively). Kidney mass decreased by 0.013 ± 0.003 kg (P < 0.001) over 2 y in both groups.

conclusionsDecreases in liver (in Caucasians but not African Americans) and spleen were detected after a 6.2-kg weight reduction compared with a control group. SM and kidney mass decreased in both groups. Appendicular SM was regained during the second year whereas trunk SM was not. No evidence of a disproportionate loss of high-metabolic rate organs (heart, liver, kidney, spleen) compared with SM was found.

Indexed as

KidneyLiverMuscle, SkeletalSpleenAgedDiabetes Mellitus, Type 2Diet, ReducingExerciseFemaleHeartHumansLife StyleMaleMiddle AgedMyocardiumObesitybody compositionLook AHEAD trialmagnetic resonance imagingorgan massskeletal muscletype 2 diabetesweight loss

Identifiers

PMID27881389
PMCPMC5183727
OpenAlexW2550324102

What OpenQuestion holds

Textmetadata
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.