Evidence map›Paper›PMID 28070750›Full record

ArticleActa diabetologica2017

Examining trends in prediabetes and its relationship with the metabolic syndrome in US adolescents, 1999-2014.

Arthur M Lee, Cyrelle R Fermin, Stephanie L Filipp, Matthew J Gurka, Mark D DeBoer

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Acta diabetologica, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04523363 (Metformin Versus Standard of Care Treatment in Pregnant Women With Prediabetes), which is not on this map. Cited by 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 1 pooled it
5.0field-weighted citation impact, top 4% 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.

NCT04523363 phase4withdrawnstarted 2025, after this paper: background citation

Metformin Versus Standard of Care Treatment in Pregnant Women With Prediabetes: A Randomized Trial

Ran2025Enrolled0Registered outcomes21Posted comparisons0ConditionsPrediabetes; Complicating PregnancyArmsMetformin
Open the trial in the graph
3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 1 synthesis or guideline pooled it, 54 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. U.S. Adolescent Rest-Activity patterns: insights from functional principal component analysis (NHANES 2011-2014).The international journal of behavioral nutrition and physical activity · 2023
    Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Prediabetes in Adolescents: Prevalence, Management and Diabetes Prevention Strategies.Diabetes, metabolic syndrome and obesity : targets and therapy · 2021
    Review
  14. Article
  15. Article
  16. Article
  17. Article
  18. Review
  19. Childhood obesity in New Zealand.World journal of pediatrics : WJP · 2019
    Review
  20. Prediabetes: An emerging public health concern in adolescents.Endocrinology, diabetes & metabolism · 2019
    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

5 authors at 2 institutions in 1 country.

Arthur M LeeDepartment of Pediatrics, University of Virginia, Charlottesville, VA, 22908, USA.
Cyrelle R FerminDepartment of Pediatrics, University of Virginia, Charlottesville, VA, 22908, USA.
Stephanie L FilippDepartment of Health Outcomes and Policy, College of Medicine, University of Florida, Gainesville, FL, 32608, USA.
Matthew J GurkaDepartment of Health Outcomes and Policy, College of Medicine, University of Florida, Gainesville, FL, 32608, USA.
Mark D DeBoerDepartment of Pediatrics, University of Virginia, Charlottesville, VA, 22908, USA. deboer@virginia.edu.
University of Virginia · USUniversity of Florida · US

Funding

Socioeconomic Status and Subjective Social Status as Modifiers of Stressors and Discrimination in their Relationship with MetS Severity Over TimeR01HL120960 · NHLBI · WEST VIRGINIA UNIVERSITY · PI DEBOER, MARK DANIEL, GURKA, MATTHEW JAMES · 2014 to 2018
$2.1M
NHLBI NIH HHS R01 HL120960
6 · The paper itself

Abstract

aimsWe sought to investigate temporal trends in prediabetes prevalence among US adolescents using two definitions and evaluate relationships with obesity and a MetS-severity score.

methodsWe evaluated data from 5418 non-Hispanic white, non-Hispanic black, and Hispanic adolescents aged 12-19 participating in the National Health and Nutrition Examination Survey 1999-2014 with complete data regarding MetS and hemoglobin A1c (HbA1c). Prediabetes status was defined by American Diabetes Association (ADA) criteria: fasting glucose 100-125 mg/dL or HbA1c 5.7%-6.4%. MetS severity was assessed with a MetS-severity Z-score.

resultsPrevalence of prediabetes as defined by HbA1c abnormalities significantly increased from 1999-2014, while prevalence of prediabetes as defined by fasting glucose abnormalities showed no significant temporal trend. There were variations in these trends across different racial/ethnic groups. MetS Z-score was overall more strongly correlated with HbA1c, fasting insulin, and the homeostasis model of insulin resistance than was BMI Z-score. These correlations were true in each racial/ethnic group with the exception that in non-Hispanic white adolescents, in whom the MetS Z-score was not significantly correlated with HbA1c measurements.

conclusionWe found conflicting findings of temporal trends of US adolescent prediabetes prevalence based on the ADA's prediabetes criteria. The increasing prevalence of prediabetes by HbA1c assessment is concerning and raises the urgency for increased awareness and appropriate measures of prediabetes status among physicians and patients.

Indexed as

AdolescentBlack or African AmericanChildFemaleGlycated HemoglobinHispanic or LatinoHumansInsulin ResistanceMaleMetabolic SyndromeNutrition SurveysObesityPrediabetic StatePrevalenceUnited StatesWhite PeopleGlycated HemoglobinInsulin resistanceMetabolic syndromeObesityPrediabetesType 2 diabetes mellitus

Identifiers

PMID28070750
PMCPMC5394428
OpenAlexW2571118277

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

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.