Evidence map›Paper›PMID 28193268›Full record

ArticleBMC cancer2017

Adipokines, insulin resistance, and adiposity as a predictors of metabolic syndrome in child survivors of lymphoma and acute lymphoblastic leukemia of a developing country.

Lourdes Barbosa-Cortés, Mardia López-Alarcón, Juan Manuel Mejía-Aranguré, Miguel Klünder-Klünder, María Del Carmen Rodríguez-Zepeda, Hugo Rivera-Márquez, Alan de la Vega-Martínez, Jorge Martin-Trejo, Juan Shum-Luis, Karina Solis-Labastida and 3 more

Open access · goldAbstract read
In one paragraph

Article in BMC cancer, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 1 pooled it
7.3field-weighted citation impact, top 3% 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

27 citing papers in PubMed, 1 synthesis or guideline pooled it, 47 citations in OpenAlex.

  1. Can biomarkers be used to improve diagnosis and prediction of metabolic syndrome in childhood cancer survivors? A systematic review.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2021
    Pooled it
  2. Trial
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  8. Metabolic Implications of Childhood Cancer.Current pediatrics reports · 2025
    Article
  9. The Prevalence, Risk Factors and Cardiometabolic Complications of Obesity in Childhood Survivors of Acute Lymphoblastic Leukemia.Indian journal of hematology & blood transfusion : an official journal of Indian Society of Hematology and Blood Transfusion · 2024
    Article
  10. Article
  11. Fitness and metabolic response to exercise in young adult survivors of childhood lymphoma.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2023
    Article
  12. Metabolic differences among newborns born to mothers with a history of leukemia or lymphoma.The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians · 2022
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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

13 authors at 2 institutions in 1 country.

Lourdes Barbosa-CortésMedical Nutrition Research Unit, 21st Century Pediatric Hospital, National Medical Center, MexicanInstitute of Social Security, México City, México. bcmariade@hotmail.com.
Mardia López-AlarcónMedical Nutrition Research Unit, 21st Century Pediatric Hospital, National Medical Center, MexicanInstitute of Social Security, México City, México.
Juan Manuel Mejía-AranguréHealth Research Coordination, 21st Century Pediatric Hospital, National Medical Center, Mexican Institute of Social Security, México City, México.
Miguel Klünder-KlünderDepartment of Community Health Research, Federico Gómez Children's, México Secretary of Health, and Research Committee, Latin American Society for Pediatric Gastroenterology, Hepatology and Nutrition (LASPGHAN), México City, México.
María Del Carmen Rodríguez-ZepedaDepartment of Hematology, Pediatric Hospital, 21st Century National Medical Center, Mexican Institute of Social Security, México City, México.
Hugo Rivera-MárquezDepartment of Hemato-Oncology, General Hospital of México, México Secretary of Health, México City, México.
Alan de la Vega-MartínezMedical Nutrition Research Unit, 21st Century Pediatric Hospital, National Medical Center, MexicanInstitute of Social Security, México City, México.
Jorge Martin-TrejoDepartment of Hematology, Pediatric Hospital, 21st Century National Medical Center, Mexican Institute of Social Security, México City, México.
Juan Shum-LuisDepartment of Hematology, Pediatric Hospital, 21st Century National Medical Center, Mexican Institute of Social Security, México City, México.
Karina Solis-LabastidaDepartment of Hematology, Pediatric Hospital, 21st Century National Medical Center, Mexican Institute of Social Security, México City, México.
Enrique López-AguilarDepartment of Oncology, Pediatric Hospital, 21st Century National Medical Center, Mexican Institute of Social Security, México City, México.
Guadalupe Matute-GonzálezMedical Nutrition Research Unit, 21st Century Pediatric Hospital, National Medical Center, MexicanInstitute of Social Security, México City, México.
Roberto Bernaldez-Rios
Mexican Social Security Institute · MXHospital General de México · MX

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere is a growing body of evidence indicating that pediatric survivors of cancer are at a greater risk of developing metabolic syndrome. This study evaluated some probable predictors of metabolic syndrome (MS), such as leptin and adiponectin concentrations, the leptin/adiponectin ratio, insulin resistance, and adiposity, in a sample of child survivors of lymphoma and leukemia in Mexico City.

methodsFifty two children (leukemia n = 26, lymphoma n = 26), who were within the first 5 years after cessation of therapy, were considered as eligible to participate in the study. Testing included fasting insulin, glucose, adipokines and lipids; body fat mass was measured by DXA. The MS components were analyzed according to tertiles of adipokines, insulin resistance, and adiposity. Comparisons between continuous variables were performed according to the data distribution. The MS components were analyzed according to tertiles of adipokines, insulin resistance, and adiposity. With the purpose of assessing the risk of a present MS diagnosis, odds ratios (OR) with a 95% confidence interval (95% IC) were obtained using logistic regression analysis according to the various metabolic markers.

resultsThe median children age was 12.1 years, and the interval time from the completion of therapy to study enrollment was 4 years. Among the MS components, the prevalence of HDL-C low was most common (42%), followed by central obesity (29%). The HOMA-IR (OR 9.0, 95% CI 2.0; 41.1), body fat (OR 5.5, 95% CI 1.6; 19.3), leptin level (OR 5.7, 95% CI 1.6; 20.2) and leptin/adiponectin ratio (OR 9.4, 95% CI 2.0; 49.8) in the highest tertile, were predictive factors of developing MS; whereas the lowest tertile of adiponectin was associated with a protective effect but not significant.

conclusionsBiomarkers such as HOMA-IR, leptin and leptin/adiponectin are associated with each of the components of the MS and with a heightened risk of suffering MS among children survivors of cancer. Given the close relationship between MS with risk of developing type 2 diabetes and cardiovascular disease, it is imperative to implement prevention measures in this population and especially in developing countries where these pathologies have become the leading cause of death.

Indexed as

AdiposityInsulin ResistanceAdiponectinBiomarkersChildChild, PreschoolDiabetes Mellitus, Type 2FemaleFollow-Up StudiesHumansLymphomaMaleMetabolic SyndromeObesityPrecursor Cell Lymphoblastic Leukemia-LymphomaPrognosisAdiponectinADIPOQ protein, humanBiomarkersAcute lymphoblastic leukemia and lymphomaAdipokinesChildhood cancer survivorsInsulin resistanceMetabolic syndromeObesity

Identifiers

PMID28193268
PMCPMC5307882
OpenAlexW2588561221

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.