Evidence map›Paper›PMID 28406758›Full record

ArticleInternational journal of circumpolar health2017

Fasting triglycerides as a predictor of incident diabetes, insulin resistance and β-cell function in a Canadian First Nation.

Natalie D Riediger, Kirsten Clark, Virginia Lukianchuk, Joanne Roulette, Sharon Bruce

Open access · goldAbstract read
In one paragraph

Article in International journal of circumpolar health, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
1.8field-weighted citation impact, top 15% 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

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.

  1. Pooled it
  2. Phenotypic and Genetic Diversity in Diabetes Across Populations.The Journal of clinical endocrinology and metabolism · 2025
    Review
  3. Article
  4. Article
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  6. Article
  7. (Re)claiming our bodies using a Two-Eyed Seeing approach: Health-At-Every-Size (HAES®) and Indigenous knowledge.Canadian journal of public health = Revue canadienne de sante publique · 2021
    Review
  8. Article
  9. Article
  10. Article
  11. Diabetes-related weight change in a Canadian First Nation cohort.International journal of circumpolar health · 2017
    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 3 institutions in 1 country.

Natalie D Riedigera Department of Community Health Sciences, Rady Faculty of Health Sciences , University of Manitoba , Winnipeg , Canada.
Kirsten Clarkd Northern Remote Family Medicine Residency , University of Manitoba , Winnipeg , Canada.
Virginia Lukianchuke Sandy Bay First Nation Health Centre , Sandy Bay First Nation , Canada.
Joanne Roulettee Sandy Bay First Nation Health Centre , Sandy Bay First Nation , Canada.
Sharon Brucea Department of Community Health Sciences, Rady Faculty of Health Sciences , University of Manitoba , Winnipeg , Canada.
Assembly of First Nations · CAUniversity of Manitoba · CAFirst Nations Health and Social Secretariat of Manitoba · CA

Funding

CIHR
6 · The paper itself

Abstract

backgroundDiabetes prevalence is substantially higher among Canadian First Nations populations than the non-First Nation population. Fasting serum triglycerides have been found to be an important predictor of incident diabetes among non-indigenous populations. However, there is a great need to understand diabetes progression within specific ethnic groups, particularly First Nations populations.

objectiveThe purpose of this study was to test for an association between fasting serum triglycerides and incident diabetes, changes in insulin resistance and changes in β-cell function in a Manitoba First Nation cohort.

methodsStudy data were from two diabetes screening studies in Sandy Bay First Nation in Manitoba, Canada, collected in 2002/2003 and 2011/2012. The cohort was composed of respondents to both screening studies (n=171). Fasting blood samples and anthropometric, health and demographic data were collected. A generalised linear model with Poisson distribution was used to test for an association between fasting triglycerides and incident diabetes.

resultsThere were 35 incident cases of diabetes among 128 persons without diabetes at baseline. Participants who developed incident type 2 diabetes were significantly older and had significantly higher body mass index (BMI; p=0.012), total cholesterol (p=0.007), fasting triglycerides (p<0.001), and Homeostatic Model Assessment of Insulin Resistance (HOMA-IR) (p<0.001). Fasting triglyceride level was found to be a statistically significant positive predictor of incident diabetes independent of age, sex and waist circumference at baseline. Participants with triglycerides in the highest tertile (≥2.11 mmol/l) had a 4.0-times higher risk of developing incident diabetes compared to those in the lowest tertile (p=0.03). Notably, neither waist circumference nor BMI were significant predictors of incident diabetes independent of age, sex and triglycerides.

conclusionFasting triglycerides may be useful as a clinical predictor of insulin resistance and diabetes development among First Nations populations. Unlike other ethnic groups, BMI and waist circumference may be less important factors in diabetes development.

Indexed as

AdultAge FactorsBody Mass IndexBody Weights and MeasuresDiabetes Mellitus, Type 2FemaleHumansIndians, North AmericanInsulin ResistanceInsulin-Secreting CellsLipidsMaleManitobaMiddle AgedSex FactorsTriglyceridesLipidsTriglyceridescohort studydiabetesFirst Nationhypertriglyceridaemic waistinsulin resistanceobesitytriglycerides

Identifiers

PMID28406758
PMCPMC5405443
OpenAlexW2605714333

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.