Evidence map›Paper›PMID 28467922›Full record

ReviewCell metabolism2017

Metabolic Flexibility in Health and Disease.

Bret H Goodpaster, Lauren M Sparks

8 registry-linked trialsAbstract readReview
In one paragraph

Review in Cell metabolism, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 8 registered trials, which are not on this map. Cited by 566 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
566citing papers in PubMed, 3 pooled it
–field-weighted citation impact
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.

NCT03029364 completednot on this mapstarted 2018, after this paper: background citation

Body Composition and Lipid Metabolism at Rest and During Exercise: A Cross-Sectional Analysis.

TypeobservationalSponsorUniversity of BathRan2018 to 2024Enrolled114ConditionsLipid Metabolism, Substrate Metabolism, ExerciseArmsStudy Protocol
NCT03894527 naunknown statusnot on this mapstarted 2019, after this paper: background citation

Impact of Acute Exercise on Vascular Insulin Sensitivity in Metabolic Syndrome

TypeinterventionalSponsorUniversity of VirginiaRan2019 to 2020Enrolled16ConditionsMetabolic Syndrome, ObesityArmsSingle Bout of Exercise, Control Condition
NCT04320264 recruitingnot on this mapstarted 2020, after this paper: background citation

Metabolic Inflexibility is Related to Elevated Muscle Anaerobic Glycolysis

TypeobservationalSponsorEast Carolina UniversityRan2020 to 2025Enrolled100ConditionsMetabolic InflexibilityArmsWeight loss surgery
NCT05124847 nacompletednot on this mapstarted 2021, after this paper: background citation

Time Restricted Eating as a Treatment for Pediatric Obesity

TypeinterventionalSponsorFundación Pública Andaluza para la Investigación de Málaga en Biomedicina y SaludRan2021 to 2023Enrolled30ConditionsInfant Obesity, Hepatic Steatosis, Metabolic Syndrome, Insulin ResistanceArmsStandard Care, Time restricted eating
NCT05200468 nacompletednot on this mapstarted 2022, after this paper: background citation

Effect of Intermittent Fasting, Caloric Restriction and Ketogenic Diet on Mitochondrial Function and Gut Microbiota in Subjects With Obesity

TypeinterventionalSponsorInstituto Nacional de Ciencias Medicas y Nutricion Salvador ZubiranRan2022 to 2023Enrolled63ConditionsObesityArmsKetogenic diet, Caloric restriction diet, Intermittent fasting 16/8
NCT06509282 nacompletednot on this mapstarted 2023, after this paper: background citation

Efficacy of a Personalized Concurrent Exercise Prescription Guide for Controlling Cardiovascular Risk and Enhancing Physical Fitness in Adults From a Cardiovascular Health Program: A Pilot Randomized Controlled Clinical Trial.

TypeinterventionalSponsorUniversidad San SebastiánRan2023 to 2024Enrolled39ConditionsCardiovascular Syndrome, MetabolicArmsConcurrent training
NCT06878781 narecruitingnot on this mapstarted 2024, after this paper: background citation

Standardized Meals With Different Macronutrient Ratios on the Postprandial Metabolome and Metabolic Flexibility

TypeinterventionalSponsorInstituto Nacional de Medicina GenomicaRan2024 to 2026Enrolled300ConditionsFasting, Postprandial Hyperglycemia, Lipid Metabolism Disorders, Glucose Metabolism DisordersArmsHigh carbohydrate challenge, High lipid challenge, High proteinchallenge
NCT07484776 naactive not recruitingnot on this mapstarted 2026, after this paper: background citation

Metabolic Flexibility in Patients With Early Triple-negative Breast Cancer and the Possible Effect of a Physical Exercise Intervention

TypeinterventionalSponsorUniversidad Europea de MadridRan2026 to 2028Enrolled40ConditionsTriple-Negative Breast Cancer (TNBC)ArmsCardiovascular training at maximal fat oxidation (FATmax), Cardiovascular training at maximal aerobic power (MAP), Resistance training
3 · Its place in the literature

Who cites it

566 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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  7. Metabolically Guided Walking and Plant-Based Nutrition Enhance Body Composition and Weight Loss.International journal of environmental research and public health · 2026
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506 more citing papers are in PubMed but not listed here.

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

2 authors.

Bret H GoodpasterTranslational Research Institute for Metabolism and Diabetes, Florida Hospital, Sanford Burnham Prebys Medical Discovery Institute, 301 East Princeton Street, Orlando, FL 32804, USA. Electronic address: bret.goodpaster@flhosp.org.
Lauren M SparksTranslational Research Institute for Metabolism and Diabetes, Florida Hospital, Sanford Burnham Prebys Medical Discovery Institute, 301 East Princeton Street, Orlando, FL 32804, USA.

Funding

Skeletal Muscle Lipid and Insulin Resistance in AgingR01AG021961 · NIA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI GOODPASTER, BRET H · 2004 to 2015
$4.1M
Physical Activity Following Surgery-Induced Weight LossR01DK078192 · NIDDK · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI GOODPASTER, BRET H · 2008 to 2012
$3.0M
NIA NIH HHS R01 AG021961NIDDK NIH HHS R01 DK078192
6 · The paper itself

Abstract

Metabolic flexibility is the ability to respond or adapt to conditional changes in metabolic demand. This broad concept has been propagated to explain insulin resistance and mechanisms governing fuel selection between glucose and fatty acids, highlighting the metabolic inflexibility of obesity and type 2 diabetes. In parallel, contemporary exercise physiology research has helped to identify potential mechanisms underlying altered fuel metabolism in obesity and diabetes. Advances in "omics" technologies have further stimulated additional basic and clinical-translational research to further interrogate mechanisms for improved metabolic flexibility in skeletal muscle and adipose tissue with the goal of preventing and treating metabolic disease.

Indexed as

Metabolic Networks and PathwaysAdipose TissueAnimalsCaloric RestrictionDiabetes Mellitus, Type 2Energy MetabolismExerciseExercise TherapyFastingFatty AcidsGlucoseHumansInsulin ResistanceMetabolomeMetabolomicsMuscle, SkeletalFatty AcidsGlucoseadipose tissueexerciseinsulin resistancemetabolic flexibilityobesityskeletal muscletype 2 diabetes

Identifiers

PMID28467922
PMCPMC5513193

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

and 2 more above

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.