Evidence map›Paper›PMID 29589073›Full record

ArticleDiabetologia2018

Overweight, obesity and the risk of LADA: results from a Swedish case-control study and the Norwegian HUNT Study.

Rebecka Hjort, Emma Ahlqvist, Per-Ola Carlsson, Valdemar Grill, Leif Groop, Mats Martinell, Bahareh Rasouli, Anders Rosengren, Tiinamaija Tuomi, Bjørn Olav Åsvold and 1 more

Open access · hybridAbstract read
In one paragraph

Article in Diabetologia, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 46 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
46citing papers in PubMed, 1 pooled it
9.4field-weighted citation impact, top 2% 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

46 citing papers in PubMed, 1 synthesis or guideline pooled it, 92 citations in OpenAlex.

  1. Type 2 Diabetes: How Much of an Autoimmune Disease?Frontiers in endocrinology · 2019
    Pooled it
  2. Review
  3. Article
  4. Article
  5. Review
  6. Characterization of Turner Syndrome-associated Diabetes Mellitus.The Journal of clinical endocrinology and metabolism · 2025
    Article
  7. Article
  8. Review
  9. Review
  10. Article
  11. Article
  12. Review
  13. Article
  14. Review
  15. Article
  16. Adult-onset autoimmune diabetes.Nature reviews. Disease primers · 2022
    Review
  17. Article
  18. Article
  19. Latent autoimmune diabetes in adults in China.Frontiers in immunology · 2022
    Review
  20. 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

11 authors at 5 institutions in 3 countries.

Rebecka HjortUnit of Epidemiology, Institute of Environmental Medicine, Karolinska Institutet, Box 210, 171 77, Stockholm, Sweden. rebecka.hjort@ki.se.ORCID http://orcid.org/0000-0002-8057-3882
Emma AhlqvistDepartment of Clinical Sciences in Malmö, Clinical Research Centre, Lund University, Malmö, Sweden.
Per-Ola CarlssonDepartment of Medical Sciences, Uppsala University, Uppsala, Sweden.
Valdemar GrillDepartment of Clinical and Molecular Medicine, NTNU, Norwegian University of Science and Technology, Trondheim, Norway.
Leif GroopDepartment of Clinical Sciences in Malmö, Clinical Research Centre, Lund University, Malmö, Sweden.
Mats MartinellDepartment of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
Bahareh RasouliUnit of Epidemiology, Institute of Environmental Medicine, Karolinska Institutet, Box 210, 171 77, Stockholm, Sweden.
Anders RosengrenDepartment of Clinical Sciences in Malmö, Clinical Research Centre, Lund University, Malmö, Sweden.
Tiinamaija TuomiFinnish Institute of Molecular Medicine, University of Helsinki, Helsinki, Finland.
Bjørn Olav ÅsvoldDepartment of Endocrinology, St Olavs Hospital, Trondheim University Hospital, Trondheim, Norway.
Sofia CarlssonUnit of Epidemiology, Institute of Environmental Medicine, Karolinska Institutet, Box 210, 171 77, Stockholm, Sweden.
Karolinska Institutet · SELund University · SENorwegian University of Science and Technology · NOUniversity of Helsinki · FIUppsala University · SE

Funding

ERC Advanced Researcher grant GA 269045
6 · The paper itself

Abstract

aims/hypothesisExcessive weight is a risk factor for type 2 diabetes, but its role in the promotion of autoimmune diabetes is not clear. We investigated the risk of latent autoimmune diabetes in adults (LADA) in relation to overweight/obesity in two large population-based studies.

methodsAnalyses were based on incident cases of LADA (n = 425) and type 2 diabetes (n = 1420), and 1704 randomly selected control participants from a Swedish case-control study and prospective data from the Norwegian HUNT Study including 147 people with LADA and 1,012,957 person-years of follow-up (1984-2008). We present adjusted ORs and HRs with 95% CI.

resultsIn the Swedish data, obesity was associated with an increased risk of LADA (OR 2.93, 95% CI 2.17, 3.97), which was even stronger for type 2 diabetes (OR 18.88, 95% CI 14.29, 24.94). The association was stronger in LADA with low GAD antibody (GADA; <median) (OR 4.25; 95% CI 2.76, 6.52) but present also in LADA with high GADA (OR 2.14; 95% CI 1.42, 3.24). In the Swedish data, obese vs normal weight LADA patients had lower GADA levels, better beta cell function, and were more likely to have low-risk HLA-genotypes. The combination of overweight and family history of diabetes (FHD) conferred an OR of 4.57 (95% CI 3.27, 6.39) for LADA and 24.51 (95% CI 17.82, 33.71) for type 2 diabetes. Prospective data from HUNT indicated even stronger associations; HR for LADA was 6.07 (95% CI 3.76, 9.78) for obesity and 7.45 (95% CI 4.02, 13.82) for overweight and FHD. CONCLUSIONS/

interpretationOverweight/obesity is associated with increased risk of LADA, particularly when in combination with FHD. These findings support the hypothesis that, even in the presence of autoimmunity, factors linked to insulin resistance, such as excessive weight, could promote onset of diabetes.

Indexed as

AdultAgedAutoantibodiesBody Mass IndexCase-Control StudiesDiabetes Mellitus, Type 2FemaleHumansInsulin ResistanceInsulin-Secreting CellsLatent Autoimmune Diabetes in AdultsMaleMiddle AgedNorwayObesityOdds RatioAutoantibodiesANDISANDiUBody mass indexCase–control studyESTRIDHUNT StudyLADALatent autoimmune diabetes in adultsProspective studyType 2 diabetes

Identifiers

PMID29589073
PMCPMC6448998
OpenAlexW2794902101

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.