Evidence map›Paper›PMID 29606304›Full record

ArticleJournal of renal nutrition : the official journal of the Council on Renal Nutrition of the National Kidney Foundation2018

Fibroblast Growth Factor 23 is Associated With Adiposity in Patients Receiving Hemodialysis: Possible Cross Talk Between Bone and Adipose Tissue.

Janet M Chiang, George A Kaysen, Anne L Schafer, Cynthia Delgado, Kirsten L Johansen

Open access · goldAbstract read
In one paragraph

Article in Journal of renal nutrition : the official journal of the Council on Renal Nutrition of the National Kidney Foundation, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.6field-weighted citation impact, top 34% 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

2 citing papers in PubMed, 6 citations in OpenAlex.

  1. Review
  2. 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.

Janet M ChiangDivision of Endocrinology, Department of Medicine, San Francisco VA Medical Center and University of California, San Francisco, California. Electronic address: Janet.chiang@ucsf.edu.
George A KaysenDivision of Nephrology, Department of Biochemistry and Molecular Medicine, University of California, Davis, California.
Anne L SchaferDivision of Endocrinology, Department of Medicine, San Francisco VA Medical Center and University of California, San Francisco, California.
Cynthia DelgadoDivision of Nephrology, Department of Medicine, San Francisco VA Medical Center and University of California, San Francisco, California.
Kirsten L JohansenDivision of Nephrology, Department of Medicine, San Francisco VA Medical Center and University of California, San Francisco, California.
San Francisco VA Medical Center · USUniversity of California, San Francisco · USUniversity of California, Davis · US

Funding

UCSF Nutrition Obesity Research CenterP30DK098722 · NIDDK · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI CHRISTIAN VAISSE · 2015 to 2026
$14.6M
Predictors and outcomes of frailty in dialysis patientsR01DK107269 · NIDDK · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI JOHANSEN, KIRSTEN L. · 2016 to 2019
$1.8M
Prevalence and Impact of Frailty among Dialysis PatientsK24DK085153 · NIDDK · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI JOHANSEN, KIRSTEN L. · 2010 to 2021
$1.5M
The Effects of Frailty on Chronic Kidney DiseaseIK2CX000527 · VA · VETERANS AFFAIRS MED CTR SAN FRANCISCO · PI DELGADO, CYNTHIA · 2012 to 2016
–
CSRD VA IK2 CX000527NIDDK NIH HHS K24 DK085153NIDDK NIH HHS P30 DK098722NIDDK NIH HHS R01 DK107269
6 · The paper itself

Abstract

objectiveFibroblast growth factor 23 (FGF-23) may be involved in signaling between bone and adipose tissue in dialysis patients, but its role is uncertain. We sought to examine the association between FGF-23 and adiposity and whether this association is mediated in part by leptin. DESIGN/

settingWe performed univariate and multivariate linear regression analyses using data from 611 participants in a cohort of prevalent hemodialysis patients recruited from dialysis centers in Atlanta, GA and San Francisco, CA from 2009 to 2011. We also investigated the role of leptin in these relationships. SUBJECTS: Participants were aged ≥18 years, English or Spanish speaking, and receiving hemodialysis for at least 3 months.

main outcome measuresOutcome measures of adiposity included body mass index, waist circumference, and body fat measured by bioelectrical impedance spectroscopy.

resultsMean age was 56 ± 14 years, 39.8% were female, and median serum FGF-23 was 807 pg/mL. In fully adjusted models, FGF-23 was inversely associated with body mass index (-0.24 kg/m

conclusionWe found a negative association between FGF-23 and adiposity that appears to be mediated in part by leptin. As adipose tissue provides a "protective energy depot" for patients with chronic illness, a decrease in adipose tissue may be one mechanism in which higher FGF-23 levels may contribute to increased mortality in dialysis patients.

Indexed as

Renal DialysisAdipose TissueAdiposityBody Mass IndexCohort StudiesFemaleFibroblast Growth Factor-23Fibroblast Growth FactorsHumansLeptinMaleMiddle AgedRenal Insufficiency, ChronicWaist CircumferenceFGF23 protein, humanFibroblast Growth Factor-23Fibroblast Growth FactorsLeptin

Identifiers

PMID29606304
PMCPMC6015777
OpenAlexW2794697949

What OpenQuestion holds

Textmetadata
LicenceTDM
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.