Evidence map›Paper›PMID 30206805›Full record

ArticleJournal of endocrinological investigation2019

Adipose insulin resistance is associated with cardiovascular risk factors in polycystic ovary syndrome.

L Mu, R Li, Y Lai, Y Zhao, J Qiao

Abstract read
PubMed Publisher
In one paragraph

Article in Journal of endocrinological investigation, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
3.2field-weighted citation impact, top 9% 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

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

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Article
  6. Review
  7. Article
  8. Metabolomics and inflammation in polycystic ovary syndrome.Journal of endocrinological investigation · 2020
    Article
  9. Unique Metabolic Features of Adults Discordant for Indices of Insulin Resistance.The Journal of clinical endocrinology and metabolism · 2020
    Article
  10. Article
  11. Review
  12. Article
  13. Renal resistive index in patients with polycystic ovary syndrome.Archives of endocrinology and metabolism · 2019
    Article
  14. 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.

L MuDepartment of Obstetrics and Gynecology, Center for Reproductive Medicine, Peking University Third Hospital, No. 49 North HuaYuan Road, HaiDian District, Beijing, 100191, China.
R LiDepartment of Obstetrics and Gynecology, Center for Reproductive Medicine, Peking University Third Hospital, No. 49 North HuaYuan Road, HaiDian District, Beijing, 100191, China.
Y LaiDepartment of Obstetrics and Gynecology, Center for Reproductive Medicine, Peking University Third Hospital, No. 49 North HuaYuan Road, HaiDian District, Beijing, 100191, China.
Y ZhaoDepartment of Obstetrics and Gynecology, Center for Reproductive Medicine, Peking University Third Hospital, No. 49 North HuaYuan Road, HaiDian District, Beijing, 100191, China. zhaoyue0630@163.com.
J QiaoDepartment of Obstetrics and Gynecology, Center for Reproductive Medicine, Peking University Third Hospital, No. 49 North HuaYuan Road, HaiDian District, Beijing, 100191, China.
Center for Life Sciences · CNNational Clinical Research Center for Digestive Diseases · CNPeking University Third Hospital · CN

Funding

National Key Research and Development Program of China 2017YFC1001003National Natural Science Foundation of China 81471427National Natural Science Foundation of China 81671419Natural Science Foundation of China 81521002
6 · The paper itself

Abstract

purposeThe effects of adipose insulin resistance on cardiovascular risk factors in polycystic ovary syndrome (PCOS) remain largely unknown. We aimed to investigate associations between adipose insulin resistance and cardiovascular risk factors in PCOS.

methodsA total of 207 PCOS and 47 non-PCOS women were recruited from a large reproductive medicine center in this cross-sectional study. The PCOS diagnosis was based on the Rotterdam Criteria. The subjects received a standard oral glucose tolerance test. Adipose insulin resistance was evaluated using a validated index (adipose-IR = fasting insulin × free fatty acid concentrations).

resultsThe women with PCOS showed a higher adipose-IR index, and the adipose-IR index was tightly associated with the blood pressure, glucose and lipid parameters. A total of 98.0% of the women with PCOS in the highest adipose-IR quartile showed cardiovascular risk factors (obesity, hypertension, glucose intolerance or dyslipidemia), and this percentage was significantly higher than the percentage of those in the lowest quartile (32.7%). In addition, the percentages of women with three (31.4%) and four (13.7%) cardiovascular risk factors were significantly elevated in the highest adipose-IR quartile. The multivariable logistic regression analysis indicated that each 1-SD increment in the adipose-IR index resulted in higher risks of obesity (OR = 3.18, 95% CI = 2.12-4.76), hypertension (OR = 1.89, 95% CI = 1.31-2.73), glucose intolerance (OR = 2.45, 95% CI = 1.73-3.48), and dyslipidemia (OR = 2.18, 95% CI = 1.57-3.01). The C-reactive protein (CRP) level was positively associated with the adipose-IR index in women with PCOS (r = 0.45, P < 0.001).

conclusionsThe adipose-IR index was associated with cardiovascular risk factors in women with PCOS. Chronic inflammation may induce insulin resistance in the adipose tissue of women with PCOS.

Indexed as

Insulin ResistanceAdipose TissueAdultBiomarkersCardiovascular DiseasesCase-Control StudiesCross-Sectional StudiesFemaleFollow-Up StudiesHumansPolycystic Ovary SyndromePrognosisRisk FactorsBiomarkersAdipose tissueInsulin resistanceMetabolic syndromePolycystic ovary syndrome

Identifiers

PMID30206805
OpenAlexW2891622880

What OpenQuestion holds

Textmetadata
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.