Evidence map›Paper›PMID 30381538›Full record

ArticleThe Indian journal of medical research2018

Contribution of insulin resistance to decreased baroreceptor sensitivity & cardiometabolic risks in pre-obesity & obesity.

Jagadeeswaran Indumathy, Gopal Krushna Pal, Pravati Pal, Palakkad Hariharan Ananthanarayanan, Subash Chandra Parija, Jayaraman Balachander, Tarun Kumar Dutta

Open access · diamondAbstract read
In one paragraph

Article in The Indian journal of medical research, 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
0.7field-weighted citation impact, top 26% 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. Article
  2. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 1 institution in 1 country.

Jagadeeswaran IndumathyDepartment of Physiology, Jawaharlal Institute of Postgraduate Medical Education & Research, Puducherry, India.
Gopal Krushna PalDepartment of Physiology, Jawaharlal Institute of Postgraduate Medical Education & Research, Puducherry, India.
Pravati PalDepartment of Physiology, Jawaharlal Institute of Postgraduate Medical Education & Research, Puducherry, India.
Palakkad Hariharan AnanthanarayananDepartment of Biochemistry, Jawaharlal Institute of Postgraduate Medical Education & Research, Puducherry, India.
Subash Chandra ParijaDepartment of Microbiology, Jawaharlal Institute of Postgraduate Medical Education & Research, Puducherry, India.
Jayaraman BalachanderDepartment of Cardiology, Jawaharlal Institute of Postgraduate Medical Education & Research, Puducherry, India.
Tarun Kumar DuttaDepartment of Medicine, Jawaharlal Institute of Postgraduate Medical Education & Research, Puducherry, India.
Jawaharlal Institute of Post Graduate Medical Education and Research · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND &

objectivesAlthough insulin resistance (IR) is a known complication in obesity, the physiological mechanisms linking IR with cardiometabolic risks in obesity have not been well studied. This study was conducted to assess the difference in cardiovascular (CV) risk profile in IR and non-IR (NIR) conditions, and contribution of IR to cardiometabolic risks in pre-obese and obese individuals.

methodsBasal CV, blood pressure variability, autonomic function test and cardiometabolic parameters were recorded in pre-obese (n=86) and obese (n=77) individuals during 2012 and 2015. The association of altered cardiometabolic parameters with homeostatic model for IR (HOMA-IR) in pre-obese and obese groups and with baroreceptor sensitivity (BRS) in IR and NIR groups was calculated by appropriate statistical analysis.

resultsDecreased BRS, a known CV risk and cardiometabolic parameters were significant in IR (pre-obese and obese) group compared to the NIR group. Sympathovagal imbalance in the form of increased sympathetic and decreased parasympathetic activities was observed in individuals with IR. There was no significant difference in the level of independent contribution of HOMA-IR to cardiometabolic parameters in pre-obese and obese groups. Adiponectin and inflammatory markers had an independent contribution to BRS in IR group. INTERPRETATION &

conclusionsFindings of the present study demonstrated that the intensity of cardiometabolic derangements and CV risk were comparable between IR, pre-obese and obese individuals. Pro-inflammatory state, dyslipidaemia and hypoadiponectinaemia might contribute to CV risk in these individuals with IR. IR could possibly be the link between altered metabolic profile and increased CV risks in these individuals independent of the adiposity status.

Indexed as

AdultBlood PressureBody Mass IndexCardiovascular DiseasesDyslipidemiasFemaleHumansInsulin ResistanceLipidsMaleMetabolic DiseasesObesityPressoreceptorsRisk FactorsLipidsBaroreceptor sensitivitycardiometabolic risksinsulin resistancenon-insulin resistanceobesitypre-obesity

Identifiers

PMID30381538
PMCPMC6206775
OpenAlexW2896912096

What OpenQuestion holds

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LicenceCC BY-NC-SA
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.