Evidence map›Paper›PMID 31240874›Full record

ArticleJournal of diabetes investigation2020

Pancreatic fat is related to the longitudinal decrease in the increment of C-peptide in glucagon stimulation test in type 2 diabetes patients.

Chisaki Ishibashi, Junji Kozawa, Yoshiya Hosakawa, Sho Yoneda, Takekazu Kimura, Yukari Fujita, Kenji Fukui, Hiromi Iwahashi, Iichiro Shimomura

Abstract read
In one paragraph

Article in Journal of diabetes investigation, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
–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.

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

22 citing papers in PubMed.

  1. Article
  2. Article
  3. Changes in pancreatic steatosis by computed tomography 24 months after sleeve gastrectomy in youth with severe obesity.Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery · 2025
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  5. Review
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  8. Article
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  10. Review
  11. Article
  12. Article
  13. Article
  14. Review
  15. Article
  16. Ectopic Fat Accumulation in Pancreas and Heart.Journal of clinical medicine · 2021
    Review
  17. Review
  18. Review
  19. Observational
  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

9 authors.

Chisaki IshibashiDepartment of Metabolic Medicine, Graduate School of Medicine, Osaka University, Suita, Japan.
Junji KozawaDepartment of Metabolic Medicine, Graduate School of Medicine, Osaka University, Suita, Japan.ORCID https://orcid.org/0000-0001-9665-8947
Yoshiya HosakawaDepartment of Metabolic Medicine, Graduate School of Medicine, Osaka University, Suita, Japan.ORCID https://orcid.org/0000-0002-5505-1724
Sho YonedaDepartment of Metabolic Medicine, Graduate School of Medicine, Osaka University, Suita, Japan.
Takekazu KimuraDepartment of Metabolic Medicine, Graduate School of Medicine, Osaka University, Suita, Japan.
Yukari FujitaDepartment of Metabolic Medicine, Graduate School of Medicine, Osaka University, Suita, Japan.
Kenji FukuiDepartment of Metabolic Medicine, Graduate School of Medicine, Osaka University, Suita, Japan.
Hiromi IwahashiDepartment of Metabolic Medicine, Graduate School of Medicine, Osaka University, Suita, Japan.ORCID https://orcid.org/0000-0003-3275-6972
Iichiro ShimomuraDepartment of Metabolic Medicine, Graduate School of Medicine, Osaka University, Suita, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

AIMS/

introductionThe relationship between pancreatic fatty infiltration and diabetes is widely known, whereas the causal relationship is not clear. Furthermore, it is uncertain whether pathogenesis of pancreatic fat is similar to that of liver fat. We aimed to clarify the contribution of this type of fat to glucose metabolism in type 2 diabetes patients by cross-sectional and longitudinal analyses. MATERIAL AND

methodsA total of 56 patients with type 2 diabetes who had been hospitalized twice were analyzed. We evaluated the mean computed tomography values of the pancreas (P), liver (L) and spleen (S). Lower computed tomography values indicate a greater fat content. We defined indices of pancreatic or liver fat content as the differences between P or L and S. We assessed the associations among fat content for the two organs (P-S, L-S) and clinical parameters at the first hospitalization, and then analyzed the associations between these fat contents and changes in glycometabolic markers (the second data values minus the first).

resultsIn the cross-sectional study, P-S negatively correlated with the increment of C-peptide in the glucagon stimulation test (r = -0.71, P < 0.0001) and body mass index (r = -0.28, P = 0.034). L-S negatively correlated with homeostasis model assessment of insulin resistance (r = -0.73, P < 0.0001), body mass index (r = -0.62, P < 0.0001) and some other obesity-related indicators, but not with the increment of C-peptide in the glucagon stimulation test. In the longitudinal study, P-S positively correlated with the change of the increment of C-peptide in the glucagon stimulation test (r = 0.49, P = 0.021).

conclusionsIn type 2 diabetes patients, pancreatic fat was less associated with obesity-related indicators than liver fat, but was more strongly associated with the longitudinal decrease in endogenous insulin-secreting capacity.

Indexed as

Adipose TissueAgedBiomarkersC-PeptideCross-Sectional StudiesDiabetes Mellitus, Type 2Fatty LiverFemaleFollow-Up StudiesGastrointestinal AgentsGlucagonGlucose Tolerance TestHumansLongitudinal StudiesMalePancreatic DiseasesBiomarkersC-PeptideGastrointestinal AgentsGlucagonInsulin secretion capacityPancreatic fatType 2 diabetes

Identifiers

PMID31240874
PMCPMC6944841

What OpenQuestion holds

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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.