Evidence map›Paper›PMID 31554505›Full record

ArticleCardiovascular diabetology2019

Renal glucosuria is associated with lower body weight and lower rates of elevated systolic blood pressure: results of a nationwide cross-sectional study of 2.5 million adolescents.

Boris Fishman, Gadi Shlomai, Gilad Twig, Estela Derazne, Alexander Tenenbaum, Enrique Z Fisman, Adi Leiba, Ehud Grossman

Open access · goldAbstract read
In one paragraph

Article in Cardiovascular diabetology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
2.4field-weighted citation impact, top 10% 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, 27 citations in OpenAlex.

  1. Understanding Renal Tubular Function: Key Mechanisms, Clinical Relevance, and Comprehensive Urine Assessment.Pathophysiology : the official journal of the International Society for Pathophysiology · 2025
    Review
  2. Renal glucosuria in children.World journal of clinical pediatrics · 2025
    Review
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  14. SGLT2i: beyond the glucose-lowering effect.Cardiovascular diabetology · 2020
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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

8 authors at 2 institutions in 2 countries.

Boris FishmanIsrael Defense Forces, Medical Corps, Tel Hashomer, Ramat Gan, Israel.
Gadi ShlomaiInternal Medicine D and Hypertension Unit, Sheba Medical Center, 2 Derech Sheba, Migdal Ishpuz, 1st Floor, Tel Hashomer, 5265601, Ramat Gan, Israel.
Gilad TwigIsrael Defense Forces, Medical Corps, Tel Hashomer, Ramat Gan, Israel.
Estela DerazneSackler Faculty of Medicine, Tel Aviv University, 6997801, Tel Aviv, Israel.
Alexander TenenbaumSackler Faculty of Medicine, Tel Aviv University, 6997801, Tel Aviv, Israel.
Enrique Z FismanSackler Faculty of Medicine, Tel Aviv University, 6997801, Tel Aviv, Israel.
Adi LeibaIsrael Defense Forces, Medical Corps, Tel Hashomer, Ramat Gan, Israel.
Ehud GrossmanInternal Medicine D and Hypertension Unit, Sheba Medical Center, 2 Derech Sheba, Migdal Ishpuz, 1st Floor, Tel Hashomer, 5265601, Ramat Gan, Israel. grosse@tauex.tau.ac.il.ORCID 0000-0001-8353-0661
Tel Aviv University · ILBen-Gurion University of the Negev · IL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGene coding mutations found in sodium glucose co-transporters (SGLTs) are known to cause renal glucosuria. SGLT2 inhibitors have recently been shown to be effective hypoglycemic agents as well as possessing cardiovascular and renal protective properties. These beneficial effects have to some extent, been attributed to weight loss and reduced blood pressure. The aim of the current study was to evaluate the prevalence of renal glucosuria amongst a large cohort of Israeli adolescents and to investigate whether renal glucosuria is associated with lower body weight and lower blood pressure values.

methodsMedical and socio-demographic data were collected from the Israeli Defense Force's conscription center's database. A cross-sectional study to evaluate the association between conscripts diagnosed as overweight [BMI percentiles of ≥ 85 and < 95 and obesity (≥ 95 BMI percentile)] and afflicted with renal glucosuria was conducted. In addition, we assessed the association of renal glucosuria with elevated diastolic and systolic blood pressure. Multinomial regression models were used.

resultsThe final study cohort comprised 2,506,830 conscripts of whom 1108 (0.044%) were diagnosed with renal glucosuria, unrelated to diabetes mellitus, with males twice as affected compared to females. The adjusted odds ratio for overweight and obesity was 0.66 (95% CI 0.50-0.87) and 0.62 (95% CI 0.43-0.88), respectively. Adolescents afflicted with renal glucosuria were also less likely to have an elevated systolic blood pressure of 130-139 mmHg with an adjusted odds ratio of 0.74 (95% CI 0.60-0.90).

conclusionsRenal glucosuria is associated with lower body weight and obesity as well as with lower rates of elevated systolic blood pressure.

Indexed as

Blood PressureBody WeightAdolescentAge FactorsBody Mass IndexCross-Sectional StudiesFemaleGenetic Predisposition to DiseaseGlycosuria, RenalHealth SurveysHumansHypertensionIsraelMaleMilitary PersonnelMutationSLC5A2 protein, humanSodium-Glucose Transporter 2Blood pressureGlucosuriaObesityOverweight

Identifiers

PMID31554505
PMCPMC6760097
OpenAlexW2976250306

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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.