Evidence map›Paper›PMID 31720687›Full record

ArticleThe Journal of clinical endocrinology and metabolism2020

Changes Over Time in Uric Acid in Relation to Changes in Insulin Sensitivity, Beta-Cell Function, and Glycemia.

Alessandro Volpe, Chang Ye, Anthony J Hanley, Philip W Connelly, Bernard Zinman, Ravi Retnakaran

Open access · bronzeAbstract readEvaluation Study
In one paragraph

Article in The Journal of clinical endocrinology and metabolism, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
0.6field-weighted citation impact, top 32% 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

16 citing papers in PubMed, 22 citations in OpenAlex.

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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

6 authors at 2 institutions in 1 country.

Alessandro VolpeLeadership Sinai Centre for Diabetes, Mount Sinai Hospital, Toronto, Canada.
Chang YeLeadership Sinai Centre for Diabetes, Mount Sinai Hospital, Toronto, Canada.
Anthony J HanleyLeadership Sinai Centre for Diabetes, Mount Sinai Hospital, Toronto, Canada.
Philip W ConnellyDivision of Endocrinology, University of Toronto, Toronto, Canada.
Bernard ZinmanLeadership Sinai Centre for Diabetes, Mount Sinai Hospital, Toronto, Canada.
Ravi RetnakaranLeadership Sinai Centre for Diabetes, Mount Sinai Hospital, Toronto, Canada.
Mount Sinai Hospital · CASt. Michael's Hospital · CA

Funding

CIHR MOP-84206CIHR PJT-156286
6 · The paper itself

Abstract

contextSerum uric acid has been linked to risk of type 2 diabetes (T2DM), but debate persists as to whether it plays a causal role. Indeed, it is unclear if changes in uric acid relate to the pathophysiologic determinants of T2DM (insulin resistance, beta-cell dysfunction), as would be expected if causal.

objectiveTo evaluate the impact of changes in uric acid over 2 years on changes in insulin sensitivity, beta-cell function, and glycemia in women with and without recent gestational diabetes (GDM), a model of the early natural history of T2DM. DESIGN/SETTING/

participantsAt both 1 and 3 years postpartum, 299 women (96 with recent GDM) underwent uric acid measurement and oral glucose tolerance tests that enabled assessment of insulin sensitivity/resistance (Matsuda index, homeostasis model assessment of insulin resistance [HOMA-IR]), beta-cell function (insulin secretion-sensitivity index-2 [ISSI-2], insulinogenic index/HOMA-IR [IGI/HOMA-IR]), and glucose tolerance.

resultsWomen with recent GDM had higher serum uric acid than their peers at both 1 year (281 ± 69 vs 262 ± 58 µmol/L, P = 0.01) and 3 years postpartum (271 ± 59 vs 256 ± 55 µmol/L, P = 0.03), coupled with lower insulin sensitivity, poorer beta-cell function, and greater glycemia (all P < 0.05). However, on fully adjusted analyses, neither uric acid at 1 year nor its change from 1 to 3 years was independently associated with any of the following metabolic outcomes at 3 years postpartum: Matsuda index, HOMA-IR, ISSI-2, IGI/HOMA-IR, fasting glucose, 2-hour glucose, or glucose intolerance.

conclusionSerum uric acid does not track with changes over time in insulin sensitivity, beta-cell function, or glycemia in women with recent GDM, providing evidence against causality in its association with diabetes.

Indexed as

AdultBlood GlucoseDiabetes, GestationalDiabetes Mellitus, Type 2FemaleGlucose Tolerance TestHumansInsulin ResistanceInsulin-Secreting CellsPostpartum PeriodPregnancyTime FactorsUric AcidBlood GlucoseUric Acidbeta-cell dysfunctiongestational diabetesinsulin resistancetype 2 diabetesuric acid

Identifiers

PMID31720687
PMCPMC7025949
OpenAlexW2989291909

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.