Evidence map›Paper›PMID 31769936›Full record

ArticleJournal of diabetes2020

Insulin resistance is associated with urinary albumin-creatinine ratio in normal weight individuals with hypertension and diabetes: The REACTION study.

Shi Gu, Anping Wang, Guang Ning, Linxi Zhang, Yiming Mu

Open access · bronzeAbstract read
In one paragraph

Article in Journal of diabetes, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
3.7field-weighted citation impact, top 6% 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

25 citing papers in PubMed, 47 citations in OpenAlex.

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  20. Metabolism Score for Visceral Fat (METS-VF): A New Predictive Surrogate for CKD Risk.Diabetes, metabolic syndrome and obesity : targets and therapy · 2022
    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 4 institutions in 1 country.

Shi GuChinese PLA General Hospital, Beijing, China.ORCID https://orcid.org/0000-0002-9672-2256
Anping WangChinese PLA General Hospital, Beijing, China.
Guang NingRuijin Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China.
Linxi ZhangPeking University Third Hospital, Beijing, China.
Yiming MuChinese PLA General Hospital, Beijing, China.
Chinese PLA General Hospital · CNNankai University · CNPeking University · CNRuijin Hospital · CN

Funding

Chinese Society of EndocrinologyNational Science and Technology Major Project 288 2011ZX09307-001-08the Key Laboratory for Endocrine and Metabolic Diseases of Ministry of Health 1994DP131044the National High Technology Research and Development Program of China 2011AA020107the National High Technology Research and Development Program of China 863 Programthe National Key New Drug Creation and Manufacturing Program of Ministry of Science and Technology 2012ZX09303006-001
6 · The paper itself

Abstract

backgroundThe relationship between albuminuria and insulin resistance (IR) has not been clarified in previous studies. This study was conducted to examine whether IR is associated with albuminuria in subjects with diverse blood pressure and glycometabolism statuses.

methodsThis study included 34 136 participants whose data were drawn from a cross-sectional survey named the 2011 REACTION study. The participants were divided into six groups. The urinary albumin-creatinine ratio (UACR) and glomerular filtration rate (GFR) were used as markers of chronic kidney disease (CKD). Variance tests and logistic regression models were performed for homeostatic model assessment of insulin resistance (HOMA-IR) in relation to UACR and eGFR.

resultsFirst, UACR levels and HOMA-IR exhibited a positive correlation among participants (P < 0.05), and a negative correlation existed between GFR and HOMA-IR (P < 0.05). Second, in the hypertension with diabetes group, in individuals whose body mass index (BMI) was 18.5-24.0 kg/m

conclusionsIn the context of different blood pressure and glycometabolism statuses, the positive correlation between UACR levels and HOMA-IR was affected by BMI, age, LDL-C, HDL-C, and GFR. In patients with hypertension and diabetes, the early detection and intervention of IR and related risk factors in patients with normal BMI may reduce the occurrence of microalbuminuria and delay the progression of CKD.

Indexed as

Ideal Body WeightInsulin ResistanceAdultAgedAlbuminuriaCreatinineCross-Sectional StudiesDiabetes Mellitus, Type 2FemaleGlomerular Filtration RateHumansHypertensionKidney Function TestsMaleMiddle AgedCreatinineAlbuminuriaDiabetesHypertensionInsulin resistance [Correction added on 2 April 2020, after first online publication: Keywords have been added.]尿微量白蛋白糖尿病胰岛素抵抗高血压

Identifiers

PMID31769936
PMCPMC9328436
OpenAlexW2989584841

What OpenQuestion holds

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LicenceCC BY-NC
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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.