Evidence map›Paper›PMID 32185462›Full record

ArticleDiabetologia2020

One-leg inactivity induces a reduction in mitochondrial oxidative capacity, intramyocellular lipid accumulation and reduced insulin signalling upon lipid infusion: a human study with unilateral limb suspension.

Lena Bilet, Esther Phielix, Tineke van de Weijer, Anne Gemmink, Madeleen Bosma, Esther Moonen-Kornips, Johanna A Jorgensen, Gert Schaart, Dongyan Zhang, Kenneth Meijer and 6 more

2 registry-linked trialsOpen access · hybridAbstract read
In one paragraph

Article in Diabetologia, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
2.0field-weighted citation impact, top 13% 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.

NCT01576250 nacompletednot on this map

The Effect of Lowered Physical Activity (Induced by Lower Limb Suspension (ULLS)) on Insulin Sensitivity and Lipid and Glucose Metabolism

TypeinterventionalSponsorMaastricht University Medical CenterRan2012 to 2013Enrolled13ConditionsInsulin SensitivityArmsunilateral lower limb suspension
NCT07690150 nanot yet recruitingnot on this mapstarted 2026, after this paper: background citation

A Novel Angle: Manipulating Knee Position to Understand Muscle Deterioration During Leg Immobilization

TypeinterventionalSponsorWageningen UniversityRan2026 to 2028Enrolled30ConditionsMuscle Atrophy, Disuse Atrophy, ImmobilizationArmsKnee immobilization brace (0°) for 5 days, Knee immobilization brace (60°) for 5 days
3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 1 synthesis or guideline pooled it, 32 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. The Crucial Role of Exercise in Promoting Adolescent Muscle Development.Advances in experimental medicine and biology · 2026
    Review
  6. Integrated muscle protein synthesis during disuse and rehabilitation in late-midlife adults.American journal of physiology. Regulatory, integrative and comparative physiology · 2025
    Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Positive Effects of Physical Activity on Insulin Signaling.Current issues in molecular biology · 2024
    Review
  12. Exercise metabolism and adaptation in skeletal muscle.Nature reviews. Molecular cell biology · 2023
    Review
  13. Review
  14. Review
  15. Article
  16. Review
  17. Article
  18. Targeting Mitochondria in Diabetes.International journal of molecular sciences · 2021
    Review
  19. Review
  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

16 authors at 4 institutions in 3 countries.

Lena BiletNUTRIM, School of Nutrition and Translational Research in Metabolism, Maastricht University Medical Center, Maastricht, the Netherlands.
Esther PhielixNUTRIM, School of Nutrition and Translational Research in Metabolism, Maastricht University Medical Center, Maastricht, the Netherlands.
Tineke van de WeijerNUTRIM, School of Nutrition and Translational Research in Metabolism, Maastricht University Medical Center, Maastricht, the Netherlands.
Anne GemminkNUTRIM, School of Nutrition and Translational Research in Metabolism, Maastricht University Medical Center, Maastricht, the Netherlands.
Madeleen BosmaNUTRIM, School of Nutrition and Translational Research in Metabolism, Maastricht University Medical Center, Maastricht, the Netherlands.
Esther Moonen-KornipsNUTRIM, School of Nutrition and Translational Research in Metabolism, Maastricht University Medical Center, Maastricht, the Netherlands.
Johanna A JorgensenNUTRIM, School of Nutrition and Translational Research in Metabolism, Maastricht University Medical Center, Maastricht, the Netherlands.
Gert SchaartDepartment of Nutrition and Movement Sciences, Maastricht University Medical Center, P.O. Box 616, 6200 MD, Maastricht, the Netherlands.
Dongyan ZhangDepartment of Internal Medicine, Yale University School of Medicine, New Haven, CT, USA.
Kenneth MeijerNUTRIM, School of Nutrition and Translational Research in Metabolism, Maastricht University Medical Center, Maastricht, the Netherlands.
Maria HopmanDepartment of Physiology, Radbound University Nijmegen Medical Center, Nijmegen, the Netherlands.
Matthijs K C HesselinkNUTRIM, School of Nutrition and Translational Research in Metabolism, Maastricht University Medical Center, Maastricht, the Netherlands.
D Margriet OuwensInstitute of Clinical Biochemistry and Pathobiochemistry, German Diabetes Center, Düsseldorf, Germany.
Gerald I ShulmanDepartment of Internal Medicine, Yale University School of Medicine, New Haven, CT, USA.
Vera B Schrauwen-HinderlingNUTRIM, School of Nutrition and Translational Research in Metabolism, Maastricht University Medical Center, Maastricht, the Netherlands.
Patrick SchrauwenNUTRIM, School of Nutrition and Translational Research in Metabolism, Maastricht University Medical Center, Maastricht, the Netherlands. p.schrauwen@maastrichtuniversity.nl.
Maastricht University · NLUniversity Medical Center · USYale University · USDeutsches Diabetes-Zentrum e.V. · DE

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
NCATS NIH HHS UL1 TR001863'VICI' Research Grant for innovative research from the Netherlands Organization for Scientific Research 918.96.618
6 · The paper itself

Abstract

aims/hypothesisPhysical inactivity, low mitochondrial function, increased intramyocellular lipid (IMCL) deposition and reduced insulin sensitivity are common denominators of chronic metabolic disorders, like obesity and type 2 diabetes. Yet, whether low mitochondrial function predisposes to insulin resistance in humans is still unknown.

methodsHere we investigated, in an intervention study, whether muscle with low mitochondrial oxidative capacity, induced by one-legged physical inactivity, would feature stronger signs of lipid-induced insulin resistance. To this end, ten male participants (age 22.4 ± 4.2 years, BMI 21.3 ± 2.0 kg/m

resultsIn vivo, mitochondrial oxidative capacity, assessed by phosphocreatine (PCr)-recovery half-time, was lower in the inactive vs active leg. Ex vivo, palmitate oxidation to CONCLUSIONS/

interpretationTogether, these results demonstrate, in a unique human in vivo model, that a low mitochondrial oxidative capacity due to physical inactivity directly impacts IMCL accumulation and PKCθ translocation, resulting in impaired insulin signalling upon lipid infusion. This demonstrates the importance of mitochondrial oxidative capacity and muscle fat accumulation in the development of insulin resistance in humans.

trial registrationClinicalTrial.gov NCT01576250.

fundingPS was supported by a 'VICI' Research Grant for innovative research from the Netherlands Organization for Scientific Research (Grant 918.96.618).

Indexed as

HumansInsulinInsulin ResistanceLegLipid MetabolismMaleMitochondriaMuscle, SkeletalOxidative StressRestraint, PhysicalSignal TransductionInsulinFat oxidationInsulin resistanceIntramyocellular lipid contentMitochondrial functionMitochondrial oxidative capacityPhysical inactivityUnilateral lower-limb suspension

Identifiers

PMID32185462
PMCPMC7228997
OpenAlexW3011288968

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.