Evidence map›Paper›PMID 32690054›Full record

ArticleBMC public health2020

Insights from qualitative research on NAFLD awareness with a cohort of T2DM patients: time to go public with insulin resistance?

Mireia Alemany-Pagès, Mariana Moura-Ramos, Sara Araújo, Maria Paula Macedo, Rogério T Ribeiro, Dulce do Ó, João Ramalho-Santos, Anabela Marisa Azul

Abstract read
In one paragraph

Article in BMC public health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
–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

18 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  12. Advancing the global public health agenda for NAFLD: a consensus statement.Nature reviews. Gastroenterology & hepatology · 2022
    Review
  13. Article
  14. Defining comprehensive models of care for NAFLD.Nature reviews. Gastroenterology & hepatology · 2021
    Review
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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.

Mireia Alemany-PagèsCNC-Center for Neuroscience and Cell Biology, CIBB, Rua Larga, University of Coimbra, Rua Larga, 3000-504, Coimbra, Portugal. mireia.alemamy@gmail.com.
Mariana Moura-RamosCentro Hospitalar e Universitário de Coimbra, Reproductive Medicine Unit, Praceta Prof. Mota Pinto, 3000-075, Coimbra, Portugal.
Sara AraújoCES-Centre for Social Studies, University of Coimbra, 3000-104, Coimbra, Portugal.
Maria Paula MacedoAPDP-Portuguese Diabetic Association, 1250-189, Lisbon, Portugal.
Rogério T RibeiroAPDP-Portuguese Diabetic Association, 1250-189, Lisbon, Portugal.
Dulce do ÓAPDP-Portuguese Diabetic Association, 1250-189, Lisbon, Portugal.
João Ramalho-SantosCNC-Center for Neuroscience and Cell Biology, CIBB, Rua Larga, University of Coimbra, Rua Larga, 3000-504, Coimbra, Portugal.
Anabela Marisa AzulCNC-Center for Neuroscience and Cell Biology, CIBB, Rua Larga, University of Coimbra, Rua Larga, 3000-504, Coimbra, Portugal. amjrazul@ci.uc.pt.ORCID http://orcid.org/0000-0003-3295-1284

Funding

Fundo Regional para a Ciência e Tecnologia UID/NEU/04539/2019H2020 Marie Skłodowska-Curie Actions 722619
6 · The paper itself

Abstract

backgroundIt is estimated that around 70% of Type 2 Diabetes Mellitus patients (T2DM) have Non-Alcoholic Fatty Liver Disease (NAFLD). Awareness and education are amongst the major shortcomings of the public health response to the increasing threat of NAFLD. Characterizing the specific NAFLD-related information needs of particular high-risk metabolic communities, for instance, T2DM patients, might aid in the development of evidence-based health promotion strategies, ultimately promoting NAFLD-awareness, treatment adherence and therapeutic success rates.

methodsSemi-structured interviews with T2DM patients were conducted to gain insight into their awareness of NAFLD, including its relationship with insulin resistance and T2DM.

resultsAwareness of NAFLD as a disease entity, as well as its progression to end-stage liver disease or its relationship with other metabolic conditions, including insulin resistance and T2DM was low. Surveillance behaviours were also suboptimal and perceptions on the self-management knowledge and praxis regarding lifestyle intervention components of T2DM treatment seemed detached from those of NAFLD.

conclusionsOur findings could inform the integration of NAFLD-related content in T2DM health promotion strategies. Rising awareness on NAFLD progression and its relationship with T2DM using culturally and community-relevant constructs might facilitate the development of primary and secondary prevention programmes to promote the adherence to lifestyle interventions by influencing NAFLD threat perceptions.

Indexed as

Diabetes Mellitus, Type 2Insulin ResistanceAgedAged, 80 and overAge FactorsCohort StudiesFemaleHumansMaleMiddle AgedNon-alcoholic Fatty Liver DiseasePortugalUnited StatesUnited States Public Health ServiceAwarenessEducationKnowledgeNAFLDQualitative researchRisk communicationSelf-managementT2DM

Identifiers

PMID32690054
PMCPMC7372774

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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.