Evidence map›Paper›PMID 32835373›Full record

ArticleThe Journal of clinical endocrinology and metabolism2020

Physical Activity, Genetic Susceptibility, and the Risk of Latent Autoimmune Diabetes in Adults and Type 2 Diabetes.

Rebecka Hjort, Emma Ahlqvist, Tomas Andersson, Lars Alfredsson, Per-Ola Carlsson, Valdemar Grill, Leif Groop, Mats Martinell, Elin Pettersen Sørgjerd, Tiinamaija Tuomi and 2 more

Open access · hybridAbstract read
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 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
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.

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

12 citing papers in PubMed, 19 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

12 authors at 5 institutions in 3 countries.

Rebecka HjortInstitute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden.
Emma AhlqvistDepartment of Clinical Sciences in Malmö, Clinical Research Centre, Lund University, Malmö, Sweden.
Tomas AnderssonInstitute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden.
Lars AlfredssonInstitute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden.
Per-Ola CarlssonDepartment of Medical Sciences, Uppsala University, Uppsala, Sweden.
Valdemar GrillDepartment of Clinical and Molecular Medicine, NTNU, Norwegian University of Science and Technology, Trondheim, Norway.
Leif GroopDepartment of Clinical Sciences in Malmö, Clinical Research Centre, Lund University, Malmö, Sweden.
Mats MartinellDepartment of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
Elin Pettersen SørgjerdHUNT Research Centre, Department of Public Health and Nursing, NTNU, Norwegian University of Science and Technology, Trondheim, Norway.
Tiinamaija TuomiDepartment of Clinical Sciences in Malmö, Clinical Research Centre, Lund University, Malmö, Sweden.
Bjørn Olav ÅsvoldHUNT Research Centre, Department of Public Health and Nursing, NTNU, Norwegian University of Science and Technology, Trondheim, Norway.
Sofia CarlssonInstitute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden.
Karolinska Institutet · SENorwegian University of Science and Technology · NOLund University · SEUppsala University · SEUniversity of Helsinki · FI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposePhysical activity (PA) has been linked to a reduced risk of type 2 diabetes by reducing weight and improving insulin sensitivity. We investigated whether PA is associated with a lower incidence of latent autoimmune diabetes in adults (LADA) and whether the association is modified by genotypes of human leukocyte antigen (HLA), transcription factor 7-like 2 (TCF7L2)-rs7903146, or the fat mass and obesity-associated gene, FTO-rs9939609.

methodsWe combined data from a Swedish case-control study and a Norwegian prospective study including 621 incident cases of LADA and 3596 cases of type 2 diabetes. We estimated adjusted pooled relative risks (RRs) and 95% CI of diabetes in relation to high (≥ 30 minutes of moderate activity 3 times/week) self-reported leisure time PA, compared to sedentariness.

resultsHigh PA was associated with a reduced risk of LADA (RR 0.61; CI, 0.43-0.86), which was attenuated after adjustment for body mass index (BMI) (RR 0.90; CI, 0.63-1.29). The reduced risk applied only to noncarriers of HLA-DQB1 and -DRB1 (RR 0.49; CI, 0.33-0.72), TCF7L2 (RR 0.62; CI, 0.45-0.87), and FTO (RR 0.51; CI, 0.32-0.79) risk genotypes. Adjustment for BMI attenuated but did not eliminate these associations. For type 2 diabetes, there was an inverse association with PA (RR 0.49; CI, 0.42-0.56), irrespective of genotype. MAIN

conclusionsOur findings indicate that high PA is associated with a reduced risk of LADA in individuals without genetic susceptibility.

Indexed as

Genetic Predisposition to DiseaseAdultAlpha-Ketoglutarate-Dependent Dioxygenase FTOBody Mass IndexCase-Control StudiesDiabetes Mellitus, Type 2ExerciseGene FrequencyGenotypeHLA AntigensHumansIncidenceLatent Autoimmune Diabetes in AdultsNorwayProspective StudiesRiskAlpha-Ketoglutarate-Dependent Dioxygenase FTOFTO protein, humanHLA AntigensTCF7L2 protein, humanTranscription Factor 7-Like 2 Proteingene-environment interactionLADAlatent autoimmune diabetes in adultsphysical activitypopulation-basedtype 2 diabetes

Identifiers

PMID32835373
PMCPMC7947966
OpenAlexW3080170592

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.