Evidence map›Paper›PMID 33196670›Full record

ArticlePloS one2020

Visceral to subcutaneous fat ratio as an indicator of a ≥30% eGFR decline in chronic kidney disease.

Hiroshi Kataoka, Toshio Mochizuki, Kazuhiro Iwadoh, Yusuke Ushio, Keiko Kawachi, Saki Watanabe, Kentaro Watanabe, Taro Akihisa, Shiho Makabe, Shun Manabe and 7 more

Abstract read
In one paragraph

Article in PloS one, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
–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

17 citing papers in PubMed.

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  15. Association of the ratio of visceral-to-subcutaneous fat volume with renal function among patients with primary aldosteronism.Hypertension research : official journal of the Japanese Society of Hypertension · 2021
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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

17 authors.

Hiroshi KataokaDepartment of Nephrology, Tokyo Women's Medical University, Tokyo, Japan.ORCID 0000-0001-9543-7608
Toshio MochizukiDepartment of Nephrology, Tokyo Women's Medical University, Tokyo, Japan.
Kazuhiro IwadohDepartment of Blood Purification, Tokyo Women's Medical University, Tokyo, Japan.
Yusuke UshioDepartment of Nephrology, Tokyo Women's Medical University, Tokyo, Japan.
Keiko KawachiDepartment of Nephrology, Tokyo Women's Medical University, Tokyo, Japan.
Saki WatanabeDepartment of Nephrology, Tokyo Women's Medical University, Tokyo, Japan.
Kentaro WatanabeDepartment of Nephrology, Tokyo Women's Medical University, Tokyo, Japan.
Taro AkihisaDepartment of Nephrology, Tokyo Women's Medical University, Tokyo, Japan.
Shiho MakabeDepartment of Nephrology, Tokyo Women's Medical University, Tokyo, Japan.
Shun ManabeDepartment of Nephrology, Tokyo Women's Medical University, Tokyo, Japan.
Masayo SatoDepartment of Nephrology, Tokyo Women's Medical University, Tokyo, Japan.
Naomi IwasaDepartment of Nephrology, Tokyo Women's Medical University, Tokyo, Japan.
Rie YoshidaDepartment of Nephrology, Tokyo Women's Medical University, Tokyo, Japan.
Yukako SawaraDepartment of Nephrology, Tokyo Women's Medical University, Tokyo, Japan.
Norio HanafusaDepartment of Blood Purification, Tokyo Women's Medical University, Tokyo, Japan.
Ken TsuchiyaDepartment of Blood Purification, Tokyo Women's Medical University, Tokyo, Japan.
Kosaku NittaDepartment of Nephrology, Tokyo Women's Medical University, Tokyo, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Whether the visceral-to-subcutaneous fat ratio (V/S ratio) is associated with renal prognosis in patients with chronic kidney disease (CKD) remains unclear. Furthermore, little is known about the effect of sex and the absolute amount of visceral fat accumulation such as visceral fat area (VFA) ≥100 cm2 on the V/S ratio in relation to renal prognosis. In this study, 200 patients with CKD were evaluated for renal prognosis. Survival analyses and logistic regression analyses were conducted, generating time-series pseudo-R2 values. The mean and percent change of the pseudo-R2 values from the 6th year to the 10th year (6Y-10Y Mean and 6Y-10Y Change, respectively) were calculated for determining the cut-off points for the medium-term renal prognosis. Multivariate Cox regression analysis revealed that the V/S ratio was significantly associated with renal outcomes and that the VFA category (VFA ≥ 100 cm2) had significant interactions with the V/S ratio regarding renal prognosis. The hazard ratio (HR) of the V/S ratio was higher in the sub-cohort of VFA < 100 cm2 than in the sub-cohort of VFA ≥ 100 cm2 (HR: 6.42 vs. 1.00). Regarding sex differences, a strong association was noted between the V/S ratio and renal prognosis in women but not in men (HR: 2.40 vs. 1.10). On the other hand, 6Y-10Y Mean of the pseudo-R2 values indicated differences in the cut-off points of the V/S ratio between men and women (V/S ratio: 0.75 vs. 0.5). Our findings indicate that it may be clinically meaningful to consider the differences in sex and the amount of VFA ≥100 cm2 for the V/S ratio in relation to renal outcomes in patients with CKD. The 6Y-10Y Mean of the pseudo-R2 values contributed to determining the cut-off points of the V/S ratio according to the sex difference.

Indexed as

AdiposityGlomerular Filtration RateAgedFemaleHumansIntra-Abdominal FatMaleMiddle AgedRenal Insufficiency, ChronicSubcutaneous Fat

Identifiers

PMID33196670
PMCPMC7668593

What OpenQuestion holds

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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.