Evidence map›Paper›PMID 33304027›Full record

ArticleToxicological and environmental chemistry2020

Per- and Polyfluoroalkyl Substances and Obesity, Type 2 Diabetes and Non-alcoholic Fatty Liver Disease: A Review of Epidemiologic Findings.

Weipeng Qi, John M Clark, Alicia R Timme-Laragy, Yeonhwa Park

Abstract read
In one paragraph

Article in Toxicological and environmental chemistry, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed, 2 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

43 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Determinants of maternal and neonatal PFAS concentrations: a review.Environmental health : a global access science source · 2023
    Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Exposure to perfluorooctanoic acid acceleratesbioRxiv : the preprint server for biology · 2026
    Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Review
  16. Review
  17. Endocrine disruptors, obesity, and metabolic syndrome.Turkish journal of medical sciences · 2025
    Review
  18. Article
  19. Article
  20. Review
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

4 authors.

Weipeng QiDepartment of Food Science, University of Massachusetts, Amherst, MA, 01003, United States.
John M ClarkDepartment of Veterinary and Animal Sciences, University of Massachusetts, Amherst, MA, 01003, United States.
Alicia R Timme-LaragyDepartment of Environmental Health Sciences, University of Massachusetts, Amherst, MA, 01003, United States.
Yeonhwa ParkDepartment of Food Science, University of Massachusetts, Amherst, MA, 01003, United States.

Funding

Research BaseP30DK072488 · NIDDK · UNIVERSITY OF MARYLAND BALTIMORE · PI MITCHELL, BRAXTON D, TAYLOR, SIMEON I. · 2005 to 2019
$17.3M
Toxicant disruption of receptor-mediated endocytosis in oogenesis and later life metabolic dysfunctionR01ES028201 · NIEHS · UNIVERSITY OF MASSACHUSETTS AMHERST · PI TIMME-LARAGY, ALICIA R · 2017 to 2021
$2.1M
NIDDK NIH HHS P30 DK072488NIEHS NIH HHS R01 ES028201
6 · The paper itself

Abstract

Per- and polyfluoroalkyl substances, a group of fluoro-surfactants widely detected in the environment, wildlife and humans, have been linked to adverse health effects. A growing body of literature has addressed their effects on obesity, diabetes and non-alcoholic fatty liver disease/ non-alcoholic steatohepatitis. This review summarizes the brief historical use and chemistry of per- and polyfluoroalkyl substances, routes of human exposure, as well as the epidemiologic evidence for associations between exposure to per- and polyfluoroalkyl substances and the development of obesity, diabetes and non-alcoholic fatty liver disease/ non-alcoholic steatohepatitis. We identified 22 studies on obesity and 32 studies on diabetes, while only 1 study was found for non-alcoholic fatty liver disease/ non-alcoholic steatohepatitis by searching PubMed for human studies. Approximately 2/3 of studies reported positive associations between per- and polyfluoroalkyl substances exposure and the prevalence of obesity and/or type 2 diabetes. Causal links between per- and polyfluoroalkyl substances and obesity, diabetes and non-alcoholic fatty liver disease/ non-alcoholic steatohepatitis, however, require further large-scale prospective cohort studies combined with mechanistic laboratory studies to better assess these associations.

Indexed as

diabetesepidemiologynon-alcoholic fatty liver diseasenon-alcoholic steatohepatitisobesityPer- and Polyfluoroalkyl SubstancesPFAS

Identifiers

PMID33304027
PMCPMC7723340

What OpenQuestion holds

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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.