Evidence map›Paper›PMID 33486796›Full record

ArticleAlcoholism, clinical and experimental research2021

Alterations in Insulin Levels in Adults with Prenatal Alcohol Exposure.

Julie A Kable, Puja K Mehta, Claire D Coles

Open access · greenAbstract read
In one paragraph

Article in Alcoholism, clinical and experimental research, 2021. 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
4.3field-weighted citation impact, top 6% 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, 15 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

3 authors at 1 institution in 1 country.

Julie A KableDepartment of Psychiatry and Behavioral Science, Emory University School of Medicine, Atlanta, GA, USA.ORCID 0000-0001-5008-0887
Puja K MehtaDivision of Cardiology, Emory University School of Medicine, Atlanta, GA, USA.
Claire D ColesDepartment of Psychiatry and Behavioral Science, Emory University School of Medicine, Atlanta, GA, USA.ORCID 0000-0003-3399-6644
Emory University · US

Funding

Cardiovascular Risk in Adult FASD & its Impact on Prefrontal Cortical FunctioningR21AA027345 · NIAAA · EMORY UNIVERSITY · PI KABLE, JULIE A · 2018 to 2019
$371k
NIAAA NIH HHS R21 AA027345NIAAA NIH HHS R21AA027345
6 · The paper itself

Abstract

objectiveEvidence suggests that prenatal alcohol exposure (PAE) may adversely impact insulin production and signaling but there is limited information on the range of these effects and their future health consequences.

methodA prospective cohort of predominantly African-American individuals identified while in utero and followed into adulthood were used to evaluate differences in various indicators of diabetes, including fasting plasma glucose, hemoglobin A1c (HbA1c), and insulin levels. The homeostatic model assessment of insulin resistance (HOMA-IR) was also computed. Body mass index (BMI) was calculated and normal defined as < 25 kg/m

resultsMean age of the sample was 36.0 ± 1.5 years. Indices of glucose metabolism, including fasting plasma glucose and hemoglobin A1c levels, did not vary by group status but insulin levels and HOMA-IR values varied by group status and BMI level. PAE individuals with a normal BMI had lower insulin levels than Controls. However, in PAE subjects, there was a steeper increase in insulin levels relative to their BMI than in Control subjects. A cluster of 5 PAE cases had low levels of insulin and 4 of the 5 had severe cognitive impairment.

conclusionsThe bidirectional effects on insulin level and insulin resistance associated with PAE may indicate differential rates of diabetes disease impact or differential PAE impact in the brain and peripheral areas involved in insulin production and signaling. These alterations may contribute to the metabolic disease risk associated with PAE.

Indexed as

Black or African AmericanAdultAlcohol DrinkingBlood GlucoseCohort StudiesFemaleHumansInsulinInsulin ResistancePregnancyPrenatal Exposure Delayed EffectsProspective StudiesBlood GlucoseInsulinDiabetesFetal Alcohol Spectrum DisordersInsulinPrenatal Alcohol Exposure

Identifiers

PMID33486796
PMCPMC8717214
OpenAlexW3123087004

What OpenQuestion holds

Textmetadata
LicenceTDM
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.