Evidence map›Paper›PMID 33866778›Full record

ArticleEndocrinology and metabolism (Seoul, Korea)2021

High Serum-Induced AhRL Is Associated with Prevalent Metabolic Syndrome and Future Impairment of Glucose Tolerance in the Elderly.

Youngmi Kim Pak, Hoon Sung Choi, Wook Ha Park, Suyeol Im, P Monica Lind, Lars Lind, Hong Kyu Lee

Open access · diamondAbstract read
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Article in Endocrinology and metabolism (Seoul, Korea), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 24% 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

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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

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 6 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

7 authors at 5 institutions in 2 countries.

Youngmi Kim PakDepartment of Physiology, Kyung Hee University School of Medicine, Seoul, Korea.
Hoon Sung ChoiDepartment of Internal Medicine, Kangwon National University School of Medicine, Chuncheon, Korea.
Wook Ha ParkDepartment of Physiology, Kyung Hee University School of Medicine, Seoul, Korea.
Suyeol ImDepartment of Neuroscience, Medical Research Center for Bioreaction to Reactive Oxygen Species and Biomedical Science Institute, Kyung Hee University School of Medicine, Graduate School, Seoul, Korea.
P Monica LindOccupational and Environmental Medicine, Uppsala University, Uppsala, Sweden.
Lars LindAcute and Internal Medicine, Department of Medicine, Uppsala University Hospital, Uppsala, Sweden.
Hong Kyu LeeDepartment of Internal Medicine, Seoul National University College of Medicine, Seoul, Korea.
Kyung Hee University · KRKangwon National University · KRSeoul National University · KRUppsala University · SEUppsala University Hospital · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHigh circulating levels of dioxins and dioxin-like chemicals, acting via the aryl hydrocarbon receptor (AhR), have previously been linked to diabetes. We now investigated whether the serum AhR ligands (AhRL) were higher in subjects with metabolic syndrome (MetS) and in subjects who had developed a worsened glucose tolerance over time.

methodsSerum AhRL at baseline was measured by a cell-based AhRL activity assay in 70-year-old subjects (n=911) in the Prospective Investigation of the Vasculature in Uppsala Seniors (PIVUS) study. The main outcome measures were prevalent MetS and worsening of glucose tolerance over 5 years of follow-up.

resultsAhRL was significantly elevated in subjects with prevalent MetS as compared to those without MetS, following adjustment for sex, smoking, exercise habits, alcohol intake and educational level (P=0.009). AhRL at baseline was higher in subjects who developed impaired fasting glucose or diabetes at age 75 years than in those who remained normoglycemic (P=0.0081). The odds ratio (OR) of AhRL for worsening glucose tolerance over 5 years was 1.43 (95% confidence interval [CI], 1.13 to 1.81; P=0.003, continuous variables) and 2.81 (95% CI, 1.31 to 6.02; P=0.008, in the highest quartile) adjusted for sex, life style factors, body mass index, and glucose.

conclusionThese findings support a large body of epidemiologic evidence that exposure to AhR transactivating substances, such as dioxins and dioxin-like chemicals, might be involved in the pathogenesis of MetS and diabetes development. Measurement of serum AhRL in humans can be a useful tool in predicting the onset of metabolic disorders.

Indexed as

Diabetes MellitusMetabolic SyndromeAgedBody Mass IndexGlucoseHumansProspective StudiesGlucoseDioxinsGlucose intoleranceMetabolic syndromePersistent organic pollutantsReceptors, aryl hydrocarbon

Identifiers

PMID33866778
PMCPMC8090465
OpenAlexW3153042565

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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.