Evidence map›Paper›PMID 34150434›Full record

ArticleDiabetology international2021

Association of abdominal obesity with crossing capillaries in the finger nailfold in type 2 diabetes mellitus.

Maiko Shikama, Nao Sonoda, Akiko Morimoto, Sayaka Suga, Tetsuya Tajima, Junji Kozawa, Norikazu Maeda, Michio Otsuki, Taka-Aki Matsuoka, Iichiro Shimomura and 1 more

Open access · greenAbstract read
In one paragraph

Article in Diabetology international, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.6field-weighted citation impact, top 34% 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

3 citing papers in PubMed, 6 citations in OpenAlex.

  1. Review
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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

11 authors at 2 institutions in 1 country.

Maiko ShikamaDepartment of Mathematical Health Science, Osaka University, Graduate School of Medicine, 1-7 Yamadaoka, Suita, Osaka 565-0871 Japan.ORCID 0000-0002-9948-6308
Nao SonodaDepartment of Fundamental Nursing, Graduate School of Nursing, Osaka Prefecture University, Osaka, 583-8555 Japan.
Akiko MorimotoDepartment of Fundamental Nursing, Graduate School of Nursing, Osaka Prefecture University, Osaka, 583-8555 Japan.
Sayaka SugaDepartment of Mathematical Health Science, Osaka University, Graduate School of Medicine, 1-7 Yamadaoka, Suita, Osaka 565-0871 Japan.
Tetsuya TajimaDepartment of Mathematical Health Science, Osaka University, Graduate School of Medicine, 1-7 Yamadaoka, Suita, Osaka 565-0871 Japan.
Junji KozawaDepartment of Metabolic Medicine, Osaka University, Graduate School of Medicine, Suita, Osaka 565-0871 Japan.
Norikazu MaedaDepartment of Metabolic Medicine, Osaka University, Graduate School of Medicine, Suita, Osaka 565-0871 Japan.
Michio OtsukiDepartment of Metabolic Medicine, Osaka University, Graduate School of Medicine, Suita, Osaka 565-0871 Japan.
Taka-Aki MatsuokaDepartment of Metabolic Medicine, Osaka University, Graduate School of Medicine, Suita, Osaka 565-0871 Japan.
Iichiro ShimomuraDepartment of Metabolic Medicine, Osaka University, Graduate School of Medicine, Suita, Osaka 565-0871 Japan.
Yuko OhnoDepartment of Mathematical Health Science, Osaka University, Graduate School of Medicine, 1-7 Yamadaoka, Suita, Osaka 565-0871 Japan.
The University of Osaka · JPOsaka Prefecture University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimIncreased crossing of finger nailfold capillaries could be a novel visual marker of early microvascular damage among type 2 diabetes mellitus patients. Although abdominal obesity is an important driver of early microvascular damage, its association with an increase in the percentage of crossing capillaries remains uncertain. We investigated the association between abdominal obesity and an increase in the percentage of crossing capillaries in the finger nailfold in patients with type 2 diabetes mellitus.

methodsThis cross-sectional study enrolled 123 type 2 diabetes mellitus patients (age 40-75 years) who visited the outpatient diabetic clinic at Osaka University Hospital between May and October 2019. Abdominal obesity was defined as a waist circumference ≥ 90 cm in women and ≥ 85 cm in men. Capillary morphology was assessed by nailfold capillaroscopy based on the simple capillaroscopic definitions of the European League Against Rheumatism Study Group. The association between abdominal obesity and a high percentage of crossing capillaries in the finger nailfold (defined as the highest tertile of crossing capillaries) was analyzed using multivariable logistic regression.

resultsAfter adjusting for age, sex, smoking status, regular exercise, duration of diabetes, glycated hemoglobin, hypertension, and dyslipidemia, abdominal obesity was significantly associated with a high percentage of crossing capillaries (multivariable-adjusted odds ratios [95% confidence interval] = 2.70 [1.05-6.90],

conclusionsAbdominal obesity may play an important role in the increase in the percentage of crossing capillaries in the finger nailfold in patients with type 2 diabetes mellitus.

Indexed as

Abdominal obesityMicrovascular dysfunctionNailfold capillaroscopyNailfold capillary

Identifiers

PMID34150434
PMCPMC8172675
OpenAlexW3114671452

What OpenQuestion holds

Textmetadata
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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.