Evidence map›Paper›PMID 34277974›Full record

ArticleEndocrinology, diabetes & metabolism2021

Impact of lifestyle Intervention on branched-chain amino acid catabolism and insulin sensitivity in adolescents with obesity.

Catherine Jachthuber Trub, Metin Balikcioglu, Michael Freemark, James Bain, Michael Muehlbauer, Olga Ilkayeva, Phillip J White, Sarah Armstrong, Truls Østbye, Steven Grambow and 1 more

Open access · goldAbstract read
In one paragraph

Article in Endocrinology, diabetes & metabolism, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
1.5field-weighted citation impact, top 17% 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

18 citing papers in PubMed, 26 citations in OpenAlex.

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  18. Are Branched Chain Amino Acids the Potential Targets for Lifestyle Interventions in Youth?The Journal of clinical endocrinology and metabolism · 2022
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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 4 institutions in 1 country.

Catherine Jachthuber TrubEmory University Medical Center Atlanta GA USA.
Metin BalikciogluAdvanced Analytics Division SAS Institute Inc Cary NC USA.
Michael FreemarkDivision of Pediatric Endocrinology and Diabetes and the Duke Molecular Physiology Institute Duke University Medical Center Durham NC USA.
James BainDuke Molecular Physiology Institute Duke Molecular Physiology Institute Duke University Medical Center Durham NC USA.
Michael MuehlbauerDuke Molecular Physiology Institute Duke Molecular Physiology Institute Duke University Medical Center Durham NC USA.
Olga IlkayevaDuke Molecular Physiology Institute Duke Molecular Physiology Institute Duke University Medical Center Durham NC USA.
Phillip J WhiteDuke Molecular Physiology Institute Duke Molecular Physiology Institute Duke University Medical Center Durham NC USA.
Sarah ArmstrongDivision of General Pediatrics Duke University Medical Center Durham NC USA.
Truls ØstbyeDepartment of Family Medicine and Community Health Duke University Medical Center Durham NC USA.
Steven GrambowDepartment of Biostatistics and Bioinformatics Duke University Medical Center Durham NC USA.
Pinar Gumus BalikciogluDivision of Pediatric Endocrinology and Diabetes and the Duke Molecular Physiology Institute Duke University Medical Center Durham NC USA.ORCID 0000-0002-5259-9196
Duke Medical Center · USDuke University · USEmory University · USSAS Institute (United States) · US

Funding

Center for Molecular &Cellular Studies of Ped DiseaseK12HD043494 · NICHD · DUKE UNIVERSITY · PI REED, ANN M. · 2003 to 2017
$5.2M
Serotonin as a Novel Biomarker for Progression to Type 2 Diabetes in Obese AdolescentsK23DK117067 · NIDDK · DUKE UNIVERSITY · PI GUMUS BALIKCIOGLU, PINAR · 2018 to 2021
$847k
NICHD NIH HHS K12 HD043494NIDDK NIH HHS K23 DK117067
6 · The paper itself

Abstract

Insulin resistance in adolescents with obesity associates with a sex-dependent metabolic 'signature' comprising branched-chain amino acids (BCAAs), glutamate and C3/C5 acylcarnitines (C3/C5), implicating altered flux through BCAA catabolic pathways. Here, we investigated the effects of lifestyle intervention on BCAA catabolism and insulin sensitivity. We hypothesized (1) weight reduction and improved insulin sensitivity associate with enhanced BCAA catabolism; (2) baseline BCAAs and their metabolic by-products predict changes in weight and insulin sensitivity during lifestyle intervention.

methodsA 33 adolescents with obesity were studied before and after 6 months of lifestyle intervention. Principal component analysis and multiple linear regression models were used to correlate changes in metabolic factors with changes in weight and insulin sensitivity assessed by HOMA-IR, adiponectin and ratio of triglyceride (TG) to HDL. Baseline metabolic factors were used as explanatory variables in prediction models.

resultsWeight reduction was associated with reductions in BCAA, glutamate, and C3/C5 (

conclusionsWeight reduction in adolescents is associated with increases in BCAA catabolism and improvements in insulin sensitivity. Our study underscores the therapeutic potential of manipulating BCAA catabolism to treat obesity-associated insulin resistance in adolescents and prevent progression to T2D.

Indexed as

Insulin ResistancePediatric ObesityAdolescentAmino Acids, Branched-ChainHumansLife StyleWeight LossAmino Acids, Branched-ChainBCAAchildhood obesityinsulin resistance

Identifiers

PMID34277974
PMCPMC8279626
OpenAlexW3145755081

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.