Evidence map›Paper›PMID 35482462›Full record

ArticleRambam Maimonides medical journal2022

Comparison of Fasting Insulin Level, Homeostatic Model of Insulin Resistance, and Lipid Levels between Patients with Primary Hypertension and Normotensive Subjects.

Rithvik Ramesh, Viswanathan Pandurangan, Sudha Madhavan, Devasena Srinivasan, Emmanuel Bhaskar, Lakshmi Marappa, Aiswarya M Nair, Vaasanthi Rajendran, Priyadarshini Varadaraj

Open access · diamondAbstract read
In one paragraph

Article in Rambam Maimonides medical journal, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.1field-weighted citation impact, top 21% 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

9 citing papers in PubMed, 9 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Review
  9. Article
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

9 authors at 1 institution in 1 country.

Rithvik RameshDepartment of General Medicine, Sri Ramachandra Medical College and Research Institute (SRMC&RI), Porur, Chennai 600116, India.
Viswanathan PanduranganDepartment of General Medicine, Sri Ramachandra Medical College and Research Institute (SRMC&RI), Porur, Chennai 600116, India.
Sudha MadhavanDepartment of General Medicine, Sri Ramachandra Medical College and Research Institute (SRMC&RI), Porur, Chennai 600116, India.
Devasena SrinivasanDepartment of General Medicine, Sri Ramachandra Medical College and Research Institute (SRMC&RI), Porur, Chennai 600116, India.
Emmanuel BhaskarDepartment of General Medicine, Sri Ramachandra Medical College and Research Institute (SRMC&RI), Porur, Chennai 600116, India.
Lakshmi MarappaDepartment of General Medicine, Sri Ramachandra Medical College and Research Institute (SRMC&RI), Porur, Chennai 600116, India.
Aiswarya M NairDepartment of General Medicine, Sri Ramachandra Medical College and Research Institute (SRMC&RI), Porur, Chennai 600116, India.
Vaasanthi RajendranDepartment of General Medicine, Sri Ramachandra Medical College and Research Institute (SRMC&RI), Porur, Chennai 600116, India.
Priyadarshini VaradarajDepartment of General Medicine, Sri Ramachandra Medical College and Research Institute (SRMC&RI), Porur, Chennai 600116, India.
Sri Ramachandra Institute of Higher Education and Research · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHyperinsulinemia and insulin resistance occurs in obese patients with primary hypertension independent of diabetes and obesity. This study was aimed at assessing serum fasting insulin levels, the homeostatic model assessment for insulin resistance (HOMA-IR), and serum lipid levels in non-obese patients with primary hypertension when compared to normotensive subjects.

methodsThis observational study comprised 100 patients over 18 years of age, divided into two groups. The hypertensive group comprised non-obese patients with primary hypertension (n=50); the normotensive group comprised normotensive age- and sex-matched individuals (n=50). Patients with diabetes, impaired fasting glucose, obesity, and other causative factors of insulin resistance were excluded from the study. Serum fasting insulin levels and fasting lipid profiles were measured, and insulin resistance was calculated using HOMA-IR. These data were compared between the two groups. Pearson's correlation coefficient was used to assess the extent of a linear relationship between HOMA-IR and to evaluate the association between HOMA-IR and systolic and diastolic blood pressures.

resultsMean serum fasting insulin levels (mIU/L), mean HOMA-IR values, and fasting triglyceride levels (mg/dL) were significantly higher in the hypertensive versus normotensive patients (10.32 versus 6.46, P<0.001; 1.35 versus 0.84, P<0.001; 113.70 versus 97.04, P=0.005, respectively). The HOMA-IR levels were associated with systolic blood pressure (r value 0.764, P=0.0005).

conclusionWe observed significantly higher fasting insulin levels, serum triglyceride levels, and HOMA-IR reflecting hyperinsulinemia and possibly an insulin-resistant state among primary hypertension patients with no other causally linked factors for insulin resistance. We observed a significant correlation between systolic blood pressure and HOMA-IR.

Identifiers

PMID35482462
PMCPMC9049152
OpenAlexW4224858466

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.