Evidence map›Paper›PMID 36126992›Full record

ArticleBMJ open diabetes research & care2022

Consumption of two meals per day is associated with increased intrapancreatic fat deposition in patients with type 2 diabetes: a retrospective study.

Akiko Niki, Megu Y Baden, Sarasa Kato, Kento Mitsushio, Tomomi Horii, Harutoshi Ozawa, Chisaki Ishibashi, Shingo Fujita, Takekazu Kimura, Yukari Fujita and 5 more

Open access · goldAbstract read
In one paragraph

Article in BMJ open diabetes research & care, 2022. 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
0.8field-weighted citation impact, top 28% 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, 5 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

15 authors at 1 institution in 1 country.

Akiko NikiDepartment of Metabolic Medicine, Osaka University Graduate School of Medicine, Suita, Japan.ORCID 0000-0003-2271-0559
Megu Y BadenDepartment of Metabolic Medicine, Osaka University Graduate School of Medicine, Suita, Japan mbaden@endmet.med.osaka-u.ac.jp.ORCID 0000-0002-7678-0969
Sarasa KatoDepartment of Metabolic Medicine, Osaka University Graduate School of Medicine, Suita, Japan.
Kento MitsushioDepartment of Metabolic Medicine, Osaka University Graduate School of Medicine, Suita, Japan.
Tomomi HoriiDepartment of Metabolic Medicine, Osaka University Graduate School of Medicine, Suita, Japan.
Harutoshi OzawaDepartment of Metabolic Medicine, Osaka University Graduate School of Medicine, Suita, Japan.ORCID 0000-0001-7590-6745
Chisaki IshibashiDepartment of Metabolic Medicine, Osaka University Graduate School of Medicine, Suita, Japan.
Shingo FujitaDepartment of Metabolic Medicine, Osaka University Graduate School of Medicine, Suita, Japan.
Takekazu KimuraDepartment of Metabolic Medicine, Osaka University Graduate School of Medicine, Suita, Japan.
Yukari FujitaDepartment of Metabolic Medicine, Osaka University Graduate School of Medicine, Suita, Japan.ORCID 0000-0002-8847-5654
Ayumi TokunagaDepartment of Metabolic Medicine, Osaka University Graduate School of Medicine, Suita, Japan.
Takao NammoDepartment of Metabolic Medicine, Osaka University Graduate School of Medicine, Suita, Japan.
Kenji FukuiDepartment of Metabolic Medicine, Osaka University Graduate School of Medicine, Suita, Japan.ORCID 0000-0003-2468-7559
Junji KozawaDepartment of Metabolic Medicine, Osaka University Graduate School of Medicine, Suita, Japan.ORCID 0000-0001-9665-8947
Iichiro ShimomuraDepartment of Metabolic Medicine, Osaka University Graduate School of Medicine, Suita, Japan.
The University of Osaka · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThis study aimed to identify the associations between lifestyle factors and intrapancreatic fat deposition in patients with type 2 diabetes. RESEARCH DESIGN AND

methodsThe participants were 185 patients with type 2 diabetes who were hospitalized at Osaka University Hospital between 2008 and 2020 and underwent abdominal CT during hospitalization. Information regarding lifestyle factors, including the number of meals consumed per day, snacking habits, exercise habits, exercise at work, smoking habits, alcohol intake, insomnia, sleep apnea syndrome, and night-shift working, was acquired from self-administered questionnaires or medical records. We measured the mean CT values for the pancreas (P), liver (L), and spleen (S), and the visceral fat area (VFA), and quantified intrapancreatic and liver ectopic fat accumulation as P-S and L-S, respectively.

resultsAfter adjustment for age, sex, hemoglobin A1c, and body mass index (BMI), participants who consumed two meals per day had significantly lower P-S (higher intrapancreatic fat deposition, p=0.02) than those who consumed three meals per day. There were no significant associations between the number of meals consumed and liver ectopic fat accumulation and VFA (p=0.73 and p=0.67, respectively).

conclusionsPatients with diabetes who consumed two meals per day showed greater intrapancreatic fat deposition than those who consumed three meals per day, even after adjustment for BMI. These findings support the current guideline for diabetes treatment that skipping meals should be avoided.

Indexed as

Diabetes Mellitus, Type 2Body Mass IndexGlycated HemoglobinHumansMealsRetrospective StudiesGlycated HemoglobinDietLife StylePancreas

Identifiers

PMID36126992
PMCPMC9490586
OpenAlexW4296519325

What OpenQuestion holds

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LicenceCC BY-NC
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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.