Evidence map›Paper›PMID 36517105›Full record

ArticleBMJ open2022

Low-grade inflammation in type 2 diabetes: a cross-sectional study from a Danish diabetes outpatient clinic.

Tina Okdahl, Anne-Marie Wegeberg, Flemming Pociot, Birgitte Brock, Joachim Størling, Christina Brock

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 57 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
57citing papers in PubMed, 2 pooled it
11.4field-weighted citation impact, top 1% 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

57 citing papers in PubMed, 2 syntheses or guidelines pooled it, 83 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

6 authors at 3 institutions in 1 country.

Tina OkdahlMech-Sense, Department of Gastroenterology and Hepatology, Aalborg University Hospital, Aalborg, Denmark.
Anne-Marie WegebergMech-Sense, Department of Gastroenterology and Hepatology, Aalborg University Hospital, Aalborg, Denmark.
Flemming PociotSteno Diabetes Center Copenhagen, Capital Region of Denmark, Herlev, Denmark.
Birgitte BrockSteno Diabetes Center Copenhagen, Capital Region of Denmark, Herlev, Denmark.
Joachim StørlingSteno Diabetes Center Copenhagen, Capital Region of Denmark, Herlev, Denmark.
Christina BrockMech-Sense, Department of Gastroenterology and Hepatology, Aalborg University Hospital, Aalborg, Denmark christina.brock@rn.dk.ORCID 0000-0002-3381-1884
Aalborg University Hospital · DKUniversity of Copenhagen · DKSteno Diabetes Centers · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo investigate low-grade inflammation in type 2 diabetes and explore associations to clinical aspects as well as microvascular and macrovascular complications.

designCross-sectional analysis.

settingThe outpatient diabetes clinic at the Department of Endocrinology at Aalborg University Hospital, Denmark.

participants100 participants with type 2 diabetes confirmed by a haemoglobin A1c (HbA1c)≥6.5% for a minimum of 1 year and 21 healthy controls. OUTCOME MEASURES: Serum levels of 27 inflammation-related biomarkers measured by immunoassay. Associations with microvascular and macrovascular complications, body weight, glycaemic control, medication and sex were investigated in the diabetes cohort.

resultsSerum levels of tumour necrosis factor (TNF)-α and eotaxin were elevated in type 2 diabetes (p<0.05), while interleukin (IL)-7 was decreased (p<0.001). IL-12/IL-23p40, IL-15, macrophage-derived chemokine (MDC) and C reactive protein (CRP) levels were increased with body weight (p<0.05), while eotaxin and TNF-α were increased with elevated HbA1c levels (p<0.04). Dipeptidyl peptidase-4 inhibitor therapy was associated with lower levels of induced protein-10, MDC and thymus and activation regulated chemokine (p<0.02), while females had higher levels of MDC (p=0.027). Individuals with ≥3 diabetic complications had elevated levels of IL-6, IL-10, IL-12/IL-23p40, IL-15 and CRP compared with those with ≤3 (p<0.05).

conclusionThe level of low-grade inflammation in type 2 diabetes is associated with obesity, glycaemic regulation, therapeutical management, sex and complications. Our results underline the importance of addressing inflammatory issues in type 2 diabetes, as these may predispose for crippling comorbidities.

Indexed as

Diabetes Mellitus, Type 2Ambulatory Care FacilitiesBiomarkersBody WeightC-Reactive ProteinCross-Sectional StudiesDenmarkFemaleGlycated HemoglobinHumansInflammationInterleukin-12Interleukin-15Tumor Necrosis Factor-alphaBiomarkersC-Reactive ProteinGlycated HemoglobinInterleukin-12Interleukin-15Tumor Necrosis Factor-alphaDIABETES & ENDOCRINOLOGYDiabetic neuropathyIMMUNOLOGY

Identifiers

PMID36517105
PMCPMC9756179
OpenAlexW4311416754

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.