Evidence map›Paper›PMID 36694089›Full record

Observational studyObesity surgery2023

Microvesicular Steatosis in Individuals with Obesity: a Histological Marker of Non-alcoholic Fatty Liver Disease Severity.

Carlos Wustemberg Germano, Paulo Ferreira Mega, Thiago Jordão Almeida Prado Mattosinho, Luana Leite Castilho Dias, Martinho Antonio Gestic, Murillo Pimentel Utrini, Felipe David Mendonça Chaim, Francisco Callejas-Neto, Elinton Adami Chaim, Everton Cazzo

Abstract readObservational Study
PubMed Publisher
In one paragraph

Observational study in Obesity surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
6.0field-weighted citation impact, top 3% 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

10 citing papers in PubMed, 28 citations in OpenAlex.

  1. Review
  2. Interaction Between Photoperiod and Sex on Hepatic Lipid Homeostasis in Rats Fed an Obesogenic Diet.FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 2025
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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

10 authors at 2 institutions in 1 country.

Carlos Wustemberg GermanoDepartment of Surgery, School of Medical Sciences, State University of Campinas (UNICAMP), Rua Alexander Fleming, S/No, Cidade Universitária Zeferino Vaz, SP, CEP 13085-000, Campinas, Brazil.
Paulo Ferreira MegaDepartment of Surgery, School of Medical Sciences, State University of Campinas (UNICAMP), Rua Alexander Fleming, S/No, Cidade Universitária Zeferino Vaz, SP, CEP 13085-000, Campinas, Brazil.
Thiago Jordão Almeida Prado MattosinhoDepartment of Surgery, School of Medical Sciences, State University of Campinas (UNICAMP), Rua Alexander Fleming, S/No, Cidade Universitária Zeferino Vaz, SP, CEP 13085-000, Campinas, Brazil.
Luana Leite Castilho DiasSchool of Medicine, Pontíficia Universidade Católica de Campinas (PUCCAMP), Campinas, Brazil.
Martinho Antonio GesticDepartment of Surgery, School of Medical Sciences, State University of Campinas (UNICAMP), Rua Alexander Fleming, S/No, Cidade Universitária Zeferino Vaz, SP, CEP 13085-000, Campinas, Brazil.
Murillo Pimentel UtriniDepartment of Surgery, School of Medical Sciences, State University of Campinas (UNICAMP), Rua Alexander Fleming, S/No, Cidade Universitária Zeferino Vaz, SP, CEP 13085-000, Campinas, Brazil.
Felipe David Mendonça ChaimDepartment of Surgery, School of Medical Sciences, State University of Campinas (UNICAMP), Rua Alexander Fleming, S/No, Cidade Universitária Zeferino Vaz, SP, CEP 13085-000, Campinas, Brazil.
Francisco Callejas-NetoDepartment of Surgery, School of Medical Sciences, State University of Campinas (UNICAMP), Rua Alexander Fleming, S/No, Cidade Universitária Zeferino Vaz, SP, CEP 13085-000, Campinas, Brazil.
Elinton Adami ChaimDepartment of Surgery, School of Medical Sciences, State University of Campinas (UNICAMP), Rua Alexander Fleming, S/No, Cidade Universitária Zeferino Vaz, SP, CEP 13085-000, Campinas, Brazil.
Everton CazzoDepartment of Surgery, School of Medical Sciences, State University of Campinas (UNICAMP), Rua Alexander Fleming, S/No, Cidade Universitária Zeferino Vaz, SP, CEP 13085-000, Campinas, Brazil. notrevezzo@yahoo.com.br.ORCID 0000-0002-5804-1580
Universidade Estadual de Campinas (UNICAMP) · BRPontifícia Universidade Católica de Campinas · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn non-alcoholic fatty liver disease (NAFLD), steatosis can manifest through two distinct forms: macrovesicular (macroS) and microvesicular (microS).

objectiveTo investigate the prevalence of microS and its association with biochemical parameters and NAFLD-related histological findings in individuals with obesity.

methodsThis is an observational retrospective cross-sectional study, enrolling individuals who underwent bariatric surgery and liver biopsy at a university hospital. A 1:2 propensity matching was performed to pair microS with isolated macroS; this matching enrolled variables "age," "gender," "body mass index (BMI)," and "obesity-associated medical problems." Clinical, biochemical, and histopathological aspects were then analyzed and compared.

resultsOf 115 participants, 88.7% were female; average age was 40.5 ± 5 years and mean BMI was 37.9 ± 3.3 kg/m

conclusionMicroS is significantly associated with higher levels of ALT and glucose and higher frequencies of moderate to severe macroS, hepatocellular ballooning, portal fibrosis, perisinusoidal fibrosis, lobular inflammation, and portal inflammation. These findings indicate that microS could be considered a reliable histological marker of NAFLD severity.

Indexed as

Hypertension, PortalNon-alcoholic Fatty Liver DiseaseObesity, MorbidAdultBiopsyCross-Sectional StudiesFemaleFibrosisHumansInflammationLiverMaleMiddle AgedObesityRetrospective StudiesBariatric surgeryInsulin resistanceNon-alcoholic fatty liver diseaseObesitySteatohepatitis

Identifiers

PMID36694089
OpenAlexW4317877818

What OpenQuestion holds

Textmetadata
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.