Evidence map›Paper›PMID 36805778›Full record

ArticleDiabetologia2023

Sex differences in body composition in people with prediabetes and type 2 diabetes as compared with people with normal glucose metabolism: the Maastricht Study.

Rianneke de Ritter, Simone J S Sep, Marleen M J van Greevenbroek, Yvo H A M Kusters, Rimke C Vos, Michiel L Bots, M Eline Kooi, Pieter C Dagnelie, Simone J P M Eussen, Miranda T Schram and 6 more

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In one paragraph

Article in Diabetologia, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 2 pooled it
5.0field-weighted citation impact, top 4% 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

20 citing papers in PubMed, 2 syntheses or guidelines pooled it, 26 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

16 authors at 5 institutions in 2 countries.

Rianneke de RitterDepartment of Internal Medicine, Maastricht University Medical Center+, Maastricht, the Netherlands. rianneke.de.ritter@mumc.nl.
Simone J S SepDepartment of Internal Medicine, Maastricht University Medical Center+, Maastricht, the Netherlands.
Marleen M J van GreevenbroekDepartment of Internal Medicine, Maastricht University Medical Center+, Maastricht, the Netherlands.
Yvo H A M KustersDepartment of Internal Medicine, Maastricht University Medical Center+, Maastricht, the Netherlands.
Rimke C VosJulius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht University, Utrecht, the Netherlands.
Michiel L BotsJulius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht University, Utrecht, the Netherlands.
M Eline KooiCARIM School for Cardiovascular Diseases, Maastricht University, Maastricht, the Netherlands.
Pieter C DagnelieDepartment of Internal Medicine, Maastricht University Medical Center+, Maastricht, the Netherlands.
Simone J P M EussenCARIM School for Cardiovascular Diseases, Maastricht University, Maastricht, the Netherlands.
Miranda T SchramDepartment of Internal Medicine, Maastricht University Medical Center+, Maastricht, the Netherlands.
Annemarie KosterCAPHRI Care and Public Health Research Institute, Maastricht University, Maastricht, the Netherlands.
Martijn C G BrouwersDepartment of Internal Medicine, Maastricht University Medical Center+, Maastricht, the Netherlands.
Niels M R van der SangenDepartment of Cardiology, Amsterdam UMC, University of Amsterdam, Amsterdam, the Netherlands.
Sanne A E PetersJulius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht University, Utrecht, the Netherlands.
Carla J H van der KallenDepartment of Internal Medicine, Maastricht University Medical Center+, Maastricht, the Netherlands.
Coen D A StehouwerDepartment of Internal Medicine, Maastricht University Medical Center+, Maastricht, the Netherlands.
Maastricht University · NLUniversity Medical Center Utrecht · NLAdelante · NLAmsterdam University Medical Centers · NLUtrecht University · NL

Funding

Dutch Ministry of Economic Affairs 31O.041ZonMw 849200001
6 · The paper itself

Abstract

aims/hypothesisObesity is a major risk factor for type 2 diabetes. However, body composition differs between women and men. In this study we investigate the association between diabetes status and body composition and whether this association is moderated by sex.

methodsIn a population-based cohort study (n=7639; age 40-75 years, 50% women, 25% type 2 diabetes), we estimated the sex-specific associations, and differences therein, of prediabetes (i.e. impaired fasting glucose and/or impaired glucose tolerance) and type 2 diabetes (reference: normal glucose metabolism [NGM]) with dual-energy x-ray absorptiometry (DEXA)- and MRI-derived measures of body composition and with hip circumference. Sex differences were analysed using adjusted regression models with interaction terms of sex-by-diabetes status.

resultsCompared with their NGM counterparts, both women and men with prediabetes and type 2 diabetes had more fat and lean mass and a greater hip circumference. The differences in subcutaneous adipose tissue, hip circumference and total and peripheral lean mass between type 2 diabetes and NGM were greater in women than men (women minus men [W-M] mean difference [95% CI]: 15.0 cm CONCLUSIONS/

interpretationThis study indicates that there are sex differences in body composition associated with type 2 diabetes. The pathophysiological significance of these sex-associated differences requires further study.

Indexed as

Diabetes Mellitus, Type 2Prediabetic StateAdultAgedBody CompositionBody Mass IndexCohort StudiesFemaleGlucoseHumansMaleMiddle AgedGlucoseBody compositionDEXAFat massLean massLiver fatMRIPrediabetesSex differencesType 2 diabetesWomen

Identifiers

PMID36805778
PMCPMC10036428
OpenAlexW4321478361

What OpenQuestion holds

Textfull text, public
LicenceCC BY
measurements read31
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.