Evidence map›Paper›PMID 38135702›Full record

Observational studyInternational journal of obesity (2005)2024

Sex-specific association of visceral and subcutaneous adipose tissue volumes with systemic inflammation and innate immune cells in people living with obesity.

Inge C L van den Munckhof, Harsh Bahrar, Kiki Schraa, Tessa Brand, Rob Ter Horst, Marinette van der Graaf, Helena M Dekker, Rinke Stienstra, Jacqueline de Graaf, Leo A B Joosten and 3 more

Open access · greenAbstract readObservational Study
PubMed Publisher
In one paragraph

Observational study in International journal of obesity (2005), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
3.9field-weighted citation impact, top 5% 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

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.

  1. Pooled it
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  4. American journal of preventive cardiology · 2026
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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

13 authors at 3 institutions in 4 countries.

Inge C L van den Munckhof *Department of Internal Medicine, Radboud University Medical Center, Nijmegen, The Netherlands.ORCID 0000-0001-8259-5578
Harsh Bahrar *Department of Internal Medicine, Radboud University Medical Center, Nijmegen, The Netherlands.ORCID 0000-0002-7686-4281
Kiki SchraaDepartment of Internal Medicine, Radboud University Medical Center, Nijmegen, The Netherlands.
Tessa BrandDepartment of Internal Medicine, Radboud University Medical Center, Nijmegen, The Netherlands.
Rob Ter HorstDepartment of Internal Medicine, Radboud University Medical Center, Nijmegen, The Netherlands.ORCID 0000-0003-0576-5873
Marinette van der GraafDepartment of Medical Imaging, Radboud University Medical Center, Nijmegen, The Netherlands.ORCID 0000-0001-7495-987X
Helena M DekkerDepartment of Medical Imaging, Radboud University Medical Center, Nijmegen, The Netherlands.
Rinke StienstraDepartment of Internal Medicine, Radboud University Medical Center, Nijmegen, The Netherlands.
Jacqueline de GraafDepartment of Internal Medicine, Radboud University Medical Center, Nijmegen, The Netherlands.
Leo A B JoostenDepartment of Internal Medicine, Radboud University Medical Center, Nijmegen, The Netherlands.ORCID 0000-0001-6166-9830
Mihai G NeteaDepartment of Internal Medicine, Radboud University Medical Center, Nijmegen, The Netherlands.ORCID 0000-0003-2421-6052
Niels P RiksenDepartment of Internal Medicine, Radboud University Medical Center, Nijmegen, The Netherlands.
Joost H W RuttenDepartment of Internal Medicine, Radboud University Medical Center, Nijmegen, The Netherlands. joost.rutten@radboudumc.nl.ORCID 0000-0002-5259-9794
Radboud University Nijmegen · NLAustrian Academy of Sciences · ATUniversity of Bonn · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

aimsObesity predisposes to metabolic and cardiovascular diseases. Adipose tissue inflammation and systemic inflammation contribute to these complications. There are strong sex differences in adipose tissue distribution and in systemic inflammation. Women have more subcutaneous adipose tissue (SAT) and less visceral adipose tissue (VAT) than men. We explored the sex differences in the association between the different adipose compartments and inflammatory markers that are important in cardiometabolic disease pathophysiology.

methodsSingle-center observational cohort study with 302 individuals with a BMI ≥ 27 kg/m

interventionWe performed the following measurements: abdominal magnetic resonance imaging to measure VAT, and SAT (deep and superficial) volumes; circulating leukocyte counts and cytokine production capacity of peripheral blood mononuclear cells (PBMCs), circulating cytokines, adipokines, and targeted proteomics; abdominal sSAT biopsies for histology and gene expression.

resultsOnly in women, (s)SAT volume was associated with circulating leukocytes, monocytes, and neutrophils. Circulating IL-6 and IL-18BP were associated with SAT volume in women and VAT in men. Several circulating proteins, including monocyte-colony-stimulating factor 1 and hepatocyte growth factor, are associated with sSAT in women and VAT in men. Only in women, SAT volume is associated with SAT expression of inflammatory proteins, including leptin, CD68, TNFα and IL-1α.

conclusionIn women living with obesity, abdominal SAT volume, especially sSAT, is associated with circulating leukocytes and inflammatory proteins. In men, these parameters mainly show associations with VAT volume. This could be because only in women, sSAT volume is associated with sSAT expression of inflammatory proteins. These findings underscore that future research on adipose tissue in relation to cardiometabolic and cardiovascular disease should take sex differences into account.

Indexed as

Cardiovascular DiseasesLeukocytes, MononuclearAdipose TissueFemaleHumansImmunity, InnateInflammationIntra-Abdominal FatMaleObesitySubcutaneous FatSubcutaneous Fat, Abdominal

Identifiers

PMID38135702
OpenAlexW4390102357

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.