Evidence map›Paper›PMID 38341196›Full record

Observational studyBMJ paediatrics open2024

Insulin resistance prior to term age in very low birthweight infants: a prospective study.

Itay Zamir, Elisabeth Stoltz Sjöström, Johannes van den Berg, Estelle Naumburg, Magnus Domellöf

Open access · diamondAbstract readObservational Study
In one paragraph

Observational study in BMJ paediatrics open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.8field-weighted citation impact, top 15% 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

5 citing papers in PubMed, 5 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Review
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

5 authors at 1 institution in 1 country.

Itay ZamirDepartment of Clinical Sciences, Pediatrics, Umeå University, Umeå, Sweden itay.zamir@umu.se.ORCID 0000-0001-9086-7991
Elisabeth Stoltz SjöströmDepartment of Food, Nutrition and Culinary Science, Umeå University, Umeå, Sweden.
Johannes van den BergDepartment of Clinical Sciences, Pediatrics, Umeå University, Umeå, Sweden.
Estelle NaumburgDepartment of Clinical Sciences, Pediatrics, Umeå University, Umeå, Sweden.
Magnus DomellöfDepartment of Clinical Sciences, Pediatrics, Umeå University, Umeå, Sweden.
Umeå University · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo explore the glucose-related hormone profile of very low birthweight (VLBW) infants and assess the association between neonatal hyperglycaemia and insulin resistance during the admission period.

designA prospective observational study-the Very Low Birth Weight Infants, Glucose and Hormonal Profiles over Time study.

settingA tertiary neonatal intensive care unit and four neonatal units in county hospitals in Sweden. PATIENTS: 48 infants born <1500 g (VLBW) during 2016-2019. OUTCOME MEASURES: Plasma concentrations of glucose-related hormones and proteins (C-peptide, insulin, ghrelin, glucagon-like peptide 1 (GLP-1), glucagon, leptin, resistin and proinsulin), insulin:C-peptide and proinsulin:insulin ratios, Homoeostatic Model Assessment 2 (HOMA2) and Quantitative Insulin Sensitivity Check (QUICKI) indices, measured on day of life (DOL) 7 and at postmenstrual age 36 weeks.

resultsLower gestational age was significantly associated with higher glucose, C-peptide, insulin, proinsulin, leptin, ghrelin, resistin and GLP-1 concentrations, increased HOMA2 index, and decreased QUICKI index and proinsulin:insulin ratio. Hyperglycaemic infants had significantly higher glucose, C-peptide, insulin, leptin and proinsulin concentrations, and lower QUICKI index, than normoglycaemic infants. Higher glucose and proinsulin concentrations and insulin:C-peptide ratio, and lower QUICKI index on DOL 7 were significantly associated with longer duration of hyperglycaemia during the admission period.

conclusionsVLBW infants seem to have a hormone profile consistent with insulin resistance. Lower gestational age and hyperglycaemia are associated with higher concentrations of insulin resistance markers.

Indexed as

HyperglycemiaInsulin ResistanceBlood GlucoseC-PeptideGhrelinGlucagon-Like Peptide 1HumansInfantInfant, NewbornInfant, Very Low Birth WeightInsulinInsulin, Regular, HumanLeptinProinsulinProspective StudiesResistinBlood GlucoseC-PeptideGhrelinGlucagon-Like Peptide 1InsulinInsulin, Regular, HumanLeptinProinsulinResistinendocrinologyneonatology

Identifiers

PMID38341196
PMCPMC10862284
OpenAlexW4391722110

What OpenQuestion holds

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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.