Evidence map›Paper›PMID 38552854›Full record

ArticleBiochemical pharmacology2024

The value of neck adipose tissue as a predictor for metabolic risk in health and type 2 diabetes.

Emily Cresswell, Nicolas Basty, Naeimeh Atabaki Pasdar, Fredrik Karpe, Katherine E Pinnick

Open access · hybridAbstract read
In one paragraph

Article in Biochemical pharmacology, 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
1.3field-weighted citation impact, top 21% 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, 4 citations in OpenAlex.

  1. Article
  2. Neck circumference is Associated with Hypertriglysceridemia in Adults.Journal of diabetes and metabolic disorders · 2025
    Article
  3. Lipomatosis in Myoclonic Epilepsy with Ragged Red Fibers Syndrome.Annals of Indian Academy of Neurology · 2025
    Article
  4. Association Between Neck-to-Limb Length Ratio and Cardiovascular Events in a Chinese Population.Diabetes, metabolic syndrome and obesity : targets and therapy · 2025
    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 3 institutions in 2 countries.

Emily CresswellOxford Centre for Diabetes, Endocrinology and Metabolism, University of Oxford, Oxford, UK; The Kennedy Institute of Rheumatology, University of Oxford, Oxford, UK.
Nicolas BastyResearch Centre for Optimal Health, University of Westminster, London, UK.
Naeimeh Atabaki PasdarOxford Centre for Diabetes, Endocrinology and Metabolism, University of Oxford, Oxford, UK; Genetic and Molecular Epidemiology Unit, Lund University Diabetes Centre, Department of Clinical Science, Lund University, Malmö, Sweden.
Fredrik KarpeOxford Centre for Diabetes, Endocrinology and Metabolism, University of Oxford, Oxford, UK; NIHR Oxford Biomedical Research Centre, OUH Foundation Trust, Oxford, UK. Electronic address: fredrik.karpe@ocdem.ox.ac.uk.
Katherine E PinnickOxford Centre for Diabetes, Endocrinology and Metabolism, University of Oxford, Oxford, UK. Electronic address: katherine.pinnick@ocdem.ox.ac.uk.
University of Oxford · GBLund University · SEUniversity of Westminster · GB

Funding

British Heart Foundation RG/17/1/32663
6 · The paper itself

Abstract

Upper-body adiposity is adversely associated with metabolic health whereas the opposite is observed for the lower-body. The neck is a unique upper-body fat depot in adult humans, housing thermogenic brown adipose tissue (BAT), which is increasingly recognised to influence whole-body metabolic health. Loss of BAT, concurrent with replacement by white adipose tissue (WAT), may contribute to metabolic disease, and specific accumulation of neck fat is seen in certain conditions accompanied by adverse metabolic consequences. Yet, few studies have investigated the relationships between neck fat mass (NFM) and cardiometabolic risk, and the influence of sex and metabolic status. Typically, neck circumference (NC) is used as a proxy for neck fat, without considering other determinants of NC, including variability in neck lean mass. In this study we develop and validate novel methods to quantify NFM using dual x-ray absorptiometry (DEXA) imaging, and subsequently investigate the associations of NFM with metabolic biomarkers across approximately 7000 subjects from the Oxford BioBank. NFM correlated with systemic insulin resistance (Homeostatic Model Assessment for Insulin Resistance; HOMA-IR), low-grade inflammation (plasma high-sensitivity C-Reactive Protein; hsCRP), and metabolic markers of adipose tissue function (plasma triglycerides and non-esterified fatty acids; NEFA). NFM was higher in men than women, higher in type 2 diabetes mellitus compared with non-diabetes, after adjustment for total body fat, and also associated with overall cardiovascular disease risk (calculated QRISK3 score). This study describes the development of methods for accurate determination of NFM at scale and suggests a specific relationship between NFM and adverse metabolic health.

Indexed as

Diabetes Mellitus, Type 2Insulin ResistanceAdipose TissueAdipose Tissue, BrownAdultFemaleHumansMaleObesityRisk FactorsAdipose tissueCardiometabolic healthFat distributionImagingNeckType 2 diabetes mellitus

Identifiers

PMID38552854
PMCPMC7617930
OpenAlexW4393237015

What OpenQuestion holds

Textmetadata
LicenceTDM
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.