Evidence map›Paper›PMID 39836884›Full record

ArticleDiabetes2025

Mechanistic Insights Into the Exercise-Induced Changes in Muscle Lipids and Insulin Sensitivity-Expanding on the "Athlete's Paradox": Revisiting a 2011 Diabetes Classic by Amati et al.

Jeffrey F Horowitz, Bret H Goodpaster

Abstract read
In one paragraph

Article in Diabetes, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

  1. Review
  2. Exercise and Fat: A Primer.Sports medicine - open · 2026
    Review
  3. 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

2 authors.

Jeffrey F HorowitzSchool of Kinesiology, University of Michigan, Ann Arbor, MI.ORCID 0000-0003-3851-777X
Bret H GoodpasterAdventHealth Translational Research Institute, Orlando, FL.

Funding

Study of Muscle, Mobility and Aging: SOMMA2R01AG059416 · NIA · CALIFORNIA PACIFIC MED CTR RES INSTITUTE · PI STEVEN RON CUMMINGS, Peggy Mannen Cawthon · 2018 to 2026
$70.3M
Regional Pilot And Feasibility Study Grants ProgramP30DK020572 · NIDDK · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI DAVID P OLSON · 2013 to 2026
$24.3M
Pilot and Feasibility (P and F) ProgramP30DK089503 · NIDDK · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Karen Eileen Peterson · 2010 to 2026
$20.3M
The Exercise and Physical Activity Collaborative Team (ExPACT): a Proposed MoTrPAC Clinical CenterU01AR071133 · NIAMS · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI BUFORD, THOMAS W, GOODPASTER, BRET H · 2017 to 2024
$16.7M
Exercise effects on adipose tissue morphology, metabolic function, and metabolic health with weight loss and weight regain in obesityR01DK131724 · NIDDK · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Jeffrey F Horowitz · 2022 to 2026
$3.3M
Aging and the mitochondrial response to exercise training, measured by noninvasive 31P magnetic resonance spectroscopy - sIRB supplmentR01AG069476 · NIA · LSU PENNINGTON BIOMEDICAL RESEARCH CTR · PI CARMICHAEL, OWEN T., GOODPASTER, BRET H · 2020 to 2023
$2.6M
CHARACTERIZATION OF THE TREACHER COLLINS SYNDROME GENER01DE013172 · NIDCR · VIRGINIA COMMONWEALTH UNIVERSITY · PI SHIANG, RITA · 2001 to 2005
$1.4M
Early Type 2 Diabetes Detection with AI-Analysis of Skeletal Muscle Ultrasound and Mechanistic EvaluationsR56DK133298 · NIDDK · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI SOLIMAN, STEVEN B · 2024 to 2024
$390k
NIAMS NIH HHS U01 AR071133NIA NIH HHS R01 AG059416NIA NIH HHS R01 AG069476NIDCR NIH HHS R01 DE013172NIDDK NIH HHS P30 DK020572NIDDK NIH HHS P30 DK089503NIDDK NIH HHS R01 DK131724NIDDK NIH HHS R56 DK133298NIH HHS P30 DK089503
6 · The paper itself

Abstract

Endurance exercise is widely recognized for its role in mitigating insulin resistance, yet the precise mechanisms remain unclear. In this Classics in Diabetes article, we revisit the article by Amati et al., "Skeletal Muscle Triglycerides, Diacylglycerols, and Ceramides in Insulin Resistance: Another Paradox in Endurance-Trained Athletes?" Published in the October 2011 issue of Diabetes, this article was among the first to highlight the nuanced roles of exercise-induced changes in bioactive lipids such as ceramide and diacylglycerol (DAG) in insulin signaling. The authors' groundbreaking work challenged some existing paradigms, revealing a more complex relationship between DAGs and insulin resistance than previously thought. Their findings helped lay the foundation for further exploration to unravel the intricate biochemical pathways through which exercise influences insulin sensitivity and metabolic health.

Indexed as

ExerciseInsulin ResistanceLipid MetabolismMuscle, SkeletalAthletesCeramidesDiglyceridesHumansInsulinTriglyceridesCeramidesDiglyceridesInsulinTriglycerides

Identifiers

PMID39836884
PMCPMC11755679

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.