Evidence map›Paper›PMID 40234790›Full record

ArticleBMC gastroenterology2025

Frequency of insulin resistance among non-diabetic patients with non-alcoholic fatty liver disease using HOMA-IR: an experience of a tertiary care hospital in Karachi, Pakistan.

Lubna Kamani, Moneeba Siddiqui, Adeel Rahat

Abstract read
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Article in BMC gastroenterology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
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1 · What the graph read from it

What it found

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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

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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

2 citing papers in PubMed.

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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

3 authors.

Lubna KamaniGastroenterology Department, Liaquat National Hospital, 3rd floor, Wajid Ali Shah Building, National Stadium Road, Karachi, 74800, Pakistan. lkamani@yahoo.com.ORCID http://orcid.org/0000-0003-2651-5179
Moneeba SiddiquiLiaquat National Hospital, National Stadium Road, Karachi, 74800, Pakistan.
Adeel RahatKing Salman Hospital, Aishah Bint Abi Bakr Road, Al Uraija Al Wusta, Riyadh, 12769, Kingdom of Saudi Arabia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNon-alcoholic fatty liver disease (NAFLD) is a global problem strongly interlinked with metabolic syndrome. Insulin resistance (IR) is a key factor both in pathogenesis and in the progression to liver fibrosis. This article highlights the frequency of IR in local population.

objectiveTo determine the frequency and associated factors of insulin resistance among non-diabetic patients with NAFLD using HOMA-IR. MATERIALS AND

methodsA prospective cross-sectional study was conducted at Liaquat National Hospital, Karachi. 362 non-diabetic patients diagnosed with NAFLD were divided into two groups: with IR and without IR. Clinical history, physical examination, laboratory tests (fasting lipid profile, fasting glucose, insulin, liver function tests) and abdominal ultrasound with fibroscan for liver steatosis assessment were performed. Controlled Attenuation Parameter (CAP) score of ≥ 238 dB/m was used to define hepatic steatosis and metabolic syndrome was diagnosed based on specific clinical and laboratory criteria. Data was analyzed using SPSS version 27.

resultsTotal 362 patients were enrolled and 51.7% were male patients. 311(85.9%) participants had insulin resistance. Insulin resistance had significant difference for HDL, LDL, FPG, Fasting plasma insulin, and GGT. Male patients are less likely than female patients to exhibit insulin resistance. Insulin resistance is more common in patients with metabolic syndrome than in non-metabolic patients.

conclusionAmong non-diabetic patients with NAFLD, insulin resistance was highly prevalent and majority of patients were obese. Both genders were affected with IR.

Indexed as

Insulin ResistanceNon-alcoholic Fatty Liver DiseaseAdultBlood GlucoseCross-Sectional StudiesFemaleHumansInsulinMaleMetabolic SyndromeMiddle AgedPakistanProspective StudiesSex FactorsTertiary Care CentersBlood GlucoseInsulinFatty liverHOMA-IRInsulin resistanceMetabolic syndromeNAFLDNon-Diabetic

Identifiers

PMID40234790
PMCPMC12001385

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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.