Evidence map›Paper›PMID 41117974›Full record

ReviewDiabetologia2025

Sexual orientation, gender identity and cardiometabolic risk: a narrative review.

Meredith S Duncan, Lauren B Beach, Hill L Wolfe, Arjee Restar, Adovich S Rivera, Carl G Streed

Abstract readReview
In one paragraph

Review in Diabetologia, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–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

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Cardiometabolic diseases in transgender populations.Cardiovascular diabetology. Endocrinology reports · 2026
    Review
  3. Article
  4. Article
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

6 authors.

Meredith S DuncanDepartment of Biostatistics, University of Kentucky, Lexington, KY, USA.ORCID http://orcid.org/0000-0001-6922-8503
Lauren B BeachDepartment of Medical Social Sciences, Northwestern University Feinberg School of Medicine, Chicago, IL, USA. lauren.beach@northwestern.edu.ORCID http://orcid.org/0000-0003-3302-5047
Hill L WolfeDepartment of Biomedical Informatics & Data Science, Yale School of Medicine, New Haven, CT, USA.ORCID http://orcid.org/0000-0001-8834-1560
Arjee RestarWeitzman Institute, Moses Weitzman Health System, Washington, DC, USA.ORCID http://orcid.org/0000-0003-2992-8198
Adovich S RiveraDepartment of Medical Social Sciences, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.ORCID http://orcid.org/0000-0003-2533-0818
Carl G StreedSection of General Internal Medicine, Boston University Chobanian and Avedisian School of Medicine, Boston, MA, USA. Carl.streed@bmc.org.ORCID http://orcid.org/0000-0003-3075-253X

Funding

Tumor Environment and Metastasis (TEAM) Research ProgramP30CA060553 · NCI · NORTHWESTERN UNIVERSITY AT CHICAGO · PI Devalingam Mahalingam · 1993 to 2026
$153.9M
Research Education Institute for Dynamic Scholars (REIDS)R25MH087217 · NIMH · YALE UNIVERSITY · PI Jasmine Abrams, Trace S Kershaw · 2010 to 2026
$3.9M
Project Recognize: Improving Measurement of Alcohol Use and Other Disparities by Sex, Sexual Orientation, and Gender Identity through Community EngagementR01AA029076 · NIAAA · NORTHWESTERN UNIVERSITY AT CHICAGO · PI BEACH, LAUREN BRITTANY, PHILLIPS, GREGORY L. · 2021 to 2025
$3.5M
Cardiovascular Health Associations with Minority stress: Biobehavioral Evaluations and self-Reported Sociopsychological outcomes by SOGI status (CHAMBERS)R01HL149866 · NHLBI · NORTHWESTERN UNIVERSITY AT CHICAGO · PI BEACH, LAUREN BRITTANY · 2020 to 2024
$3.4M
Building methods to assess and address cardiovascular health in transgender adultsK01HL151902 · NHLBI · BOSTON MEDICAL CENTER · PI Carl G Streed · 2021 to 2026
$863k
NCI NIH HHS P30 CA060553NHLBI NIH HHS K01 HL151902NHLBI NIH HHS R01 HL149866NIAAA NIH HHS R01 AA029076NIMH NIH HHS R25 MH087217
6 · The paper itself

Abstract

Recent reports estimate that approximately 9% of adults globally identify as a sexual and gender minority (SGM), including lesbian, gay, bisexual, transgender or queer (LGBTQ+) people. While research has shown that SGM populations experience health disparities, few studies have focused on cardiometabolic risk and outcomes, particularly with regard to diabetes and its sequelae. Using narrative review methods, we describe the epidemiology of cardiometabolic risk factors and outcomes in SGM populations, with a focus on literature resulting from meta-analyses and analyses of large samples published between 2017 and 2025. We also propose recommendations for follow-up and monitoring of metabolic and cardiovascular risk in SGM populations. Available data show varying risk for cardiometabolic conditions across SGM subpopulations. Studies of UK data have noted that sexual minority women have an increased risk of diabetes compared with heterosexual women, while data from the USA reveal ambiguous results depending on the data source. Transgender adults were found to be at increased risk for diabetes compared with cisgender comparators in UK data sources but not in US sources. For chronic kidney disease (CKD), risk varied by subpopulation and data source. Notably, SGM subpopulations in the UK were reported to have an increased risk of CKD while similar populations in the USA appear to have no difference in risk compared with cisgender, heterosexual comparators. Similarly, risk for CVD among sexual minority populations varied by data source. However, both US and UK data suggest that transgender adults are at increased risk of CVD. Subsequent research is needed to further characterise these disparities and longitudinal cohort studies must be explicitly inclusive of SGM populations. Ideally, SGM-specific longitudinal cohort studies should be executed to more accurately and effectively characterise cardiometabolic risk, outcomes and potential interventions in these populations.

Indexed as

Cardiovascular DiseasesGender IdentitySexual and Gender MinoritiesSexual BehaviorCardiometabolic Risk FactorsDiabetes MellitusFemaleHumansMaleRisk FactorsCardiometabolicCardiovascularDiabetesGender identityHormonesReviewSexual orientationStress

Identifiers

PMID41117974
PMCPMC12594680

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.