Evidence map›Paper›PMID 41162612›Full record

ArticleScientific reports2025

Interplay between key metabolic hormones, metabolic factors, renal function, and heart rate variability in humans with obesity.

Kitchaya Pongwattanapakin, Chit Care, Chantacha Sitticharoon, Kittikorn Tommy Wilasrusmee, Issarawan Keadkraichaiwat, Pailin Maikaew, Rungnapa Sririwichitchai

Abstract read
In one paragraph

Article in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

7 authors.

Kitchaya PongwattanapakinDepartment of Physiology, Faculty of Medicine Siriraj Hospital, Mahidol University, 2 Wanglang Rd., Siriraj, Bangkoknoi, Bangkok, 10700, Thailand.
Chit CareDepartment of Physiology, Faculty of Medicine Siriraj Hospital, Mahidol University, 2 Wanglang Rd., Siriraj, Bangkoknoi, Bangkok, 10700, Thailand.
Chantacha SitticharoonDepartment of Physiology, Faculty of Medicine Siriraj Hospital, Mahidol University, 2 Wanglang Rd., Siriraj, Bangkoknoi, Bangkok, 10700, Thailand. chantacha.sit@mahidol.ac.th.
Kittikorn Tommy WilasrusmeeDepartment of Physiology, Faculty of Medicine Siriraj Hospital, Mahidol University, 2 Wanglang Rd., Siriraj, Bangkoknoi, Bangkok, 10700, Thailand.
Issarawan KeadkraichaiwatDepartment of Physiology, Faculty of Medicine Siriraj Hospital, Mahidol University, 2 Wanglang Rd., Siriraj, Bangkoknoi, Bangkok, 10700, Thailand.
Pailin MaikaewDepartment of Physiology, Faculty of Medicine Siriraj Hospital, Mahidol University, 2 Wanglang Rd., Siriraj, Bangkoknoi, Bangkok, 10700, Thailand.
Rungnapa SririwichitchaiDepartment of Physiology, Faculty of Medicine Siriraj Hospital, Mahidol University, 2 Wanglang Rd., Siriraj, Bangkoknoi, Bangkok, 10700, Thailand.

Funding

Faculty of Medicine Siriraj Hospital Research Fund (IO) R015932003
6 · The paper itself

Abstract

This study aimed to provide the first integrative assessment of clinical, metabolic, renal, hormonal, and heart rate variability (HRV) parameters in individuals with obesity, stratified by metabolic syndrome (MetS) and insulin resistance (IR), clarifying shared and distinct mechanisms beyond prior HRV- or hormone-focused studies. Among 45 participants with obesity (BMI ≥ 25 kg/m²), 67% had IR and 42% had MetS. Both groups exhibited increased %fat, triglyceride, leptin, and resting heart rate, with decreased QUICKI and high-density lipoprotein cholesterol (HDL-C) (p < 0.05 all). Frequency-domain HRV (VLF and LF ms²) and overall variability (SDNN) were significantly decreased in the IR group (p < 0.05 all). Leptin showed significant positive correlations with obesity, IR, and creatinine clearance (p < 0.05 all). Adiponectin exhibited positive correlations with hip circumference, HDL-C, and pNN50 while HDL-C showed negative correlations with the number of MetS criteria, obesity, IR, and leptin, but positive correlations with parasympathetic HRV (SDSD and RMSSD) (p < 0.05 all), suggesting a protective role across multiple systems. Creatinine clearance and eGFR revealed positive correlations with parasympathetic HRV (HF nu) and negative correlations with sympathetic HRV (LF nu and LF/HF ratio). In conclusion, this study underscores the complex interplay between these systems, enhancing our understanding of their shared and distinct mechanisms.

Indexed as

Heart RateHormonesKidneyObesityAdiponectinAdultCholesterol, HDLFemaleHumansInsulin ResistanceLeptinMaleMetabolic SyndromeMiddle AgedAdiponectinCholesterol, HDLHormonesLeptinAdiponectinHDL-CHRVInsulin resistanceLeptinMetabolic syndrome

Identifiers

PMID41162612
PMCPMC12572228

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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.