Evidence map›Paper›PMID 41263161›Full record

ArticleClinical and translational science2025

The Effect of Diabetes Medication on the Scores of the GNRI and CONUT Nutritional Indices: Cross-Sectional and Longitudinal Retrospective Studies.

Shunsuke Fujita, Kenichiro Nagata, Kano Kinjo, Haruka Mimata, Taiga Sonoda, Keisuke Mine, Takehiro Kawashiri, Takeshi Hirota, Mayako Uchida, Daisuke Kobayashi

Abstract read
In one paragraph

Article in Clinical and translational science, 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
–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

2 citing papers in PubMed.

  1. Article
  2. 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

10 authors.

Shunsuke FujitaDepartment of Clinical Pharmacy and Pharmaceutical Care, Graduate School of Pharmaceutical Sciences, Kyushu University, Fukuoka, Japan.ORCID 0009-0006-9526-5934
Kenichiro NagataDepartment of Pharmacy, Kyushu University Hospital, Fukuoka, Japan.ORCID 0000-0001-5012-3488
Kano KinjoDepartment of Clinical Pharmacy and Pharmaceutical Care, Graduate School of Pharmaceutical Sciences, Kyushu University, Fukuoka, Japan.
Haruka MimataDepartment of Clinical Pharmacy and Pharmaceutical Care, Graduate School of Pharmaceutical Sciences, Kyushu University, Fukuoka, Japan.
Taiga SonodaDepartment of Clinical Pharmacy and Pharmaceutical Care, Graduate School of Pharmaceutical Sciences, Kyushu University, Fukuoka, Japan.
Keisuke MineDepartment of Clinical Pharmacy and Pharmaceutical Care, Graduate School of Pharmaceutical Sciences, Kyushu University, Fukuoka, Japan.ORCID 0009-0009-8409-7260
Takehiro KawashiriDepartment of Clinical Pharmacy and Pharmaceutical Care, Graduate School of Pharmaceutical Sciences, Kyushu University, Fukuoka, Japan.ORCID 0000-0002-7708-2855
Takeshi HirotaDepartment of Pharmacy, Kyushu University Hospital, Fukuoka, Japan.ORCID 0000-0002-4846-3421
Mayako UchidaDepartment of Pharmacy, Kyushu University Hospital, Fukuoka, Japan.ORCID 0000-0003-0507-7309
Daisuke KobayashiDepartment of Clinical Pharmacy and Pharmaceutical Care, Graduate School of Pharmaceutical Sciences, Kyushu University, Fukuoka, Japan.ORCID 0000-0002-7312-9919

Funding

Japan Society for the Promotion of Science KAKENHI 24K09939Japan Society for the Promotion of Science KAKENHI 25K18681
6 · The paper itself

Abstract

Malnutrition implies a decline in the systemic status and organ function, which is closely related to sarcopenia, frailty, osteoporosis, and prognosis. Diabetes medications work in a multifaceted manner on various tissues, such as the pancreas, muscle, liver, and adipose tissue; these medications affect metabolism, which in turn affects nutritional status. This study aimed to determine the effect of diabetes medications on the scores of the Geriatric Nutrition Risk Index (GNRI) and Controlling Nutritional Status (CONUT) nutritional indices, both cross-sectionally and longitudinally. This cross-sectional study included 2146 individuals who were prescribed diabetes medications. Multivariate analysis showed that both GNRI and CONUT scores tended to be improved in patients using sodium-glucose cotransporter 2 inhibitors (SGLT2i), dipeptidyl peptidase 4 inhibitors (DPP4i), or biguanide (BG). Additionally, propensity score matching of nutrition-related laboratory values was performed to assess the variation in nutritional indices over time, which resulted in less deterioration of the GNRI in the SGLT2i and BG groups. In conclusion, this study suggests that SGLT2i and BG prevent the progression of malnutrition and may help in selecting drugs that consider the nutritional status of patients.

Indexed as

Diabetes Mellitus, Type 2Geriatric AssessmentHypoglycemic AgentsMalnutritionNutritional StatusNutrition AssessmentAgedAged, 80 and overCross-Sectional StudiesDipeptidyl-Peptidase IV InhibitorsFemaleHumansLongitudinal StudiesMaleMiddle AgedRetrospective StudiesDipeptidyl-Peptidase IV InhibitorsHypoglycemic AgentsSodium-Glucose Transporter 2 InhibitorsCONUT scorediabetes mellitusGNRImalnutritionmetforminSGLT2 inhibitor

Identifiers

PMID41263161
PMCPMC12631171

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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.