Evidence map›Paper›PMID 41959796›Full record

ArticlemedRxiv : the preprint server for health sciences2026

Associations between Exposure to Perfluoroalkyl Substances with Subsequent Body Composition and Glycemic Responses to Bariatric Surgery.

Saketh Sankara, Matthew R Smith, Stephanie M Eick, Damaskini Valvi, Tasha M Burley, Douglas I Walker, Edward Lin, Elizabeth M Hechenbleikner, Lucia A Gonzalez Ramirez, Paula-Dene C Nesbeth and 7 more

Abstract readPreprint
In one paragraph

Article in medRxiv : the preprint server for health sciences, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

17 authors.

Saketh SankaraDepartment of Medicine, Emory University School of Medicine, Atlanta, GA, USA.
Matthew R SmithDepartment of Medicine, Emory University School of Medicine, Atlanta, GA, USA.
Stephanie M EickGangarosa Department of Environmental Health, Rollins School of Public Health, Emory University, Atlanta, GA, USA.
Damaskini ValviDepartment of Environmental Medicine and Climate Science, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Tasha M BurleyDepartment of Medicine, Emory University School of Medicine, Atlanta, GA, USA.
Douglas I WalkerGangarosa Department of Environmental Health, Rollins School of Public Health, Emory University, Atlanta, GA, USA.
Edward LinDepartment of Surgery, Emory Bariatric Center, Emory University School of Medicine, Atlanta, GA, USA.
Elizabeth M HechenbleiknerDepartment of Surgery, Emory Bariatric Center, Emory University School of Medicine, Atlanta, GA, USA.
Lucia A Gonzalez RamirezDepartment of Medicine, Emory University School of Medicine, Atlanta, GA, USA.
Paula-Dene C NesbethDepartment of Medicine, Emory University School of Medicine, Atlanta, GA, USA.
Priyathama VellankiDepartment of Medicine, Emory University School of Medicine, Atlanta, GA, USA.
Barbara A GowerDepartment of Nutrition Sciences, University of Alabama at Birmingham (UAB), Birmingham, Alabama, USA.
Rob McConnellDepartment of Population and Public Health Sciences, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA.
Dean P JonesDepartment of Medicine, Emory University School of Medicine, Atlanta, GA, USA.
Jessica A AlvarezDepartment of Medicine, Emory University School of Medicine, Atlanta, GA, USA.
Vaia Lida ChatziDepartment of Population and Public Health Sciences, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA.
Thomas R ZieglerDepartment of Medicine, Emory University School of Medicine, Atlanta, GA, USA.

Funding

Implementing a Maternal health and PRegnancy Outcomes Vision for Everyone (IMPROVE)UL1TR002378 · NCATS · EMORY UNIVERSITY · PI Andres J Garcia, Elizabeth O. Ofili · 2017 to 2026
$92.1M
Translational Research Support CoreP30ES007048 · NIEHS · UNIVERSITY OF SOUTHERN CALIFORNIA · PI ROB S MCCONNELL · 1996 to 2026
$46.4M
Pilot Project ProgramP30ES019776 · NIEHS · EMORY UNIVERSITY · PI William Michael Caudle · 2013 to 2026
$22.6M
The Mount Sinai Transdisciplinary Center on Early Environmental ExposuresP30ES023515 · NIEHS · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI Chris Gennings · 2014 to 2026
$21.3M
UAB Precision Nutrition Clinical CenterUG1HD107688 · NICHD · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI BARBARA A GOWER, James O Hill · 2022 to 2026
$13.1M
Effects of DDE exposure on adipose tissue function, weight loss and metabolic improvement after bariatric surgery: A new paradigm for study of lipophilic chemicalsR01ES030364 · NIEHS · UNIVERSITY OF SOUTHERN CALIFORNIA · PI CHATZI, VAIA LIDA · 2020 to 2024
$3.2M
Perfluoroalkyl substances and incident type 2 diabetes in a US population: A metabolome-genome investigationR01ES033688 · NIEHS · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI Damaskini Valvi · 2022 to 2026
$3.2M
Environmental Chemical Exposures and Longitudinal Changes of Glucose Metabolism, Insulin Sensitivity and B Cell Function in YouthR01ES029944 · NIEHS · UNIVERSITY OF SOUTHERN CALIFORNIA · PI CHATZI, VAIA LIDA · 2019 to 2023
$3.1M
Longitudinal integration of environmental exposures, omics, and childhood NAFLD (LEON) StudyU01HG013288 · NHGRI · UNIVERSITY OF SOUTHERN CALIFORNIA · PI AUNG, TUN (MAX) M, CHATZI, VAIA LIDA · 2023 to 2025
$2.4M
The adipose exposome effects on the plasma metabolome, body composition and metabolic outcomes after bariatric surgeryR21ES028903 · NIEHS · EMORY UNIVERSITY · PI CHATZI, VAIA LIDA, ZIEGLER, THOMAS R · 2018 to 2019
$455k
BLRD VA IK2 BX005913NCATS NIH HHS UL1 TR002378NHGRI NIH HHS U01 HG013288NICHD NIH HHS UG1 HD107688NIEHS NIH HHS P30 ES007048NIEHS NIH HHS P30 ES019776NIEHS NIH HHS P30 ES023515NIEHS NIH HHS R01 ES029944NIEHS NIH HHS R01 ES030364NIEHS NIH HHS R01 ES033688NIEHS NIH HHS R21 ES028903
6 · The paper itself

Abstract

Per- and polyfluoroalkyl substances (PFAS) are chemicals linked to obesity and metabolic dysfunction, but their role in bariatric surgery remains poorly understood. This prospective pilot study examined correlations between plasma PFAS concentrations, body composition, and glycemic measures in adults undergoing bariatric surgery. Thirty-two patients (91% female; 66% Black; mean age 43 years) were enrolled preoperatively; twenty-two completed follow-up at a mean 8.6 months post-surgery. Three PFAS (PFHxS, PFNA, and PFOS) were quantified by plasma liquid chromatography-mass spectrometry; body composition and insulin sensitivity were assessed by dual-energy X-ray absorptiometry and intravenous glucose tolerance testing. At baseline, higher plasma PFNA and PFOS concentrations tracked with lower total lean mass (ρ

Indexed as

Bariatric surgeryBody compositionInsulin resistanceObesityPer- and polyfluoroalkyl substances

Identifiers

PMID41959796
PMCPMC13060460

What OpenQuestion holds

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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.