Evidence map›Paper›PMID 11709513›Full record

Trial reportGut2001

A randomised controlled trial of high versus low long chain triglyceride whole protein feed in active Crohn's disease.

K Leiper, J Woolner, M M Mullan, T Parker, M van der Vliet, S Fear, J M Rhodes, J O Hunter

Open access · greenAbstract readClinical TrialMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Gut, 2001. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 4 pooled it
2.2field-weighted citation impact, top 12% of its field
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

15 citing papers in PubMed, 4 syntheses or guidelines pooled it, 56 citations in OpenAlex.

  1. Pooled it
  2. Interventions for fatigue in inflammatory bowel disease.The Cochrane database of systematic reviews · 2020
    Pooled it
  3. Pooled it
  4. Enteral nutritional therapy for induction of remission in Crohn's disease.The Cochrane database of systematic reviews · 2018
    Pooled it
  5. Trial
  6. Article
  7. Diets for inflammatory bowel disease: What do we know so far?European journal of clinical nutrition · 2022
    Review
  8. Review
  9. Article
  10. Article
  11. Review
  12. Review
  13. Article
  14. Nutritional therapy for active Crohn's disease.World journal of gastroenterology · 2008
    Review
  15. 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

8 authors at 1 institution in 1 country.

K LeiperGastroenterology Research Group, Department of Medicine, University of Liverpool, Liverpool, UK. kleiper@liverpool.ac.uk
J Woolner
M M Mullan
T Parker
M van der Vliet
S Fear
J M Rhodes
J O Hunter
University of Liverpool · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPolymeric feeds have shown variable efficacy in active Crohn's disease (CD) with remission rates from 36% to 82%. Meta-analyses of elemental, peptide, and whole protein feeds have shown a strong negative correlation between remission rate in CD and the long chain triglyceride (LCT) content of the feed. We performed a randomised controlled double blind trial in patients with active CD comparing two single whole protein feeds with LCT supplying 5% or 30% of the total energy.

methodsFifty four patients with active CD (Crohn's disease activity index (CDAI) >200, serum C reactive protein (CRP) 10 mg/l) were randomised to a high or low LCT feed for three weeks. The total amount of energy supplied by fat was identical in the two feeds. Remission was defined as a CDAI < or =150 and response as a fall in CDAI of > or =70 or a CRP <10 mg/l.

resultsOverall remission rate by intention to treat was 26% for the low LCT feed and 33% for the high LCT feed (p=0.38). Response was achieved in 33% with the low LCT and in 52% with the high LCT feed (p=0.27). CRP <10 mg/l was achieved in 30% in the low LCT and 33% in the high LCT group (p=0.99). Thirty nine per cent (21/54) of patients withdrew before three weeks because of inability to tolerate the diet. Excluding patients unable to tolerate the diet, remission rates were 46% for low LCT and 45% for high LCT (p=0.99). DISCUSSION: This trial has shown no difference in the effect of low and high LCT whole protein feeds in active CD. The previously reported correlation between LCT content of diet and response in active CD is unlikely to be due to LCT itself and may be due to some other component of high LCT feeds.

Indexed as

Acute DiseaseAdultChi-Square DistributionC-Reactive ProteinCrohn DiseaseDietary ProteinsDouble-Blind MethodHumansPatient ComplianceRemission InductionTriglyceridesC-Reactive ProteinDietary ProteinsTriglycerides

Identifiers

PMID11709513
PMCPMC1728544
OpenAlexW2133956532

What OpenQuestion holds

Textmetadata
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.