Evidence map›Paper›PMID 19563671›Full record

Trial reportLipids in health and disease2009

Effects of cardiovascular lifestyle change on lipoprotein subclass profiles defined by nuclear magnetic resonance spectroscopy.

David J Decewicz, David M Neatrour, Amy Burke, Mary Jane Haberkorn, Heather L Patney, Marina N Vernalis, Darrell L Ellsworth

Registry-linked trialAbstract readClinical Trial
In one paragraph

Trial report in Lipids in health and disease, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01805492 (Global Profiling of Gene and Protein Expression Associated With Coronary Heart Disease Reversal), which is not on this map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing 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.

NCT01805492 nacompletednot on this map

Global Profiling of Gene and Protein Expression Associated With Coronary Heart Disease Reversal

TypeinterventionalSponsorWindber Research InstituteRan2000 to 2009Enrolled422ConditionsHeart Diseases, Cardiovascular DiseasesArmsDr. Dean Ornish Program for Reversing Heart Disease
3 · Its place in the literature

Who cites it

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

  1. Pooled it
  2. Trial
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  4. Article
  5. Article
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  12. Lipid-lowering therapy: who can benefit?Vascular health and risk management · 2011
    Review
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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.

David J DecewiczIntegrative Cardiac and Metabolic Health Program, Windber Research Institute, Windber, Pennsylvania, USA. d.decewicz@wriwindber.org
David M Neatrour
Amy Burke
Mary Jane Haberkorn
Heather L Patney
Marina N Vernalis
Darrell L Ellsworth

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLow-density lipoprotein (LDL) cholesterol lowering is a primary goal in clinical management of patients with cardiovascular disease, but traditional cholesterol levels may not accurately reflect the true atherogenicity of plasma lipid profiles. The size and concentration of lipoprotein particles, which transport cholesterol and triglycerides, may provide additional information for accurately assessing cardiovascular risk. This study evaluated changes in plasma lipoprotein profiles determined by nuclear magnetic resonance (NMR) spectroscopy in patients participating in a prospective, nonrandomized lifestyle modification program designed to reverse or stabilize progression of coronary artery disease (CAD) to improve our understanding of lipoprotein management in cardiac patients.

resultsThe lifestyle intervention was effective in producing significant changes in lipoprotein subclasses that contribute to CAD risk. There was a clear beneficial effect on the total number of LDL particles (-8.3%, p < 0.05 compared to matched controls), small dense LDL particles (-9.5%, p < 0.05), and LDL particle size (+0.8%; p < 0.05). Likewise, participants showed significant improvement in traditional CAD risk factors such as body mass index (-9.9%, p < 0.01 compared to controls), total cholesterol (-5.5%, p < 0.05), physical fitness (+37.2%, p < 0.01), and future risk for CAD (-7.9%, p < 0.01). Men and women responded differently to the program for all clinically-relevant variables, with men deriving greater benefit in terms of lipoprotein atherogenicity. Plasma lipid and lipoprotein responses to the lifestyle change program were not confounded by lipid-lowering medications.

conclusionIn at risk patients motivated to participate, an intensive lifestyle change program can effectively alter traditional CAD risk factors and plasma lipoprotein subclasses and may reduce risk for cardiovascular events. Improvements in lipoprotein subclasses are more evident in men compared to women.

Indexed as

Life StyleAnticholesteremic AgentsCase-Control StudiesCoronary Artery DiseaseFemaleHumansLipoproteinsLipoproteins, LDLMagnetic Resonance SpectroscopyMaleRisk FactorsSex CharacteristicsAnticholesteremic AgentsLipoproteinsLipoproteins, LDL

Identifiers

PMID19563671
PMCPMC2713234

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Registered trials

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.