Evidence map›Paper›PMID 21525252›Full record

Trial reportThe Journal of nutrition2011

A low-glycemic index diet and exercise intervention reduces TNF(alpha) in isolated mononuclear cells of older, obese adults.

Karen R Kelly, Jacob M Haus, Thomas P J Solomon, Aimee J Patrick-Melin, Marc Cook, Michael Rocco, Hope Barkoukis, John P Kirwan

Registry-linked trialOpen access · bronzeAbstract readRandomized Controlled Trial
In one paragraph

Trial report in The Journal of nutrition, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05804019 (Interventions Focusing on Nutrition and Physical Activities for Overweight and Obese Older Adults in Nursing Homes "IFEBO"), which is not on this map. Cited by 38 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 2 pooled it
6.4field-weighted citation impact, top 3% 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.

NCT05804019 nacompletednot on this mapstarted 2023, after this paper: background citation

Interventions Focusing on Nutrition and Physical Activities for Overweight and Obese Older Adults in Nursing Homes "IFEBO"

TypeinterventionalSponsorUniversity College AbsalonRan2023 to 2024Enrolled93ConditionsOverweight, Obesity and Other HyperalimentationArmsNutritional and physical interventions
3 · Its place in the literature

Who cites it

38 citing papers in PubMed, 2 syntheses or guidelines pooled it, 82 citations in OpenAlex.

  1. Pooled it
  2. Low glycaemic index diets for the prevention of cardiovascular disease.The Cochrane database of systematic reviews · 2017
    Pooled it
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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

8 authors at 2 institutions in 1 country.

Karen R KellyDepartment of Pathobiology, Lerner Research Institute, Cleveland Clinic, Cleveland, OH 44195, USA. karen.kelly@med.navy.mil
Jacob M Haus
Thomas P J Solomon
Aimee J Patrick-Melin
Marc Cook
Michael Rocco
Hope Barkoukis
John P Kirwan
Cleveland Clinic Lerner College of Medicine · USCleveland Clinic · US

Funding

CTSA INFRASTRUCTURE FOR PEDIATRIC RESEARCHUL1RR024989 · NCRR · CASE WESTERN RESERVE UNIVERSITY · PI DAVIS, PAMELA B · 2007 to 2011
$53.7M
TRAINING IN METABOLISMT32DK007319 · NIDDK · CASE WESTERN RESERVE UNIVERSITY · PI BRUNENGRABER, HENRI · 1986 to 2013
$5.0M
HEART-LUNG PHYSIOLOGY: MOLECULAR-SYSTEMIC INTEGRATIONT32HL007887 · NHLBI · CASE WESTERN RESERVE UNIVERSITY · PI SCHILLING, WILLIAM P · 1999 to 2008
$2.5M
Age, Exercise, Diet: Effects on Insulin ResistanceR01AG012834 · NIA · CLEVELAND CLINIC LERNER COM-CWRU · PI KIRWAN, JOHN P. · 2004 to 2008
$1.9M
NCRR NIH HHS 1UL1RR024989NCRR NIH HHS UL1 RR024989NHLBI NIH HHS T32 HL007887NIA NIH HHS R01 AG012834NIA NIH HHS R01 AG12834NIDDK NIH HHS T32 DK007319
6 · The paper itself

Abstract

Low-glycemic index diets and exercise independently improve glucose tolerance and reduce diabetes risk. However, the combined effect of a low-glycemic index diet and exercise on inflammation and glucose metabolism is not known. Therefore, we randomized 28 insulin-resistant adults (age: 66 ± 1 y; BMI: 34.2 ± 0.7 kg · m(-2)) to a 12-wk, low (LGI = 40) or high- (HGI = 80) glycemic index diet plus aerobic exercise (5 d · wk(-1), 60 min · d(-1), 80-85% heart rate(max)) intervention. All food and fluids were provided during the study. Inflammation was assessed from cytokine (TNFα and IL-6) secretion using peripheral blood mononuclear cells (MNC) stimulated overnight with LPS. Glycemic response was determined following ingestion of a 75-g glucose solution. Fasting blood samples were collected for additional cytokine [TNFα, IL-6, and monocyte chemoattractant protein 1 (MCP-1)] analysis. Both interventions decreased BMI (P < 0.001), fasting plasma glucose (P = 0.01), and insulin (P = 0.02). The glycemic response was reduced only in the LGI group (P = 0.04). Plasma and MNC-derived TNFα secretion were reduced in the LGI group (P = 0.02) but increased in the HGI group (P = 0.02). Secretion of IL-6 from MNC and plasma IL-6 and MCP-1 concentrations were reduced in the LGI group. The change in MNC-derived TNFα (r = 0.43; P = 0.04) and plasma MCP-1 (r = 0.44; P = 0.04) correlated with decreases in the glycemic response. These data highlight the importance of diet composition in the treatment and prevention of inflammation and hyperglycemia. A low-glycemic index diet has antiinflammatory and antidiabetogenic effects when combined with exercise in older, obese prediabetics.

Indexed as

DietExercise TherapyAgedBlood GlucoseBody CompositionChemokine CCL2Combined Modality TherapyDiabetes Mellitus, Type 2FemaleGlycemic IndexHumansInflammation MediatorsInsulin ResistanceInterleukin-6Leukocytes, MononuclearMaleBlood GlucoseCCL2 protein, humanChemokine CCL2IL6 protein, humanInflammation MediatorsInterleukin-6Tumor Necrosis Factor-alpha

Identifiers

PMID21525252
PMCPMC3095140
OpenAlexW2126972322

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.