Evidence map›Paper›PMID 22071699›Full record

Trial reportThe American journal of clinical nutrition2011

Continuous glucose monitoring to assess the ecologic validity of dietary glycemic index and glycemic load.

Anthony N Fabricatore, Cara B Ebbeling, Thomas A Wadden, David S Ludwig

Abstract readRandomized Controlled TrialValidation Study
In one paragraph

Trial report in The American journal of clinical nutrition, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing 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.

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

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

  1. Pooled it
  2. Trial
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  8. Glucose and Loss of Control Eating: Evidence From Naturalistic Assessment After Roux-en-Y Gastric Bypass.European eating disorders review : the journal of the Eating Disorders Association · 2026
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  17. Observational
  18. COVID-19 Risk: Clinical Tools for Assessing and Personalizing Immunity.Integrative medicine (Encinitas, Calif.) · 2021
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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

4 authors.

Anthony N FabricatoreDepartment of Psychiatry, University of Pennsylvania School of Medicine, Philadelphia, 19104-3309, USA. fabricat@mail.med.upenn.edu
Cara B Ebbeling
Thomas A Wadden
David S Ludwig

Funding

INSTITUTIONAL CLINICAL AND TRANSLATIONAL SCIENCE AWARDUL1RR024134 · NCRR · UNIVERSITY OF PENNSYLVANIA · PI FITZGERALD, GARRET A · 2006 to 2011
$70.4M
Effects of Diet on Hormones, Metabolism and Body WeightK24DK082730 · NIDDK · BOSTON CHILDREN'S HOSPITAL · PI LUDWIG, DAVID S · 2009 to 2018
$1.6M
IMPROVING THE EFFECTIVENESS OF OBESITY MANAGEMENTK24DK065018 · NIDDK · UNIVERSITY OF PENNSYLVANIA · PI WADDEN, THOMAS A. · 2003 to 2013
$1.4M
A trial of two diets for weight and diabetes managementK23DK070777 · NIDDK · UNIVERSITY OF PENNSYLVANIA · PI FABRICATORE, ANTHONY N · 2005 to 2009
$615k
NCRR NIH HHS UL1RR024134NIDDK NIH HHS K23DK070777NIDDK NIH HHS K24DK065018NIDDK NIH HHS K24DK082730
6 · The paper itself

Abstract

backgroundThe circumstances under which the glycemic index (GI) and glycemic load (GL) are derived do not reflect real-world eating behavior. Thus, the ecologic validity of these constructs is incompletely known.

objectiveThis study examined the relation of dietary intake to glycemic response when foods are consumed under free-living conditions.

designParticipants were 26 overweight or obese adults with type 2 diabetes who participated in a randomized trial of lifestyle modification. The current study includes baseline data, before initiation of the intervention. Participants wore a continuous glucose monitor and simultaneously kept a food diary for 3 d. The dietary variables included GI, GL, and intakes of energy, fat, protein, carbohydrate, sugars, and fiber. The glycemic response variables included AUC, mean and SD of continuous glucose monitoring (CGM) values, percentage of CGM values in euglycemic and hyperglycemic ranges, and mean amplitude of glycemic excursions. Relations between daily dietary intake and glycemic outcomes were examined.

resultsData were available from 41 d of monitoring. Partial correlations, controlled for energy intake, indicated that GI or GL was significantly associated with each glycemic response outcome. In multivariate analyses, dietary GI accounted for 10% to 18% of the variance in each glycemic variable, independent of energy and carbohydrate intakes (P < 0.01).

conclusionsThe data support the ecologic validity of the GI and GL constructs in free-living obese adults with type 2 diabetes. GI was the strongest and most consistent independent predictor of glycemic stability and variability.

Indexed as

DietGlycemic IndexAdultArea Under CurveBlood GlucoseBlood Glucose Self-MonitoringDiabetes Mellitus, Type 2Dietary CarbohydratesDiet RecordsEnergy IntakeFemaleHumansHyperglycemiaMaleMiddle AgedMultivariate AnalysisBlood GlucoseDietary Carbohydrates

Identifiers

PMID22071699
PMCPMC3252549

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.