Evidence map›Paper›PMID 22549511›Full record

ArticleFASEB journal : official publication of the Federation of American Societies for Experimental Biology2012

A nutrient-dense, high-fiber, fruit-based supplement bar increases HDL cholesterol, particularly large HDL, lowers homocysteine, and raises glutathione in a 2-wk trial.

Michele L Mietus-Snyder, Mark K Shigenaga, Jung H Suh, Swapna V Shenvi, Ashutosh Lal, Tara McHugh, Don Olson, Joshua Lilienstein, Ronald M Krauss, Ginny Gildengoren and 2 more

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in FASEB journal : official publication of the Federation of American Societies for Experimental Biology, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02239198 (Attenuating the Micronutrient Malnutrition of Overnutrition), which is not on this map. Cited by 19 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 2 pooled it
1.7field-weighted citation impact, top 16% 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.

NCT02239198 nacompletednot on this mapstarted 2016, after this paper: background citation

Attenuating the Micronutrient Malnutrition of Overnutrition (AMMO)

TypeinterventionalSponsorUCSF Benioff Children's Hospital OaklandRan2016 to 2017Enrolled16ConditionsCardiovascular Disease PreventionArmsNutrition bar
3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 2 syntheses or guidelines pooled it, 33 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Trial
  6. Trial
  7. Influence of homocysteine on regulating immunothrombosis: mechanisms and therapeutic potential in management of infections.Inflammation research : official journal of the European Histamine Research Society ... [et al.] · 2025
    Review
  8. Review
  9. Article
  10. Review
  11. Review
  12. Exercise and lifestyle changes in pediatric asthma.Current opinion in pulmonary medicine · 2020
    Review
  13. Article
  14. Article
  15. Nutritional Health Considerations for Persons with Spinal Cord Injury.Topics in spinal cord injury rehabilitation · 2017
    Review
  16. Homocysteine: Friend or Foe?Integrative medicine (Encinitas, Calif.) · 2014
    Article
  17. Article
  18. Cardiovascular benefits of dietary fiber.Current atherosclerosis reports · 2012
    Review
  19. Review
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

12 authors at 2 institutions in 1 country.

Michele L Mietus-SnyderNutrition and Metabolism Center, Children's Hospital Oakland Research Institute, Oakland, California, 94609, USA.
Mark K Shigenaga
Jung H Suh
Swapna V Shenvi
Ashutosh Lal
Tara McHugh
Don Olson
Joshua Lilienstein
Ronald M Krauss
Ginny Gildengoren
Joyce C McCann
Bruce N Ames
Children’s Institute · USAgricultural Research Service · US

Funding

UCSF CLINICAL AND TRANSLATIONAL SCIENCE INSTITUTEUL1RR024131 · NCRR · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI JOHNSTON, S. CLAIBORNE · 2006 to 2011
$111.2M
NCRR NIH HHS UL1 RR024131NCRR NIH HHS UL1RR024131
6 · The paper itself

Abstract

Dietary intake modulates disease risk, but little is known how components within food mixtures affect pathophysiology. A low-calorie, high-fiber, fruit-based nutrient-dense bar of defined composition (e.g., vitamins and minerals, fruit polyphenolics, β-glucan, docosahexaenoic acid) appropriate for deconstruction and mechanistic studies is described and evaluated in a pilot trial. The bar was developed in collaboration with the U.S. Department of Agriculture. Changes in cardiovascular disease and diabetes risk biomarkers were measured after 2 wk twice-daily consumption of the bar, and compared against baseline controls in 25 healthy adults. Plasma HDL-cholesterol (HDL-c) increased 6.2% (P=0.001), due primarily to a 28% increase in large HDL (HDL-L; P<0.0001). Total plasma homocysteine (Hcy) decreased 19% (P=0.017), and glutathione (GSH) increased 20% (P=0.011). The changes in HDL and Hcy are in the direction associated with decreased risk of cardiovascular disease and cognitive decline; increased GSH reflects improved antioxidant defense. Changes in biomarkers linked to insulin resistance and inflammation were not observed. A defined food-based supplement can, within 2 wk, positively impact metabolic biomarkers linked to disease risk. These results lay the groundwork for mechanistic/deconstruction experiments to identify critical bar components and putative synergistic combinations responsible for observed effects.

Indexed as

Dietary SupplementsFruitAdultAgedCardiovascular DiseasesCholesterol, HDLDietary FiberFemaleGlutathioneHomocysteineHumansLipoproteins, HDLMaleMiddle AgedPilot ProjectsRiskCholesterol, HDLDietary FiberGlutathioneHomocysteineLipoproteins, HDL

Identifiers

PMID22549511
PMCPMC3405270
OpenAlexW2119128897

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.