Evidence map›Paper›PMID 22611313›Full record

Trial reportWorld journal of gastroenterology2012

Effect of soy protein supplementation in patients with chronic hepatitis C: a randomized clinical trial.

Lucivalda P M Oliveira, Rosangela P de Jesus, Ramona S S B Boulhosa, Carlos Mauricio C Mendes, Maria Cecilia Gnoatto, Denise C Lemaire, Maria Betania P Toralles, Lourianne N Cavalcante, Andre C Lyra, Luiz G C Lyra

Open access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in World journal of gastroenterology, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
0.8field-weighted citation impact, top 25% 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

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.

  1. Isoflavones for hypercholesterolaemia in adults.The Cochrane database of systematic reviews · 2013
    Pooled it
  2. In-depth analysis ofLiver research (Beijing, China) · 2023
    Review
  3. Article
  4. Article
  5. 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

10 authors at 1 institution in 1 country.

Lucivalda P M OliveiraPostgraduate Course in Medicine and Health and Nutrition Science Department, Federal University of Bahia, Bahia 40110-150, Brazil. valdapm@hotmail.com
Rosangela P de Jesus
Ramona S S B Boulhosa
Carlos Mauricio C Mendes
Maria Cecilia Gnoatto
Denise C Lemaire
Maria Betania P Toralles
Lourianne N Cavalcante
Andre C Lyra
Luiz G C Lyra
Universidade Federal da Bahia · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo evaluate the effects of soy supplementation on insulin resistance, fatty liver and alanine aminotransferase (ALT) levels in non-diabetic patients with chronic hepatitis C (CHC).

methodsIn a prospective, randomized and single-blinded clinical trial, we compared patients with CHC who had casein as a supplement (n = 80) (control group), with patients who consumed a soy supplement diet (n = 80) [intervention group (IG)]. Both groups received 32 g/d of protein for 12 wk.

resultsPatients' baseline features showed that 48.1% were overweight, 43.7% had abdominal fat accumulation, 34.7% had hepatic steatosis and 36.3% had an homeostasis model assessment index of insulin resistance (HOMA-IR) ≥ 3.0. Descriptive analysis showed that protein supplementation diet reduced hepatic steatosis in both groups; however, significant reductions in ALT levels occurred in the soy group. Multiple regression modeling indicated that in the presence of severe fibrosis (F3/F4), γ glutamyl transferase elevation and high density lipoprotein (HDL) reduction, the intervention group had 75% less chance of developing hepatic steatosis (OR= 0.25; 95% CI: 0.06-0.82) and 55% less chance of presenting with an ALT level ≥ 1.5 × the upper limit of normal (ULN) (OR = 0.45, 95% CI: 0.22-0.89). Soy treatment did not have any effect on insulin resistance (OR = 1.92; 95% CI: 0.80-4.83), which might be attributed to the fact that the HOMA-IR values at baseline in most of our patients were in the normal range. Advanced hepatic fibrosis, an ALT level > 1.5 × ULN and visceral fat were predictors of an HOMA-IR ≥ 3. The IG group had a reduced risk of an ALT level > 1.5 × ULN. An HOMA-IR ≥ 3.0 and HDL < 35 mg/dL were also risk factors for increased ALT.

conclusionSoy supplementation decreased ALT levels and thus may improve liver inflammation in hepatitis C virus (HCV) patients; it also reduced hepatic steatosis in a subgroup of patients but did not change insulin resistance. It should be considered in the nutritional care of HCV patients.

Indexed as

Dietary SupplementsAdultAlanine TransaminaseBiomarkersBrazilFatty LiverFemaleHepatitis C, ChronicHumansInsulin ResistanceLogistic ModelsMaleMiddle AgedMultivariate AnalysisOdds RatioProspective StudiesAlanine TransaminaseBiomarkersSoybean ProteinsChronic hepatitis CHepatic steatosisHepatitis C virusInsulin resistanceSoy supplementation

Identifiers

PMID22611313
PMCPMC3351770
OpenAlexW2109332204

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.