Evidence map›Paper›PMID 22892157›Full record

Trial reportJournal of lipid research2012

Effects of prescription niacin and omega-3 fatty acids on lipids and vascular function in metabolic syndrome: a randomized controlled trial.

Gregory C Shearer, James V Pottala, Susan N Hansen, Verdayne Brandenburg, William S Harris

Open access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of lipid research, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
2.9field-weighted citation impact, top 9% 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

21 citing papers in PubMed, 1 synthesis or guideline pooled it, 42 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trafficking of nonesterified fatty acids in insulin resistance and relationship to dysglycemia.American journal of physiology. Endocrinology and metabolism · 2020
    Trial
  4. Trial
  5. Trial
  6. Trial
  7. Trial
  8. Trial
  9. Article
  10. 2023 China Guidelines for Lipid Management.Journal of geriatric cardiology : JGC · 2023
    Article
  11. 2023 Chinese guideline for lipid management.Frontiers in pharmacology · 2023
    Review
  12. Review
  13. Article
  14. Review
  15. Review
  16. Review
  17. Article
  18. Paraoxonase responses to exercise and niacin therapy in men with metabolic syndrome.Redox report : communications in free radical research · 2015
    Article
  19. Review
  20. 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

5 authors at 2 institutions in 1 country.

Gregory C ShearerSanford Research/USD, University of South Dakota, Sioux Falls, SD, USA. greg.shearer@sanfordhealth.org
James V Pottala
Susan N Hansen
Verdayne Brandenburg
William S Harris
Sanford Research · USUniversity of South Dakota · US

Funding

Niacin, n-3 fatty acids and insulin resistanceR01DK061486 · NIDDK · SANFORD RESEARCH/USD · PI HARRIS, WILLIAM S · 2003 to 2007
$1.7M
NIDDK NIH HHS 5 R01 DK061486NIDDK NIH HHS R01 DK061486
6 · The paper itself

Abstract

The metabolic syndrome includes both dyslipidemia and impaired vascular function. Because extended-release niacin (ERN) and prescription omega-3 acid ethyl-esters (P-OM3) independently improve these characteristics, we tested their effects in combination. Sixty metabolic syndrome subjects were randomized to 16 weeks of treatment on dual placebo, P-OM3 (4 g/day), ERN (2 g/day), or combination in a double-blind trial. Lipoprotein subfractions and vascular endpoints were measured and tested using ANCOVA. ERN increased HDL cholesterol by 5.4 mg/dl from baseline (P = 0.04), decreased triglycerides (TG) by 39 mg/dl (-21%, P = 0.003), and decreased the augmentation index, which is a measure of vascular stiffness, by 3.5 units (P = 0.04). P-OM3 reduced TG by 26 mg/dl (-13%, P = 0.04). Combination treatment increased HDL cholesterol by 7.8 mg/dl (P = 002) and decreased TG by 72 mg/dl (-34%) but there was no improvement in vascular stiffness. Detailed analysis of lipoprotein subfractions revealed increased large, bouyant HDL(2) (3.3 mg/dl; P = 0.002) and decreased VLDL(1+2) (-32%; P < 0.0001), among subjects treated with combination therapy, that were not present with either therapy alone. ERN and P-OM3 alone improved characteristics of metabolic syndrome; however, whereas subjects on combination therapy did not have improved vascular stiffness, TG and HDL levels improved as did certain lipoprotein subfractions.

Indexed as

AdultDocosahexaenoic AcidsEicosapentaenoic AcidFatty Acids, Omega-3FemaleHumansLipidsLipoproteinsLipoproteins, HDLLipoproteins, VLDLMaleMetabolic SyndromeMiddle AgedNiacinDocosahexaenoic AcidsEicosapentaenoic AcidFatty Acids, Omega-3LipidsLipoproteinsLipoproteins, HDLLipoproteins, VLDLNiacin

Identifiers

PMID22892157
PMCPMC3466011
OpenAlexW2021910980

What OpenQuestion holds

Texttitle and abstract
LicenceCC BY-NC
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.