Evidence map›Paper›PMID 23078343›Full record

Trial reportJournal of human nutrition and dietetics : the official journal of the British Dietetic Association2013

A reduced-energy intake, well-balanced diet improves weight control in children with Prader-Willi syndrome.

J L Miller, C H Lynn, J Shuster, D J Driscoll

Open access · greenAbstract readClinical Trial
In one paragraph

Trial report in Journal of human nutrition and dietetics : the official journal of the British Dietetic Association, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 2 pooled it
2.3field-weighted citation impact, top 11% 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

37 citing papers in PubMed, 2 syntheses or guidelines pooled it, 85 citations in OpenAlex.

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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 at 2 institutions in 1 country.

J L MillerUniversity of Florida, Department of Pediatrics, Gainesville, FL 32608, USA. millejl@peds.ufl.edu
C H Lynn
J Shuster
D J Driscoll
University of Florida · USUniversity of Florida Health · US

Funding

UF CLINICAL AND TRANSLATIONAL SCIENCE AWARDUL1RR029890 · NCRR · UNIVERSITY OF FLORIDA · PI NELSON, DAVID R · 2009 to 2011
$14.4M
RARE DISEASE CRC FOR NEW THERAPIES AND NEW DIAGNOSTICSU54RR019478 · NCRR · BAYLOR COLLEGE OF MEDICINE · PI BEAUDET, ARTHUR L. · 2003 to 2008
$7.3M
Advanced Postgraduate Program in Clinical InvestigationK30RR022258 · NCRR · UNIVERSITY OF FLORIDA · PI LIMACHER, MARIAN C. · 2005 to 2009
$1.3M
Neuroanatomic Studies in Prader-Willi Syndrome and Early-onset ObesityK23DK081203 · NIDDK · UNIVERSITY OF FLORIDA · PI MILLER, JENNIFER L · 2008 to 2012
$852k
NCRR NIH HHS 1U54 RR019478NCRR NIH HHS 1UL1RR029890NCRR NIH HHS K30 RR022258NCRR NIH HHS K30RR022258NCRR NIH HHS U54 RR019478NCRR NIH HHS UL1 RR029890NIDDK NIH HHS 1K23 DK081203NIDDK NIH HHS K23 DK081203
6 · The paper itself

Abstract

backgroundChildren with Prader-Willi syndrome (PWS) have a predictable pattern of weight gain, with obesity beginning in early childhood and worsening as they get older and hyperphagia increases. Data on the most effective dietary modifications are scant and primarily anecdotal. As part of a longitudinal study investigating the natural history of PWS, we evaluated the effect of a well-balanced, energy-restricted diet on body composition and weight in young children with PWS.

methodsSixty-three children, aged 2-10 years, with genetically proven PWS participated in the present study. These children had measurements of body composition by dual-energy X-ray absorptiometry and resting energy expenditure (REE), as well as a 3-day diet history analysis both before and after intervention. Energy calculations were based on the individual's REE, with the recommendation that the macronutrients of the diet consist of 30% fat, 45% carbohydrates and 25% protein, with at least 20 g of fibre per day.

resultsThirty-three families adhered to our dietary recommendations for both energy intake and macronutrient distribution. Those 33 children had lower body fat (19.8% versus 41.9%; P < 0.001) and weight management (body mass index SD score 0.3 versus 2.23; P < 0.001) than those whose parents followed the energy intake recommendations but did not alter the macronutrient composition of the diet. Those who followed our recommendations also had a lower respiratory quotient (0.84 versus 0.95; P = 0.002).

conclusionsOur recommendation for an energy-restricted diet with a well-balanced macronutrient composition and fibre intake improves both weight and body composition in children with PWS compared to a simple energy-restricted diet.

Indexed as

Body CompositionBody WeightCaloric RestrictionDietFeeding BehaviorAbsorptiometry, PhotonAdipose TissueBasal MetabolismBody Mass IndexChildChild, PreschoolEnergy IntakeFemaleHumansLongitudinal StudiesMale

Identifiers

PMID23078343
PMCPMC4112078
OpenAlexW2156185332

What OpenQuestion holds

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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.