Evidence map›Paper›PMID 23512711›Full record

Trial reportObesity (Silver Spring, Md.)2013

A low-glycemic diet lifestyle intervention improves fat utilization during exercise in older obese humans.

Thomas P J Solomon, Jacob M Haus, Marc A Cook, Chris A Flask, John P Kirwan

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Obesity (Silver Spring, Md.), 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 3 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

15 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Trial
  6. Trial
  7. Review
  8. Exercise Training Impacts Skeletal Muscle Clock Machinery in Prediabetes.Medicine and science in sports and exercise · 2020
    Article
  9. Exercise training promotes a GDF15-associated reduction in fat mass in older adults with obesity.American journal of physiology. Endocrinology and metabolism · 2019
    Article
  10. Review
  11. Dicarbonyl stress and glyoxalase enzyme system regulation in human skeletal muscle.American journal of physiology. Regulatory, integrative and comparative physiology · 2018
    Article
  12. Review
  13. Excessive Body Weight in Older Adults.Clinics in geriatric medicine · 2015
    Review
  14. Article
  15. 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.

Thomas P J SolomonDepartment of Pathobiology, Cleveland Clinic, Cleveland, OH, USA.
Jacob M Haus
Marc A Cook
Chris A Flask
John P Kirwan

Funding

CTSA INFRASTRUCTURE FOR PEDIATRIC RESEARCHUL1RR024989 · NCRR · CASE WESTERN RESERVE UNIVERSITY · PI DAVIS, PAMELA B · 2007 to 2011
$53.7M
Clinical and Translational Science Collaborative of ClevelandUL1TR000439 · NCATS · CASE WESTERN RESERVE UNIVERSITY · PI KONSTAN, MICHAEL W. · 2012 to 2016
$50.0M
Translational Research in Cystic FibrosisP30DK027651 · NIDDK · CASE WESTERN RESERVE UNIVERSITY · PI DRUMM, MITCHELL L · 1986 to 2014
$15.6M
Age, Exercise, Diet: Effects on Insulin ResistanceR01AG012834 · NIA · CLEVELAND CLINIC LERNER COM-CWRU · PI KIRWAN, JOHN P. · 2004 to 2008
$1.9M
CLINICAL INVESTIGATOR AWARDK08HL000787 · NHLBI · UNIVERSITY OF NORTH CAROLINA CHAPEL HILL · PI KNOWLES, MICHAEL R · 1985 to 1985
–
NCATS NIH HHS UL1 TR000439NCRR NIH HHS 1UL1RR024989NCRR NIH HHS UL1 RR024989NHLBI NIH HHS T32 HL00787NIA NIH HHS R01 AG012834NIA NIH HHS R01 AG12834NIDDK NIH HHS P30 DK027651
6 · The paper itself

Abstract

objectiveTo determine the influence of dietary glycemic index on exercise training-induced adaptations in substrate oxidation in obesity. DESIGN AND

methodsTwenty older, obese individuals undertook 3 months of fully supervised aerobic exercise and were randomized to low- (LoGIX) or high-glycemic (HiGIX) diets. Changes in indirect calorimetry (VO2 ; VCO2 ) were assessed at rest, during a hyperinsulinemic-euglycemic clamp, and during submaximal exercise (walking: 65% VO2 max, 200 kcal energy expenditure). Intramyocellular lipid (IMCL) was measured by (1) H-magnetic resonance spectroscopy.

resultsWeight loss (-8.6 ± 1.1%) and improvements (P < 0.05) in VO2 max, glycemic control, fasting lipemia, and metabolic flexibility were similar for both LoGIX and HiGIX groups. During submaximal exercise, energy expenditure was higher following the intervention (P < 0.01) in both groups. Respiratory exchange ratio during exercise was unchanged in the LoGIX group but increased in the HiGIX group (P < 0.05). However, fat oxidation during exercise expressed in relation to changes in body weight was increased in the LoGIX group (+10.6 ± 3.6%; P < 0.05). Fasting IMCL was unchanged, however, extramyocellular lipid was reduced (P < 0.05) after LoGIX.

conclusionsA LoGIX/exercise weight-loss intervention increased fat utilization during exercise independent of changes in energy expenditure. This highlights the potential therapeutic value of low-glycemic foods for reversing metabolic defects in obesity.

Indexed as

Diet, Carbohydrate-RestrictedLife StyleAdipose TissueAgedAgingExerciseExercise TherapyFemaleGlycemic IndexHumansLipid MetabolismMaleMiddle AgedObesityWeight Reduction Programs

Identifiers

PMID23512711
PMCPMC3696477

What OpenQuestion holds

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LicenceTDM
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.