Evidence map›Paper›PMID 25008950›Full record

Trial reportThe Journal of pediatrics2014

A double-blind randomized trial of fish oil to lower triglycerides and improve cardiometabolic risk in adolescents.

Samuel S Gidding, Carol Prospero, Jobayer Hossain, Frances Zappalla, Prabhakaran Babu Balagopal, Bonita Falkner, Peter Kwiterovich

Open access · greenAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in The Journal of pediatrics, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 5 pooled it
3.7field-weighted citation impact, top 7% 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

19 citing papers in PubMed, 5 syntheses or guidelines pooled it, 55 citations in OpenAlex.

  1. Pooled it
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  4. Pooled it
  5. Pooled it
  6. Trial
  7. Review
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  11. Case Studies in Pediatric Lipid Disorders and Their Management.The Journal of clinical endocrinology and metabolism · 2021
    Article
  12. Pediatric Lipid Disorders.Pediatric annals · 2021
    Article
  13. Management of dyslipidemia in pediatric renal transplant recipients.Pediatric nephrology (Berlin, Germany) · 2021
    Review
  14. Article
  15. Review
  16. Review
  17. Review
  18. Staying Young at Heart: Cardiovascular Disease Prevention in Adolescents and Young Adults.Current treatment options in cardiovascular medicine · 2015
    Article
  19. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 5 institutions in 1 country.

Samuel S GiddingNemours Cardiac Center, A. I. DuPont Hospital for Children, Wilmington, DE; Division of Nephrology, Department of Internal Medicine, Thomas Jefferson University, Philadelphia, PA. Electronic address: samuel.gidding@nemours.org.
Carol ProsperoNemours Cardiac Center, A. I. DuPont Hospital for Children, Wilmington, DE.
Jobayer HossainNemours Cardiac Center, A. I. DuPont Hospital for Children, Wilmington, DE.
Frances ZappallaNemours Cardiac Center, A. I. DuPont Hospital for Children, Wilmington, DE; Division of Nephrology, Department of Internal Medicine, Thomas Jefferson University, Philadelphia, PA.
Prabhakaran Babu BalagopalDepartment of Research, The Nemours Children's Clinic, Wilmington, DE; Mayo Clinic College of Medicine, Rochester, MN.
Bonita FalknerDivision of Nephrology, Department of Internal Medicine, Thomas Jefferson University, Philadelphia, PA.
Peter KwiterovichDepartment of Pediatrics, Johns Hopkins University, Baltimore, MD.
Community Health Systems - Dupont Hospital · USDuPont (United States) · USJohns Hopkins University · USMayo Clinic · USThomas Jefferson University · US

Funding

Subproject Title: Clinical Research Education, Mentoring and Career Development CoreU54GM104941 · NIGMS · UNIVERSITY OF DELAWARE · PI Gregory E Hicks · 2013 to 2026
$60.5M
NIGMS NIH HHS U54 GM104941
6 · The paper itself

Abstract

objectivesTo determine the efficacy of 4 g/day fish oil to lower triglycerides and impact lipoprotein particles, inflammation, insulin resistance, coagulation, and thrombosis. STUDY

designParticipants (n = 42, age 14 ± 2 years) with hypertriglyceridemia and low-density lipoprotein (LDL) cholesterol <160 mg/dL were enrolled in a randomized, double-blind, crossover trial comparing 4 g of fish oil daily with placebo. Treatment interval was 8 weeks with a 4-week washout. Lipid profile, lipoprotein particle distribution and size, glucose, insulin, high-sensitivity C-reactive protein, interleukin-6, fibrinogen, plasminogen activator inhibitor-1, and thrombin generation were measured.

resultsBaseline lipid profile was total cholesterol 194 (5.4) mg/dL (mean [SE]), triglycerides 272 (21) mg/dL, high-density lipoprotein cholesterol 39 (1) mg/dL, and LDL cholesterol 112 (3.7) mg/dl. LDL particle number was 1614 (60) nmol/L, LDL size was 19.9 (1.4) nm, and large very low-density lipoprotein/chylomicron particle number was 9.6 (1.4) nmol/L. Triglycerides decreased on fish oil treatment but the difference was not significant compared with placebo (-52 ± 16 mg/dL vs -16 ± 16 mg/dL). Large very low-density lipoprotein particle number was reduced (-5.83 ± 1.29 nmol/L vs -0.96 ± 1.31 nmol/L; P < .0001). There was no change in LDL particle number or size. There was a trend towards a lower prothrombotic state (lower fibrinogen and plasminogen activator inhibitor-1; .10 > P > .05); no other group differences were seen.

conclusionsIn children, fish oil (4 g/day) lowers triglycerides slightly and may have an antithrombotic effect but has no effect on LDL particles.

Indexed as

AdolescentBlood CoagulationCholesterol, LDLCross-Over StudiesDouble-Blind MethodFemaleFish OilsHeart DiseasesHumansHypertriglyceridemiaInflammationInsulin ResistanceMaleMetabolic DiseasesRisk FactorsThrombosisCholesterol, LDLFish OilsTriglycerides

Identifiers

PMID25008950
PMCPMC5646219
OpenAlexW2021411634

What OpenQuestion holds

Textmetadata
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.