Evidence map›Paper›PMID 25686165›Full record

Trial reportAnnals of internal medicine2015

Single-component versus multicomponent dietary goals for the metabolic syndrome: a randomized trial.

Yunsheng Ma, Barbara C Olendzki, Jinsong Wang, Gioia M Persuitte, Wenjun Li, Hua Fang, Philip A Merriam, Nicole M Wedick, Ira S Ockene, Annie L Culver and 6 more

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Annals of internal medicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00911885 (A Simple Dietary Message to Improve Dietary Quality for Metabolic Syndrome), which is not on this map. Cited by 28 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 2 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.

NCT00911885 nacompletednot on this map

A Simple Dietary Message to Improve Dietary Quality for Metabolic Syndrome

TypeinterventionalSponsorUniversity of Massachusetts, WorcesterRan2009 to 2015Enrolled240ConditionsMetabolic SyndromeArmsDietary Intervention
3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
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  13. Summary of the best evidence of diet and physical activity management in patients with metabolic syndrome.Zhejiang da xue xue bao. Yi xue ban = Journal of Zhejiang University. Medical sciences · 2022
    Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

16 authors.

Yunsheng Ma
Barbara C Olendzki
Jinsong Wang
Gioia M Persuitte
Wenjun Li
Hua Fang
Philip A Merriam
Nicole M Wedick
Ira S Ockene
Annie L Culver
Kristin L Schneider
Gin-Fei Olendzki
James Carmody
Tingjian Ge
Zhiying Zhang
Sherry L Pagoto

Funding

A simple dietary message to improve dietary quality for metabolic syndromeR01HL094575 · NHLBI · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI MA, YUNSHENG · 2009 to 2012
$2.4M
Mentoring in mHealth and Social Networking Interventions for CVD Risk ReductionK24HL124366 · NHLBI · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI PAGOTO, SHERRY L. · 2015 to 2024
$1.1M
NHLBI NIH HHS 1R01HL09457NHLBI NIH HHS K24 HL124366NHLBI NIH HHS R01 HL094575
6 · The paper itself

Abstract

backgroundFew studies have compared diets to determine whether a program focused on 1 dietary change results in collateral effects on other untargeted healthy diet components.

objectiveTo evaluate a diet focused on increased fiber consumption versus the multicomponent American Heart Association (AHA) dietary guidelines.

designRandomized, controlled trial from June 2009 to January 2014. (ClinicalTrials.gov: NCT00911885).

settingWorcester, Massachusetts.

participants240 adults with the metabolic syndrome.

interventionParticipants engaged in individual and group sessions. MEASUREMENTS: Primary outcome was weight change at 12 months.

resultsAt 12 months, mean change in weight was -2.1 kg (95% CI, -2.9 to -1.3 kg) in the high-fiber diet group versus -2.7 kg (CI, -3.5 to -2.0 kg) in the AHA diet group. The mean between-group difference was 0.6 kg (CI, -0.5 to 1.7 kg). During the trial, 12 (9.9%) and 15 (12.6%) participants dropped out of the high-fiber and AHA diet groups, respectively (P = 0.55). Eight participants developed diabetes (hemoglobin A1c level ≥6.5%) during the trial: 7 in the high-fiber diet group and 1 in the AHA diet group (P = 0.066). LIMITATIONS: Generalizability is unknown. Maintenance of weight loss after cessation of group sessions at 12 months was not assessed. Definitive conclusions cannot be made about dietary equivalence because the study was powered for superiority.

conclusionThe more complex AHA diet may result in up to 1.7 kg more weight loss; however, a simplified approach to weight reduction emphasizing only increased fiber intake may be a reasonable alternative for persons with difficulty adhering to more complicated diet regimens. PRIMARY FUNDING SOURCE: National Heart, Lung, and Blood Institute.

Indexed as

Diet, ReducingWeight LossAdultAgedAmerican Heart AssociationBlood PressureDiabetes MellitusDietary FiberFemaleGuidelines as TopicHumansMaleMetabolic SyndromeMiddle AgedPatient CompliancePatient DropoutsDietary Fiber

Identifiers

PMID25686165
PMCPMC4456033

What OpenQuestion holds

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Registered trials

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.