Evidence map›Paper›PMID 26173867›Full record

ArticleEuropean journal of clinical nutrition2016

Association of diet and lifestyle with glycated haemoglobin in type 1 diabetes participants in the EURODIAB prospective complications study.

S N Balk, D A J M Schoenaker, G D Mishra, M Toeller, N Chaturvedi, J H Fuller, S S Soedamah-Muthu, EURODIAB Prospective Complications Study Group

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In one paragraph

Article in European journal of clinical nutrition, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
2.0field-weighted citation impact, top 13% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.

  1. Pooled it
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  5. Observational
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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

8 authors at 4 institutions in 4 countries.

S N BalkDivision of Human Nutrition, Wageningen University, Wageningen, The Netherlands.
D A J M SchoenakerSchool of Public Health, University of Queensland, Brisbane, Queensland, Australia.
G D MishraSchool of Public Health, University of Queensland, Brisbane, Queensland, Australia.
M ToellerDiabetes Research Institute, Heinrich-Heine-University Düsseldorf, Düsseldorf, Germany.
N ChaturvediDepartment of Epidemiology and Public-Health, University College London, London, UK.
J H FullerDepartment of Epidemiology and Public-Health, University College London, London, UK.
S S Soedamah-MuthuDivision of Human Nutrition, Wageningen University, Wageningen, The Netherlands.
EURODIAB Prospective Complications Study Group
University College London · GBUniversity of Queensland · AUWageningen University & Research · NLHeinrich Heine University Düsseldorf · DE

Funding

Wellcome Trust
6 · The paper itself

Abstract

BACKGROUND/

objectivesDiet and lifestyle advice for type 1 diabetes (T1DM) patients is based on little evidence and putative effects on glycaemic control. Therefore, we investigated the longitudinal relation between dietary and lifestyle variables and HbA1c levels in patients with type 1 diabetes. SUBJECTS/

methodsA 7-year prospective cohort analysis was performed in 1659 T1DM patients (52% males, mean age 32.5 years) participating in the EURODIAB Prospective Complications Study. Baseline dietary intake was assessed by 3- day records and physical activity, smoking status and alcohol intake by questionnaires. HbA1c during follow-up was centrally assessed by immunoassay. Analysis of variance (ANOVA) and restricted cubic spline regression analyses were performed to assess dose-response associations between diet and lifestyle variables and HbA1c levels, adjusted for age, sex, lifestyle and body composition measures, baseline HbA1c, medication use and severe hypoglycaemic attacks.

resultsMean follow-up of our study population was 6.8 (s.d. 0.6) years. Mean HbA1c level was 8.25% (s.d. 1.85) (or 66.6 mmol/mol) at baseline and 8.27% (s.d. 1.44) at follow-up. Physical activity, smoking status and alcohol intake were not associated with HbA1c at follow-up in multivariable ANOVA models. Baseline intake below the median of vegetable protein (<29 g/day) and dietary fibre (<18 g/day) was associated with higher HbA1c levels. Restricted cubic splines showed nonlinear associations with HbA1c levels for vegetable protein (P (nonlinear)=0.008) and total dietary fibre (P (nonlinear)=0.0009).

conclusionsThis study suggests that low intake of vegetable protein and dietary fibre are associated with worse glycaemic control in type 1 diabetes.

Indexed as

Feeding BehaviorAdolescentAdultAnalysis of VarianceBlood GlucoseDiabetes Mellitus, Type 1DietDietary FiberDietary ProteinsDiet RecordsExerciseFemaleFollow-Up StudiesGlycated HemoglobinHumansLife StyleBlood GlucoseDietary FiberDietary ProteinsGlycated Hemoglobinhemoglobin A1c protein, human

Identifiers

PMID26173867
OpenAlexW888243406

What OpenQuestion holds

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Registered trials

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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.