Evidence map›Paper›PMID 26337820›Full record

Trial reportObesity (Silver Spring, Md.)2015

Providing food to treat adolescents at risk for cardiovascular disease.

Sarah D de Ferranti, Carly E Milliren, Erica Rose Denhoff, Nicolle Quinn, Stavroula K Osganian, Henry A Feldman, Cara B Ebbeling, David S Ludwig

Open access · bronzeAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Obesity (Silver Spring, Md.), 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 3 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

11 citing papers in PubMed, 3 syntheses or guidelines pooled it, 24 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Guideline
  4. Trial
  5. Calorically restricted diets decrease PCSK9 in overweight adolescents.Nutrition, metabolism, and cardiovascular diseases : NMCD · 2017 · on this map
    Trial
  6. Article
  7. Review
  8. Article
  9. Article
  10. Nutritional Management in Childhood Obesity.Journal of obesity & metabolic syndrome · 2019
    Review
  11. Review
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 3 institutions in 1 country.

Sarah D de FerrantiDepartment of Cardiology, FA607 Children's Hospital Boston, Boston, Massachusetts, USA.
Carly E MillirenClinical Research Center, Boston Children's Hospital, Boston, Massachusetts, USA.
Erica Rose DenhoffClinical Research Center, Boston Children's Hospital, Boston, Massachusetts, USA.
Nicolle QuinnClinical Research Center, Boston Children's Hospital, Boston, Massachusetts, USA.
Stavroula K OsganianClinical Research Center, Boston Children's Hospital, Boston, Massachusetts, USA.
Henry A FeldmanClinical Research Center, Boston Children's Hospital, Boston, Massachusetts, USA.
Cara B EbbelingNew Balance Foundation Obesity Prevention Center, Boston Children's Hospital, Boston, Massachusetts, USA.
David S LudwigNew Balance Foundation Obesity Prevention Center, Boston Children's Hospital, Boston, Massachusetts, USA.
Boston Children's Hospital · USBoston Children's Museum · USNew Balance (United States) · US

Funding

HARVARD CLINICAL AND TRANSLATIONAL SCIENCE CENTER (UL1)UL1RR025758 · NCRR · HARVARD MEDICAL SCHOOL · PI NADLER, LEE MARSHALL · 2008 to 2011
$91.4M
Effects of Diet on Hormones, Metabolism and Body WeightK24DK082730 · NIDDK · BOSTON CHILDREN'S HOSPITAL · PI LUDWIG, DAVID S · 2009 to 2018
$1.6M
Nutritional Treatment of Overweight Adolescents with Cardiovascular Risk FactorsK23HL085308 · NHLBI · BOSTON CHILDREN'S HOSPITAL · PI DE FERRANTI, SARAH D · 2007 to 2011
$777k
NCRR NIH HHS UL1 RR 025758NCRR NIH HHS UL1 RR025758NHLBI NIH HHS K23 HL085308NIDDK NIH HHS K24 DK082730
6 · The paper itself

Abstract

objectiveDiet modification is recommended to treat childhood cardiovascular (CV) risk factors; however, the optimal dietary strategy is unknown.

methodsIn a randomized trial, the effect of a low-fat (LF) and a low-glycemic-load (LGL) reduced-calorie diet were examined in youth with overweight/obesity with CV risk factors. Using a novel intervention, we delivered LF or LGL meals and nutrition education to the home for 8 weeks (Intensive Phase), followed by 4 months Maintenance without food provision. Between-group differences in the change in insulin area under the curve (InsAUC) by oral glucose tolerance test and other risk factors were analyzed.

resultsOverall, participants (n = 27) showed substantial improvement during the Intensive Phase, including InsAUC (-59 ± 18.2 µU/ml × 120 min, P = 0.004), total cholesterol (-9.9 ± 3.6 mg/dl, P = 0.01), weight (-2.7 ± 0.5 kg, P < 0.001), waist circumference (-3.1 ± 0.8 cm, P < 0.001), HOMA-IR (-1.7 ± 0.4, P < 0.001), systolic blood pressure (-5 ± 1.4 mm Hg, P = 0.002), and CRP (-0.1 ± 0.1 mg/dl, P = 0.04). There were minimal between-group differences; the LF group showed greater declines in HDL (P = 0.005) and fasting glucose (P = 0.01) compared to the LGL group. Improvements waned during Maintenance.

conclusionsHome delivery of LF or LGL diets resulted in rapid and clinically important improvements in CV risk factors that diminished without food delivery and did not differ based on dietary intervention. If scalable, food provision may represent an alternative nutrition treatment strategy.

Indexed as

AdolescentCardiovascular DiseasesFeeding BehaviorFemaleFoodHumansMalePediatric ObesityPilot ProjectsRisk FactorsTreatment Outcome

Identifiers

PMID26337820
PMCPMC4586898
OpenAlexW2124931944

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.