Evidence map›Paper›PMID 26864363›Full record

Trial reportThe American journal of clinical nutrition2016

Prospective association between the Dietary Inflammatory Index and mortality: modulation by antioxidant supplementation in the SU.VI.MAX randomized controlled trial.

Laurie Graffouillère, Mélanie Deschasaux, François Mariotti, Lola Neufcourt, Nitin Shivappa, James R Hébert, Michael D Wirth, Paule Latino-Martel, Serge Hercberg, Pilar Galan and 3 more

Registry-linked trialOpen access · bronzeAbstract readRandomized Controlled Trial
In one paragraph

Trial report in The American journal of clinical nutrition, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00272428 (The SU.VI.MAX Study. A Randomized, Placebo-controlled Prevention Trial of the Health Effects of Antioxidant Vitamins and Minerals.), which is not on this map. Cited by 31 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 4 pooled it
7.6field-weighted citation impact, top 3% 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.

NCT00272428 phase3completednot on this map

The SU.VI.MAX Study. A Randomized, Placebo-controlled Prevention Trial of the Health Effects of Antioxidant Vitamins and Minerals.

TypeinterventionalSponsorInstitut National de la Santé Et de la Recherche Médicale, FranceRan1994 to 2005Enrolled13,000ConditionsHealthyArmsascorbic acid, vitamin E, beta carotene, selenium, zinc
3 · Its place in the literature

Who cites it

31 citing papers in PubMed, 4 syntheses or guidelines pooled it, 62 citations in OpenAlex.

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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

13 authors at 3 institutions in 2 countries.

Laurie GraffouillèreSorbonne Paris Cité Epidemiology and Statistics Research Center, French National Institutes of Health and Medical Research (Inserm) U1153, French National Institute for Agricultural Research (INRA) U1125, French National Conservatory of Arts and Crafts (Cnam), Paris 13 University, Nutritional Epidemiology Research Team, Bobigny, France;
Mélanie DeschasauxSorbonne Paris Cité Epidemiology and Statistics Research Center, French National Institutes of Health and Medical Research (Inserm) U1153, French National Institute for Agricultural Research (INRA) U1125, French National Conservatory of Arts and Crafts (Cnam), Paris 13 University, Nutritional Epidemiology Research Team, Bobigny, France;
François MariottiAgroParisTech and INRA, Research Center in Human Nutrition from the Ile-de-France region, Mixt Research Unit 914 Nutrition Physiology and Ingestive Behavior, Paris, France;
Lola NeufcourtSorbonne Paris Cité Epidemiology and Statistics Research Center, French National Institutes of Health and Medical Research (Inserm) U1153, French National Institute for Agricultural Research (INRA) U1125, French National Conservatory of Arts and Crafts (Cnam), Paris 13 University, Nutritional Epidemiology Research Team, Bobigny, France;
Nitin ShivappaCancer Prevention and Control Program, and Department of Epidemiology and Biostatistics, Arnold School of Public Health, University of South Carolina, Columbia, SC; and Connecting Health Innovations LLC, Columbia, SC; and.
James R HébertCancer Prevention and Control Program, and Department of Epidemiology and Biostatistics, Arnold School of Public Health, University of South Carolina, Columbia, SC; and Connecting Health Innovations LLC, Columbia, SC; and.
Michael D WirthCancer Prevention and Control Program, and Department of Epidemiology and Biostatistics, Arnold School of Public Health, University of South Carolina, Columbia, SC; and Connecting Health Innovations LLC, Columbia, SC; and.
Paule Latino-MartelSorbonne Paris Cité Epidemiology and Statistics Research Center, French National Institutes of Health and Medical Research (Inserm) U1153, French National Institute for Agricultural Research (INRA) U1125, French National Conservatory of Arts and Crafts (Cnam), Paris 13 University, Nutritional Epidemiology Research Team, Bobigny, France;
Serge HercbergSorbonne Paris Cité Epidemiology and Statistics Research Center, French National Institutes of Health and Medical Research (Inserm) U1153, French National Institute for Agricultural Research (INRA) U1125, French National Conservatory of Arts and Crafts (Cnam), Paris 13 University, Nutritional Epidemiology Research Team, Bobigny, France; Public Health Department, Avicenne Hospital, Bobigny, France.
Pilar GalanSorbonne Paris Cité Epidemiology and Statistics Research Center, French National Institutes of Health and Medical Research (Inserm) U1153, French National Institute for Agricultural Research (INRA) U1125, French National Conservatory of Arts and Crafts (Cnam), Paris 13 University, Nutritional Epidemiology Research Team, Bobigny, France;
Chantal JuliaSorbonne Paris Cité Epidemiology and Statistics Research Center, French National Institutes of Health and Medical Research (Inserm) U1153, French National Institute for Agricultural Research (INRA) U1125, French National Conservatory of Arts and Crafts (Cnam), Paris 13 University, Nutritional Epidemiology Research Team, Bobigny, France; Public Health Department, Avicenne Hospital, Bobigny, France.
Emmanuelle Kesse-GuyotSorbonne Paris Cité Epidemiology and Statistics Research Center, French National Institutes of Health and Medical Research (Inserm) U1153, French National Institute for Agricultural Research (INRA) U1125, French National Conservatory of Arts and Crafts (Cnam), Paris 13 University, Nutritional Epidemiology Research Team, Bobigny, France;
Mathilde TouvierSorbonne Paris Cité Epidemiology and Statistics Research Center, French National Institutes of Health and Medical Research (Inserm) U1153, French National Institute for Agricultural Research (INRA) U1125, French National Conservatory of Arts and Crafts (Cnam), Paris 13 University, Nutritional Epidemiology Research Team, Bobigny, France; m.touvier@eren.smbh.univ-paris13.fr.
Conservatoire National des Arts et Métiers · FRUniversity of South Carolina · USAgroParisTech · FR

Funding

Developing the Dietary Inflammatory Index for Clinical ApplicationR44DK103377 · NIDDK · CONNECTING HEALTH INNOVATIONS, LLC · PI SHIVAPPA, NITIN, WIRTH, MICHAEL DAVID · 2014 to 2016
$1.8M
NIDDK NIH HHS R44 DK103377NIDDK NIH HHS R44DK103377
6 · The paper itself

Abstract

backgroundChronic inflammation is a central mechanism involved in cardiovascular diseases, cancer, diabetes, and chronic respiratory diseases, 4 leading causes of mortality. Diet is a major source of pro- and anti-inflammatory bioactive compounds. The Dietary Inflammatory Index (DII) was designed to estimate the overall inflammatory potential of the diet.

objectiveOur aim was to study the prospective association between the DII and mortality, as well as assess whether antioxidant supplementation could modulate this association.

designThe Supplémentation en Vitamines et Minéraux Antioxydants study was a randomized, double-blind, placebo-controlled trial in which participants received low-dose antioxidants or a placebo from 1994 to 2002. In this observational prospective analysis, 8089 participants (mean ± SD age at baseline: 49.0 ± 6.3 y) were followed between 1994 and 2007 (median: 12.4 y). The DII was calculated from repeated 24-h dietary records; higher scores correspond to more proinflammatory diets. A total of 207 deaths occurred during follow-up, including 123 due to cancer and 41 due to cardiovascular events. Multivariate Cox proportional hazards models were computed.

resultsSex-specific tertiles of the DII were positively associated with cardiovascular + cancer mortality (HR for tertile 3 compared with tertile 1 = 1.53; 95% CI: 1.01, 2.32; P-trend = 0.05) and specific cancer mortality (HR for tertile 3 compared with tertile 1 = 1.83; 95% CI: 1.12, 2.99; P-trend = 0.02). The corresponding P value was 0.07 for all-cause mortality. The DII was statistically significantly associated with increased all-cause mortality in the placebo group (HR for tertile 3 compared with tertile 1 = 2.10; 95% CI: 1.15, 3.84; P-trend = 0.02) but not in the antioxidant-supplemented group (P-trend = 0.8; P-interaction = 0.098).

conclusionThese results suggest that a proinflammatory diet is associated with increased all-cause and cancer mortality and antioxidants may counteract some of the proinflammatory effects of the diet. This trial was registered at clinicaltrials.gov as NCT00272428.

Indexed as

Dietary SupplementsFeeding BehaviorInflammationAdultAntioxidantsCardiovascular DiseasesDietDiet RecordsDouble-Blind MethodFemaleFollow-Up StudiesHumansMaleMiddle AgedNeoplasmsProportional Hazards ModelsAntioxidantsantioxidantsDietary Inflammatory Indexinflammationmortalityprospective study

Identifiers

PMID26864363
PMCPMC4763501
OpenAlexW2256012332

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.