Evidence map›Paper›PMID 27084093›Full record

Trial reportEuropean journal of nutrition2016

Associations between school meal-induced dietary changes and metabolic syndrome markers in 8-11-year-old Danish children.

Camilla T Damsgaard, Christian Ritz, Stine-Mathilde Dalskov, Rikard Landberg, Ken D Stark, Anja Biltoft-Jensen, Inge Tetens, Arne Astrup, Kim F Michaelsen, Lotte Lauritzen

Abstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in European journal of nutrition, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 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.

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

7 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Article
  4. Observational
  5. Article
  6. Article
  7. Article
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

10 authors.

Camilla T DamsgaardDepartment of Nutrition, Exercise and Sports, Faculty of Science, University of Copenhagen, Frederiksberg, Denmark. ctd@nexs.ku.dk.
Christian RitzDepartment of Nutrition, Exercise and Sports, Faculty of Science, University of Copenhagen, Frederiksberg, Denmark.
Stine-Mathilde DalskovDepartment of Nutrition, Exercise and Sports, Faculty of Science, University of Copenhagen, Frederiksberg, Denmark.
Rikard LandbergDepartment of Food Science, Swedish University of Agricultural Sciences, Uppsala, Sweden.
Ken D StarkDepartment of Kinesiology, University of Waterloo, Waterloo, ON, Canada.
Anja Biltoft-JensenDivision of Nutrition, National Food Institute, Technical University of Denmark, Søborg, Denmark.
Inge TetensDivision of Nutrition, National Food Institute, Technical University of Denmark, Søborg, Denmark.
Arne AstrupDepartment of Nutrition, Exercise and Sports, Faculty of Science, University of Copenhagen, Frederiksberg, Denmark.
Kim F MichaelsenDepartment of Nutrition, Exercise and Sports, Faculty of Science, University of Copenhagen, Frederiksberg, Denmark.
Lotte LauritzenDepartment of Nutrition, Exercise and Sports, Faculty of Science, University of Copenhagen, Frederiksberg, Denmark.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeWe recently showed that provision of Nordic school meals rich in fish, vegetables and potatoes and with reduced intakes of fat improved blood pressure, insulin resistance assessed by the homeostatic model (HOMA-IR), and plasma triacylglycerol despite increasing waist circumference in Danish 8-11-year-olds. This study explored whether intake or biomarkers of key dietary components in the schools meals were associated with these metabolic syndrome (MetS) markers during the 6-month intervention.

methodsData from 7-day dietary records and measurements of whole-blood docosahexaenoic acid (DHA, 22:6n-3), blood pressure, fasting blood MetS markers, waist circumference and android/total fat mass assessed by dual-energy X-ray absorptiometry collected at baseline, 3 and 6 months from 523 children were analyzed in linear mixed-effects models adjusted for puberty, growth and fasting.

resultsAfter adjustment for multiple testing, whole-blood DHA was negatively associated with HOMA-IR (P < 0.001) and triacylglycerol (P < 0.0001). Potato intake was positively associated with waist circumference (P < 0.01), but not with android/total fat mass (P = 0.94). Intakes of whole-grain as well as dietary fiber, protein and fat were not associated with any of the MetS markers.

conclusionsDHA in whole-blood, an indicator of DHA and fish intake, seemed to be the main diet-related predictor of the beneficial effects of the school meals on MetS markers. Increased potato intake was associated with increased waist circumference, but this may not only be due to an increase in abdominal fat, as no association was seen with fat distribution.

Indexed as

Diet, HealthyFood ServicesMealsAnimalsBiomarkersBlood GlucoseBlood PressureChildCholesterol, HDLCholesterol, LDLCluster AnalysisCross-Over StudiesDenmarkDietary FiberDocosahexaenoic AcidsEnergy IntakeBiomarkersBlood GlucoseCholesterol, HDLCholesterol, LDLDietary FiberDocosahexaenoic AcidsTriglyceridesAlkylresorcinolsChildMetabolic syndromen-3 PUFANordic

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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.