Evidence map›Paper›PMID 27455252›Full record

Trial reportInternational journal of molecular sciences2016

Nutritional Strategies for the Individualized Treatment of Non-Alcoholic Fatty Liver Disease (NAFLD) Based on the Nutrient-Induced Insulin Output Ratio (NIOR).

Ewa Stachowska, Karina Ryterska, Dominika Maciejewska, Marcin Banaszczak, Piotr Milkiewicz, Małgorzata Milkiewicz, Izabela Gutowska, Piotr Ossowski, Małgorzata Kaczorowska, Dominika Jamioł-Milc and 4 more

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in International journal of molecular sciences, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
3.6field-weighted citation impact, top 7% 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

20 citing papers in PubMed, 1 synthesis or guideline pooled it, 31 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Review
  12. Nutrition and Genetics in NAFLD: The Perfect Binomium.International journal of molecular sciences · 2020
    Review
  13. Article
  14. Article
  15. Article
  16. Disease markers · 2019
    Article
  17. Article
  18. Article
  19. NAFLD: Is There Anything New under the Sun?International journal of molecular sciences · 2017
    Article
  20. Observational
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

14 authors at 3 institutions in 1 country.

Ewa StachowskaDepartment of Biochemistry and Human Nutrition, Pomeranian Medical University, Szczecin 71-460, Poland. ewa.stachowska@pum.edu.pl.
Karina RyterskaDepartment of Biochemistry and Human Nutrition, Pomeranian Medical University, Szczecin 71-460, Poland. ryterska.karina@gmail.com.
Dominika MaciejewskaDepartment of Biochemistry and Human Nutrition, Pomeranian Medical University, Szczecin 71-460, Poland. domi.maciejka@wp.pl.
Marcin BanaszczakDepartment of Biochemistry and Human Nutrition, Pomeranian Medical University, Szczecin 71-460, Poland. banaszczak.marcin@gmail.com.
Piotr MilkiewiczDepartment of Clinical and Molecular Biochemistry, Pomeranian Medical University, Szczecin 70-111, Poland. p.milkiewicz@wp.pl.
Małgorzata MilkiewiczDepartment of Medical Biology, Pomeranian Medical University, Szczecin 70-111, Poland. milkiewm@pum.edu.pl.
Izabela GutowskaDepartment of Biochemistry and Human Nutrition, Pomeranian Medical University, Szczecin 71-460, Poland. izagut@poczta.onet.pl.
Piotr OssowskiDepartment of Biochemistry and Human Nutrition, Pomeranian Medical University, Szczecin 71-460, Poland. zbizcz@pum.edu.pl.
Małgorzata KaczorowskaDepartment of Biochemistry and Human Nutrition, Pomeranian Medical University, Szczecin 71-460, Poland. szpital@szpital-zdroje.szczecin.pl.
Dominika Jamioł-MilcDepartment of Biochemistry and Human Nutrition, Pomeranian Medical University, Szczecin 71-460, Poland. dominikajamiol@interia.pl.
Anna SabiniczDepartment of Biochemistry and Human Nutrition, Pomeranian Medical University, Szczecin 71-460, Poland. kldiab@pum.edu.pl.
Małgorzata NapierałaDepartment of Diabetology and Internal Diseases Pomeranian Medical University, Szczecin 72-010, Poland. malnap@sci.pum.edu.pl.
Lidia WądołowskaDepartment of Human Nutrition, University of Warmia and Mazury, Olsztyn 10-718, Poland. lidia.wadolowska@wum.edu.pl.
Joanna Raszeja-WyszomirskaLiver and Internal Medicine Unit, Department of General, Transplant and Liver Surgery of the Medical University of Warsaw, Warsaw 02-097, Poland. jorasz@gmail.com.
Pomeranian Medical University · PLMedical University of Warsaw · PLUniversity of Warmia and Mazury in Olsztyn · PL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Nutrients play a fundamental role as regulators of the activity of enzymes involved in liver metabolism. In the general population, the action of nutrients may be affected by gene polymorphisms. Therefore, individualization of a diet for individuals with fatty liver seems to be a fundamental step in nutritional strategies. In this study, we tested the nutrient-induced insulin output ratio (NIOR), which is used to identify the correlation between the variants of genes and insulin resistance. We enrolled 171 patients, Caucasian men (n = 104) and women (n = 67), diagnosed with non-alcoholic fatty liver disease (NAFLD). From the pool of genes sensitive to nutrient content, we selected genes characterized by a strong response to the NIOR. The polymorphisms included Adrenergic receptor (b3AR), Tumor necrosis factor (TNFα), Apolipoprotein C (Apo C III). Uncoupling Protein type I (UCP-1), Peroxisome proliferator activated receptor γ2 (PPAR-2) and Apolipoprotein E (APOEs). We performed three dietary interventions: a diet consistent with the results of genotyping (NIOR (+)); typical dietary recommendations for NAFLD (Cust (+)), and a diet opposite to the genotyping results (NIOR (-) and Cust (-)). We administered the diet for six months. The most beneficial changes were observed among fat-sensitive patients who were treated with the NIOR (+) diet. These changes included improvements in body mass and insulin sensitivity and normalization of blood lipids. In people sensitive to fat, the NIOR seems to be a useful tool for determining specific strategies for the treatment of NAFLD.

Indexed as

DietPrecision MedicineAnthropometryEnzyme-Linked Immunosorbent AssayFemaleHumansInsulinInsulin ResistanceMaleMiddle AgedNon-alcoholic Fatty Liver DiseaseProspective StudiesInsulinfat reductioninsulin sensitivityliver fatNAFLDNAFLD dietNIORreduction of body mass

Identifiers

PMID27455252
PMCPMC4964561
OpenAlexW2483626090

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.