Evidence map›Paper›PMID 28893297›Full record

ReviewTrials2017

Evidence-based practice within nutrition: what are the barriers for improving the evidence and how can they be dealt with?

Martine Laville, Berenice Segrestin, Maud Alligier, Cristina Ruano-Rodríguez, Lluis Serra-Majem, Michael Hiesmayr, Annemie Schols, Carlo La Vecchia, Yves Boirie, Ana Rath and 8 more

Abstract readReview
In one paragraph

Review in Trials, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 6 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

20 citing papers in PubMed, 6 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Pooled it
  7. Article
  8. Review
  9. Article
  10. Review
  11. Article
  12. Article
  13. Review
  14. Review
  15. Article
  16. Wine's Phenolic Compounds and Health: A Pythagorean View.Molecules (Basel, Switzerland) · 2020
    Review
  17. Review
  18. The Mediterranean Diet, the OGG1 Gene, and Disease Risk: Early Evidence.Journal of the Academy of Nutrition and Dietetics · 2018
    Article
  19. Review
  20. 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

18 authors.

Martine LavilleCentre de Recherche en Nutrition Humaine Rhone-Alpes, French Obesity Centre of Excellence (FCRIN-FORCE), Lyon 1 University, Hospices Civils de Lyon, Lyon, France.
Berenice SegrestinCentre de Recherche en Nutrition Humaine Rhone-Alpes, French Obesity Centre of Excellence (FCRIN-FORCE), Lyon 1 University, Hospices Civils de Lyon, Lyon, France.
Maud AlligierCentre de Recherche en Nutrition Humaine Rhone-Alpes, French Obesity Centre of Excellence (FCRIN-FORCE), Lyon 1 University, Hospices Civils de Lyon, Lyon, France.
Cristina Ruano-RodríguezNutrition Research Group, Research Institute of Biomedical and Health Sciences, University of Las Palmas de Gran Canaria, Las Palmas, Spain.
Lluis Serra-MajemNutrition Research Group, Research Institute of Biomedical and Health Sciences, University of Las Palmas de Gran Canaria, Las Palmas, Spain.
Michael HiesmayrDivision of Cardiac, Thoracic, Vascular Anaesthesia and Intensive Care, Vienna General Hospital, Währinger Gürtel, Vienna, Austria.
Annemie ScholsDepartment of Respiratory Medicine, NUTRIM School of Nutrition and Translational Research in Metabolism, Maastricht University Medical Centre, Maastricht, The Netherlands.
Carlo La VecchiaDepartment of Clinical Sciences and Community Health, Università degli Studi di Milano Via Vanzetti, Milan, Italy.
Yves BoirieService de Nutrition Clinique, CHU de Clermont-Ferrand, Unité de Nutrition Humaine, Clermont-Ferrand, France.
Ana RathOrphanet, Institut National de la Santé et de la Recherche Médicale (INSERM), Paris, France.
Edmund A M NeugebauerBrandenburg Medical School, Neuruppin, and Witten/Herdecke University, Witten, Germany.
Silvio GarattiniIRCCS Istituto di Ricerche Farmacologiche Mario Negri, Milan, Italy.
Vittorio BerteleIRCCS Istituto di Ricerche Farmacologiche Mario Negri, Milan, Italy.
Christine KubiakEuropean Clinical Research Infrastructure Network (ECRIN), Paris, France.
Jacques Demotes-MainardEuropean Clinical Research Infrastructure Network (ECRIN), Paris, France.
Janus C JakobsenCopenhagen Trial Unit, Centre for Clinical Intervention Research, Department 7812, Rigshospitalet, Copenhagen University Hospital, Blegdamsvej 9, DK 2100, Copenhagen, Denmark.
Snezana DjurisicCopenhagen Trial Unit, Centre for Clinical Intervention Research, Department 7812, Rigshospitalet, Copenhagen University Hospital, Blegdamsvej 9, DK 2100, Copenhagen, Denmark. sd@ctu.dk.ORCID 0000-0001-8259-8250
Christian GluudCopenhagen Trial Unit, Centre for Clinical Intervention Research, Department 7812, Rigshospitalet, Copenhagen University Hospital, Blegdamsvej 9, DK 2100, Copenhagen, Denmark. cgluud@ctu.dk.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEvidence-based clinical research poses special barriers in the field of nutrition. The present review summarises the main barriers to research in the field of nutrition that are not common to all randomised clinical trials or trials on rare diseases and highlights opportunities for improvements.

methodsSystematic academic literature searches and internal European Clinical Research Infrastructure Network (ECRIN) communications during face-to-face meetings and telephone conferences from 2013 to 2017 within the context of the ECRIN Integrating Activity (ECRIN-IA) project.

resultsMany nutrients occur in multiple forms that differ in biological activity, and several factors can alter their bioavailability which raises barriers to their assessment. These include specific difficulties with blinding procedures, with assessments of dietary intake, and with selecting appropriate outcomes as patient-centred outcomes may occur decennia into the future. The methodologies and regulations for drug trials are, however, applicable to nutrition trials.

conclusionsResearch on clinical nutrition should start by collecting clinical data systematically in databases and registries. Measurable patient-centred outcomes and appropriate study designs are needed. International cooperation and multistakeholder engagement are key for success.

Indexed as

Nutrition TherapyResearch DesignDatabases, FactualDietEndpoint DeterminationEvidence-Based MedicineHumansNutritional Physiological PhenomenaNutrition AssessmentRandomized Controlled Trials as TopicRegistriesTreatment OutcomeAssessmentECRINEuropean Clinical Infrastructure NetworkEvidence-based clinical practiceEvidence-based medicineNutritionRandomised clinical trialsSpecific barriers

Identifiers

PMID28893297
PMCPMC5594518

What OpenQuestion holds

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LicenceCC BY
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.