Evidence map›Paper›PMID 28901333›Full record

Trial reportEuropean journal of clinical nutrition2018

A Paleolithic-type diet results in iodine deficiency: a 2-year randomized trial in postmenopausal obese women.

S Manousou, M Stål, C Larsson, C Mellberg, B Lindahl, R Eggertsen, L Hulthén, T Olsson, M Ryberg, S Sandberg and 1 more

Abstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in European journal of clinical nutrition, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 2 pooled it
1.8field-weighted citation impact, top 14% 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

17 citing papers in PubMed, 2 syntheses or guidelines pooled it, 36 citations in OpenAlex.

  1. The effect of sodium restriction on iodine prophylaxis: a review.Journal of endocrinological investigation · 2022
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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

11 authors at 3 institutions in 1 country.

S ManousouDepartment of Internal Medicine, Kungälv's Hospital, Kungälv, Sweden.
M StålDepartment of Clinical Nutrition, Sahlgrenska Academy, University of Gothenburg, Göteborg, Sweden.
C LarssonDepartment of Food and Nutrition, and Sport Science, University of Gothenburg, Göteborg, Sweden.
C MellbergDepartment of Public Health and Clinical Medicine, Umeå University, Umeå, Sweden.
B LindahlDepartment of Public Health and Clinical Medicine, Umeå University, Umeå, Sweden.
R EggertsenInstitute of Medicine, Sahlgrenska Academy, University of Gothenburg, Göteborg, Sweden.
L HulthénDepartment of Clinical Nutrition, Sahlgrenska Academy, University of Gothenburg, Göteborg, Sweden.
T OlssonDepartment of Public Health and Clinical Medicine, Umeå University, Umeå, Sweden.
M RybergDepartment of Public Health and Clinical Medicine, Umeå University, Umeå, Sweden.
S SandbergDepartment of Public Health and Clinical Medicine, Umeå University, Umeå, Sweden.
H F NyströmInstitute of Medicine, Sahlgrenska Academy, University of Gothenburg, Göteborg, Sweden.
Umeå University · SEUniversity of Gothenburg · SEMölnlycke Health Care (Sweden) · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

objectivesDifferent diets are used for weight loss. A Paleolithic-type diet (PD) has beneficial metabolic effects, but two of the largest iodine sources, table salt and dairy products, are excluded. The objectives of this study were to compare 24-h urinary iodine concentration (24-UIC) in subjects on PD with 24-UIC in subjects on a diet according to the Nordic Nutrition Recommendations (NNR) and to study if PD results in a higher risk of developing iodine deficiency (ID), than NNR diet. SUBJECTS/

methodsA 2-year prospective randomized trial in a tertiary referral center where healthy postmenopausal overweight or obese women were randomized to either PD (n=35) or NNR diet (n=35). Dietary iodine intake, 24-UIC, 24-h urinary iodine excretion (24-UIE), free thyroxin (FT4), free triiodothyronine (FT3) and thyrotropin (TSH) were measured at baseline, 6 and 24 months. Completeness of urine sampling was monitored by para-aminobenzoic acid and salt intake by urinary sodium.

resultsAt baseline, median 24-UIC (71.0 μg/l) and 24-UIE (134.0 μg/d) were similar in the PD and NNR groups. After 6 months, 24-UIC had decreased to 36.0 μg/l (P=0.001) and 24-UIE to 77.0 μg/d (P=0.001) in the PD group; in the NNR group, levels were unaltered. FT4, TSH and FT3 were similar in both groups, except for FT3 at 6 months being lower in PD than in NNR group.

conclusionsA PD results in a higher risk of developing ID, than a diet according to the NNR. Therefore, we suggest iodine supplementation should be considered when on a PD.

Indexed as

PostmenopauseDairy ProductsDiet, PaleolithicEnergy IntakeFemaleHumansIodineMiddle AgedNorwayNutrition PolicyObesityProspective StudiesRisk FactorsSodium Chloride, DietaryThyroid DiseasesThyroid HormonesIodineiodized saltSodium Chloride, DietaryThyroid Hormones

Identifiers

PMID28901333
OpenAlexW2754269118

What OpenQuestion holds

Textmetadata
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.