Evidence map›Paper›PMID 29223678›Full record

ReviewMetabolism: clinical and experimental2018

Protein sparing therapies in acute illness and obesity: a review of George Blackburn's contributions to nutrition science.

Dylan D Thomas, Nawfal W Istfan, Bruce R Bistrian, Caroline M Apovian

Open access · greenAbstract readHistorical ArticleReview
In one paragraph

Review in Metabolism: clinical and experimental, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
1.4field-weighted citation impact, top 18% 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

13 citing papers in PubMed, 18 citations in OpenAlex.

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  11. Ketogenic diets as treatment of obesity and type 2 diabetes mellitus.Reviews in endocrine & metabolic disorders · 2020
    Review
  12. Confusion in the nomenclature of ketogenic diets blurs evidence.Reviews in endocrine & metabolic disorders · 2020
    Article
  13. A word of caution against excessive protein intake.Nature reviews. Endocrinology · 2020
    Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 1 country.

Dylan D ThomasSection of Endocrinology, Diabetes, Nutrition and Weight Management, Boston University School of Medicine, 720 Harrison Ave, 8th floor, Suite 801, Boston, MA 02118, United States. Electronic address: dylan.thomas@bmc.org.
Nawfal W IstfanSection of Endocrinology, Diabetes, Nutrition and Weight Management, Boston University School of Medicine, 720 Harrison Ave, 8th floor, Suite 801, Boston, MA 02118, United States. Electronic address: nawfal.istfan@bmc.org.
Bruce R BistrianDepartment of Medicine, Beth Israel Deaconess Medical Center, One Deaconess Rd, Baker 605, Boston, MA 02215, United States. Electronic address: bbistria@bidmc.harvard.edu.
Caroline M ApovianSection of Endocrinology, Diabetes, Nutrition and Weight Management, Boston University School of Medicine, 720 Harrison Ave, 8th floor, Suite 801, Boston, MA 02118, United States. Electronic address: caroline.apovian@bmc.org.
Boston University · USBeth Israel Deaconess Medical Center · US

Funding

Project-005UL1TR001430 · NCATS · BOSTON UNIVERSITY MEDICAL CAMPUS · PI BAIR-MERRITT, MEGAN H, CENTER, DAVID M. · 2015 to 2024
$52.3M
Transgenic CoreP30DK046200 · NIDDK · TUFTS MEDICAL CENTER · PI GREENBERG, ANDREW S, PERISSI, VALENTINA · 1992 to 2021
$25.0M
TRAINING PROGRAM IN ENDOCRINE AND METABOLIC RESEARCHT32DK007201 · NIDDK · BOSTON UNIVERSITY MEDICAL CAMPUS · PI CORKEY, BARBARA E., KANDROR, KONSTANTIN V · 1986 to 2023
$6.4M
NCATS NIH HHS UL1 TR001430NIDDK NIH HHS P30 DK046200NIDDK NIH HHS T32 DK007201
6 · The paper itself

Abstract

Protein sparing therapies were developed to mitigate the harms associated with protein-calorie malnutrition and nitrogen losses induced by either acute illness or hypocaloric diets in patients with obesity. We review the development of protein sparing therapies in illness and obesity with a focus on the pioneering contributions of George Blackburn, MD, PhD. He recognized that protein-calorie malnutrition is a common and serious clinical condition and developed new approaches to its treatment in hospitalized patients. His work with stable isotopes and with animal models provided answers about the physiological nutritional requirements and metabolic changes across a spectrum of conditions with varying degrees of stress and catabolism. This led to improvements in enteral and parenteral nutrition for patients with acute illness. Blackburn also demonstrated that lean body mass can be preserved during weight loss with carefully designed very low calorie treatments which became known as the protein sparing modified fast (PSMF). We review the role of the PSMF as part of the comprehensive management of obesity.

Indexed as

Acute DiseaseAnimalsHistory, 20th CenturyHistory, 21st CenturyHumansNutritional SciencesObesityProtein-Energy MalnutritionProteinsProteinsDiabetesMalnutritionObesityProtein sparing modified fastVery low calorie dietWeight maintenance

Identifiers

PMID29223678
PMCPMC5809291
OpenAlexW2775132255

What OpenQuestion holds

Textmetadata
LicenceTDM
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.