Evidence map›Paper›PMID 29575002›Full record

ArticleClinical cardiology2018

A defined, plant-based diet utilized in an outpatient cardiovascular clinic effectively treats hypercholesterolemia and hypertension and reduces medications.

Rami S Najjar, Carolyn E Moore, Baxter D Montgomery

2 registry-linked trialsOpen access · bronzeAbstract read
In one paragraph

Article in Clinical cardiology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 26 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 1 pooled it
15.2field-weighted citation impact, top 1% 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.

NCT05071196 naunknown statusnot on this mapstarted 2022, after this paper: background citation

Impact of Facilitated Vegan Diet on Cardiometabolic Endpoints and Trimethylamine N-oxide

TypeinterventionalSponsorDavid Grant U.S. Air Force Medical CenterRan2022 to 2022Enrolled70ConditionsCardiometabolic Risk FactorsArmsFacilitated Vegan Diet, Omnivorous Diet
NCT06994624 narecruitingnot on this mapstarted 2025, after this paper: background citation

Clinical and Biochemical Effects of a Defined Plant-Based Diet on Heart Disease

TypeinterventionalSponsorGeorgia State UniversityRan2025 to 2027Enrolled30ConditionsCoronary Artery DiseaseArmsNutritional intervention
3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 1 synthesis or guideline pooled it, 116 citations in OpenAlex.

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  18. Both caffeine andFrontiers in physiology · 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

3 authors at 2 institutions in 1 country.

Rami S NajjarDepartment of Nutrition and Food Sciences, Texas Woman's University, Houston, Texas.ORCID http://orcid.org/0000-0001-5348-3008
Carolyn E MooreDepartment of Nutrition and Food Sciences, Texas Woman's University, Houston, Texas.
Baxter D MontgomeryUniversity of Texas Health Science Center, Houston, Texas.
Texas Woman's University · USMontgomery County Department of Health and Human Services · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCardiovascular disease (CVD) is a major economic burden in the United States. CVD risk factors, particularly hypertension and hypercholesterolemia, are typically treated with drug therapy. Five-year efficacy of such drugs to prevent CVD is estimated to be 5%. Plant-based diets have emerged as effective mitigators of these risk factors. HYPOTHESIS: The implementation of a defined, plant-based diet for 4 weeks in an outpatient clinical setting may mitigate CVD risk factors and reduce patient drug burden.

methodsParticipants consumed a plant-based diet consisting of foods prepared in a defined method in accordance with a food-classification system. Participants consumed raw fruits, vegetables, seeds, and avocado. All animal products were excluded from the diet. Participant anthropometric and hemodynamic data were obtained weekly for 4 weeks. Laboratory biomarkers were collected at baseline and at 4 weeks. Medication needs were assessed weekly. Data were analyzed using paired-samples t tests and 1-way repeated-measures ANOVA.

resultsSignificant reductions were observed for systolic (-16.6 mmHg) and diastolic (-9.1 mmHg) blood pressure (P < 0.0005), serum lipids (P ≤ 0.008), and total medication usage (P < 0.0005). Other CVD risk factors, including weight (P < 0.0005), waist circumference (P < 0.0005), heart rate (P = 0.018), insulin (P < 0.0005), glycated hemoglobin (P = 0.002), and high-sensitivity C-reactive protein (P = 0.001) were also reduced.

conclusionA defined, plant-based diet can be used as an effective therapeutic strategy in the clinical setting to mitigate cardiovascular risk factors and reduce patient drug burden.

Indexed as

Outpatient Clinics, HospitalVegetablesAdultAgedAnticholesteremic AgentsAntihypertensive AgentsDietDiet TherapyDose-Response Relationship, DrugFemaleHealth PromotionHumansHypercholesterolemiaHypertensionIncidenceMaleAnticholesteremic AgentsAntihypertensive AgentsBiomarkersGeneral Clinical Cardiology/AdultHypertensionPreventive CardiologyVegetarian Diet

Identifiers

PMID29575002
PMCPMC6489725
OpenAlexW2794240487

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.