Evidence map›Paper›PMID 29982704›Full record

Trial reportThe Journal of clinical endocrinology and metabolism2018

Effect of Dietary Carbohydrate Type on Serum Cardiometabolic Risk Indicators and Adipose Tissue Inflammatory Markers.

Huicui Meng, Nirupa R Matthan, Susan K Fried, Silvia Berciano, Maura E Walker, Jean M Galluccio, Alice H Lichtenstein

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in The Journal of clinical endocrinology and metabolism, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
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  5. Article
  6. Article
  7. Review
  8. Review
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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

7 authors.

Huicui MengJean Mayer USDA Human Nutrition Research Center on Aging at Tufts University, Boston, Massachusetts.
Nirupa R MatthanJean Mayer USDA Human Nutrition Research Center on Aging at Tufts University, Boston, Massachusetts.
Susan K FriedIcahn School of Medicine at Mount Sinai, New York, New York.
Silvia BercianoJean Mayer USDA Human Nutrition Research Center on Aging at Tufts University, Boston, Massachusetts.
Maura E WalkerJean Mayer USDA Human Nutrition Research Center on Aging at Tufts University, Boston, Massachusetts.
Jean M GalluccioJean Mayer USDA Human Nutrition Research Center on Aging at Tufts University, Boston, Massachusetts.
Alice H LichtensteinJean Mayer USDA Human Nutrition Research Center on Aging at Tufts University, Boston, Massachusetts.

Funding

Multidisciplinary Training Program in Cardiovascular EpidemiologyT32HL125232 · NHLBI · BOSTON UNIVERSITY MEDICAL CAMPUS · PI Matthew G. Nayor, Vanessa Xanthakis · 2016 to 2026
$5.0M
Nutrition &Cardiovascular Disease Training ProgramT32HL069772 · NHLBI · TUFTS UNIVERSITY BOSTON · PI LICHTENSTEIN, ALICE H · 2003 to 2017
$2.1M
NHLBI NIH HHS T32 HL069772NHLBI NIH HHS T32 HL125232
6 · The paper itself

Abstract

Context and Objective: Direct comparisons between types of dietary carbohydrate in terms of cardiometabolic risk indicators are limited. This study was designed to compare the effects of an isocaloric exchange of simple, refined, and unrefined carbohydrates on serum cardiometabolic risk indicators, adipose tissue inflammatory markers, and peripheral blood mononuclear cell (PBMC) fractional cholesterol efflux. Design, Participants, and Measures: Participants [postmenopausal women and men (N = 11), 65 ± 8 years, body mass index 29.8 ± 3.2 kg/m2, low-density lipoprotein (LDL) cholesterol ≥2.6 mmol/L] were provided with diets (60% energy from total carbohydrate, 15% from protein, 25% from fat) for 4.5 weeks in a randomized crossover design, with 2-week washout periods. The variable component was an isocaloric exchange of simple, refined, or unrefined carbohydrate-containing foods. Serum lipoprotein, glucose, insulin, and inflammatory marker concentrations were measured. Abdominal subcutaneous adipose tissue was aspirated to assess macrophage and inflammatory marker gene expression and ex vivo cytokine secretion, and PBMCs were isolated to assess ex vivo fractional cholesterol efflux. Results: Fasting serum LDL and non-high-density lipoprotein (HDL) cholesterol concentrations were higher after the refined compared with simple or unrefined carbohydrate-enriched diets (P < 0.01). Other serum measures, ex vivo fractional cholesterol efflux and adipose tissue gene expression and ex vivo cytokine secretion, were similar between diets. Conclusions: Diets enriched in refined compared with simple or unrefined carbohydrate resulted in higher fasting serum LDL and non-HDL cholesterol concentrations but had little effect on other cardiometabolic risk indicators. This small study raises the intriguing possibility that refined carbohydrate may have unique adverse effects on cardiometabolic risk indicators distinct from simple and unrefined carbohydrate.

Indexed as

AgedBiomarkersBlood GlucoseCarbohydratesCholesterol, HDLCross-Over StudiesCytokinesDietDietary CarbohydratesFastingFemaleHumansInflammation MediatorsInsulinLeukocytes, MononuclearLipoproteins, LDLBiomarkersBlood GlucoseCarbohydratesCholesterol, HDLCytokinesDietary CarbohydratesInflammation MediatorsInsulinLipoproteins, LDL

Identifiers

PMID29982704
PMCPMC6126885

What OpenQuestion holds

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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.