Evidence map›Paper›PMID 30004123›Full record

Trial reportEuropean journal of clinical investigation2018

Polyunsaturated fatty acids supplementation impairs anti-oxidant high-density lipoprotein function in heart failure.

Raphael Wurm, Lore Schrutka, Alexandra Hammer, Deddo Moertl, Rudolf Berger, Noemi Pavo, Irene M Lang, Georg Goliasch, Martin Huelsmann, Klaus Distelmaier

Open access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in European journal of clinical investigation, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 2 pooled it
0.6field-weighted citation impact, top 32% 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

8 citing papers in PubMed, 2 syntheses or guidelines pooled it, 12 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Article
  5. High-Density Lipoprotein and Heart Failure.Reviews in cardiovascular medicine · 2023
    Review
  6. Review
  7. Review
  8. Article
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

10 authors at 3 institutions in 1 country.

Raphael WurmDepartment of Internal Medicine II, Medical University of Vienna, Vienna, Austria.ORCID http://orcid.org/0000-0003-3027-7775
Lore SchrutkaDepartment of Internal Medicine II, Medical University of Vienna, Vienna, Austria.
Alexandra HammerDepartment of Internal Medicine II, Medical University of Vienna, Vienna, Austria.
Deddo MoertlClinical Department of Internal Medicine III, University Hospital St. Poelten, St. Poelten, Austria.
Rudolf BergerDepartment of Cardiology, KH Barmherzige Brueder, Eisenstadt, Austria.
Noemi PavoDepartment of Internal Medicine II, Medical University of Vienna, Vienna, Austria.ORCID http://orcid.org/0000-0003-3377-4507
Irene M LangDepartment of Internal Medicine II, Medical University of Vienna, Vienna, Austria.
Georg GoliaschDepartment of Internal Medicine II, Medical University of Vienna, Vienna, Austria.ORCID http://orcid.org/0000-0002-6219-6104
Martin HuelsmannDepartment of Internal Medicine II, Medical University of Vienna, Vienna, Austria.
Klaus DistelmaierDepartment of Internal Medicine II, Medical University of Vienna, Vienna, Austria.
Medical University of Vienna · ATConvent Hospital of the Brothers of Saint John of God · ATUniversity of Applied Sciences St Pölten · AT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe underlying reasons for the highly inconsistent clinical outcome data for omega-3-polyunsaturated fatty acids (n3-PUFAs) supplementation in patients with cardiac disease have not been understood yet. The aim of this prospective, randomized, double-blind, placebo controlled study was to determine the effects of oral treatment with n3-PUFAs on the anti-oxidant capacity of HDL in heart failure (HF) patients.

methodsA total of 40 patients with advanced HF of nonischaemic origin, defined by NT-proBNP levels of >2000 pg/mL, NYHA class III or IV and a LVEF <35% who were on stable optimized medical therapy for ≥3 months, were consecutively enrolled into this prospective, double-blind, placebo-controlled trial and randomized in a 1:1:1 fashion to receive 1 g/day or 4 g/day of n3-PUFA, or placebo, respectively, for 12 weeks.

resultsAfter 12 weeks of treatment, the anti-oxidant function of HDL, measured by the HDL inflammatory index, was found significantly impaired in the treatment group in a dose-dependent fashion with 0.67 [IQR 0.49-1.04] for placebo vs 0.71 [IQR 0.55-1.01] for 1 g/day n3-PUFA vs 0.98 [IQR 0.73-1.16] for 4 g/day n3-PUFA (P for trend = 0.018).

conclusionWe provide evidence for an adverse effect of n3-PUFA supplementation on anti-oxidant function of HDL in nonischaemic heart failure patients, establishing a potential mechanistic link for the controversial outcome data on n3-PUFA supplementation.

Indexed as

Dietary SupplementsAgedAntioxidantsDouble-Blind MethodFatty Acids, Omega-3Fatty Acids, UnsaturatedFemaleHeart FailureHumansLipoproteins, HDLLipoproteins, LDLMaleMiddle AgedNatriuretic Peptide, BrainPeptide FragmentsSeverity of Illness IndexAntioxidantsFatty Acids, Omega-3Fatty Acids, UnsaturatedLipoproteins, HDLLipoproteins, LDLNatriuretic Peptide, Brainoxidized low density lipoproteinPeptide Fragmentspro-brain natriuretic peptide (1-76)heart failurehigh-density lipoproteinn3-PUFA

Identifiers

PMID30004123
PMCPMC6175474
OpenAlexW2884981800

What OpenQuestion holds

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LicenceCC BY-NC
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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.