Evidence map›Paper›PMID 30088336›Full record

Trial reportDiabetes, obesity & metabolism2018

Men and women respond differently to rapid weight loss: Metabolic outcomes of a multi-centre intervention study after a low-energy diet in 2500 overweight, individuals with pre-diabetes (PREVIEW).

Pia Christensen, Thomas Meinert Larsen, Margriet Westerterp-Plantenga, Ian Macdonald, J Alfredo Martinez, Svetoslav Handjiev, Sally Poppitt, Sylvia Hansen, Christian Ritz, Arne Astrup and 14 more

Registry-linked trialOpen access · hybridAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Diabetes, obesity & metabolism, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01777893 (PREVention of Diabetes Through Lifestyle Intervention and Population Studies in Europe and Around the World), which is not on this map. Cited by 97 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
97citing papers in PubMed, 3 pooled it
9.7field-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.

NCT01777893 nacompletednot on this map

PREVention of Diabetes Through Lifestyle Intervention and Population Studies in Europe and Around the World

TypeinterventionalSponsorAnne Birgitte RabenRan2013 to 2018Enrolled2,500ConditionsPre-diabetes, ObesityArmsHigh protein/ high intensity physical activity (HP-HI), High protein / moderate intensity physical activity (HP-MI), Moderate protein/ high intensity physical activity (MP-HI), Moderate protein/ moderate intensity physical activity (MP-MI)
3 · Its place in the literature

Who cites it

97 citing papers in PubMed, 3 syntheses or guidelines pooled it, 174 citations in OpenAlex.

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37 more citing papers are in PubMed but not listed here.

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

24 authors at 10 institutions in 9 countries.

Pia ChristensenDepartment of Nutrition, Exercise and Sports, University of Copenhagen, Copenhagen, Denmark.ORCID 0000-0002-8977-9983
Thomas Meinert LarsenDepartment of Nutrition, Exercise and Sports, University of Copenhagen, Copenhagen, Denmark.
Margriet Westerterp-PlantengaSchool for Nutrition and Translational Research in Metabolism, Maastricht University, Maastricht, The Netherlands.
Ian MacdonaldMRC/ARUK Centre for Musculoskeletal Ageing Research, National Institute for Health Research (NIHR) Nottingham Biomedical Research Centre, School of Life Sciences, University of Nottingham, Nottingham, NG7 2UH, UK.
J Alfredo MartinezDepartment of Nutrition, Food Science and Physiology, Center for Nutrition Research, University of Navarra, Pamplona, Spain.ORCID 0000-0001-5218-6941
Svetoslav HandjievDepartment of Pharmacology and Toxicology, Medical University of Sofia, Sofia, Bulgaria.
Sally PoppittHuman Nutrition Unit, School of Biological Sciences, University of Auckland, Auckland, New Zealand.
Sylvia HansenDepartment of Exercise and Health Sciences, University of Stuttgart, Stuttgart, Germany.
Christian RitzDepartment of Nutrition, Exercise and Sports, University of Copenhagen, Copenhagen, Denmark.
Arne AstrupDepartment of Nutrition, Exercise and Sports, University of Copenhagen, Copenhagen, Denmark.
Laura Pastor-SanzDepartment of Nutrition, Exercise and Sports, University of Copenhagen, Copenhagen, Denmark.
Finn Sandø-PedersenDepartment of Nutrition, Exercise and Sports, University of Copenhagen, Copenhagen, Denmark.
Kirsi H PietiläinenObesity Research Unit, Research Program Unit, Diabetes and Obesity, University of Helsinki, Helsinki, Finland.
Jouko SundvallNational Institute for Health and Welfare THL, Helsinki, Finland.
Mathijs DrummenDepartment of Nutrition and Movement Sciences, School for Nutrition and Translational Research in Metabolism, Maastricht University, Maastricht, The Netherlands.ORCID 0000-0003-3896-043X
Moira A TaylorSchool of Life Sciences, University of Nottingham, Nottingham, UK.
Santiago Navas-CarreteroDepartment of Nutrition, Food Science and Physiology, Center for Nutrition Research, University of Navarra, Pamplona, Spain.
Teodora Handjieva-DarlenskaDepartment of Pharmacology and Toxicology, Medical University of Sofia, Sofia, Bulgaria.
Shannon BrodieCharles Perkins Centre and School of Life and Environmental Biosciences, University of Sydney, Sydney, Australia.
Marta P SilvestreHuman Nutrition Unit, School of Biological Sciences, University of Auckland, Auckland, New Zealand.
Maija Huttunen-LenzDepartment of Exercise and Health Sciences, University of Stuttgart, Stuttgart, Germany.
Jennie Brand-MillerCharles Perkins Centre and School of Life and Environmental Biosciences, University of Sydney, Sydney, Australia.
Mikael FogelholmDepartment of Food and Nutrition, University of Helsinki, Helsinki, Finland.ORCID 0000-0001-8110-102X
Anne RabenDepartment of Nutrition, Exercise and Sports, University of Copenhagen, Copenhagen, Denmark.
University of Copenhagen · DKInstituto de Salud Carlos III · ESMaastricht University · NLMedical University of Sofia · BGThe University of Sydney · AUUniversity of Auckland · NZUniversity of Helsinki · FIUniversity of Nottingham · GBUniversity of Stuttgart · DEFinnish Institute for Health and Welfare · FI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsThe PREVIEW lifestyle intervention study (ClinicalTrials.gov Identifier: NCT01777893) is, to date, the largest, multinational study concerning prevention of type-2 diabetes. We hypothesized that the initial, fixed low-energy diet (LED) would induce different metabolic outcomes in men vs women. MATERIALS AND

methodsAll participants followed a LED (3.4 MJ/810 kcal/daily) for 8 weeks (Cambridge Weight Plan). Participants were recruited from 8 sites in Europe, Australia and New Zealand. Those eligible for inclusion were overweight (BMI ≥ 25 kg/m

resultsIn total, 2224 individuals (1504 women, 720 men) attended the baseline visit and 2020 (90.8%) completed the follow-up visit. Following the LED, weight loss was 16% greater in men than in women (11.8% vs 10.3%, respectively) but improvements in insulin resistance were similar. HOMA-IR decreased by 1.50 ± 0.15 in men and by 1.35 ± 0.15 in women (ns). After adjusting for differences in weight loss, men had larger reductions in metabolic syndrome Z-score, C-peptide, FM and heart rate, while women had larger reductions in HDL cholesterol, FFM, hip circumference and pulse pressure. Following the LED, 35% of participants of both genders had reverted to normo-glycaemia.

conclusionsAn 8-week LED induced different effects in women than in men. These findings are clinically important and suggest gender-specific changes after weight loss. It is important to investigate whether the greater decreases in FFM, hip circumference and HDL cholesterol in women after rapid weight loss compromise weight loss maintenance and future cardiovascular health.

Indexed as

Sex FactorsAdultAgedAustraliaBlood GlucoseBody Mass IndexCaloric RestrictionCholesterol, HDLDiabetes Mellitus, Type 2EuropeFemaleHumansInsulin ResistanceLife StyleMaleMetabolic SyndromeBlood GlucoseCholesterol, HDLdietary interventionobesitypre-diabetespreventionweight loss

Identifiers

PMID30088336
PMCPMC6282840
OpenAlexW2886227882

What OpenQuestion holds

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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.