Evidence map›Paper›PMID 30453665›Full record

SynthesisNutrients2018

The Use of Glycomacropeptide in Patients with Phenylketonuria: A Systematic Review and Meta-Analysis.

Maria João Pena, Alex Pinto, Anne Daly, Anita MacDonald, Luís Azevedo, Júlio César Rocha, Nuno Borges

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Nutrients, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
–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

21 citing papers in PubMed.

  1. Trial
  2. Review
  3. Review
  4. Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. Article
  13. Article
  14. Unveiling the Metabolic Effects of Glycomacropeptide.International journal of molecular sciences · 2021
    Article
  15. Article
  16. Article
  17. Article
  18. PKU dietary handbook to accompany PKU guidelines.Orphanet journal of rare diseases · 2020
    Review
  19. Article
  20. 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

7 authors.

Maria João PenaDepartamento de Biomedicina, Unidade de Bioquímica, Faculdade de Medicina, Universidade do Porto, 4200-319 Porto, Portugal. mmom12006@med.up.pt.ORCID 0000-0002-9138-6556
Alex PintoDepartment of Dietetics, Birmingham Children's Hospital, Birmingham B4 6NH, UK. alex.pinto@nhs.net.
Anne DalyDepartment of Dietetics, Birmingham Children's Hospital, Birmingham B4 6NH, UK. a.daly3@nhs.net.
Anita MacDonaldDepartment of Dietetics, Birmingham Children's Hospital, Birmingham B4 6NH, UK. anita.macdonald@nhs.net.
Luís AzevedoFaculdade de Medicina, Universidade do Porto, 4200-319 Porto, Portugal. lazevedo@med.up.pt.
Júlio César RochaCenter for Health Technology and Services Research (CINTESIS), 4200-450 Porto, Portugal. julio.rocha@chporto.min-saude.pt.ORCID 0000-0002-4977-8345
Nuno BorgesCenter for Health Technology and Services Research (CINTESIS), 4200-450 Porto, Portugal. nunoborges@fcna.up.pt.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In phenylketonuria (PKU), synthetic protein derived from L-amino acids (AAs) is essential in a low-phenylalanine (Phe) diet. Glycomacropeptide (GMP), an intact protein, is very low in Phe in its native form. It has been modified and adapted for PKU to provide an alternative protein source through supplementation with rate-limiting amino acids (GMP-AAs), although it still contains residual Phe. This review aims to systematically evaluate published intervention studies on the use of GMP-AAs in PKU by considering its impact on blood Phe control (primary aim) and changes in tyrosine control, nutritional biomarkers, and patient acceptability or palatability (secondary aims). Four electronic databases were searched for articles published from 2007 to June 2018. Of the 274 studies identified, only eight were included. Bias risk was assessed and a quality appraisal of the body of evidence was completed. A meta-analysis was performed with two studies with adequate comparable methodology which showed no differences between GMP-AAs and AAs for any of the interventions analysed. This work underlines the scarcity and nature of studies with GMP-AAs interventions. All were short-term with small sample sizes. There is a need for better-designed studies to provide the best evidence-based recommendations.

Indexed as

Dietary SupplementsAmino AcidsCaseinsDiet, Protein-RestrictedHumansPeptide FragmentsPhenylalaninePhenylketonuriasTyrosineAmino AcidscaseinomacropeptideCaseinsPeptide FragmentsPhenylalanineTyrosineacceptabilityamino acidsglycomacropeptidemetabolic controlnutritional biomarkersphenylalaninephenylketonuria

Identifiers

PMID30453665
PMCPMC6266274

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.