Evidence map›Paper›PMID 30591062›Full record

Trial reportLipids in health and disease2018

The acute effects of dietary carbohydrate reduction on postprandial responses of non-esterified fatty acids and triglycerides: a randomized trial.

Amirsalar Samkani, Mads J Skytte, Christian Anholm, Arne Astrup, Carolyn F Deacon, Jens J Holst, Sten Madsbad, Ray Boston, Thure Krarup, Steen B Haugaard

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Lipids in health and disease, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02472951 (Cut Down on Carbohydrate Usage in the Diet of Type 2 Diabetes - Mechanisms of Effective Therapy of Diabetes by Selective Choice of Macronutrients - The Phenotype Study), which is not on this map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.7field-weighted citation impact, top 29% 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.

NCT02472951 nacompletednot on this map

Cut Down on Carbohydrate Usage in the Diet of Type 2 Diabetes - Mechanisms of Effective Therapy of Diabetes by Selective Choice of Macronutrients - The Phenotype Study

TypeinterventionalSponsorBispebjerg HospitalRan2015 to 2017Enrolled30ConditionsType 2 DiabetesArmsLow carbohydrate meals, Standard carbohydrate meals
3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 11 citations in OpenAlex.

  1. Trial
  2. Trafficking of nonesterified fatty acids in insulin resistance and relationship to dysglycemia.American journal of physiology. Endocrinology and metabolism · 2020
    Trial
  3. Trial
  4. Article
  5. Dietary protein intake and obesity-associated cardiometabolic function.Current opinion in clinical nutrition and metabolic care · 2020
    Review
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 5 institutions in 2 countries.

Amirsalar SamkaniDepartment of Endocrinology, Copenhagen University Hospital Bispebjerg, Bispebjerg Bakke 23, 2400, Copenhagen, NV, Denmark. amsam03@gmail.com.ORCID http://orcid.org/0000-0002-2742-3893
Mads J SkytteDepartment of Endocrinology, Copenhagen University Hospital Bispebjerg, Bispebjerg Bakke 23, 2400, Copenhagen, NV, Denmark.
Christian AnholmDepartment of Internal Medicine, Copenhagen University Hospital, Glostrup, Denmark.
Arne AstrupDepartment of Nutrition, Exercise and Sports, University of Copenhagen, Copenhagen, Denmark.
Carolyn F DeaconEndocrinology Research Section, Department of Biomedical Sciences, Copenhagen, Denmark.
Jens J HolstEndocrinology Research Section, Department of Biomedical Sciences, Copenhagen, Denmark.
Sten MadsbadDepartment of Endocrinology, Copenhagen University Hospital, Amager Hvidovre, Copenhagen, Denmark.
Ray BostonSchool of Medicine, Department of Medicine, University of Melbourne, Melbourne, Australia.
Thure KrarupDepartment of Endocrinology, Copenhagen University Hospital Bispebjerg, Bispebjerg Bakke 23, 2400, Copenhagen, NV, Denmark.
Steen B HaugaardDepartment of Endocrinology, Copenhagen University Hospital Bispebjerg, Bispebjerg Bakke 23, 2400, Copenhagen, NV, Denmark.
Bispebjerg Hospital · DKUniversity of Copenhagen · DKAmager Hospital · DKGlostrup Hospital · DKThe University of Melbourne · AU

Funding

Mejeribrugets ForskningsFond N/A
6 · The paper itself

Abstract

backgroundPostprandial non-esterified fatty acid (NEFA) and triglyceride (TG) responses are increased in subjects with type 2 diabetes mellitus (T2DM) and may impair insulin action and increase risk of cardiovascular disease and death. Dietary carbohydrate reduction has been suggested as non-pharmacological therapy for T2DM, but the acute effects on NEFA and TG during subsequent meals remain to be investigated.

methodsPostprandial NEFA and TG responses were assessed in subjects with T2DM by comparing a carbohydrate-reduced high-protein (CRHP) diet with a conventional diabetes (CD) diet in an open-label, randomized, cross-over study. Each diet was consumed on two consecutive days, separated by a wash-out period. The iso-caloric CRHP/CD diets contained 31/54 E% from carbohydrate, 29/16 E% energy from protein and 40/30 E% from fat, respectively. Sixteen subjects with well-controlled T2DM (median HbA

resultsNEFA net area under curve (AUC) was increased by 97 ± 38 μmol/Lx270 min (p = 0.024) after breakfast but reduced by 141 ± 33 μmol/Lx180 min (p < 0.001) after lunch on the CRHP compared with CD diet. Likewise, TG net AUC was increased by 80 ± 28 μmol/Lx270 min (p = 0.012) after breakfast but reduced by 320 ± 60 μmol/Lx180 min (p < 0.001) after lunch on the CRHP compared with CD diet.

conclusionsIn well-controlled T2DM a modest reduction of dietary carbohydrate with a corresponding increase in protein and fat acutely reduced postprandial serum NEFA suppression and increased serum TG responses after a breakfast meal but had the opposite effect after a lunch meal. The mechanism behind this second-meal phenomenon of CRHP diet on important risk factors for aggravating T2DM and cardiovascular disease awaits further investigation.

trial registrationThe study was registered at clinicaltrials.gov ID: NCT02472951. https://clinicaltrials.gov/ct2/show/NCT02472951 . Registered June 16, 2015.

Indexed as

Diet, Carbohydrate-RestrictedPostprandial PeriodAgedCross-Over StudiesDiabetes Mellitus, Type 2Fatty Acids, NonesterifiedFemaleHumansMaleMiddle AgedTriglyceridesFatty Acids, NonesterifiedTriglyceridesDietary carbohydrate reductionNon-esterified fatty acidsPostprandial triglycerides

Identifiers

PMID30591062
PMCPMC6309080
OpenAlexW2906951526

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.