Evidence map›Paper›PMID 30736445›Full record

ReviewNutrients2019

Review of Two Popular Eating Plans within the Multiple Sclerosis Community: Low Saturated Fat and Modified Paleolithic.

Terry L Wahls, Catherine A Chenard, Linda G Snetselaar

4 registry-linked trialsOpen access · goldAbstract readReview
In one paragraph

Review in Nutrients, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 4 registered trials, which are not on this map. Cited by 33 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 1 pooled it
4.3field-weighted citation impact, top 5% 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.

NCT02914964 nacompletednot on this map

Dietary Approaches to Treat Multiple Sclerosis-Related Fatigue Study

TypeinterventionalSponsorTerry L. WahlsRan2016 to 2025Enrolled95ConditionsMultiple Sclerosis, Multiple Sclerosis, Relapsing-RemittingArmsSwank Diet, Wahls Elimination Diet
NCT04009005 naactive not recruitingnot on this mapstarted 2020, after this paper: background citation

Clinically Isolated Syndrome and Relapsing-Remitting Multiple Sclerosis

TypeinterventionalSponsorTerry L. WahlsRan2020 to 2027Enrolled44ConditionsClinically Isolated Syndrome, Relapsing Remitting Multiple SclerosisArmsTherapeutic diet and lifestyle
NCT05007483 naactive not recruitingnot on this mapstarted 2022, after this paper: background citation

Efficacy of Diet on Quality of Life in Multiple Sclerosis

TypeinterventionalSponsorTerry L. WahlsRan2022 to 2026Enrolled162ConditionsMultiple Sclerosis, Relapsing-RemittingArmsBodyBio Balance Oil, Kirunal Fish Oil, BodyBio PC, Modified Paleolithic Elimination diet, Time Restricted Olive Oil Based (TROO) Ketogenic Diet
NCT05057676 naactive not recruitingnot on this mapstarted 2021, after this paper: background citation

Evaluation of an Online Course Designed to Support the Adoption of Healthier Diet and Self-Care Routines in Multiple Sclerosis Patients

TypeinterventionalSponsorTerry L. WahlsRan2021 to 2027Enrolled400ConditionsMultiple Sclerosis, Clinically Isolated Syndrome, Fibromyalgia, Post Acute Sequelae of COVID-19ArmsImmediate Autoimmune Intervention Mastery Course (AIM), Immediate Question and Answer sessions. (AIM Q and A sessions), Delayed Autoimmune Intervention Mastery Course (delayed AIM course), Delayed AIM Question and Answer sessions
3 · Its place in the literature

Who cites it

33 citing papers in PubMed, 1 synthesis or guideline pooled it, 50 citations in OpenAlex.

  1. Pooled it
  2. Association of serum homocysteine, folate, and vitamin BMultiple sclerosis and related disorders · 2023
    Trial
  3. Trial
  4. Review
  5. Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. Review
  11. Review
  12. Review
  13. Article
  14. Review
  15. Review
  16. Article
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  18. Review
  19. Dietary Insights in Neurological Diseases.Current neurology and neuroscience reports · 2021
    Review
  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

3 authors at 1 institution in 1 country.

Terry L WahlsDepartment of Internal Medicine, Carver College of Medicine, University of Iowa, Iowa City, IA 52242, USA. terry-wahls@uiowa.edu.
Catherine A ChenardDepartment of Internal Medicine, Carver College of Medicine, University of Iowa, Iowa City, IA 52242, USA. catherine-chenard@uiowa.edu.
Linda G SnetselaarDepartment of Epidemiology, College of Public Health, University of Iowa, Iowa City, IA 52242, USA. linda-snetselaar@uiowa.edu.
University of Iowa · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The precise etiology of multiple sclerosis (MS) is unknown but epidemiologic evidence suggests this immune-mediated, neurodegenerative condition is the result of a complex interaction between genes and lifetime environmental exposures. Diet choices are modifiable environmental factors that may influence MS disease activity. Two diets promoted for MS, low saturated fat Swank and modified Paleolithic Wahls Elimination (WahlsElim), are currently being investigated for their effect on MS-related fatigue and quality of life (NCT02914964). Dr. Swank theorized restriction of saturated fat would reduce vascular dysfunction in the central nervous system (CNS). Dr. Wahls initially theorized that detailed guidance to increase intake of specific foodstuffs would facilitate increased intake of nutrients key to neuronal health (Wahls™ diet). Dr. Wahls further theorized restriction of lectins would reduce intestinal permeability and CNS inflammation (WahlsElim version). The purpose of this paper is to review the published research of the low saturated fat (Swank) and the modified Paleolithic (Wahls™) diets and the rationale for the structure of the Swank diet and low lectin version of the Wahls™ diet (WahlsElim) being investigated in the clinical trial.

Indexed as

Diet, PaleolithicCentral Nervous SystemDietary FatsDiet, Fat-RestrictedHumansIntestinal MucosaLectinsMultiple SclerosisPermeabilityDietary FatsLectinslow saturated fat dietmodified Paleolithic dietmultiple sclerosisPaleolithic dietSwank dietWahls dietWahls Elimination diet

Identifiers

PMID30736445
PMCPMC6412750
OpenAlexW2911277473

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.