Evidence map›Paper›PMID 30803432›Full record

ArticleSystematic reviews2019

Evaluation of the effect of insulin sensitivity-enhancing lifestyle- and dietary-related adjuncts on antidepressant treatment response: protocol for a systematic review and meta-analysis.

Olaitan J Jeremiah, Gráinne Cousins, Finbarr P Leacy, Brian P Kirby, Benedict K Ryan

Open access · goldAbstract read
In one paragraph

Article in Systematic reviews, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.8field-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.

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

3 citing papers in PubMed, 8 citations in OpenAlex.

  1. Article
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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

5 authors at 1 institution in 1 country.

Olaitan J JeremiahSchool of Pharmacy, Royal College of Surgeons in Ireland (RCSI), 123, St Stephen's Green, Dublin 2, Ireland.
Gráinne CousinsSchool of Pharmacy, Royal College of Surgeons in Ireland (RCSI), 123, St Stephen's Green, Dublin 2, Ireland.
Finbarr P LeacyData Science Centre, Royal College of Surgeons in Ireland (RCSI), 123, St Stephen's Green, Dublin 2, Ireland.
Brian P KirbySchool of Pharmacy, Royal College of Surgeons in Ireland (RCSI), 123, St Stephen's Green, Dublin 2, Ireland.
Benedict K RyanSchool of Pharmacy, Royal College of Surgeons in Ireland (RCSI), 123, St Stephen's Green, Dublin 2, Ireland. benedictryan@rcsi.ie.ORCID 0000-0003-0165-3639
Royal College of Surgeons in Ireland · IE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDepression is the leading cause of disability worldwide and is known to be associated with insulin resistance (IR). Insulin resistance worsens the symptoms of depression and reduces the effectiveness of antidepressant medications in some depressed patients. Many studies have assessed the effect of adjunctive exercise, vitamin D supplementation, zinc supplementation, magnesium, probiotics, unsaturated fatty acids, and hygienic-dietary recommendations (sleep hygiene, healthy diet, physical activity, and sunlight exposure, combined or singly used), individually, on antidepressant treatment response. However, despite the reported insulin sensitivity-enhancing potential of these adjuncts, no systematic review has collectively analysed their antidepressant effect with regards to insulin sensitivity. METHODS/

designIn this systematic review, we will analyse the effect of the above-stated adjuncts on antidepressant treatment response (primary outcome) in comparison with treatment as usual with or without adjunctive placebo after identifying the relevant trials from a systematic literature search. Randomised controlled trials involving clinically depressed patients with diagnosis of major depressive, dysthymic or bipolar disorder will be considered. Changes in insulin sensitivity parameters, following treatment, will also be analysed as the secondary outcome. Effect estimates of the included trials will be combined using random-effects meta-analysis, while addressing risk of bias issues. Any significant heterogeneity between studies will be explored using sensitivity and subgroup analyses. DISCUSSION: The findings of this review will contribute to the evidence base regarding the utility of non-pharmacological insulin-sensitising treatments in enhancing conventional antidepressant treatment response.

Indexed as

Healthy LifestyleInsulin ResistanceAntidepressive AgentsBipolar DisorderDepressive DisorderDietary SupplementsDiet, HealthyExerciseHumansMeta-Analysis as TopicRandomized Controlled Trials as TopicResearch DesignSleep HygieneSunlightSystematic Reviews as TopicTreatment OutcomeAntidepressive AgentsAdjunctsDepressionInsulin sensitivityLifestyleMagnesiumProbioticsSystematic reviewUnsaturated fatty acidsVitamin DZinc

Identifiers

PMID30803432
PMCPMC6388470
OpenAlexW2941903191

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.