Evidence map›Paper›PMID 31249395›Full record

Trial reportEuropean journal of clinical nutrition2020

Effects of a diet naturally rich in polyphenols on lipid composition of postprandial lipoproteins in high cardiometabolic risk individuals: an ancillary analysis of a randomized controlled trial.

Giuseppe Della Pepa, Claudia Vetrani, Marilena Vitale, Lutgarda Bozzetto, Giuseppina Costabile, Paola Cipriano, Anna Mangione, Lidia Patti, Gabriele Riccardi, Angela Albarosa Rivellese and 1 more

Abstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in European journal of clinical nutrition, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
1.6field-weighted citation impact, top 18% 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

21 citing papers in PubMed, 1 synthesis or guideline pooled it, 29 citations in OpenAlex.

  1. Pooled it
  2. Trial
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  5. Trial
  6. Review
  7. Review
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  10. Article
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  16. Article
  17. Review
  18. Mechanisms of Atherosclerosis Induced by Postprandial Lipemia.Frontiers in cardiovascular medicine · 2021
    Review
  19. Article
  20. Dietary Impact on Postprandial Lipemia.Frontiers in endocrinology · 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

11 authors at 1 institution in 1 country.

Giuseppe Della Pepa *Department of Clinical Medicine and Surgery, Federico II University, 80131, Naples, Italy.
Claudia Vetrani *Department of Clinical Medicine and Surgery, Federico II University, 80131, Naples, Italy.
Marilena VitaleDepartment of Clinical Medicine and Surgery, Federico II University, 80131, Naples, Italy.
Lutgarda BozzettoDepartment of Clinical Medicine and Surgery, Federico II University, 80131, Naples, Italy.
Giuseppina CostabileDepartment of Clinical Medicine and Surgery, Federico II University, 80131, Naples, Italy.
Paola CiprianoDepartment of Clinical Medicine and Surgery, Federico II University, 80131, Naples, Italy.
Anna MangioneDepartment of Clinical Medicine and Surgery, Federico II University, 80131, Naples, Italy.
Lidia PattiDepartment of Clinical Medicine and Surgery, Federico II University, 80131, Naples, Italy.
Gabriele RiccardiDepartment of Clinical Medicine and Surgery, Federico II University, 80131, Naples, Italy.
Angela Albarosa RivelleseDepartment of Clinical Medicine and Surgery, Federico II University, 80131, Naples, Italy. rivelles@unina.it.
Giovanni AnnuzziDepartment of Clinical Medicine and Surgery, Federico II University, 80131, Naples, Italy.
Federico II University Hospital · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

objectivesPlasma lipoprotein composition, especially in the postprandial state, could be relevant for cardiovascular risk and could be influenced by eating habits. This study evaluated the effects of a polyphenol-rich diet on postprandial lipoprotein composition in individuals at high cardiometabolic risk. SUBJECTS/

methodsSeventy-eight individuals with high waist circumference and at least another component of the metabolic syndrome were randomized to either a high-polyphenol (HighP) or low-polyphenol (LowP) diet. Before and after the 8-week intervention, chylomicrons, VLDL1, VLDL2, IDL, LDL, HDL particles, and their lipid concentrations were determined over a 6-h high-fat test meal with high or low-polyphenol content, according to the diet assigned.

resultsVLDL1 postprandial areas under the curve (AUCs) were lower for cholesterol (Chol) (1.48 ± 0.98 vs. 1.91 ± 1.13 mmol/L × 6 h, M ± SD, p = 0.014) and triglycerides (Tg) (4.70 ± 2.70 vs. 6.02 ± 3.07 mmol/L × 6 h, p = 0.005) after the HighP than after the LowP diet, with no changes in Chol/Tg ratio. IDL Chol AUCs were higher after the HighP than after the LowP diet (1.29 ± 0.77 vs. 1.01 ± 0.51 mmol/L × 6 h, p = 0.037). LDL Tg AUCs were higher after the HighP than after the LowP diet (1.15 ± 0.33 vs. 1.02 ± 0.35 mmol/L × 6 h, p < 0.001), with a lower Chol/Tg ratio (14.6 ± 4.0 vs. 16.0 ± 3.8, p = 0.007). HDL Tg AUCs were lower after the HighP than after the LowP diet (1.20 ± 0.41 vs. 1.34 ± 0.37 mmol/L × 6 h, p = 0.013).

conclusionsA high-polyphenol diet reduces the postprandial lipid content of large VLDL and increases IDL cholesterol; it modifies the composition of LDL particles-which become richer in triglycerides, and of HDL-which become instead triglyceride poor. The overall changes in atherogenicity by these effects warrant further investigation on clinical cardiovascular outcomes.

Indexed as

Cardiovascular DiseasesPolyphenolsDietHumansLipidsLipoproteinsPostprandial PeriodTriglyceridesLipidsLipoproteinsPolyphenolsTriglycerides

Identifiers

PMID31249395
OpenAlexW2955162125

What OpenQuestion holds

Textmetadata
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.