Evidence map›Paper›PMID 32122735›Full record

ArticleJournal of vascular surgery2020

Diet is associated with ankle-brachial index, inflammation, and ambulation in patients with intermittent claudication.

Andrew W Gardner, Polly S Montgomery, Ming Wang, Biyi Shen, Ana I Casanegra, Federico Silva-Palacios, Allen W Knehans

Abstract read
In one paragraph

Article in Journal of vascular surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
  2. 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.

Andrew W GardnerDepartment of Physical Medicine and Rehabilitation, Penn State College of Medicine, Hershey, Pa. Electronic address: agardner4@pennstatehealth.psu.edu.
Polly S MontgomeryDepartment of Physical Medicine and Rehabilitation, Penn State College of Medicine, Hershey, Pa.
Ming WangDepartment of Public Health Sciences, Penn State College of Medicine, Hershey, Pa.
Biyi ShenDepartment of Public Health Sciences, Penn State College of Medicine, Hershey, Pa.
Ana I CasanegraVascular Medicine Division, Cardiovascular Department, Mayo Clinic, Rochester, Minn.
Federico Silva-PalaciosCardiovascular Section, Department of Medicine, University of Oklahoma Health Sciences Center, Oklahoma City, Okla.
Allen W KnehansDepartment of Nutritional Sciences, University of Oklahoma Health Sciences Center, Oklahoma City, Okla.

Funding

Trt. of Primary Hyperaldosteronism w/ACE Inhibitors &Angiotension Rec. BlockersM01RR014467 · NCRR · UNIVERSITY OF OKLAHOMA HLTH SCIENCES CTR · PI TUCKER, PHEBE M · 2001 to 2007
$10.4M
Home-based vs. Supervised Exercise for ClaudicantsR01AG024296 · NIA · UNIVERSITY OF OKLAHOMA HLTH SCIENCES CTR · PI GARDNER, ANDREW W · 2006 to 2010
$1.4M
NCRR NIH HHS M01 RR014467NIA NIH HHS R01 AG024296
6 · The paper itself

Abstract

objectiveThe aims of this investigation were to determine whether the daily dietary intake of nutrients by patients with peripheral artery disease (PAD) and intermittent claudication (IC) met recommended levels for adults older than 50 years and to determine whether meeting recommended levels of nutrients was associated with ankle-brachial index (ABI), inflammation, and ambulation of patients with PAD and IC.

methodsA total of 48 patients were assessed on their dietary intake of 20 nutrients during a 3-day period. Patients were further characterized on demographic variables, comorbid conditions, cardiovascular risk factors, ABI, 6-minute walk distance (6MWD), and high-sensitivity C-reactive protein (hsCRP) concentration.

resultsFew patients met the daily recommended intakes for calcium (4%), fiber (6%), vitamin E (6%), trans fatty acids (13%), vitamin A (15%), total sugars (19%), potassium (23%), sodium (29%), saturated fat (29%), and vitamin C (31%), and none of the patients met the daily recommended intake of vitamin D (0%). Overall, patients met few of the 20 dietary recommendations as the median score was seven recommendations. Only 17 of 48 patients met more than seven of the recommendations. For the ABI regression model adjusted for age, sex, race, smoking, hypertension, dyslipidemia, body mass index, and percentage body fat, the only significant predictor was total sugars (P < .001); patients who did not meet the recommendation had lower ABI values. For the hsCRP-adjusted regression model, the strongest significant predictor was omega-3 polyunsaturated fatty acids (P = .001), indicating that those who did not meet the recommendation had higher hsCRP values. Finally, for the 6MWD-adjusted regression model, folate (P = .011) and dietary score index (P = .014) were significant predictors; those who did not meet the recommendation for folate and those who met 5 or fewer of the 20 recommendations had shorter 6MWD.

conclusionsPatients with PAD and IC consume a low-nutrient-dense diet that is deficient in many vitamins, calcium, fruits, and vegetables and contains too much added sugar, saturated and trans fats, and processed foods. In addition, more severe PAD, greater inflammation, and ambulatory dysfunction are independently associated with aspects of a low-nutrient-dense diet, such as too much intake of added sugars, low intake of omega-3 polyunsaturated fatty acids and folate, and meeting the recommended intakes of only five or fewer nutrients.

Indexed as

Ankle Brachial IndexAgedAged, 80 and overFeeding BehaviorFemaleHumansInflammationIntermittent ClaudicationMaleMiddle AgedNutrientsPeripheral Arterial DiseaseRecommended Dietary AllowancesWalkingWalk TestNutrientsAntioxidantsExerciseNutritionPeripheral artery diseaseSugarsVitamins

Identifiers

PMID32122735
PMCPMC7483568

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Registered trials

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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.