Evidence map›Paper›PMID 32492148›Full record

Trial reportThe Journal of nutrition2020

The Type and Amount of Dietary Fat Affect Plasma Factor VIIc, Fibrinogen, and PAI-1 in Healthy Individuals and Individuals at High Cardiovascular Disease Risk: 2 Randomized Controlled Trials.

Penny M Kris-Etherton, Paul W Stewart, Henry N Ginsberg, Russell P Tracy, Michael Lefevre, Patricia J Elmer, Lars Berglund, Abby G Ershow, Thomas A Pearson, Rajasekhar Ramakrishnan and 5 more

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

Trial report in The Journal of nutrition, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00000538 (Dietary Effects on Lipoproteins and Thrombogenic Activity), which is not on this map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
0.6field-weighted citation impact, top 31% 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.

NCT00000538 phase3completednot on this map

Dietary Effects on Lipoproteins and Thrombogenic Activity

TypeinterventionalSponsorUniversity of North Carolina, Chapel HillRan1992 to 1995Enrolled189ConditionsCardiovascular Diseases, Coronary Disease, Coronary Heart Disease Risk Reduction, Heart DiseasesArmsdiet, fat-restricted
3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 8 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Article
  5. Review
  6. Impact of lipoprotein(a) and fibrinogen on prognosis in patients with coronary artery disease: A retrospective cohort study.Technology and health care : official journal of the European Society for Engineering and Medicine · 2024
    Article
  7. The Role of Fibrinolytic System in Health and Disease.International journal of molecular sciences · 2022
    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

15 authors at 9 institutions in 1 country.

Penny M Kris-EthertonDepartment of Nutritional Sciences, The Pennsylvania State University, University Park, PA, USA.
Paul W StewartDepartment of Biostatistics, Collaborative Studies Coordinating Center, The University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Henry N GinsbergDepartment of Medicine, Irving Center for Clinical Research, Columbia University College of Physicians and Surgeons, New York, NY, USA.
Russell P TracyColchester Research Facility, University of Vermont, Colchester, VT, USA.
Michael LefevrePennington Biomedical Research Center, Louisiana State University, Baton Rouge, LA, USA.
Patricia J ElmerDivision of Epidemiology, University of Minnesota School of Public Health, Minneapolis, MN, USA.
Lars BerglundDepartment of Medicine, Irving Center for Clinical Research, Columbia University College of Physicians and Surgeons, New York, NY, USA.
Abby G ErshowDivision of Heart and Vascular Diseases, National Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, MD, USA.
Thomas A PearsonThe Mary Imogene Bassett Research Institute, Cooperstown, NY, USA.
Rajasekhar RamakrishnanDepartment of Medicine, Irving Center for Clinical Research, Columbia University College of Physicians and Surgeons, New York, NY, USA.
Stephen F HolleranDepartment of Medicine, Irving Center for Clinical Research, Columbia University College of Physicians and Surgeons, New York, NY, USA.
Barbara H DennisDepartment of Biostatistics, Collaborative Studies Coordinating Center, The University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Catherine M ChampagnePennington Biomedical Research Center, Louisiana State University, Baton Rouge, LA, USA.
Wahida KarmallyDepartment of Medicine, Irving Center for Clinical Research, Columbia University College of Physicians and Surgeons, New York, NY, USA.
DELTA Investigators
Center for Clinical Research (United States) · USPennington Biomedical Research Center · USUniversity of North Carolina at Chapel Hill · USNational Institutes of Health · USPennsylvania State University · USUniversity at Albany, State University of New York · USUniversity of Minnesota · USUniversity of Vermont · USColumbia University · US

Funding

YOUTH DRUG ABUSE, ADHD, AND RELATED DISRUPTIVE DISORDERSM01RR000400 · NCRR · UNIVERSITY OF MINNESOTA TWIN CITIES · PI KOTLYAR, MICHAEL · 1985 to 2009
$33.7M
ZOLEDRONIC ACID IN PROSTATE CANCERM01RR000645 · NCRR · COLUMBIA UNIV NEW YORK MORNINGSIDE · PI COLTEN, HARVEY R · 1985 to 2006
$27.0M
Research BaseP30DK072476 · NIDDK · LSU PENNINGTON BIOMEDICAL RESEARCH CTR · PI Sujoy Ghosh · 2005 to 2026
$26.5M
MULTICENTER STUDIES OF DIET &LIPOPROTEINS IN HUMANSU01HL049644 · NHLBI · UNIVERSITY OF NORTH CAROLINA CHAPEL HILL · PI STEWART, PAUL W. · 1992 to 1997
–
NCRR NIH HHS M01 RR000400NCRR NIH HHS M01 RR000645NHLBI NIH HHS U01 HL049644NIDDK NIH HHS P30 DK072476
6 · The paper itself

Abstract

backgroundFactor VIIc, fibrinogen, and plasminogen activator inhibitor 1 (PAI-1) are cardiovascular disease (CVD) risk factors and are modulated, in part, by fat type and amount.

objectiveWe evaluated fat type and amount on the primary outcomes: factor VIIc, fibrinogen, and PAI-1.

methodsIn the Dietary Effects on Lipoproteins and Thrombogenic Activity (DELTA) Trial, 2 controlled crossover feeding studies evaluated substituting carbohydrate or MUFAs for SFAs. Study 1: healthy participants (n = 103) were provided with (8 wk) an average American diet [AAD; designed to provide 37% of energy (%E) as fat, 16% SFA], a Step 1 diet (30%E fat, 9% SFA), and a diet low in SFA (Low-Sat; 26%E fat, 5% SFA). Study 2: participants (n = 85) at risk for CVD and metabolic syndrome (MetSyn) were provided with (7 wk) an AAD, a step 1 diet, and a high-MUFA diet (designed to provide 37%E fat, 8% SFA, 22% MUFA).

resultsStudy 1: compared with AAD, the Step 1 and Low-Sat diets decreased mean factor VIIc by 1.8% and 2.6% (overall P = 0.0001), increased mean fibrinogen by 1.2% and 2.8% (P = 0.0141), and increased mean square root PAI-1 by 0.0% and 6.0% (P = 0.0037), respectively. Study 2: compared with AAD, the Step 1 and high-MUFA diets decreased mean factor VIIc by 4.1% and 3.2% (overall P < 0.0001), increased mean fibrinogen by 3.9% and 1.5% (P = 0.0083), and increased mean square-root PAI-1 by 2.0% and 5.8% (P = 0.1319), respectively.

conclusionsReplacing SFA with carbohydrate decreased factor VIIc and increased fibrinogen in healthy and metabolically unhealthy individuals and also increased PAI-1 in healthy subjects. Replacing SFA with MUFA decreased factor VIIc and increased fibrinogen but less than carbohydrate. Our results indicate an uncertain effect of replacing SFA with carbohydrate or MUFA on cardiometabolic risk because of small changes in hemostatic factors and directionally different responses to decreasing SFA. This trial was registered at https://clinicaltrials.gov/ct2/show/NCT00000538?term=NCT00000538&rank=1 as NCT00000538.

Indexed as

AdultAgedCardiovascular DiseasesDietDietary FatsFactor VIIFemaleFibrinogenGene Expression RegulationHemostasisHumansMaleMiddle AgedPlasminogen Activator Inhibitor 1Risk FactorsYoung AdultDietary FatsFactor VIIFibrinogenPlasminogen Activator Inhibitor 1DELTA (Dietary Effects on Lipoproteins and Thrombogenic Activity)dietary fatfactor VIIcfibrinogenPAI-1plasminogen activator inhibitor

Identifiers

PMID32492148
PMCPMC7398773
OpenAlexW3031139089

What OpenQuestion holds

Textmetadata
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.