Evidence map›Paper›PMID 32970235›Full record

Trial reportEuropean journal of nutrition2021

Postprandial glycemic response differed by early life nutritional exposure in a longitudinal cohort: a single- and multi-biomarker approach.

Siran He, Ngoc-Anh Le, Manuel Ramìrez-Zea, Reynaldo Martorell, K M Venkat Narayan, Aryeh D Stein

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in European journal of nutrition, 2021. 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
0.7field-weighted citation impact, top 27% 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

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
  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

6 authors at 2 institutions in 2 countries.

Siran HeNutrition and Health Sciences Program, Laney Graduate School, Emory University, Atlanta, GA, USA.ORCID http://orcid.org/0000-0002-0452-355X
Ngoc-Anh LeBiomarker Core Laboratory, Foundation for Atlanta Veterans Education and Research (FAVER), Atlanta Veterans Affairs Health Care System (AVAHCS), Atlanta, GA, USA.ORCID http://orcid.org/0000-0003-3310-4757
Manuel Ramìrez-ZeaINCAP Research Center for the Prevention of Chronic Diseases (CIIPEC), Institute of Nutrition of Central America and Panama, Guatemala City, Guatemala.ORCID http://orcid.org/0000-0001-5107-9175
Reynaldo MartorellHubert Department of Global Health, Rollins School of Public Health, Emory University, Room 7007, 1518 Clifton Rd NE, Atlanta, GA, 30322, USA.ORCID http://orcid.org/0000-0001-8862-7243
K M Venkat NarayanHubert Department of Global Health, Rollins School of Public Health, Emory University, Room 7007, 1518 Clifton Rd NE, Atlanta, GA, 30322, USA.ORCID http://orcid.org/0000-0001-8621-5405
Aryeh D SteinHubert Department of Global Health, Rollins School of Public Health, Emory University, Room 7007, 1518 Clifton Rd NE, Atlanta, GA, 30322, USA. aryeh.stein@emory.edu.ORCID http://orcid.org/0000-0003-1138-6458
Emory University · USInstitute of Nutrition of Central America and Panama · GT

Funding

Early childhood nutrition and adult metabolomic and cardiometabolic profilesR01HD075784 · NICHD · EMORY UNIVERSITY · PI STEIN, ARYEH DAVID · 2014 to 2018
$2.7M
NICHD NIH HHS R01 HD075784NIH HHS HD075784
6 · The paper itself

Abstract

purposePopulations malnourished in early life are at increased risk for cardiometabolic diseases. We assessed if improved nutrition predicts cardiometabolic function, as assessed by postprandial biomarker responses.

methodsParticipants had been randomized at the village level to receive one of two nutritional supplements as children. At mean age 44 y (range 37-53 years), we obtained plasma samples before and 2 h after a mixed-component meal challenge. We assayed biomarkers including lipids, glycemic measurements, and inflammatory cytokines. We compared postprandial biomarker responses among those who received the improved nutrition intervention from conception through to their second birthday (the first 1000 days) to those with other exposure status, including those who received the improved nutrition intervention at other ages, and those who received the less nutritious supplement.

resultsAmong 1027 participants (59.4% female), 22.9% were exposed to improved nutrition in the first 1000 days. Insulin increased the most in response to the meal challenge (over twofold), and non-esterified fatty acids decreased the most (by half). Glucose increased postprandial by 11.4% in the exposed group, compared with 15.7% in the other exposure group (p < 0.05), which remained significant after adjusting for confounders (- 4.7%; 95% confidence interval: - 9.3%, - 0.01%). Responses to the prandial challenges for the other biomarkers did not differ by intervention group (all p > 0.05).

conclusionEarly life exposure to improved nutrition was associated with a more favorable postprandial glucose response in this population. We did not observe a difference in overall cardiometabolic responses between the exposure groups.

Indexed as

Blood GlucosePostprandial PeriodAdultBiomarkersChildDietary SupplementsFemaleHumansInsulinMaleMiddle AgedBiomarkersBlood GlucoseInsulinCardiometabolic diseasesDiabetesEarly lifeInflammationNutritional interventionObesity

Identifiers

PMID32970235
PMCPMC7987862
OpenAlexW3088796983

What OpenQuestion holds

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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.