Evidence map›Paper›PMID 34819725›Full record

SynthesisInternational journal of chronic obstructive pulmonary disease

Effects of Nutritional Interventions in Individuals with Chronic Obstructive Lung Disease: A Systematic Review of Randomized Controlled Trials.

Einar Furulund, Mitra Bemanian, Nina Berggren, Tesfaye Madebo, Sara Hydle Rivedal, Torgeir Gilje Lid, Lars Thore Fadnes

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in International journal of chronic obstructive pulmonary disease. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
2.8field-weighted citation impact, top 8% 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

9 citing papers in PubMed, 24 citations in OpenAlex.

  1. Article
  2. Article
  3. Observational
  4. Article
  5. Article
  6. Review
  7. Review
  8. Observational
  9. 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

7 authors at 3 institutions in 1 country.

Einar FurulundCentre for Alcohol and Drug Research, Stavanger University Hospital, Stavanger, Norway.
Mitra BemanianBergen Addiction Research, Department of Addiction Medicine, Haukeland University Hospital, Bergen, Norway.
Nina BerggrenDepartment of Global Public Health and Primary Care, University of Bergen, Bergen, Norway.
Tesfaye MadeboBergen Addiction Research, Department of Addiction Medicine, Haukeland University Hospital, Bergen, Norway.
Sara Hydle RivedalDepartment of Global Public Health and Primary Care, University of Bergen, Bergen, Norway.
Torgeir Gilje LidCentre for Alcohol and Drug Research, Stavanger University Hospital, Stavanger, Norway.ORCID 0000-0003-0088-411X
Lars Thore FadnesBergen Addiction Research, Department of Addiction Medicine, Haukeland University Hospital, Bergen, Norway.ORCID 0000-0001-8757-2092
Stavanger University Hospital · NOHaukeland University Hospital · NOUniversity of Bergen · NO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe role of nutrition and dietary patterns has been widely investigated in cancer, cardiovascular disease, and diabetes, but there are limited data on nutritional impact on COPD. This systematic review (PROSPERO-reg. no: CRD42020172712) aimed to investigate the effect of nutritional interventions on pulmonary and physical function, inflammation, and health-related quality of life among individuals with COPD.

methodsSystematic searches were conducted in Medline, Embase, and Cochrane, resulting in 3861 references. Studies focusing exclusively on inpatient-stays, underweight or obese patients were excluded. Double screening, extraction and bias assessment were conducted. Bias was assessed according to the Cochrane risk of bias tool for randomized controlled trials. Thirteen randomized controlled trials with 916 participants were included.

resultsThese trials investigated effects of protein supplementation, beetroot juice, increased fruit and vegetable intake, black seed oil, Tualang honey, Chlorella vulgaris-extract, whey-peptide containing nutritional drink, and increased macronutrient intake. The durations of the interventions were from weeks to a few months, and only one with duration >1 year (investigating increased fruit/vegetable intake). The intervention increasing fruit/vegetables found improvement in pulmonary function tests. Some interventions observed effects on systemic inflammation, health-related quality of life and physical function, although with some mixed results. Five were classified as poor, five as fair, and three as good in terms of risk of bias and quality.

conclusionIncreasing intake of fruits and vegetables over prolonged periods might have positive effects on lung function in individuals with COPD. Some nutritional interventions also observed effects on systemic inflammation, health-related quality of life, and physical function, although with some mixed results. Many of the trials were underpowered, had high dropout rates, or had a high risk of bias. Further research should investigate effect of prolonged dietary interventions.

Indexed as

Chlorella vulgarisPulmonary Disease, Chronic ObstructiveHumansQuality of LifeRandomized Controlled Trials as TopicVegetableshealth-related quality of lifeinflammationlung functionnutritionphysical function

Identifiers

PMID34819725
PMCPMC8607124
OpenAlexW3213613209

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.