Evidence map›Paper›PMID 35430794›Full record

ArticleBMC medicine2022

Is glycaemic control associated with dietary patterns independent of weight change in people newly diagnosed with type 2 diabetes? Prospective analysis of the Early-ACTivity-In-Diabetes trial.

James Garbutt, C England, A G Jones, R C Andrews, R Salway, L Johnson

Open access · goldAbstract read
In one paragraph

Article in BMC medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.6field-weighted citation impact, top 35% 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

4 citing papers in PubMed, 5 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Article
4 · The record

Corrections and comments

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    2022
5 · Who and what money

Authors and funding

6 authors at 3 institutions in 1 country.

James GarbuttCentre for Exercise, Nutrition and Health Sciences, School for Policy Studies, University of Bristol, 8 Priory Road, Bristol, BS8 1TZ, UK. james.garbutt@bristol.ac.uk.ORCID 0000-0002-4622-4574
C EnglandCentre for Exercise, Nutrition and Health Sciences, School for Policy Studies, University of Bristol, 8 Priory Road, Bristol, BS8 1TZ, UK.ORCID 0000-0003-0685-0690
A G JonesInstitute of Biomedical and Clinical Science, University of Exeter Medical School, University of Exeter, Exeter, UK.ORCID 0000-0002-0883-7599
R C AndrewsInstitute of Biomedical and Clinical Science, University of Exeter Medical School, University of Exeter, Exeter, UK.ORCID 0000-0003-4939-1738
R SalwayCentre for Exercise, Nutrition and Health Sciences, School for Policy Studies, University of Bristol, 8 Priory Road, Bristol, BS8 1TZ, UK.ORCID 0000-0002-3242-3951
L JohnsonCentre for Exercise, Nutrition and Health Sciences, School for Policy Studies, University of Bristol, 8 Priory Road, Bristol, BS8 1TZ, UK.ORCID 0000-0001-8985-3154
University of Bristol · GBUniversity of Exeter · GBUniversity Hospitals Bristol NHS Foundation Trust · GB

Funding

Department of HealthMedical Research Council
6 · The paper itself

Abstract

backgroundIt is unclear whether diet affects glycaemic control in type 2 diabetes (T2D), over and above its effects on bodyweight. We aimed to assess whether changes in dietary patterns altered glycaemic control independently of effects on bodyweight in newly diagnosed T2D.

methodsWe used data from 4-day food diaries, HbA1c and potential confounders in participants of the Early-ACTivity-In-Diabetes trial measured at 0, 6 and 12 months. At baseline, a 'carb/fat balance' dietary pattern and an 'obesogenic' dietary pattern were derived using reduced-rank regression, based on hypothesised nutrient-mediated mechanisms linking dietary intake to glycaemia directly or via obesity. Relationships between 0 and 6 month change in dietary pattern scores and baseline-adjusted HbA1c at 6 months (n = 242; primary outcome) were assessed using multivariable linear regression. Models were repeated for periods 6-12 months and 0-12 months (n = 194 and n = 214 respectively; secondary outcomes).

resultsReductions over 0-6 months were observed in mean bodyweight (- 2.3 (95% CI: - 2.7, - 1.8) kg), body mass index (- 0.8 (- 0.9, - 0.6) kg/m

conclusionsPromoting weight loss should remain the primary nutritional strategy for improving glycaemic control in early T2D. However, improving dietary patterns to bring carbohydrate and fat intakes closer to UK guidelines may provide small, additional improvements in glycaemic control.

trial registrationISRCTN92162869 . Retrospectively registered on 25 July 2005.

Indexed as

Diabetes Mellitus, Type 2Blood GlucoseBody WeightGlycated HemoglobinGlycemic ControlHumansWeight LossBlood GlucoseGlycated HemoglobinCarbohydratesDietDietary patternsEnergy-densityFatFibreHbA1cReduced rank regressionType 2 diabetesWeight loss

Identifiers

PMID35430794
PMCPMC9014614
OpenAlexW4223892867

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.