Evidence map›Paper›PMID 36311277›Full record

ArticleDrug and alcohol dependence reports2022

Brain glutamate and sleep efficiency associations following a ketogenic diet intervention in individuals with Alcohol Use Disorder.

Xinyi Li, Zhenhao Shi, Juliana Byanyima, Peter T Morgan, Jan-Willem van der Veen, Rui Zhang, Erin Deneke, Gene-Jack Wang, Nora D Volkow, Corinde E Wiers

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Drug and alcohol dependence reports, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03255031 (Ketogenic Diet), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.5field-weighted citation impact, top 37% 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.

NCT03255031 nacompletednot on this map

Ketogenic Diet (KD) in Alcoholism

TypeinterventionalSponsorNational Institute on Alcohol Abuse and Alcoholism (NIAAA)Ran2017 to 2023Enrolled53ConditionsAlcoholismArmsKetogenic Diet (KD), Standard American (SA) Meals and Shakes
3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 5 citations in OpenAlex.

  1. Trial
  2. Article
  3. 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

10 authors at 5 institutions in 1 country.

Xinyi LiDepartment of Psychiatry, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA 19104, USA.
Zhenhao ShiDepartment of Psychiatry, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA 19104, USA.
Juliana ByanyimaDepartment of Psychiatry, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA 19104, USA.
Peter T MorganDepartment of Psychiatry, Yale University, New Haven, CT, 06519, USA.
Jan-Willem van der VeenNational Institute of Mental Health, Bethesda, MD, 20892, USA.
Rui ZhangNational Institute on Alcohol Abuse and Alcoholism, Bethesda, MD, 20892, USA.
Erin DenekeDepartment of Psychiatry, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA 19104, USA.
Gene-Jack WangNational Institute on Alcohol Abuse and Alcoholism, Bethesda, MD, 20892, USA.
Nora D VolkowNational Institute on Alcohol Abuse and Alcoholism, Bethesda, MD, 20892, USA.
Corinde E WiersDepartment of Psychiatry, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA 19104, USA.
National Institute on Alcohol Abuse and Alcoholism · USUniversity of Pennsylvania · USBridgeport Hospital · USCaron · USNational Institute of Mental Health · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Multivariate Modeling of the Neural Mechanisms of Treatment Response in Opioid AddictionK01DA051709 · NIDA · UNIVERSITY OF PENNSYLVANIA · PI SHI, ZHENHAO · 2021 to 2025
$916k
Ketone ester intervention in alcohol use disorderR00AA026892 · NIAAA · UNIVERSITY OF PENNSYLVANIA · PI WIERS, CORINDE E · 2020 to 2022
$747k
NCATS NIH HHS UL1 TR001863NIAAA NIH HHS R00 AA026892NIDA NIH HHS K01 DA051709
6 · The paper itself

Abstract

Background: We previously showed that ketogenic diet (KD) was effective in curbing alcohol withdrawal and craving in individuals with alcohol use disorder (AUD). We hypothesized that the clinical benefits were due to improvements in sleep. To test this, we performed a secondary analysis on the KD trial data to (1) examine the effects of KD on total sleep time (TST) and sleep quality and (2) investigate the association between KD-induced alterations in cingulate glutamate concentration and changes in TST and sleep quality. Methods: AUD individuals undergoing alcohol detoxification were randomized to receive KD (n=19) or standard American diet (SA; n=14) for three weeks. TST was measured weekly by self-report, GENEActive sleep accelerometer, and X4 Sleep Profiler ambulatory device. Sleep quality was assessed using subjectively ratings of sleep depth and restedness and Sleep Profiler (Sleep Efficiency [%]). Weekly Results: TST was lower in KD than SA and increased with effect of time. Sleep depth, restedness, and Sleep Efficiency improved with time, but exhibited no effect of diet. In KD and SA combined, week 1 cingulate glutamate levels correlated positively with Sleep Efficiency, but not with TST. Conclusions: Although cingulate glutamate levels correlated positively with Sleep Efficiency in week 1, KD-induced glutamate elevation did not produce significant sleep improvements. Rather, KD was associated with lower TST than SA. Given the well-established associations between sleep and alcohol relapse, longer follow up assessment of KD's impact on sleep in AUD is warranted.

Indexed as

alcohol use disorderdetoxification treatmentglutamateketosissleep durationsleep quality

Identifiers

PMID36311277
PMCPMC9601174
OpenAlexW4295214909

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.