Evidence map›Paper›PMID 36316682›Full record

Trial reportBMC endocrine disorders2022

The effect of a randomised controlled lifestyle intervention on weight loss and plasma proneurotensin.

Louise Bennet, Ayesha Fawad, Joachim Struck, Sara Lönn Larsson, Andreas Bergmann, Olle Melander

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

Trial report in BMC endocrine disorders, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01420198 (A Middle Eastern Immigrant Population At-risk for Diabetes; Contributing Risk Factors and the Efficiency and Cost-effectiveness of a Culturally Adopted Lifestyle Intervention Program - the MEDIM Study.), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.2field-weighted citation impact, top 54% 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.

NCT01420198 nacompletednot on this map

A Middle Eastern Immigrant Population At-risk for Diabetes; Contributing Risk Factors and the Efficiency and Cost-effectiveness of a Culturally Adopted Lifestyle Intervention Program - the MEDIM Study.

TypeinterventionalSponsorRegion SkaneRan2015 to 2015Enrolled96ConditionsType 2 Diabetes, Impaired Glucose Tolerance, Obesity, Physical ActivityArmsLifestyle intervention
3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. 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

6 authors at 2 institutions in 2 countries.

Louise BennetDepartment of Clinical Sciences, Lund University, Malmö, Sweden. louise.bennet@med.lu.se.ORCID http://orcid.org/0000-0001-7101-1290
Ayesha FawadDepartment of Clinical Sciences, Lund University, Malmö, Sweden.
Joachim StruckSphingotec GmbH, Hennigsdorf, Germany.
Sara Lönn LarssonDepartment of Clinical Sciences, Lund University, Malmö, Sweden.
Andreas BergmannSphingotec GmbH, Hennigsdorf, Germany.
Olle MelanderDepartment of Clinical Sciences, Lund University, Malmö, Sweden.
Lund University · SEInstitute for Bee Research · DE

Funding

Lund University ALF GrantRegion Skåne 226661the Swedish Research Council Linné grant to LUDC 349-2006-237, Exodiab 2009-1039the Swedish Society of Medicine SLS 97081 and 176831
6 · The paper itself

Abstract

aimsProneurotensin (Pro-NT) is a strong predictor of cardiometabolic disease including type 2 diabetes and obesity, however, the effect of lifestyle change on Pro-NT has not been investigated in this context. Middle Eastern (ME) immigrants represent the largest and fastest growing minority population in Europe and are a high-risk population for obesity and type 2 diabetes. In this randomised controlled lifestyle intervention (RCT) addressing ME immigrants to Sweden where weight-loss was previously studied as the main outcome, as a secondary analysis we aimed to study change in Pro-NT during follow-up and if baseline Pro-NT predicted weight loss.

methodsImmigrants from the Middle East at high risk for type 2 diabetes were invited to participate in this RCT adapted lifestyle intervention of four months' duration. The intervention group (N = 48) received a culturally adapted lifestyle intervention comprising seven group sessions and a cooking class addressing healthier diet and increased physical activity. The control group (N = 44) received treatment as usual with information to improve lifestyle habits on their own. Data assessed using mixed effects regression. OUTCOMES: Primary outcome; change in Pro-NT. Secondary outcome; change in BMI in relation to baseline plasma concentration of Pro-NT.

resultsDuring the four months follow up, weight was significantly reduced in the intervention (-2.5 kg) compared to the control group (0.8 kg) (β -0.12, 95% CI -0.24 to -0.01, P = 0.028). Pro-NT increased to a significantly greater extent in the intervention compared to the control group during follow up (28.2 vs. 3.5 pmol/L) (β 11.4; 4.8 to 18.02, P < 0.001). Change over time in BMI was associated with baseline Pro-NT (β 0.02; 0.01 to 0.04, P = 0.041).

conclusionIn consistence with data from surgical weight loss, this RCT paradoxically shows increased levels of Pro-NT during a multifactorial lifestyle intervention resulting in weight loss. Long term studies of Pro-NT following weight loss are needed.

trial registrationThis study is a secondary analysis of the RCT trial registered at www. CLINICALTRIALS: gov . REGISTRATION NUMBER: NCT01420198. Date of registration 19/08/2011. The performance and results of this trial conform to the CONSORT 2010 guidelines.

Indexed as

Diabetes Mellitus, Type 2ExerciseHumansLife StyleNeurotensinObesityProtein PrecursorsWeight LossNeurotensinproneurotensinProtein PrecursorsCulturally adapted lifestyle interventionMiddle EastMigrationProneurotensinType 2 diabetesWeight loss

Identifiers

PMID36316682
PMCPMC9620644
OpenAlexW4307885287

What OpenQuestion holds

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LicenceCC BY
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.