Evidence map›Paper›PMID 36558484›Full record

ArticleNutrients2022

Revised Protein Sparing Diet in Obesity and Type 2 Diabetes Mellitus.

Raffaele Ivan Cincione, Francesca Losavio, Giuseppe Cibelli, Giovanni Messina, Rita Polito, Elias Casula, Pamela Pia Cincione, Marco Amatruda, Pierpaolo Limone

Open access · goldAbstract read
In one paragraph

Article in Nutrients, 2022. 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
0.6field-weighted citation impact, top 33% 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, 5 citations in OpenAlex.

  1. Trial
  2. 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

9 authors at 2 institutions in 1 country.

Raffaele Ivan CincioneDepartment of Clinical and Experimental Medicine, University of Foggia, 71122 Foggia, Italy.
Francesca LosavioDepartment of Clinical and Experimental Medicine, University of Foggia, 71122 Foggia, Italy.
Giuseppe CibelliDepartment of Clinical and Experimental Medicine, University of Foggia, 71122 Foggia, Italy.
Giovanni MessinaDepartment of Clinical and Experimental Medicine, University of Foggia, 71122 Foggia, Italy.ORCID 0000-0002-0011-867X
Rita PolitoDepartment of Clinical and Experimental Medicine, University of Foggia, 71122 Foggia, Italy.
Elias CasulaIRCCS Santa Lucia Foundation, 00128 Rome, Italy.
Pamela Pia CincioneFaculty of Medicine, University of Foggia, 71122 Foggia, Italy.
Marco AmatrudaFaculty of Medicine, University of Foggia, 71122 Foggia, Italy.
Pierpaolo LimoneDepartment of Humanities, University of Foggia, 71122 Foggia, Italy.
University of Foggia · ITFondazione Santa Lucia · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Effective nutrition therapy is a pressing issue in obesity and type 2 diabetes mellitus (T2DM) management. As such, this research aimed to determine the performance of a revised dietary strategy built on the protein-sparing diet in obesity and type 2 diabetes mellitus with regard to obtaining a rapid and stable improvement in glucometabolic control, body weight, body composition, and energy metabolism when applying the strategy in just twenty-one days. The revised protein-sparing diet differs from the traditional protein-sparing modified fast (PSMF) because it does not include foods. The daily calorie intake of this diet is exclusively derived from Isolate whey protein in addition to a formulation of Isolate whey protein enriched with essential amino acids in free form, with the addition of lipids such as extra virgin olive oil and coconut oil as a source of medium chain fatty acids, where the latter is taken for only the first four days of the diet, together with the use, for the same duration, of extended-release metformin, as the only antihyperglycemic allowed. Anthropometric measurements, bioimpedance analysis, indirect calorimetry, and blood chemistry assessments were conducted at the beginning of the study, time 0 (T0), and at the end, time 1 (T1), i.e., on the 21st day. The main outcomes of the revised protein-sparing diet after only twenty-one days were a reduction in body weight with the predominant loss of visceral atherogenic abdominal fat and, therefore, a possible contextual reduction in ectopic fat deposits together with a simultaneous reduction in insulin resistance and normalization of insulin levels, maintenance of free fat mass and basal metabolism, restoration of metabolic flexibility, and improvement of the glucometabolic and lipidic parameters. These results demonstrate the promising potential of the revised protein-sparing diet as an "etiologic tool" in the integrated nutritional treatment of metabolic diseases such as obesity and type 2 diabetes mellitus.

Indexed as

Diabetes Mellitus, Type 2Body WeightDietHumansObesityWhey ProteinsWhey Proteinsbody compositiondiabetes reversalectopic fatfat massfree fat massindirect calorimetrymetabolic inflexibilityobesityrevised protein sparing diettype 2 diabetes mellitus

Identifiers

PMID36558484
PMCPMC9788379
OpenAlexW4311790954

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.