Evidence map›Paper›PMID 38689836›Full record

ArticleKidney medicine2024

The 10-Year Effects of Intensive Lifestyle Intervention on Kidney Outcomes.

Linda-Marie U Lavenburg, Douglas E Schaubel, Ariana M Chao, Peter P Reese, Jordana B Cohen

Open access · goldAbstract read
In one paragraph

Article in Kidney medicine, 2024. 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
2.9field-weighted citation impact, top 10% 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. Observational
  2. Review
  3. Review
  4. 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

5 authors at 2 institutions in 1 country.

Linda-Marie U LavenburgRenal-Electrolyte Division, Department of Medicine, University of Pittsburgh, Pittsburgh, PA.
Douglas E SchaubelDepartment of Biostatistics, Epidemiology and Informatics, University of Pennsylvania, Philadelphia, PA.
Ariana M ChaoDepartment of Biobehavioral Health Sciences, University of Pennsylvania School of Nursing, Philadelphia, PA.
Peter P ReeseDepartment of Biostatistics, Epidemiology and Informatics, University of Pennsylvania, Philadelphia, PA.
Jordana B CohenDepartment of Biostatistics, Epidemiology and Informatics, University of Pennsylvania, Philadelphia, PA.
University of Pennsylvania · USUniversity of Pittsburgh · US

Funding

Training in Renal ResearchT32DK007006 · NIDDK · UNIVERSITY OF PENNSYLVANIA · PI HOLZMAN, LAWRENCE B. · 1986 to 2023
$8.5M
Translational Pulmonary Vascular BiologyT32HL110849 · NHLBI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI Sruti Shiva · 2012 to 2026
$5.0M
Mentored research in solid organ transplantation: outcomes using organs from Hepatitis C virus infected donors for uninfected recipientsK24AI146137 · NIAID · UNIVERSITY OF PENNSYLVANIA · PI REESE, PETER PHILIP · 2019 to 2023
$671k
NHLBI NIH HHS T32 HL110849NIAID NIH HHS K24 AI146137NIDDK NIH HHS T32 DK007006
6 · The paper itself

Abstract

Rationale & Objective: Limited data exist on longitudinal kidney outcomes after nonsurgical obesity treatments. We investigated the effects of intensive lifestyle intervention on kidney function over 10 years. Study Design: Post hoc analysis of Action for Health in Diabetes (Look AHEAD) randomized controlled trial. Setting & Participants: We studied 4,901 individuals with type 2 diabetes and body mass index of ≥25 kg/m Exposures: Intensive lifestyle intervention versus diabetes support and education (ie, usual care). Outcome: Primary outcome was estimated glomerular filtration rate (eGFR, mL/min/1.73 m Analytical Approach: Linear mixed-effects models with random slopes and intercepts to evaluate the association between randomization arms and within-individual repeated measures of eGFR and UACR. We tested for effect modification by baseline eGFR. Results: At baseline, mean eGFR was 89, and 83% had a normal UACR. Over 10 years, there was no difference in eGFR slope (+0.064 per year; 95% CI: -0.036 to 0.16; Limitations: Loss of muscle may confound creatinine-based eGFR. Conclusions: In patients with type 2 diabetes and preserved kidney function, intensive lifestyle intervention did not change eGFR slope over 10 years. Among participants with baseline eGFR <80, lifestyle intervention had a slightly higher longitudinal mean eGFR than usual care. Further studies evaluating the effects of intensive lifestyle intervention in people with kidney disease are needed.

Indexed as

Diabeteskidneylifestyle interventionobesityweight loss

Identifiers

PMID38689836
PMCPMC11059390
OpenAlexW4393071110

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.