Evidence map›Paper›PMID 39311554›Full record

ArticleJournal of clinical research in pediatric endocrinology2025

The Effect of Dietary Acid Load on Cardiometabolic Risk, Psychological Resilience and Sleep Quality in Adolescents with Obesity

Rukiye Bozbulut, Esra Döğer, Mahmut Orhun Çamurdan, Aysun Bideci

Abstract read
In one paragraph

Article in Journal of clinical research in pediatric endocrinology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. 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

4 authors.

Rukiye BozbulutGazi University Faculty of Medicine, Department of Pediatric Endocrinology, Ankara, TürkiyeORCID 0000-0003-4317-9226
Esra DöğerGazi University Faculty of Medicine, Department of Pediatric Endocrinology, Ankara, TürkiyeORCID 0000-0003-0802-3955
Mahmut Orhun ÇamurdanGazi University Faculty of Medicine, Department of Pediatric Endocrinology, Ankara, TürkiyeORCID 0000-0003-1368-2605
Aysun BideciGazi University Faculty of Medicine, Department of Pediatric Endocrinology, Ankara, TürkiyeORCID 0000-0003-0302-414X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: Mild metabolic acidosis may adversely affect cardiovascular risk factors, and diet-dependent acid-base load may impair mental health and sleep quality. The aim of this study was to investigate the effects of dietary acid load (DAL) on cardiometabolic risk factors, psychological resilience, and sleep quality in adolescents with obesity. Methods: Obese adolescents participated in the study. Biochemical parameters, anthropometric measurements and blood pressures were measured. Three-day retrospective food intake records were collected from the adolescents, and potential renal acid load (PRAL), net endogenous acid production (NEAP), and DAL were derived from food intake records. Psychological resilience was assessed by the Child and Youth Resilience Measure (CYRM-12) and sleep quality was assessed by the Pittsburgh Sleep Quality Index (PSQI). Results: A total of 205 adolescents with obesity (105 males, 100 females) aged 13-18 years participated. Body mass index, fat mass, fat percentage, fasting insulin, triglyceride, systolic blood pressure, homeostasis model assessment for insulin resistance (HOMA-IR) and PSQI scores were significantly higher and psychological resilience levels were significantly lower in high tertiles of DAL (p<0.05). Adolescents in the lowest tertile of DAL scores had higher consumption of whole grains, vegetables, dairy, legumes, and higher intakes of potassium and calcium than adolescents in the highest tertile of the DAL scores (p<0.05). Red meat, and white meat consumption and sodium intake were higher in adolescents in the high tertiles (p<0.05). Energy intakes were found to be significantly lower in the first tertile of PRAL and DAL scores compared to the other tertiles (p<0.05). A linear regression model ahowed an increase in NEAP, PRAL and DAL scores led to a decrease in psychological resilience score and an increase in PSQI and HOMA-IR scores (p<0.05). Conclusion: High DAL was associated with high cardiometabolic risk, insulin resistance, and low psychological resilience and poor sleep quality.

Indexed as

AcidosisCardiometabolic Risk FactorsCardiovascular DiseasesDietPediatric ObesityResilience, PsychologicalSleep QualityAdolescentFemaleHumansMaleRetrospective Studiescardiometabolic riskDietary acid loadpsychological resiliencesleep quality

Identifiers

PMID39311554
PMCPMC11923501

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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.