Evidence map›Paper›PMID 39450267›Full record

ArticleObesity science & practice2024

Optimizing muscle preservation during weight loss in patients with cirrhosis: A pilot study comparing continuous energy restriction to alternate-day modified fasting for weight loss in patients with obesity and non-alcoholic cirrhosis of the liver.

Winston Dunn, Stephen D Herrmann, Robert N Montgomery, Mary Hastert, Jeffery J Honas, Jessica Rachman, Joseph E Donnelly, Felicia L Steger

Registry-linked trialAbstract read
In one paragraph

Article in Obesity science & practice, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05367596 (OPTIMIzing muScle Preservation in paTients wIth Cirrhosis), which is not on this map. Cited by 3 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 2 pooled it
–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.

NCT05367596 nacompletednot on this map

OPTIMIzing muScle Preservation in paTients wIth Cirrhosis

TypeinterventionalSponsorUniversity of Kansas Medical CenterRan2022 to 2022Enrolled20ConditionsObesity, Compensated Cirrhosis, SarcopeniaArmsContinuous Energy Restriction (CER), Alternate Day Modified Fasting (ADMF), Group Health Education Sessions, Late Evening Snack, Physical activity
3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  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

8 authors.

Winston DunnDivision of Gastroenterology, Hepatology and Motility, Diabetes, and Clinical Pharmacology Department of Internal Medicine University of Kansas Medical Center Kansas City Kansas USA.ORCID https://orcid.org/0000-0002-4246-6998
Stephen D HerrmannDivision of Physical Activity and Weight Management Department of Internal Medicine University of Kansas Medical Center Kansas City Kansas USA.ORCID https://orcid.org/0000-0003-1933-5938
Robert N MontgomeryDepartment of Biostatistics and Data Science, Department of Internal Medicine University of Kansas Medical Center Kansas City Kansas USA.
Mary HastertDivision of Physical Activity and Weight Management Department of Internal Medicine University of Kansas Medical Center Kansas City Kansas USA.
Jeffery J HonasDivision of Physical Activity and Weight Management Department of Internal Medicine University of Kansas Medical Center Kansas City Kansas USA.
Jessica RachmanDivision of Gastroenterology, Hepatology and Motility, Diabetes, and Clinical Pharmacology Department of Internal Medicine University of Kansas Medical Center Kansas City Kansas USA.
Joseph E DonnellyDivision of Physical Activity and Weight Management Department of Internal Medicine University of Kansas Medical Center Kansas City Kansas USA.
Felicia L StegerDivision of Endocrinology, Diabetes, and Clinical Pharmacology, Department of Internal Medicine Department of Dietetics and Nutrition University of Kansas Medical Center Kansas City Kansas USA.ORCID https://orcid.org/0000-0002-8117-4082

Funding

RADx-UP: Improving the Response of Local Urban and Rural Communities to Disparities in Covid-19 TestingUL1TR002366 · NCATS · UNIVERSITY OF KANSAS MEDICAL CENTER · PI Mario Castro, JAMES STEVEN LEEDER · 2017 to 2026
$44.3M
longitudinal assessment of stress and stress-related concepts across a behavioral weight loss interventionP20GM144269 · NIGMS · UNIVERSITY OF KANSAS MEDICAL CENTER · PI John P Thyfault, STEVEN A WEINMAN · 2022 to 2026
$14.9M
NCATS NIH HHS UL1 TR002366NIGMS NIH HHS P20 GM144269
6 · The paper itself

Abstract

Introduction: Obesity is associated with increased morbidity in patients with advanced liver disease, but it is particularly challenging for these patients to preserve skeletal muscle mass during weight loss and accelerating sarcopenia is a concern. Alternate-day modified fasting (ADMF) may be particularly effective for weight loss in patients with concomitant cirrhosis and obesity due to preservation of fat-free mass (FFM). Methods: A weight loss program featuring either ADMF or a continuous low-calorie diet (LCD) was evaluated in a 24-week randomized clinical trial in 20 adult patients with Child-Pugh Class A cirrhosis and obesity. Participants were randomized to either ADMF ( Results: Thirteen participants completed the intervention (Age = 57 ± 10; BMI = 37.7 ± 5.8 kg/m Conclusion: This pilot study demonstrates the feasibility of the ADMF and LCD interventions to produce significant weight loss while improving body composition in patients with cirrhosis and obesity. Further research is needed to validate these findings in larger cohorts and to assess changes in muscle quality and visceral fat. Trial Registration: ClinicalTrials.gov Identifier: NCT05367596.

Indexed as

body compositioncirrhosisintermittent fastingmuscleobesityweight loss

Identifiers

PMID39450267
PMCPMC11500757

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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.