Evidence map›Paper›PMID 41026958›Full record

Trial reportDiabetes/metabolism research and reviews2025

Fibre-Enriched High-Carbohydrate (FEHC) Diet Modulates Inflammation Without Affecting Bone Health in Older Women With Obesity: A Randomised Clinical Trial.

Francesca Cannata, Viola Viola, Giulia Leanza, Alice Laudisio, Malak Faraj, Flavia Tramontana, Alessandra Piccoli, Rocky Strollo, Mauro Maccarrone, Fabrizio Russo and 7 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Diabetes/metabolism research and reviews, 2025. 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
–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

2 citing papers in PubMed.

  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

17 authors.

Francesca CannataDepartment of Medicine and Surgery, Research Unit of Endocrinology and Diabetes, Università Campus Bio-Medico di Roma, Rome, Italy.ORCID 0000-0002-1617-1950
Viola ViolaDepartment of Medicine and Surgery, Research Unit of Endocrinology and Diabetes, Università Campus Bio-Medico di Roma, Rome, Italy.ORCID 0000-0002-4557-816X
Giulia LeanzaDepartment of Medicine and Surgery, Research Unit of Endocrinology and Diabetes, Università Campus Bio-Medico di Roma, Rome, Italy.
Alice LaudisioOperative Research Unit of Orthopedic and Trauma Surgery, Fondazione Policlinico Universitario Campus Bio-Medico, Rome, Italy.
Malak FarajDepartment of Medicine and Surgery, Research Unit of Endocrinology and Diabetes, Università Campus Bio-Medico di Roma, Rome, Italy.
Flavia TramontanaDepartment of Medicine and Surgery, Research Unit of Endocrinology and Diabetes, Università Campus Bio-Medico di Roma, Rome, Italy.
Alessandra PiccoliDepartment of Medicine and Surgery, Research Unit of Endocrinology and Diabetes, Università Campus Bio-Medico di Roma, Rome, Italy.
Rocky StrolloDepartment of Human Sciences and Promotion of the Quality of Life San Raffaele Roma Open University, Rome, Italy.ORCID 0000-0001-8967-7613
Mauro MaccarroneEuropean Center for Brain Research (CERC)/Santa Lucia Foundation, Rome, Italy.
Fabrizio RussoOperative Research Unit of Orthopedic and Trauma Surgery, Fondazione Policlinico Universitario Campus Bio-Medico, Rome, Italy.
Gianluca VadalàOperative Research Unit of Orthopedic and Trauma Surgery, Fondazione Policlinico Universitario Campus Bio-Medico, Rome, Italy.
Veronica SansoniLaboratory of Experimental Biochemistry and Advanced Diagnostics, IRCCS Ospedale Galeazzi-Sant'Ambrogio, Milano, Italy.
Giovanni LombardiLaboratory of Experimental Biochemistry and Advanced Diagnostics, IRCCS Ospedale Galeazzi-Sant'Ambrogio, Milano, Italy.ORCID 0000-0002-8365-985X
Giuseppe BanfiLaboratory of Experimental Biochemistry and Advanced Diagnostics, IRCCS Ospedale Galeazzi-Sant'Ambrogio, Milano, Italy.
Chiara VerdelliLaboratory of Experimental Biochemistry and Advanced Diagnostics, IRCCS Ospedale Galeazzi-Sant'Ambrogio, Milano, Italy.
Rocco PapaliaOperative Research Unit of Orthopedic and Trauma Surgery, Fondazione Policlinico Universitario Campus Bio-Medico, Rome, Italy.
Nicola NapoliDepartment of Medicine and Surgery, Research Unit of Endocrinology and Diabetes, Università Campus Bio-Medico di Roma, Rome, Italy.

Funding

Italian Ministry of Health CO-2016-02362346Ministero della Salute
6 · The paper itself

Abstract

backgroundIn older adults, obesity is associated with frailty, conditions worsened by age related decline in bone mineral density (BMD) and muscle mass.

objectiveTo evaluate whether a 3-month Fibre-Enriched High Carbohydrate (FEHC) diet preserves bone health, reduces inflammation and modulates Wnt signalling in older adults with obesity.

methodsIn this clinical trial, 86 women aged 65-85 years with obesity (BMI ≥ 30 kg/m

resultsA significant reduction in waist circumference was observed over time in the FEHC group (p = 0.037), whereas no changes were detected in body weight, BMD or bone microarchitecture. Compared to FCD, the FEHC group showed reduced circulating IL-6 (p = 0.03), IL-8 (p = 0.022) and TNFα (p = 0.04) levels, along with lower IL-6 gene expression in muscle (p = 0.035). A strong trend of increased IGF-1 gene expression in muscle tissue of the FEHC group was also observed (p = 0.058). Gene expression analyses revealed a significant increase in WNT5a expression in muscle (p = 0.049), and an upward trend in WNT10b expression in bone (p = 0.055) while serum levels of DKK-1 were significantly higher in the FEHC group compared to FCD (p < 0.0001).

conclusionThe FEHC diet reduces systemic and local inflammation, without affecting skeletal health in older adults with obesity.

Indexed as

Bone and BonesBone DensityDietary CarbohydratesInflammationObesityAgedAged, 80 and overBiomarkersFemaleFollow-Up StudiesHumansPrognosisBiomarkersDietary Carbohydratesbone healthfibre‐enriched dietinflammationobesityWnt signalling

Identifiers

PMID41026958
PMCPMC12483497

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.