Evidence map›Paper›PMID 41121232›Full record

ArticleOrphanet journal of rare diseases2025

Efficacy and tolerability of a low-glycemic-index ketogenic diet in Angelman syndrome: findings from the DIANE study.

Gema Iglesias Escalera, Rosario Cazorla Calleja, María Lorenzo Ruiz, Julián Lara Herguedas, Carolina Gutiérrez Junquera, María Luz Cilleruelo Pascual, Antonio F Caballero-Bermejo, Enriqueta Roman-Riechmann, Samuel Ignacio Pascual Pascual, Belén Ruiz-Antorán and 1 more

Abstract read
In one paragraph

Article in Orphanet journal of rare diseases, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 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.

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 synthesis or guideline pooled it.

  1. Use of Wearable Sensors in Angelman Syndrome: A Systematic Review.Journal of intellectual disability research : JIDR · 2026
    Pooled it
  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

11 authors.

Gema Iglesias EscaleraNeuropediatrics Unit, Department of Pediatrics. Hospital, Universitario Puerta de Hierro, Majadahonda, Madrid, Spain.
Rosario Cazorla CallejaNeuropediatrics Unit, Department of Pediatrics. Hospital, Universitario Puerta de Hierro, Majadahonda, Madrid, Spain.
María Lorenzo RuizNeuropediatrics Unit, Department of Pediatrics. Hospital, Universitario Puerta de Hierro, Majadahonda, Madrid, Spain.
Julián Lara HerguedasNeuropediatrics Unit, Department of Pediatrics. Hospital, Universitario Puerta de Hierro, Majadahonda, Madrid, Spain.
Carolina Gutiérrez JunqueraPediatric Gastroenterology Unit. Department of Pediatrics. Hospital, Universitario Puerta de Hierro, Majadahonda, Madrid, Spain.
María Luz Cilleruelo PascualPediatric Gastroenterology Unit. Department of Pediatrics. Hospital, Universitario Puerta de Hierro, Majadahonda, Madrid, Spain.
Antonio F Caballero-BermejoFacultad de Ciencias de la Salud, Universidad Alfonso X El Sabio, Madrid, Spain. afcaballerobermejo@gmail.com.ORCID http://orcid.org/0000-0002-8113-2085
Enriqueta Roman-RiechmannPediatric Gastroenterology Unit. Department of Pediatrics. Hospital, Universitario Puerta de Hierro, Majadahonda, Madrid, Spain.
Samuel Ignacio Pascual PascualFaculty of Medicine, Universidad Autónoma de Madrid, Madrid, Spain.
Belén Ruiz-AntoránFacultad de Medicina y Ciencias de la Salud, Universidad Nebrija, Madrid, Spain.
DIANE Study Group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimThis study evaluates the efficacy of a low-glycemic-index diet (LGID) in improving neurodevelopmental and sleep outcomes in pediatric Angelman Syndrome (AS) patients.

methodA prospective, evaluator-blinded cohort study was conducted with 20 pediatric patients (3-16 years) diagnosed with AS. Patients were assigned to an LGID or habitual diet group and followed for 24 weeks. The primary outcome was neurodevelopmental progress measured using the Bayley Scales of Infant and Toddler Development-III. Secondary outcomes included adaptive behavior (Vineland-II), gross motor function (GMFM-88), sleep quality (actigraphy and questionnaires), seizure frequency and a 30-min awake video-EEG.

resultsAt 24 weeks, the LGID group showed a trend toward improvement in cognitive and language domains, although differences were not statistically significant (p > 0.05). Qualitative EEG improvement was observed in 44% of LGID patients versus 25% in the control group. Sleep parameters showed minor changes, with no significant differences between groups.

interpretationWhile the LGID was well-tolerated and showed trends toward neurocognitive and seizure improvements, results were not statistically significant. Further studies with larger sample sizes are needed.

Indexed as

Angelman SyndromeDiet, KetogenicGlycemic IndexAdolescentChildChild, PreschoolFemaleHumansMaleProspective StudiesAngelman syndromeDietDiet therapyElectroencephalographyKetogenicSeizuresTreatment outcome

Identifiers

PMID41121232
PMCPMC12538946

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Registered trials

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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.