Evidence map›Paper›PMID 23316283›Full record

SynthesisJournal of the American Heart Association2012

Associations of glycemic index and load with coronary heart disease events: a systematic review and meta-analysis of prospective cohorts.

Arash Mirrahimi, Russell J de Souza, Laura Chiavaroli, John L Sievenpiper, Joseph Beyene, Anthony J Hanley, Livia S A Augustin, Cyril W C Kendall, David J A Jenkins

4 registry-linked trialsAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Journal of the American Heart Association, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 4 registered trials, which are not on this map. Cited by 64 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
64citing papers in PubMed, 8 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.

NCT02557022 unknown statusnot on this mapstarted 2014, after this paper: background citation

The Effect of a Low Glycemic Index Diet and Glycemic Load on Body Weight: A Systematic Review and Meta-analyses of Randomized Controlled Trials

TypeobservationalSponsorUniversity of TorontoRan2014 to 2017Enrolled1ConditionsBody Weight, Obesity, Cardiovascular Diseases, Diabetes Mellitus, Type 2ArmsGI and/or GL
NCT02702375 unknown statusnot on this mapstarted 2015, after this paper: background citation

Relation of Important Food Sources of Sugars With Incident Cardiometabolic Disease: A Series of Systematic Reviews and Meta-analyses to Inform Guidelines, Public Health Policy, and Future Research Design

TypeobservationalSponsorUniversity of TorontoRan2015 to 2018Enrolled1ConditionsDiabetes Mellitus, Type 2, Metabolic Syndrome X, Hypertension, Cardiovascular DiseasesArmsFructose-containing Sugars
NCT02961088 unknown statusnot on this mapstarted 2016, after this paper: background citation

Effect of Pasta as Part of Low Glycemic Index Diets on Body Weight and Markers of Adiposity in Humans: A Series of Systematic Reviews and Meta-analyses to Provide Evidence-based Guidance for Nutrition Guidelines Development

TypeobservationalSponsorUniversity of TorontoRan2016 to 2018Enrolled1ConditionsDiabetes, Prediabetes, Overweight, ObesityArmsPasta as part of a low GI/GL diet
NCT03104712 nacompletednot on this mapstarted 2017, after this paper: background citation

The Importance of Glycemic Index on Postprandial Glycemia and Insulinemia in the Context of the Addition of Fat to Carbohydrate Foods: A Randomized Controlled Trial on Spaghetti Versus Rice as Mixed Meals

TypeinterventionalSponsorUniversity of ParmaRan2017 to 2018Enrolled13ConditionsDietary ModificationArmsGlucose #1, Glucose #2, Glucose #3, Spaghetti, Rice
3 · Its place in the literature

Who cites it

64 citing papers in PubMed, 8 syntheses or guidelines pooled it.

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  5. Low glycaemic index diets for the prevention of cardiovascular disease.The Cochrane database of systematic reviews · 2017
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4 more citing papers are in PubMed but not listed here.

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

9 authors.

Arash MirrahimiClinical Nutrition and Risk Factor Modification Center, St. Michael's Hospital, Toronto, Ontario, Canada.
Russell J de Souza
Laura Chiavaroli
John L Sievenpiper
Joseph Beyene
Anthony J Hanley
Livia S A Augustin
Cyril W C Kendall
David J A Jenkins

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGlycemic index (GI) and glycemic load (GL) have been associated with coronary heart disease (CHD) risk in some but not all cohort studies. We therefore assessed the association of GI and GL with CHD risk in prospective cohorts. METHODS AND

resultsWe searched MEDLINE, EMBASE, and CINAHL (through April 5, 2012) and identified all prospective cohorts assessing associations of GI and GL with incidence of CHD. Meta-analysis of observational studies in epidemiology (MOOSE) methodologies were used. Relative measures of risk, comparing the group with the highest exposure (mean GI of cohorts=84.4 GI units, range 79.9 to 91; mean GL of cohorts=224.8, range 166 to 270) to the reference group (mean GI=72.3 GI units, range 68.1 to 77; mean GL=135.4, range 83 to 176), were pooled using random-effects models, expressed as relative risk (RR) with heterogeneity assessed by χ(2) and quantified by I(2). Subgroups included sex and duration of follow-up. Ten studies (n=240 936) were eligible. Pooled analyses showed an increase in CHD risk for the highest GI quantile compared with the lowest, with RR=1.11 (95% confidence interval [CI] 0.99 to 1.24) and for GL, RR=1.27 (95% CI 1.09 to 1.49), both with evidence of heterogeneity (I(2)>42%, P<0.07). Subgroup analyses revealed only a significant modification by sex, with the female cohorts showing significance for GI RR=1.26 (95% CI 1.12 to 1.41) and for GL RR=1.55 (95% CI 1.18 to 2.03).

conclusionsHigh GI and GL diets were significantly associated with CHD events in women but not in men. Further studies are required to determine the relationship between GI and GL with CHD in men.

Indexed as

Coronary DiseaseGlycemic IndexHumansIncidenceRisk Factorscoronary heart diseaseglycemic index and loadmeta-analysisnutritionprospective cohort

Identifiers

PMID23316283
PMCPMC3541617

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

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 Socratic graph.