Evidence map›Paper›PMID 23801725›Full record

Trial reportDiabetes care2013

Infancy-onset dietary counseling of low-saturated-fat diet improves insulin sensitivity in healthy adolescents 15-20 years of age: the Special Turku Coronary Risk Factor Intervention Project (STRIP) study.

Olli Oranta, Katja Pahkala, Soile Ruottinen, Harri Niinikoski, Hanna Lagström, Jorma S A Viikari, Antti Jula, Britt-Marie Loo, Olli Simell, Tapani Rönnemaa and 1 more

Open access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Diabetes care, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 4 pooled it
1.1field-weighted citation impact, top 22% of its field
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

18 citing papers in PubMed, 4 syntheses or guidelines pooled it, 42 citations in OpenAlex.

  1. Pooled it
  2. Effects of total fat intake on bodyweight in children.The Cochrane database of systematic reviews · 2018
    Pooled it
  3. Effects of total fat intake on bodyweight in children.The Cochrane database of systematic reviews · 2018
    Pooled it
  4. Pooled it
  5. Trial
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  8. Trial
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  10. Trial
  11. Article
  12. Review
  13. Prevention of atherosclerosis from childhood.Nature reviews. Cardiology · 2022
    Review
  14. Article
  15. Article
  16. Article
  17. Childhood obesity and insulin resistance: how should it be managed?Current treatment options in cardiovascular medicine · 2014
    Article
  18. 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 at 3 institutions in 1 country.

Olli OrantaCorresponding author: Olli Oranta, olli.oranta@utu.fi.
Katja Pahkala
Soile Ruottinen
Harri Niinikoski
Hanna Lagström
Jorma S A Viikari
Antti Jula
Britt-Marie Loo
Olli Simell
Tapani Rönnemaa
Olli T Raitakari
University of Turku · FIFinnish Institute for Health and Welfare · FIPaavo Nurmen Säätiö · FI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveWe reported previously that low-saturated-fat dietary counseling started in infancy improves insulin sensitivity in healthy children 9 years of age. The aim of this study was to evaluate the effect of lifelong dietary counseling on insulin sensitivity in healthy adolescents between 15 and 20 years of age. In addition, we examined dietary fiber intake and the polyunsaturated fatty acid (PUFA)+monounsaturated (MUFA)-to-saturated fatty acid (SFA) ratio in the intervention and control adolescents and the association of these dietary factors with homeostasis model of insulin resistance (HOMA-IR). RESEARCH DESIGN AND

methodsThe study comprised adolescents participating in the randomized, controlled Special Turku Coronary Risk Factor Intervention Project (STRIP) study, which aims to guide the study participants toward a diet beneficial for cardiovascular health. HOMA-IR was assessed annually between 15 and 20 years of age (n=518; intervention, n=245; control, n=273), along with diet, BMI, pubertal status, serum cotinine concentrations, and physical activity. Dietary counseling was given biannually during the follow-up.

resultsHOMA-IR was lower (7.5% on average) in the intervention group than in the control group between 15 and 20 years of age (P=0.0051). The intervention effect was similar in girls and boys. The PUFA+MUFA-to-SFA ratio was higher (P<0.0001) and the dietary fiber (g/MJ) intake was higher (P=0.0058) in the intervention group compared with the control group. There was no association between the PUFA+MUFA-to-/SFA ratio and HOMA-IR, whereas dietary fiber intake (g/MJ) was associated with HOMA-IR in girls (P<0.0001).

conclusionsDietary counseling initiated in infancy and maintained until 20 years of age was associated with improved insulin sensitivity in adolescents.

Indexed as

AdolescentAdultBlood GlucoseCounselingDietary FatsDiet, Fat-RestrictedFemaleHumansInsulin ResistanceMaleYoung AdultBlood GlucoseDietary Fats

Identifiers

PMID23801725
PMCPMC3781523
OpenAlexW2132508016

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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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 Socratic graph.