Evidence map›Paper›PMID 30714668›Full record

SynthesisNutrition & dietetics : the journal of the Dietitians Association of Australia2019

Effectiveness of dietetic consultation for lowering blood lipid levels in the management of cardiovascular disease risk: A systematic review and meta-analysis of randomised controlled trials.

Lynda J Ross, Katelyn A Barnes, Lauren E Ball, Lana J Mitchell, Ishtar Sladdin, Patricia Lee, Lauren T Williams

Open access · hybridAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Nutrition & dietetics : the journal of the Dietitians Association of Australia, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 6 pooled it
10.1field-weighted citation impact, top 2% 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

23 citing papers in PubMed, 6 syntheses or guidelines pooled it, 45 citations in OpenAlex.

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  15. Developing the Quality in Nutrition Care Model for Dietitians (QUINCE-MOD) in primary care: A mixed-method survey of healthcare consumers and professionals.Journal of human nutrition and dietetics : the official journal of the British Dietetic Association · 2023
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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

7 authors at 1 institution in 1 country.

Lynda J RossMenzies Health Institute Queensland, Queensland, Australia.ORCID 0000-0003-2947-4130
Katelyn A BarnesGriffith University, Gold Coast, Brisbane, Queensland, Australia.ORCID 0000-0001-5891-1331
Lauren E BallMenzies Health Institute Queensland, Queensland, Australia.ORCID 0000-0002-5394-0931
Lana J MitchellMenzies Health Institute Queensland, Queensland, Australia.ORCID 0000-0002-4546-6969
Ishtar SladdinMenzies Health Institute Queensland, Queensland, Australia.ORCID 0000-0003-1544-0087
Patricia LeeGriffith University, Gold Coast, Brisbane, Queensland, Australia.
Lauren T WilliamsMenzies Health Institute Queensland, Queensland, Australia.ORCID 0000-0002-7860-0319
Griffith University · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimEvidence of the effectiveness of dietetic consultation for the management of cardiovascular disease (CVD) risk factors has not been previously synthesised. A systematic review and four meta-analyses evaluated the effectiveness of dietetic consultation for lowering blood lipid levels in high-risk individuals in primary health-care settings.

methodsOf the 4860 records identified, 10 eligible randomised controlled trials (RCTs, n = 1530) were evaluated for reporting blood lipid outcomes following dietetic consultation (DN)-defined as at least one exclusive individual face-to-face consultation with a dietitian and comparators (C)-defined as no nutrition intervention or usual or minimal care provided by physicians and/or nurses.

resultsDN groups were effective for lowering blood lipid levels across nine studies reporting total cholesterol (TC) and LDL; and across five of six studies reporting triglycerides (TG). Between-group differences were not consistently assessed, with significance levels reported in four studies all in favour of DN, P < 0.05. Meta-analyses for TC and LDL (seven studies) confirmed DN and C groups were equally effective, P > 0.05; and for TG (six studies) DN groups were significantly more effective than C groups, P < 0.05).

conclusionsThis review provides RCT evidence that dietetic counselling is effective for lowering TG levels and at least as effective as usual and minimal care for improving cholesterol levels in high-risk individuals in primary health care. However, more adequate reporting of methods and greater consistency in timing interventions and data collection will enhance the quality of the evidence and increase confidence in the health benefits of dietetic counselling for the management of CVD risk.

Indexed as

Nutritional SupportNutritionistsReferral and ConsultationBiomarkersCardiovascular DiseasesDyslipidemiasHumansLipidsRandomized Controlled Trials as TopicRisk AssessmentRisk FactorsTreatment OutcomeBiomarkersLipidscardiovascular diseaseclinical nutrition and dieteticscounsellinglipids nutrition care processsystematic literature reviews

Identifiers

PMID30714668
PMCPMC6850486
OpenAlexW2914477694

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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 Socratic graph.