Evidence map›Paper›PMID 32325919›Full record

Trial reportNutrients2020

Decreased Consumption of Added Fructose Reduces Waist Circumference and Blood Glucose Concentration in Patients with Overweight and Obesity. The DISFRUTE Study: A Randomised Trial in Primary Care.

Santiago Domínguez-Coello, Lourdes Carrillo-Fernández, Jesús Gobierno-Hernández, Manuel Méndez-Abad, Carlos Borges-Álamo, José Antonio García-Dopico, Armando Aguirre-Jaime, Antonio Cabrera-de León

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Nutrients, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
2.3field-weighted citation impact, top 11% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Diet and metabolic syndrome: a narrative review.Internal and emergency medicine · 2023
    Review
  6. Review
  7. Article
  8. Review
  9. Article
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

8 authors at 5 institutions in 1 country.

Santiago Domínguez-CoelloCentro de Salud La Victoria de Acentejo-Tenerife, Calle Domingo Salazar 21, 38380 Tenerife, Canary Islands, Spain.
Lourdes Carrillo-FernándezCentro de Salud La Victoria de Acentejo, 38380 Tenerife, Canary Islands, Spain.
Jesús Gobierno-HernándezCentro de Salud de Güimar 38500Tenerife, Canary Islands, Spain.
Manuel Méndez-AbadCentro de Salud de la Orotava San Antonio, 38313 Tenerife, Canary Islands, Spain.
Carlos Borges-ÁlamoCentro de Salud Ruiz de Padrón, 38002 Tenerife, Canary Islands, Spain.
José Antonio García-DopicoLaboratorio del Complejo Hospitalario Universitario de Canarias, 38320 La Laguna, Canary Islands, Spain.
Armando Aguirre-JaimeHealth Care Research Institute of the Santa Cruz de Tenerife College of Nursing, Colegio Oficial de Enfermeros de Santa Cruz de Tenerife, 38001 Tenerife, Spain.
Antonio Cabrera-de LeónUnidad de Investigación de la Gerencia de Atención Primaria de Tenerife y del Hospital Universitario Nuestra Señora de la Candelaria, Santa Cruz de Tenerife, 38010 Tenerife, Canary Islands, Spain.
Servicio Canario de la Salud · ESHospital Universitario de Canarias · ESHospital Universitario Nuestra Señora de Candelaria · ESObservatorio de la Inmigración de Tenerife · ESUniversidad de La Laguna · ES

Funding

Fundación Caja Canarias 2013 OBE04Fundación DISA Premio Investigación Médica 2018Instituto de Salud Carlos III PI12/00231
6 · The paper itself

Abstract

The relationship between fructose intake and insulin resistance remains controversial. Our purpose was to determine whether a reduction in dietary fructose is effective in decreasing insulin resistance (HOMA2-IR). This field trial was conducted on 438 adults with overweight and obese status, without diabetes. A total of 121 patients in a low fructose diet (LFD) group and 118 in a standard diet (SD) group completed the 24-week study. Both diets were prescribed with 30-40% of energy intake restriction. There were no between-group differences in HOMA2-IR. However, larger decreases were seen in the LFD group in waist circumference (-7.0 vs. -4.8 = -2.2 cms, 95% CI: -3.7, -0.7) and fasting blood glucose -0.25 vs. -0.11 = -0.14 mmol/L, 95% CI: -0.028, -0.02). The percentage of reduction in calorie intake was similar. Only were differences observed in the % energy intake for some nutrients: total fructose (-2 vs. -0.6 = -1.4, 95% CI: -2.6, -0.3), MUFA (-1.7 vs. -0.4 = -1.3, 95% CI: -2.4, -0.2), protein (5.1 vs. 3.6 = 1.4, 95% CI: 0.1, 2.7). The decrease in fructose consumption originated mainly from the reduction in added fructose (-2.8 vs. -1.9 = -0.9, 95% CI: -1.6, -0.03). These results were corroborated after multivariate adjustments. The low fructose diet did not reduce insulin resistance. However, it reduced waist circumference and fasting blood glucose concentration, which suggests a decrease in hepatic insulin resistance.

Indexed as

Diet, Carbohydrate-RestrictedWaist CircumferenceAdultBlood GlucoseDietary CarbohydratesFastingFemaleFructoseHumansInsulin ResistanceLiverMaleObesityOverweightBlood GlucoseDietary CarbohydratesFructoseclinical trialfructoseinsulin resistancenon-alcoholic fatty liver disease (NAFLD)obesityprimary health caresugars

Identifiers

PMID32325919
PMCPMC7231003
OpenAlexW3016806971

What Socratic 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 Socratic graph.