Evidence mapPaperPMID 33079935Full record

Trial reportPloS one2020

Randomized nutrient bar supplementation improves exercise-associated changes in plasma metabolome in adolescents and adult family members at cardiometabolic risk.

Michele Mietus-Snyder, Nisha Narayanan, Ronald M Krauss, Kirsten Laine-Graves, Joyce C McCann, Mark K Shigenaga, Tara H McHugh, Bruce N Ames, Jung H Suh

Erratum issued Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in PloS one, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to trial NCT02239198 (Attenuating the Micronutrient Malnutrition of Overnutrition), which is not on this map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.0field-weighted citation impact, top 25% 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.

NCT02239198 nacompletednot on this map

Attenuating the Micronutrient Malnutrition of Overnutrition (AMMO)

TypeinterventionalSponsorUCSF Benioff Children's Hospital OaklandRan2016 to 2017Enrolled16ConditionsCardiovascular Disease PreventionArmsNutrition bar
3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 9 citations in OpenAlex.

  1. Trial
  2. Review
  3. Article
  4. Article
  5. Review
  6. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 4 institutions in 1 country.

Michele Mietus-SnyderDivision of Cardiology, Department of Pediatrics, Children's National Hospital, George Washington University School of Medicine and Health Sciences, Washington DC, United States of America.ORCID 0000-0003-2791-9896
Nisha NarayananWeill Cornell Medical College, Cornell University, New York, New York, United States of America.
Ronald M KraussUniversity of California Benioff Children's Hospital San Francisco, San Francisco, California, United States of America.
Kirsten Laine-GravesUniversity of California Benioff Children's Hospital Oakland Research Institute, Oakland, California, United States of America.
Joyce C McCannUniversity of California Benioff Children's Hospital Oakland Research Institute, Oakland, California, United States of America.
Mark K ShigenagaUniversity of California Benioff Children's Hospital Oakland Research Institute, Oakland, California, United States of America.
Tara H McHughUnited States Department of Agriculture, Western Regional Research Center, Albany, California, United States of America.
Bruce N AmesUniversity of California Benioff Children's Hospital Oakland Research Institute, Oakland, California, United States of America.
Jung H SuhUniversity of California Benioff Children's Hospital Oakland Research Institute, Oakland, California, United States of America.
UCSF Benioff Children's Hospital · USCornell University · USGeorge Washington University · USUnited States Department of Agriculture · US

Funding

NIH HHS S10 OD018070
6 · The paper itself

Abstract

backgroundPoor diets contribute to metabolic complications of obesity, insulin resistance and dyslipidemia. Metabolomic biomarkers may serve as early nutrition-sensitive health indicators. This family-based lifestyle change program compared metabolic outcomes in an intervention group (INT) that consumed 2 nutrient bars daily for 2-months and a control group (CONT).

methodsOverweight, predominantly minority and female adolescent (Teen)/parent adult caretaker (PAC) family units were recruited from a pediatric obesity clinic. CONT (8 Teen, 8 PAC) and INT (10 Teen, 10 PAC) groups randomized to nutrient bar supplementation attended weekly classes that included group nutrition counseling and supervised exercise. Pre-post physical and behavioral parameters, fasting traditional biomarkers, plasma sphingolipids and amino acid metabolites were measured.

resultsIn the full cohort, a baseline sphingolipid ceramide principal component composite score correlated with adiponectin, triglycerides, triglyceride-rich very low density lipoproteins, and atherogenic small low density lipoprotein (LDL) sublasses. Inverse associations were seen between a sphingomyelin composite score and C-reactive protein, a dihydroceramide composite score and diastolic blood pressure, and the final principal component that included glutathionone with fasting insulin and the homeostatic model of insulin resistance. In CONT, plasma ceramides, sphinganine, sphingosine and amino acid metabolites increased, presumably due to increased physical activity. Nutrient bar supplementation (INT) blunted this rise and significantly decreased ureagenic, aromatic and gluconeogenic amino acid metabolites. Metabolomic changes were positively correlated with improvements in clinical biomarkers of dyslipidemia.

conclusionNutrient bar supplementation with increased physical activity in obese Teens and PAC elicits favorable metabolomic changes that correlate with improved dyslipidemia. The trial from which the analyses reported upon herein was part of a series of nutrient bar clinical trials registered at clinicaltrials.gov as NCT02239198.

Indexed as

AdolescentAdultCounselingDietary SupplementsExercise TherapyFamilyFemaleHumansLife StyleMaleMetabolomicsMiddle AgedOverweightPlasmaTreatment Outcome

Identifiers

PMID33079935
PMCPMC7575082
OpenAlexW3093858164

What Socratic holds

Textmetadata
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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.