Evidence map›Paper›PMID 34176552›Full record

SynthesisPublic health nutrition2022

Meta-analysis and machine learning-augmented mixed effects cohort analysis of improved diets among 5847 medical trainees, providers and patients.

Dominique J Monlezun, Christopher Carr, Tianhua Niu, Francesco Nordio, Nicole DeValle, Leah Sarris, Timothy Harlan

Registry-linked trialAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Public health nutrition, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03443635 (Cooking for Health Optimization With Patients), which is not on this map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–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.

NCT03443635 phase1 / phase2completednot on this map

Cooking for Health Optimization With Patients

TypeinterventionalSponsorTulane UniversityRan2018 to 2020Enrolled7,192ConditionsCardiovascular Diseases, Cardiovascular Risk Factor, Nutrition Disorders, DiabetesArmsTreatment
3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. 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

7 authors.

Dominique J MonlezunDepartment of Cardiology, The University of Texas MD Anderson Cancer Center, 1400 Pressler Street, Unit 1451, Houston, TX77030, USA.ORCID 0000-0001-7671-1886
Christopher CarrThe Goldring Center for Culinary Medicine, Tulane University, School of Medicine, New Orleans, LA, USA.
Tianhua NiuDepartment of Biochemistry and Molecular Biology, Tulane University, School of Medicine, New Orleans, LA, USA.
Francesco NordioDepartment of Medicine, Brigham and Women's Hospital, Harvard University, Boston, MA, USA.
Nicole DeValleThe Goldring Center for Culinary Medicine, Tulane University, School of Medicine, New Orleans, LA, USA.
Leah SarrisThe Goldring Center for Culinary Medicine, Tulane University, School of Medicine, New Orleans, LA, USA.
Timothy HarlanGWU Culinary Medicine Program, George Washington School of Medicine & Health Sciences, Washington, DC, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveWe sought to produce the first meta-analysis (of medical trainee competency improvement in nutrition counseling) informing the first cohort study of patient diet improvement through medical trainees and providers counseling patients on nutrition.

design(Part A) A systematic review and meta-analysis informing (Part B) the intervention analysed in the world's largest prospective multi-centre cohort study on hands-on cooking and nutrition education for medical trainees, providers and patients. SETTINGS: (A) Medical educational institutions. (B) Teaching kitchens.

participants(A) Medical trainees. (B) Trainees, providers and patients.

results(A) Of the 212 citations identified (n 1698 trainees), eleven studies met inclusion criteria. The overall effect size was 9·80 (95 % CI (7·15, 12·45) and 95 % CI (6·87, 13·85); P < 0·001), comparable with the machine learning (ML)-augmented results. The number needed to treat for the top performing high-quality study was 12. (B) The hands-on cooking and nutrition education curriculum from the top performing study were applied for medical trainees and providers who subsequently taught patients in the same curriculum (n 5847). The intervention compared with standard medical care and education alone significantly increased the odds of superior diets (high/medium v. low Mediterranean diet adherence) for residents/fellows most (OR 10·79, 95 % CI (4·94, 23·58); P < 0·001) followed by students (OR 9·62, 95 % CI (5·92, 15·63); P < 0·001), providers (OR 5·19, 95 % CI (3·23, 8·32), P < 0·001) and patients (OR 2·48, 95 % CI (1·38, 4·45); P = 0·002), results consistent with those from ML.

conclusionsThe current study suggests that medical trainees and providers can improve patients' diets with nutrition counseling in a manner that is clinically and cost effective and may simultaneously advance societal equity.

Indexed as

CurriculumDietCohort StudiesHumansMachine LearningProspective StudiesCVDMachine learningMeta-analysisNutrition educationObesity

Identifiers

PMID34176552
PMCPMC8883775

What Socratic holds

Textmetadata
LicenceCC BY
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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.