Evidence map›Paper›PMID 36747285›Full record

ArticleBMC nutrition2023

Exploratory analysis of the effect of a controlled lifestyle intervention on inflammatory markers - the Healthy Lifestyle Community Programme (cohort 2).

Christian Koeder, Corinna Anand, Sarah Husain, Ragna-Marie Kranz, Nora Schoch, Dima Alzughayyar, Norman Bitterlich, Andreas Hahn, Heike Englert

Open access · goldAbstract read
In one paragraph

Article in BMC nutrition, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
1.1field-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.

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

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 6 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. 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

9 authors at 2 institutions in 1 country.

Christian KoederInstitute of Food Science and Human Nutrition, Leibniz University Hanover, Hanover, Germany. koeder@fh-muenster.de.ORCID http://orcid.org/0000-0002-3761-4220
Corinna AnandDepartment of Nutrition, University of Applied Sciences Münster, Münster, Germany.
Sarah HusainDepartment of Nutrition, University of Applied Sciences Münster, Münster, Germany.
Ragna-Marie KranzDepartment of Nutrition, University of Applied Sciences Münster, Münster, Germany.
Nora SchochDepartment of Nutrition, University of Applied Sciences Münster, Münster, Germany.
Dima AlzughayyarDepartment of Nutrition, University of Applied Sciences Münster, Münster, Germany.
Norman BitterlichDepartment of Biostatistics, Medizin & Service GmbH, Chemnitz, Germany.
Andreas HahnInstitute of Food Science and Human Nutrition, Leibniz University Hanover, Hanover, Germany.
Heike EnglertDepartment of Nutrition, University of Applied Sciences Münster, Münster, Germany.
FH Münster · DELeibniz University of Applied Sciences · DE

Funding

Bundesministerium für Bildung und Forschung 03IHS062A
6 · The paper itself

Abstract

backgroundChronic low-grade inflammation is associated with an increased risk of chronic disease and mortality. The objective of the study was to test the effect of a healthy lifestyle intervention on biomarkers of inflammation (among other risk markers).

methodsWe conducted a non-randomized controlled trial with mostly middle-aged and elderly participants from the general population in rural northwest Germany (intervention: n = 114; control: n = 87). The intervention consisted of a 1-year lifestyle programme focusing on diet (largely plant-based; strongest emphasis), physical activity, stress management, and social support. High-sensitivity C-reactive protein (hs-CRP) was assessed at baseline, 10 weeks, 6 months, and 1 year. Homocysteine (Hcy) was assessed at baseline, 10 weeks, and 1 year. Adiponectin (Apn) was assessed at baseline and 10 weeks. An exploratory analysis of these inflammatory markers assessing the between-group differences with ANCOVA was conducted.

resultsThe 1-year trajectory of hs-CRP was significantly lower in the intervention group compared to control (between-group difference: -0.8 (95% CI -1.2, -0.3) mg/l; p = 0.001; adjusted for baseline). The 1-year trajectory of Hcy was non-significantly higher in the intervention compared to control (between-group difference: 0.2 (95% CI -0.3, 0.7) µmol/l; p = 0.439; adjusted for baseline). From baseline to 10 weeks, Apn decreased significantly more in the intervention group compared to control (between-group difference: -1.6 (95% CI -2.7, -0.5) µg/ml; p = 0.004; adjusted for baseline).

conclusionsOur study shows that healthy lifestyle changes can lower hs-CRP and Apn levels and are unlikely to significantly affect Hcy levels within 1 year.

trial registrationGerman Clinical Trials Register (DRKS; reference: DRKS00018775 , registered 12 Sept 2019; retrospectively registered; www.drks.de ).

Indexed as

AdiponectinCardiovascular diseaseC-reactive proteinHomocysteineLifestyle interventionPlant-based dietSubclinical inflammation

Identifiers

PMID36747285
PMCPMC9900566
OpenAlexW4319316523

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.