Evidence map›Paper›PMID 37019180›Full record

ArticleContemporary clinical trials2023

Study protocol for a randomized, controlled trial using a novel, family-centered diet treatment to prevent nonalcoholic fatty liver disease in Hispanic children.

J A Welsh, E Pyo, H Huneault, L Gonzalez Ramirez, A Alazraki, R Alli, S B Dunbar, G Khanna, Jack Knight-Scott, A Pimentel and 5 more

Registry-linked trialOpen access · greenAbstract readClinical Trial Protocol
In one paragraph

Article in Contemporary clinical trials, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05292352 (Prevention of Non-alcoholic Fatty Liver Disease), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.4field-weighted citation impact, top 36% 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.

NCT05292352 naterminatednot on this map

Prevention of Non-alcoholic Fatty Liver Disease (NAFLD) in Hispanic Children

TypeinterventionalSponsorEmory UniversityRan2022 to 2026Enrolled103ConditionsNon-Alcoholic Fatty Liver DiseaseArmsLFSD
3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 2 citations in OpenAlex.

  1. Article
  2. 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

15 authors at 3 institutions in 2 countries.

J A WelshDepartment of Pediatrics, Emory University School of Medicine, Atlanta, GA, United States; Nutrition and Health Sciences Program, Laney Graduate School, Emory University, Atlanta, GA, United States.
E PyoNutrition and Health Sciences Program, Laney Graduate School, Emory University, Atlanta, GA, United States.
H HuneaultNutrition and Health Sciences Program, Laney Graduate School, Emory University, Atlanta, GA, United States.
L Gonzalez RamirezNutrition and Health Sciences Program, Laney Graduate School, Emory University, Atlanta, GA, United States.
A AlazrakiDepartment of Radiology, Emory University School of Medicine, Atlanta, GA, United States; Department of Radiology, Children's Healthcare of Atlanta, Atlanta, GA, United States.
R AlliChildren's Healthcare of Atlanta, Atlanta, GA, United States.
S B DunbarNell Hodgson Woodruff School of Nursing, Emory University, Atlanta, GA, United States.
G KhannaDepartment of Radiology, Emory University School of Medicine, Atlanta, GA, United States; Department of Radiology, Children's Healthcare of Atlanta, Atlanta, GA, United States.
Jack Knight-ScottDepartment of Radiology, Children's Healthcare of Atlanta, Atlanta, GA, United States.
A PimentelDepartment of Pediatrics, Emory University School of Medicine, Atlanta, GA, United States; Grady Memorial Hospital, Atlanta, GA, United States.
B ReedDepartment of Pediatrics, Emory University School of Medicine, Atlanta, GA, United States; Children's Healthcare of Atlanta, Atlanta, GA, United States.
C Rodney-SomersallDepartment of Pediatrics, Emory University School of Medicine, Atlanta, GA, United States; Grady Memorial Hospital, Atlanta, GA, United States.
N SantoroDepartment of Pediatrics, Kansas Medical Center, Kansas City, KS, United States; Department of Medicine and Health Sciences, "V.Tiberio" University of Molise, Campobasso, Italy; Department of Pediatrics, Yale University School of Medicine, New Haven, CT, United States.
G UmpierrezGrady Memorial Hospital, Atlanta, GA, United States; Division of Endocrinology, Metabolism, Emory University School of Medicine, Atlanta, GA, United States.
M B VosDepartment of Pediatrics, Emory University School of Medicine, Atlanta, GA, United States; Nutrition and Health Sciences Program, Laney Graduate School, Emory University, Atlanta, GA, United States; Children's Healthcare of Atlanta, Atlanta, GA, United States. Electronic address: mvos@emory.edu.
Emory University · USChildren's Healthcare of Atlanta · USUniversity of Kansas Medical Center · US

Funding

Sibling Assessment in Prevention of Pediatric NAFLD in Hispanic ChildrenR01NR019083 · NINR · EMORY UNIVERSITY · PI WELSH, JEAN A. · 2021 to 2025
$3.3M
NINR NIH HHS R01 NR019083
6 · The paper itself

Abstract

backgroundNon-alcoholic fatty liver disease (NAFLD) is the leading liver disorder among U.S. children and is most prevalent among Hispanic children with obesity. Previous research has shown that reducing the consumption of free sugars (added sugars + naturally occurring sugars in fruit juice) can reverse liver steatosis in adolescents with NAFLD. This study aims to determine if a low-free sugar diet (LFSD) can prevent liver fat accumulation and NAFLD in high-risk children.

methodsIn this randomized controlled trial, we will enroll 140 Hispanic children aged 6 to 9 years who are ≥50th percentile BMI and without a previous diagnosis of NAFLD. Participants will be randomly assigned to either an experimental (LFSD) or a control (usual diet + educational materials) group. The one-year intervention includes removal of foods high in free sugars from the home at baseline, provision of LFSD household groceries for the entire family (weeks 1-4, 12, 24, and 36), dietitian-guided family grocery shopping sessions (weeks 12, 24, and 36), and ongoing education and motivational interviewing to promote LFSD. Both groups complete assessment measures at baseline, 6, 12, 18, and 24 months. Primary study outcomes are percent hepatic fat at 12 months and incidence of clinically significant hepatic steatosis (>5%) + elevated liver enzymes at 24 months. Secondary outcomes include metabolic markers potentially mediating or moderating NAFLD pathogenesis. DISCUSSION: This protocol describes the rationale, eligibility criteria, recruitment strategies, analysis plan as well as a novel dietary intervention design. Study results will inform future dietary guidelines for pediatric NAFLD prevention.

trial registrationClinicalTrials.gov, NCT05292352.

Indexed as

Non-alcoholic Fatty Liver DiseaseChildDietHispanic or LatinoHumansLiverRandomized Controlled Trials as TopicSugarsSugarsChildhoodDiet interventionNAFLDObesitySteatosisSugars

Identifiers

PMID37019180
PMCPMC10734403
OpenAlexW4362578431

What Socratic holds

Textmetadata
LicenceTDM
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.