Evidence map›Paper›PMID 37727698›Full record

ArticleInternational journal of cardiology. Cardiovascular risk and prevention2023

Intermittent fasting and changes in clinical risk scores: Secondary analysis of a randomized controlled trial.

Benjamin D Horne, Jeffrey L Anderson, Heidi T May, Viet T Le, Tami L Bair, Sterling T Bennett, Kirk U Knowlton, Joseph B Muhlestein

Abstract read
In one paragraph

Article in International journal of cardiology. Cardiovascular risk and prevention, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
–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.

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

7 citing papers in PubMed, 1 synthesis or guideline pooled it.

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

Benjamin D HorneIntermountain Medical Center Heart Institute, Salt Lake City, UT, USA.
Jeffrey L AndersonIntermountain Medical Center Heart Institute, Salt Lake City, UT, USA.
Heidi T MayIntermountain Medical Center Heart Institute, Salt Lake City, UT, USA.
Viet T LeIntermountain Medical Center Heart Institute, Salt Lake City, UT, USA.
Tami L BairIntermountain Medical Center Heart Institute, Salt Lake City, UT, USA.
Sterling T BennettIntermountain Central Laboratory, Intermountain Medical Center, Salt Lake City, UT, USA.
Kirk U KnowltonIntermountain Medical Center Heart Institute, Salt Lake City, UT, USA.
Joseph B MuhlesteinIntermountain Medical Center Heart Institute, Salt Lake City, UT, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Intermittent fasting may increase longevity and lower cardiometabolic risk. This study evaluated whether fasting modifies clinical risk scores for mortality [i.e., Intermountain Mortality Risk Score (IMRS)] or chronic diseases [e.g., Pooled Cohort Risk Equations (PCRE), Intermountain Chronic Disease score (ICHRON)]. Methods and results: Subjects (N = 71) completing the WONDERFUL trial were aged 21-70 years, had ≥1 metabolic syndrome criteria, elevated cholesterol, and no anti-diabetes medications, statins, or chronic diseases. The intermittent fasting arm underwent 24-h water-only fasting twice-per-week for 4 weeks and once-per-week for 22 weeks (26 weeks total). Analyses examined the IMRS change score at 26 weeks vs. baseline between intermittent fasting (n = 38) and Conclusions: Intermittent fasting increased 1-year IMRS mortality risk, but decreased 10-year chronic disease risk (PCRE and ICHRON). It also reduced HOMA-IR more in subjects with higher baseline IMRS. Increased IMRS suggests fasting may elevate short-term mortality risk as a central trigger for myriad physiological responses that elicit long-term health improvements. Increased IMRS may also reveal short-term fasting-induced safety concerns.

Indexed as

ICHRONIMRSIntermountain risk scorePooled cohort risk equationsTherapeutic fasting

Identifiers

PMID37727698
PMCPMC10505676

What Socratic holds

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LicenceCC BY
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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.