Evidence map›Paper›PMID 38937752›Full record

SynthesisLipids in health and disease2024

Unraveling the controversy between fasting and nonfasting lipid testing in a normal population: a systematic review and meta-analysis of 244,665 participants.

Ahmed B Zaid, Samah M Awad, Mona G El-Abd, Sara A Saied, Shimaa K Almahdy, AbdulRahman A Saied, Alshimaa M Elmalawany, Hind S AboShabaan, Helmy S Saleh

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Lipids in health and disease, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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.

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

6 citing papers in PubMed.

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

Ahmed B ZaidDepartment of Clinical Pathology, National Liver Institute Hospital, Menoufia Univerisity, Shebin Elkoom, Egypt. ahmedzaid@liver.menofia.edu.eg.ORCID http://orcid.org/0000-0001-8268-4538
Samah M AwadDepartment of Clinical Microbiology, National Liver Institute, Menoufia University, Shibin Elkom, 32511, Egypt.ORCID http://orcid.org/0000-0003-0626-8115
Mona G El-AbdDepartment of Clinical Pathology, National Liver Institute, Menoufia University, Shibin Elkom, 32511, Egypt.ORCID http://orcid.org/0000-0002-0117-4307
Sara A SaiedDepartment of Clinical Pathology, National Liver Institute, Menoufia University, Shibin Elkom, 32511, Egypt.ORCID http://orcid.org/0009-0009-8183-7868
Shimaa K AlmahdyDepartment of Hepatology and Gastroenterology, National Liver Institute, Menoufia University, Shibin Elkom, 32511, Egypt.ORCID http://orcid.org/0000-0002-3385-9562
AbdulRahman A SaiedMinistry of Tourism and Antiquities, Aswan Office, Aswan, 81511, Egypt. saied_abdelrahman@yahoo.com.ORCID http://orcid.org/0000-0001-8616-5874
Alshimaa M ElmalawanyDepartment of Clinical Pathology, National Liver Institute Hospital, Menoufia Univerisity, Shebin Elkoom, Egypt.ORCID http://orcid.org/0000-0002-9297-8326
Hind S AboShabaanDepartment of Clinical Pathology, National Liver Institute Hospital, Menoufia Univerisity, Shebin Elkoom, Egypt.
Helmy S SalehDepartment of Microbiology, Animal Health Research Institute, Shibin Elkom, 32511, Egypt.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe final decision to fast or not fast for routine lipid profile examination in a standard, healthy population is unclear. Whereas the United States and European protocols state that fasting for regular lipid analysis is unnecessary, the North American and Chinese guidelines still recommend fasting before routine lipid testing.

aimThis study aimed to unravel the contradiction between the different protocols of lipid profile testing worldwide and clarify the effect of diet on lipid profile testing only in a regular, healthy population.

methodsA literature search was conducted through May 2024. The analyses included studies performed from the date 2000 until now because the contradiction of guidelines for lipid profile testing appeared for the first time in this period. A planned internal validity evaluation was performed using the National Institute of Health (NIH) quality measurement tools for observational cohort, case‒control, controlled interventional, and cross-sectional studies. The data were synthesized according to RevMan 5.3.

resultsEight studies with a total of 244,665 participants were included. The standardized mean difference in cholesterol in six studies showed significant differences in overall effect among fasting and nonfasting states (P < 0.00001), as did high-density lipoprotein cholesterol (P < 0.00001). At the same time, with respect to triglycerides and low-density lipoprotein cholesterol, there were notable variations in the overall effect between the fasted and nonfasted states (P < 0.00001 and P ≤ 0.001, respectively).

conclusionsThis meta-analysis concluded that fasting for lipid profile testing is preferred as a conservative model to reduce variability and increase consistency in patients' metabolic status when sampling for lipid testing.

Indexed as

Cholesterol, LDLFastingTriglyceridesAdultCholesterol, HDLFemaleHumansLipidsMaleCholesterol, HDLCholesterol, LDLLipidsTriglyceridesFastingHealthy populationLipid profile testingNonfastingPrediction

Identifiers

PMID38937752
PMCPMC11210154

What Socratic holds

Textmetadata
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.