Evidence mapPaperPMID 39339810Full record

Trial reportNutrients2024

Prognostic Characteristics of Metabolic Dysfunction-Associated Steatotic Liver in Patients with Obesity Who Undergo One Anastomosis Gastric Bypass Surgery: A Secondary Analysis of Randomized Controlled Trial Data.

Silke Crommen, Karl Peter Rheinwalt, Andreas Plamper, Daniela Rösler, Leonie Weinhold, Christine Metzner, Sarah Egert

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Nutrients, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03585413 (Impact of a Specific Micronutrient-probiotic-combination on Fatty Liver and Cardiometabolic Status of Obese Patients After Mini-Gastric Bypass Surgery), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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.

NCT03585413 phase3completednot on this map

Impact of a Specific Micronutrient-probiotic-combination on Fatty Liver and Cardiometabolic Status of Obese Patients After Mini-Gastric Bypass Surgery

TypeinterventionalSponsorBonn Education Association for Dietetics r.A., Cologne, GermanyRan2018 to 2020Enrolled60ConditionsObesity, Gastric Bypass, NAFLDArmsMicronutrient-probiotic-combination, Micronutrient-placebo-combination
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. 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.

Silke CrommenInstitute of Nutritional and Food Sciences, Nutritional Physiology, University of Bonn, 53113 Bonn, Germany.
Karl Peter RheinwaltDepartment of Bariatric, Metabolic and Plastic Surgery, Cellitinnen-Krankenhaus St. Franziskus Cologne, 50825 Cologne, Germany.ORCID 0000-0001-9375-874X
Andreas PlamperDepartment of Bariatric, Metabolic and Plastic Surgery, Cellitinnen-Krankenhaus St. Franziskus Cologne, 50825 Cologne, Germany.ORCID 0000-0003-0699-3149
Daniela RöslerBonn Education Association for Dietetics r.A., 50935 Cologne, Germany.ORCID 0000-0003-1995-427X
Leonie WeinholdInstitute of Medical Biometry, Informatics and Epidemiology, University Hospital Bonn, 53127 Bonn, Germany.
Christine MetznerBonn Education Association for Dietetics r.A., 50935 Cologne, Germany.
Sarah EgertInstitute of Nutritional and Food Sciences, Nutritional Physiology, University of Bonn, 53113 Bonn, Germany.ORCID 0000-0003-4092-8981

Funding

FormMed HealthCare AG, Frankfurt, Germany n.a.
6 · The paper itself

Abstract

BACKGROUND/

objectivesMetabolic dysfunction-associated steatotic liver disease (MASLD) is closely associated with obesity and insulin resistance (IR). Identifying characteristics that predict a higher risk of fibrosis using noninvasive methods is particularly important.

methodsWe performed a secondary analysis of data from an RCT of 48 patients after one anastomosis gastric bypass (OAGB) surgery, supplemented with specifically formulated probiotics and micronutrients or control treatment for 12 weeks. Patients were categorized using alanine aminotransferase (ALAT; >35 U/L for women, >50 U/L for men), higher NAFLD fibrosis score (NFS) > -1.455), and IR (HOMA-IR > 2.0). This trial was registered at Clinicaltrials.gov (ID: NCT03585413).

resultsAbnormal ALAT was associated with high triglycerides, blood pressure (BP), glucose, and fatty liver index (FLI). NFS > -1.455 was linked to higher age, body mass, waist circumference, and FLI, and lower albumin and platelet count. HOMA-IR > 2.0 was associated with higher BP and triglycerides, lower HDL-cholesterol, higher serum transaminases, and higher probabilities of steatosis and fibrosis. Twelve weeks postoperatively, patients with NFS > -1.455 showed greater reductions in body mass, systolic BP, serum insulin, and HbA1c, whereas those with NFS ≤ -1.455 showed improvements in FLI and lipid metabolism but had high glucose concentrations. Patients with HOMA-IR ≤ 2.0 also had high glucose concentrations.

conclusionsThe evaluation of common biomarker scores for fibrosis and IR may help clinicians to recognize severe NAFLD and improve the outcomes of OAGB surgery.

Indexed as

Gastric BypassInsulin ResistanceNon-alcoholic Fatty Liver DiseaseAdultAlanine TransaminaseBlood GlucoseFemaleHumansLiver CirrhosisMaleMiddle AgedObesityObesity, MorbidPrognosisAlanine TransaminaseBlood Glucosebariatric surgeryinsulin resistancemetabolic dysfunction-associated steatotic liver diseasemini gastric bypassnonalcoholic fatty liver diseaseone anastomosis gastric bypass

Identifiers

PMID39339810
PMCPMC11435136

What Socratic holds

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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.