Evidence mapPaperPMID 39354558Full record

Trial reportNutrition journal2024

Effects of mixed nuts as part of a Brazilian Cardioprotective diet on LDL-cholesterol in adult patients after myocardial infarction: a multicenter randomized controlled clinical trial.

Ângela Cristine Bersch-Ferreira, Camila Weschenfelder, Rachel Helena Vieira Machado, Renato Hideo Nakagawa Santos, Terrence M Riley, Lucas Ribeiro da Silva, Debora Harumi Kodama Miyada, Erica Regina Ribeiro Sady, Erlon Oliveira de Abreu-Silva, Ligia Nasi Laranjeira and 22 more

Registry-linked trialAbstract readRandomized Controlled TrialMulticenter StudyEquivalence Trial
In one paragraph

Trial report in Nutrition journal, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03728127 (Effect of the Brazilian Cardioprotective Diet and Nuts on Cardiometabolic Parameters in Post-acute Myocardial Infarction), which is not on this map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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.

NCT03728127 nacompletednot on this map

Effect of the Brazilian Cardioprotective Diet and Nuts on Cardiometabolic Parameters in Post-acute Myocardial Infarction: a Randomized Clinical Trial (DICA-NUTS Study)

TypeinterventionalSponsorHospital do CoracaoRan2019 to 2022Enrolled488ConditionsCoronary Artery Disease, Myocardial InfarctionArmsBrazilian cardioprotective diet, Brazilian cardioprotective diet plus 30g/day of mixed nuts
3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
  4. 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

32 authors.

Ângela Cristine Bersch-Ferreira *Department of Education and Research, BP - Beneficência Portuguesa de São Paulo, São Paulo, SP, Brazil.
Camila Weschenfelder *Graduate Program in Health Sciences (Cardiology), Instituto de Cardiologia/Fundação Universitária de Cardiologia Do Rio Grande Do Sul, Porto Alegre, RS, Brazil.
Rachel Helena Vieira MachadoHcor Research Institute, 200 Desembargador Eliseu Guilherme, 8th Floor, São Paulo, SP, Zip Code 04004-030, Brazil.
Renato Hideo Nakagawa SantosHcor Research Institute, 200 Desembargador Eliseu Guilherme, 8th Floor, São Paulo, SP, Zip Code 04004-030, Brazil.
Terrence M RileyPennington Biomedical Research Center, Baton Rouge, LA, United States of America.
Lucas Ribeiro da SilvaHcor Research Institute, 200 Desembargador Eliseu Guilherme, 8th Floor, São Paulo, SP, Zip Code 04004-030, Brazil.
Debora Harumi Kodama MiyadaHcor Research Institute, 200 Desembargador Eliseu Guilherme, 8th Floor, São Paulo, SP, Zip Code 04004-030, Brazil.
Erica Regina Ribeiro SadyHcor Research Institute, 200 Desembargador Eliseu Guilherme, 8th Floor, São Paulo, SP, Zip Code 04004-030, Brazil.
Erlon Oliveira de Abreu-SilvaHcor Research Institute, 200 Desembargador Eliseu Guilherme, 8th Floor, São Paulo, SP, Zip Code 04004-030, Brazil.
Ligia Nasi LaranjeiraHcor Research Institute, 200 Desembargador Eliseu Guilherme, 8th Floor, São Paulo, SP, Zip Code 04004-030, Brazil.
Alexandre Schaan de QuadrosGraduate Program in Health Sciences (Cardiology), Instituto de Cardiologia/Fundação Universitária de Cardiologia Do Rio Grande Do Sul, Porto Alegre, RS, Brazil.
Júlia Lorenzon Dos SantosGraduate Program in Health Sciences (Cardiology), Instituto de Cardiologia/Fundação Universitária de Cardiologia Do Rio Grande Do Sul, Porto Alegre, RS, Brazil.
Gabriela Corrêa SouzaGraduation Program in Food, Nutrition and Health, Faculdade de Medicina, Universidade Federal Do Rio Grande Do Sul (UFRGS), Porto Alegre, RS, Brazil.
Suena Medeiros ParahibaGraduation Program in Food, Nutrition and Health, Faculdade de Medicina, Universidade Federal Do Rio Grande Do Sul (UFRGS), Porto Alegre, RS, Brazil.
Ana Paula Trussardi FayhPesqClin Lab, Onofre Lopes University Hospital, Brazilian Company of Hospital Services (EBSERH), Universidade Federal Do Rio Grande Do Norte, Natal, RN, Brazil.
Danielle Soares BezerraFaculty of Health Science of Trairi, Universidade Federal Do Rio Grande Do Norte (FACISA-UFRN), Santa Cruz, RN, Brazil.
Ana Paula Perillo Ferreira CarvalhoHypertension Unit-NIPEE, Universidade Federal de Goiás (UFG), Goiânia, GO, Brazil.
Malaine Morais Alves MachadoHypertension Unit-NIPEE, Universidade Federal de Goiás (UFG), Goiânia, GO, Brazil.
Sandra Mary Lima VasconcelosFaculty of Nutrition, Universidade Federal de Alagoas (UFAL), Maceió, AL, Brazil.
Mayranne Victórya Rocha SantosFaculty of Nutrition, Universidade Federal de Alagoas (UFAL), Maceió, AL, Brazil.
José Albuquerque de Figueiredo NetoDepartment of Cardiology, Universidade Federal Do Maranhão (UFMA), São Luiz, MA, Brazil.
Luciana Pereira Pinto DiasDepartment of Cardiology, Universidade Federal Do Maranhão (UFMA), São Luiz, MA, Brazil.
Francisca Eugenia Zaina NaganoComplexo Hospital de Clínicas, Universidade Federal Do Paraná (HU-UFPR), Curitiba, PR, Brazil.
Cássia Cristina Paes de AlmeidaGraduation Program in Internal Medicine and Health Sciences, Universidade Federal Do Paraná (UFPR), Curitiba, PR, Brazil.
Annie Seixas Bello MoreiraInstituto Nacional de Cardiologia (INC), Rio de Janeiro, RJ, Brazil.
Rodrigo Damasceno de OliveiraInstituto Nacional de Cardiologia (INC), Rio de Janeiro, RJ, Brazil.
Marcelo Macedo RogeroDepartment of Nutrition, School of Public Health, Universidade de São Paulo (USP), São Paulo, SP, Brazil.
Geni Rodrigues SampaioDepartment of Nutrition, School of Public Health, Universidade de São Paulo (USP), São Paulo, SP, Brazil.
Elizabeth Aparecida Ferraz da Silva TorresDepartment of Nutrition, School of Public Health, Universidade de São Paulo (USP), São Paulo, SP, Brazil.
Bernardete WeberPROADI-SUS Office, Real e Benemérita Associação Portuguesa de Beneficência, São Paulo, SP, Brazil.
Alexandre Biasi CavalcantiHcor Research Institute, 200 Desembargador Eliseu Guilherme, 8th Floor, São Paulo, SP, Zip Code 04004-030, Brazil.
Aline MarcadentiHcor Research Institute, 200 Desembargador Eliseu Guilherme, 8th Floor, São Paulo, SP, Zip Code 04004-030, Brazil. marcadenti.aline@gmail.com.

Funding

Hcor as part of the "Hospitais de Excelência a Serviço do SUS", in partnership with the Programa de Apoio ao Desenvolvimento Institucional do Sistema Único de Saúde (PROADI-SUS) and Brazilian Ministry of Health. The sponsor had no role in study design; collection, management, analysis, and interpretation of data; and writing of the report. NUPs: 25000.009770/2018-86 and 25000.184506/2020-45
6 · The paper itself

Abstract

backgroundNuts consumption is related to cardioprotective effects on primary cardiovascular prevention, but studies conducted in secondary prevention are small, scarce and controversial. The objective of this trial was to evaluate the effects of a regional and sustainable cardioprotective diet added or not with an affordable mixed nuts on cardiometabolic features in patients with previous myocardial infarction.

methodsDICA-NUTS study is a national, multi-center, and superiority-parallel randomized clinical trial. Males and females over 40 years old diagnosed with previous myocardial infarction in the last 2 to 6 months were included. Patients were allocated into two groups: the Brazilian Cardioprotective diet (DICA Br) supplemented with 30 g/day of mixed nuts (10 g of peanuts; 10 g of cashew; 10 g of Brazil nuts) (intervention group, n = 193); or only DICA Br prescription (control group, n = 195). The primary outcome was low-density lipoprotein cholesterol means (in mg/dL) after 16 weeks. Secondary outcomes were other lipid biomarkers, glycemic and anthropometric data and diet quality.

resultsAfter adjustment for baseline values, participating study site, time since myocardial infarction and statin treatment regimen (high potency, moderate and low potency/no statins), no significant difference was found between the groups in low-density lipoprotein cholesterol concentrations (intervention-control difference: 3.48 mg/dL [-3.45 to 10.41], P = 0.32). Both groups improved their overall diet quality at the end of the study without differences between them after 16 weeks (intervention-control difference: 1.05 (-0.9 to 2.99); P = 0.29). Other lipids, glycemic profile and anthropometrics were also not different between study groups at the end of the study.

conclusionAdding 30 g/day of mixed nuts to the DICA Br for 16 weeks did not change lipid, glycemic and anthropometric features in the post-myocardial infarction setting.

trial registrationThis study is registered on ClinicalTrials.gov website under number NCT03728127 and its World Health Organization Universal Trial Number (WHO-UTN) is U1111-1259-8105.

Indexed as

Cholesterol, LDLMyocardial InfarctionNutsAdultAgedBrazilDietFemaleHumansMaleMiddle AgedCholesterol, LDLCholesterol, LDLDiet, HealthyMyocardial InfarctionNutsRandomized Controlled Trial [Publication Type]

Identifiers

PMID39354558
PMCPMC11445998

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.