PDM: Metabolic Syndrome (2013)

PDM: Metabolic Syndrome (2013)

• Assessment
  In adults with metabolic syndrome, what is the impact of total fiber intake, independent of weight loss, on glycemic-related outcomes (such as fasting blood glucose, random blood glucose, two-hour post-prandial blood glucose, A1C)?

  • Conclusion

    Limited research reports that total fiber intake, independent of weight loss, has no significant impact on fasting blood glucose levels in adults with metabolic syndrome.

    Additional longer-term intervention studies are needed to ascertain an effect of total fiber intake on glycemic-related outcomes in adults with metabolic syndrome with or without meeting the metabolic syndrome criteria for impaired glucose tolerance and impaired fasting glucose.

  • Grade: III
    • Grade I means there is Good/Strong evidence supporting the statement;
    • Grade II is Fair;
    • Grade III is Limited/Weak;
    • Grade IV is Expert Opinion Only;
    • Grade V is Not Assignable.
    • High (A) means we are very confident that the true effect lies close to that of the estimate of the effect;
    • Moderate (B) means we are moderately confident in the effect estimate;
    • Low (C) means our confidence in the effect estimate is limited;
    • Very Low (D) means we have very little confidence in the effect estimate.
    • Ungraded means a grade is not assignable.
  • Evidence Summary: In adults with metabolic syndrome, what is the impact of total fiber intake, independent of weight loss, on glycemic-related outcomes (such as fasting blood glucose, random blood glucose, two-hour post-prandial blood glucose, A1C)?
    • Detail
    • Quality Rating Summary
      For a summary of the Quality Rating results, click here.
    • Worksheets
      • Pouteau E, Ferchaud-Roucher V, Zair Y, Paintin M, Enslen M, Auriou N, Mace K, Godin JP, Ballevre O, Krempf M. Acetogenic fibers reduce fasting glucose turnover but not peripheral insulin resistance in metabolic syndrome patients. Clin Nutr. 2010; 29(6): 801-807.
  • Search Plan and Results: PDM: Fiber and Metabolic Syndrome 2012
     
  In adults with metabolic syndrome, what is the impact of total fiber intake, independent of weight loss, on lipid outcomes (TG, HDL)?

  • Conclusion

    Limited research reports that total fiber intake, independent of weight loss, has no significant impact on triglycerides or HDL cholesterol levels in adults with metabolic syndrome.

    Additional longer-term intervention studies are needed to ascertain an effect of total fiber intake on lipid outcomes in adults with metabolic syndrome with or without meeting the metabolic syndrome criteria for lipid levels.

  • Grade: III
    • Grade I means there is Good/Strong evidence supporting the statement;
    • Grade II is Fair;
    • Grade III is Limited/Weak;
    • Grade IV is Expert Opinion Only;
    • Grade V is Not Assignable.
    • High (A) means we are very confident that the true effect lies close to that of the estimate of the effect;
    • Moderate (B) means we are moderately confident in the effect estimate;
    • Low (C) means our confidence in the effect estimate is limited;
    • Very Low (D) means we have very little confidence in the effect estimate.
    • Ungraded means a grade is not assignable.
  • Evidence Summary: In adults with metabolic syndrome, what is the impact of total fiber intake, independent of weight loss, on lipid outcomes (TG, HDL)?
    • Detail
    • Quality Rating Summary
      For a summary of the Quality Rating results, click here.
    • Worksheets
      • Pouteau E, Ferchaud-Roucher V, Zair Y, Paintin M, Enslen M, Auriou N, Mace K, Godin JP, Ballevre O, Krempf M. Acetogenic fibers reduce fasting glucose turnover but not peripheral insulin resistance in metabolic syndrome patients. Clin Nutr. 2010; 29(6): 801-807.
  • Search Plan and Results: PDM: Fiber and Metabolic Syndrome 2012
     
  In adults with metabolic syndrome, what is the impact of type of fiber intake, independent of weight loss, on glycemic-related outcomes (such as fasting blood glucose, random blood glucose, two-hour post-prandial blood glucose, A1C)?

  • Conclusion

    Limited research reports that type of fiber intake, independent of weight loss, has no significant impact on fasting blood glucose levels in adults with metabolic syndrome.

    Additional longer-term intervention studies are needed to ascertain an effect of type of fiber intake on glycemic-related outcomes in adults with metabolic syndrome with or without meeting the metabolic syndrome criteria for impaired glucose tolerance and impaired fasting glucose.

  • Grade: III
    • Grade I means there is Good/Strong evidence supporting the statement;
    • Grade II is Fair;
    • Grade III is Limited/Weak;
    • Grade IV is Expert Opinion Only;
    • Grade V is Not Assignable.
    • High (A) means we are very confident that the true effect lies close to that of the estimate of the effect;
    • Moderate (B) means we are moderately confident in the effect estimate;
    • Low (C) means our confidence in the effect estimate is limited;
    • Very Low (D) means we have very little confidence in the effect estimate.
    • Ungraded means a grade is not assignable.
  • Evidence Summary: In adults with metabolic syndrome, what is the impact of type of fiber intake, independent of weight loss, on glycemic-related outcomes (such as fasting blood glucose, random blood glucose, 2-hour post prandial blood glucose, A1C)?
    • Detail
    • Quality Rating Summary
      For a summary of the Quality Rating results, click here.
    • Worksheets
      • Pouteau E, Ferchaud-Roucher V, Zair Y, Paintin M, Enslen M, Auriou N, Mace K, Godin JP, Ballevre O, Krempf M. Acetogenic fibers reduce fasting glucose turnover but not peripheral insulin resistance in metabolic syndrome patients. Clin Nutr. 2010; 29(6): 801-807.
  • Search Plan and Results: PDM: Fiber and Metabolic Syndrome 2012
     
  In adults with metabolic syndrome, what is the impact of type of fiber intake, independent of weight loss, on lipid outcomes (TG, HDL)?

  • Conclusion

    Limited research reports that type of fiber intake, independent of weight loss, has no significant impact on triglycerides or HDL cholesterol levels in adults with metabolic syndrome.

    Additional longer-term intervention studies are needed to ascertain an effect of type of fiber intake on lipid outcomes in adults with metabolic syndrome with or without meeting the metabolic syndrome criteria for lipid levels.

  • Grade: III
    • Grade I means there is Good/Strong evidence supporting the statement;
    • Grade II is Fair;
    • Grade III is Limited/Weak;
    • Grade IV is Expert Opinion Only;
    • Grade V is Not Assignable.
    • High (A) means we are very confident that the true effect lies close to that of the estimate of the effect;
    • Moderate (B) means we are moderately confident in the effect estimate;
    • Low (C) means our confidence in the effect estimate is limited;
    • Very Low (D) means we have very little confidence in the effect estimate.
    • Ungraded means a grade is not assignable.
  • Evidence Summary: In adults with metabolic syndrome, what is the impact of type of fiber intake, independent of weight loss, on lipid outcomes (TG, HDL)?
    • Detail
    • Quality Rating Summary
      For a summary of the Quality Rating results, click here.
    • Worksheets
      • Pouteau E, Ferchaud-Roucher V, Zair Y, Paintin M, Enslen M, Auriou N, Mace K, Godin JP, Ballevre O, Krempf M. Acetogenic fibers reduce fasting glucose turnover but not peripheral insulin resistance in metabolic syndrome patients. Clin Nutr. 2010; 29(6): 801-807.
  • Search Plan and Results: PDM: Fiber and Metabolic Syndrome 2012
     
• Intervention
  In adults with metabolic syndrome, what is the impact of total fiber intake, independent of weight loss, on anthropometric outcomes (WC)?

  • Conclusion

    There were no studies identified to evaluate the impact of total fiber intake, independent of weight loss, on anthropometric outcomes in adults with metabolic syndrome.

    Intervention studies are needed to ascertain an effect of total fiber intake on anthropometric outcomes in adults with metabolic syndrome with or without meeting the metabolic syndrome criteria for anthropometric measures.

  • Grade: V
    • Grade I means there is Good/Strong evidence supporting the statement;
    • Grade II is Fair;
    • Grade III is Limited/Weak;
    • Grade IV is Expert Opinion Only;
    • Grade V is Not Assignable.
    • High (A) means we are very confident that the true effect lies close to that of the estimate of the effect;
    • Moderate (B) means we are moderately confident in the effect estimate;
    • Low (C) means our confidence in the effect estimate is limited;
    • Very Low (D) means we have very little confidence in the effect estimate.
    • Ungraded means a grade is not assignable.
  • Search Plan and Results: PDM: Fiber and Metabolic Syndrome 2012
     
  In adults with metabolic syndrome, what is the impact of total fiber intake, independent of weight loss, on blood pressure?

  • Conclusion

    There were no studies identified to evaluate the impact of total fiber intake, independent of weight loss, on blood pressure in adults with metabolic syndrome.

    Intervention studies are needed to ascertain the effect of total fiber intake on blood pressure in adults with metabolic syndrome with or without meeting the metabolic syndrome criteria for blood pressure.

  • Grade: V
    • Grade I means there is Good/Strong evidence supporting the statement;
    • Grade II is Fair;
    • Grade III is Limited/Weak;
    • Grade IV is Expert Opinion Only;
    • Grade V is Not Assignable.
    • High (A) means we are very confident that the true effect lies close to that of the estimate of the effect;
    • Moderate (B) means we are moderately confident in the effect estimate;
    • Low (C) means our confidence in the effect estimate is limited;
    • Very Low (D) means we have very little confidence in the effect estimate.
    • Ungraded means a grade is not assignable.
  • Search Plan and Results: PDM: Fiber and Metabolic Syndrome 2012
     
  In adults with metabolic syndrome, what is the impact of total fiber intake, independent of weight loss, on renal outcomes?

  • Conclusion

    There were no studies identified to evaluate the impact of total fiber intake, independent of weight loss, on renal outcomes in adults with metabolic syndrome.

    Intervention studies are needed to ascertain an effect of total fiber intake on renal outcomes in adults with metabolic syndrome with or without meeting the metabolic syndrome criteria for renal measures.

  • Grade: V
    • Grade I means there is Good/Strong evidence supporting the statement;
    • Grade II is Fair;
    • Grade III is Limited/Weak;
    • Grade IV is Expert Opinion Only;
    • Grade V is Not Assignable.
    • High (A) means we are very confident that the true effect lies close to that of the estimate of the effect;
    • Moderate (B) means we are moderately confident in the effect estimate;
    • Low (C) means our confidence in the effect estimate is limited;
    • Very Low (D) means we have very little confidence in the effect estimate.
    • Ungraded means a grade is not assignable.
  • Search Plan and Results: PDM: Fiber and Metabolic Syndrome 2012
     
  In adults with metabolic syndrome, what is the impact of type of fiber intake, independent of weight loss, on anthropometric outcomes (WC)?

  • Conclusion

    There were no studies identified to evaluate the impact of type of fiber intake, independent of weight loss, on anthropometric outcomes in adults with metabolic syndrome.

    Intervention studies are needed to ascertain an effect of type of fiber intake on anthropometric outcomes in adults with metabolic syndrome with or without meeting the metabolic syndrome criteria for anthropometric measures.

     

  • Grade: V
    • Grade I means there is Good/Strong evidence supporting the statement;
    • Grade II is Fair;
    • Grade III is Limited/Weak;
    • Grade IV is Expert Opinion Only;
    • Grade V is Not Assignable.
    • High (A) means we are very confident that the true effect lies close to that of the estimate of the effect;
    • Moderate (B) means we are moderately confident in the effect estimate;
    • Low (C) means our confidence in the effect estimate is limited;
    • Very Low (D) means we have very little confidence in the effect estimate.
    • Ungraded means a grade is not assignable.
  • Search Plan and Results: PDM: Fiber and Metabolic Syndrome 2012
     
  In adults with metabolic syndrome, what is the impact of type of fiber intake, independent of weight loss, on blood pressure?

  • Conclusion

    There were no studies identified to evaluate the impact of type of fiber intake, independent of weight loss, on blood pressure in adults with metabolic syndrome.

    Intervention studies are needed to ascertain the effect of type of fiber intake on blood pressure in adults with metabolic syndrome with or without meeting the metabolic syndrome criteria for blood pressure.

  • Grade: V
    • Grade I means there is Good/Strong evidence supporting the statement;
    • Grade II is Fair;
    • Grade III is Limited/Weak;
    • Grade IV is Expert Opinion Only;
    • Grade V is Not Assignable.
    • High (A) means we are very confident that the true effect lies close to that of the estimate of the effect;
    • Moderate (B) means we are moderately confident in the effect estimate;
    • Low (C) means our confidence in the effect estimate is limited;
    • Very Low (D) means we have very little confidence in the effect estimate.
    • Ungraded means a grade is not assignable.
  • Search Plan and Results: PDM: Fiber and Metabolic Syndrome 2012
     
  In adults with metabolic syndrome, what is the impact of type of fiber intake, independent of weight loss, on renal outcomes?

  • Conclusion

    There were no studies identified to evaluate the impact of type of fiber intake, independent of weight loss, on renal outcomes in adults with metabolic syndrome.

    Intervention studies are needed to ascertain an effect of type of fiber intake on renal outcomes in adults with metabolic syndrome with or without meeting the metabolic syndrome criteria for renal measures.

  • Grade: V
    • Grade I means there is Good/Strong evidence supporting the statement;
    • Grade II is Fair;
    • Grade III is Limited/Weak;
    • Grade IV is Expert Opinion Only;
    • Grade V is Not Assignable.
    • High (A) means we are very confident that the true effect lies close to that of the estimate of the effect;
    • Moderate (B) means we are moderately confident in the effect estimate;
    • Low (C) means our confidence in the effect estimate is limited;
    • Very Low (D) means we have very little confidence in the effect estimate.
    • Ungraded means a grade is not assignable.
  • Search Plan and Results: PDM: Fiber and Metabolic Syndrome 2012