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Effect of konjac glucomannan soluble fiber, on clinical lipid targets: A systematic review and meta‐analysis of RCTs

2017· review· en· W2961333793 on OpenAlexaff
Vladimir Vuksan, Hoang Vi Thanh Ho, Elena Jovanvoski, Andreea Zurbau, Sonia Blanco Mejía, John L. Sievenpiper, Alexandra L. Jenkins, Fei Au‐Yeung, Lea Duvnjak, Lawrence A. Leiter

Bibliographic record

VenueThe FASEB Journal · 2017
Typereview
Languageen
FieldAgricultural and Biological Sciences
TopicPolysaccharides Composition and Applications
Canadian institutionsUniversity of TorontoSt. Michael's Hospital
Fundersnot available
KeywordsMedicineInternal medicineCholesterolMeta-analysisApolipoprotein BRandomized controlled trialPopulationConfidence intervalEndocrinologyGastroenterology

Abstract

fetched live from OpenAlex

Background Current evidence suggests that the consumption of konjac glucomannan (KJM), a viscous soluble fiber, may significantly reduce LDL cholesterol. However, it is less known whether KJM has an effect on two newer clinical lipid targets in cardiovascular disease risk management. Objective To quantify the effect of KJM fiber on LDL cholesterol, non‐HDL cholesterol and apolipoprotein B reduction in a systematic review and meta‐analysis of randomized controlled trials (RCTs) in the general population. Design MEDLINE, Embase, CINAHL, and Cochrane CENTRAL was searched. Data were extracted by two independent reviews. Eligible studies included RCTs of ≥ 3 weeks follow‐up duration assessing the effect of KJM on LDL cholesterol, non‐HDL cholesterol, or apolipoprotein B. Using the statistical software RevMan (v5.3), the data were pooled using the generic inverse variance method with random effects models and expressed as mean differences (MD) with 95% confidence intervals (CI). Heterogeneity was assessed by the Cochran Q statistic and quantified by the I 2 statistic. Results A total of 12 studies (n = 370), 8 in adults and 4 in children, were included in the meta‐analysis. KJM significantly reduced LDL cholesterol (MD = −0.35 [−0.46, −0.25] mmol/L) and non‐HDL cholesterol (MD = −0.32 [−0.46, −0.19] mmol/L). It did not appear to affect apoB, based on the results from 6 trials. Conclusion Consumption of approximately 3 g/d of KJM reduced significantly LDL cholesterol and non‐HDL cholesterol by 10% and 7%, respectively. The information may be of interest to health agencies in crafting future dietary recommendations related to cardiovascular disease risk management.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.004
metaresearch head score (Gemma)0.000
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Meta-analysis · Consensus signal: none
GenreCandidate signal: Review · Consensus signal: Review
Teacher disagreement score0.712
Threshold uncertainty score0.359

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0040.000
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0050.003
Bibliometrics0.0000.000
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0010.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.143
GPT teacher head0.396
Teacher spread0.253 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designMeta-analysis
Domainnot available
GenreReview

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations1
Published2017
Admission routes1
Has abstractyes

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