为《2020-2025 年美国人膳食指南》提供信息的系统综述的可靠性和再现性:一项试点研究。

IF 6.5 1区 医学 Q1 NUTRITION & DIETETICS American Journal of Clinical Nutrition Pub Date : 2025-01-01 DOI:10.1016/j.ajcnut.2024.10.013
Alexandra M Bodnaruc , Hassan Khan , Nicole Shaver , Alexandria Bennett , Yiu Lin Wong , Catherine Gracey , Valentina Ly , Beverley Shea , Julian Little , Melissa Brouwers , Dennis Bier , David Moher
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引用次数: 0

摘要

背景:尽管高质量的营养系统评价(SRs)对临床决策很重要,但其方法质量和报告透明度仍存在争议。目的:本研究的目的是评估营养证据系统评价(NESR)团队制作的SRs样本的可靠性和可重复性,以为2020-2025年美国人膳食指南(DGAs)提供信息。方法:我们使用多重系统评价评估2 (AMSTAR 2)工具评估了来自DGA饮食模式小组委员会的8份SRs样本的方学质量,并使用PRISMA 2020和PRISMA文献检索扩展(PRISMA- s)清单评估了报告的透明度。我们使用电子检索策略清单的同行评议评估了一个选定的SR的原始检索策略的质量和可重复性。使用无元分析综合(SWiM)检查表评估SR叙事数据综合的报告透明度。使用系统评价中现有的自旋偏倚分类来评估解释偏倚。结果:AMSTAR 2评估确定了关键的方法学缺陷,所有纳入的SRs被判定为质量极低。总体而言,74%的PRISMA 2020检查表项目和63%的PRISMA- s检查表项目得到了满意的满足。我们在搜索策略中发现了一些错误和不一致之处,并且无法在原始结果的10%范围内重现搜索。SWiM评估确定了对叙事数据综合报告透明度的关注,但自旋偏差评估没有发现解释偏差的证据。结论:确定了几个方法学质量和报告问题,如果进行完整的复制尝试,可能导致可靠性和可重复性问题。然而,需要进一步的研究来证实这些发现对结论陈述的影响及其在NESR团队sr中的普遍性。该研究已在开放科学框架(https://osf.io/ns6a9/)上注册。
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Reliability and reproducibility of systematic reviews informing the 2020–2025 Dietary Guidelines for Americans: a pilot study

Background

Although high-quality nutrition systematic reviews (SRs) are important for clinical decision making, there remains debate on their methodological quality and reporting transparency.

Objectives

The objective of this study was to assess the reliability and reproducibility of a sample of SRs produced by the Nutrition Evidence Systematic Review (NESR) team to inform the 2020–2025 Dietary Guidelines for Americans (DGAs).

Methods

We evaluated a sample of 8 SRs from the DGA dietary patterns subcommittee for methodological quality using the Assessment of Multiple Systematic Reviews 2 (AMSTAR 2) tool and for reporting transparency using the PRISMA 2020 and PRISMA literature search extension (PRISMA-S) checklists. We assessed the quality and reproducibility of the original search strategy of one selected SR using the Peer Review of Electronic Search Strategies checklist. The reporting transparency of the SR’s narrative data synthesis was assessed using the Synthesis Without Meta-Analysis (SWiM) checklist. Interpretation bias was evaluated using existing spin bias classifications in systematic reviews.

Results

The AMSTAR 2 assessment identified critical methodological weaknesses, and all included SRs were judged to be of critically low quality. Overall, 74% of the PRISMA 2020 checklist items and 63% of the PRISMA-S checklist items were satisfactorily fulfilled. We identified several errors and inconsistencies in the search strategy and could not reproduce searches within a 10% margin of the original results. The SWiM assessment identified concerns regarding the reporting transparency of the narrative data synthesis, but the spin bias assessment revealed no evidence of interpretation bias.

Conclusions

Several methodological quality and reporting concerns were identified, which could lead to reliability and reproducibility issues should a full reproduction attempt be made. However, additional research is needed to confirm the impact of these findings on conclusions statements and their generalizability across the NESR team SRs.
This study was registered in the Open Science Framework (https://osf.io/ns6a9/).
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来源期刊
CiteScore
12.40
自引率
4.20%
发文量
332
审稿时长
38 days
期刊介绍: American Journal of Clinical Nutrition is recognized as the most highly rated peer-reviewed, primary research journal in nutrition and dietetics.It focuses on publishing the latest research on various topics in nutrition, including but not limited to obesity, vitamins and minerals, nutrition and disease, and energy metabolism. Purpose: The purpose of AJCN is to: Publish original research studies relevant to human and clinical nutrition. Consider well-controlled clinical studies describing scientific mechanisms, efficacy, and safety of dietary interventions in the context of disease prevention or health benefits. Encourage public health and epidemiologic studies relevant to human nutrition. Promote innovative investigations of nutritional questions employing epigenetic, genomic, proteomic, and metabolomic approaches. Include solicited editorials, book reviews, solicited or unsolicited review articles, invited controversy position papers, and letters to the Editor related to prior AJCN articles. Peer Review Process: All submitted material with scientific content undergoes peer review by the Editors or their designees before acceptance for publication.
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