Evidence map›Paper›PMID 21387371›Full record

ArticleAnnals of neurology2011

Mediterranean diet and magnetic resonance imaging-assessed cerebrovascular disease.

Nikolaos Scarmeas, José A Luchsinger, Yaakov Stern, Yian Gu, Jing He, Charlie DeCarli, Truman Brown, Adam M Brickman

Abstract read
In one paragraph

Article in Annals of neurology, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 59 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
59citing papers in PubMed, 3 pooled it
–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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

59 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. MIND diet, cerebrovascular health, and cognition among community-dwelling older adults.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026
    Article
  5. Review
  6. Review
  7. Observational
  8. Diets to promote healthy brain ageing.Nature reviews. Neurology · 2025
    Review
  9. Observational
  10. Review
  11. Review
  12. The association of MIND diet with cognitive resilience to neuropathologies.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2023
    Article
  13. Nutritional metabolism and cerebral bioenergetics in Alzheimer's disease and related dementias.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2023
    Review
  14. Article
  15. Review
  16. Article
  17. Article
  18. Review
  19. Anti-inflammatory and Anti-oxidant Activity of HidroxAntioxidants (Basel, Switzerland) · 2020
    Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors.

Nikolaos ScarmeasTaub Institute for Research in Alzheimer's Disease and the Aging Brain, University of California at Davis, Sacramento, USA. ns257@columbia.edu
José A Luchsinger
Yaakov Stern
Yian Gu
Jing He
Charlie DeCarli
Truman Brown
Adam M Brickman

Funding

UC Davis Alzheimer's Disease Core CenterP30AG010129 · NIA · UNIVERSITY OF CALIFORNIA DAVIS · PI DECARLI, CHARLES · 1991 to 2020
$28.3M
VASCULAR FACTORS AND MILD COGNITIVE IMPAIRMENT AND ALZHEIMER'S DISEASEP01AG007232 · NIA · COLUMBIA UNIV NEW YORK MORNINGSIDE · PI DEVANAND, DAVANGERE P · 1989 to 2008
$21.7M
Epidemiology of Biomarkers of Risk and Progression in LOADR01AG037212 · NIA · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI MAYEUX, RICHARD P, SCHUPF, NICOLE · 2010 to 2015
$10.1M
Mediterranean Diet and Other Dietary Patterns in Alzheimer's DiseaseR01AG028506 · NIA · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI SCARMEAS, NIKOLAOS A · 2008 to 2012
$2.0M
White matter hyperintensities in Aging and DementiaR01AG034189 · NIA · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI BRICKMAN, ADAM M · 2010 to 2014
$2.0M
The Effect of Age on Neuromorphology and its Cognitive ConsequencesK23AG029949 · NIA · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI BRICKMAN, ADAM M · 2007 to 2011
$770k
NIA NIH HHS AG028506NIA NIH HHS AG029949NIA NIH HHS K23 AG029949NIA NIH HHS P01 AG007232NIA NIH HHS P01-AG07232NIA NIH HHS P30 AG010129NIA NIH HHS R01 AG028506NIA NIH HHS R01 AG034189NIA NIH HHS R01 AG037212
6 · The paper itself

Abstract

objectiveCerebrovascular disease is 1 of the possible mechanisms of the previously reported relationship between Mediterranean-type diet (MeDi) and Alzheimer's disease (AD). We sought to investigate the association between MeDi and MRI infarcts.

methodsHigh-resolution structural MRI was collected on 707 elderly 65 years or older community residents of New York with available dietary assessments administered an average of 5.8 years (3.22 standard deviations [SDs]) before the MRI. Participants were divided into 3 groups of adherence to MeDi (low, middle, and high tertiles). We examined the association of increasing adherence to MeDi with presence of infarcts on MRI. Models were run without adjustment, adjusted for basic demographic and clinical factors, and adjusted for vascular risk factors.

resultsA total of 222 participants had at least 1 infarct. In the unadjusted model, compared to the low adherence group, those in the moderate MeDi adherence group had a 22% reduced odds of having an infarct (odds ratio [OR], 0.78; 95% confidence interval [CI], 0.55-1.14), while participants in the highest MeDi adherence group had a 36% reduced odds (OR, 0.64; 95% CI, 0.42-0.97; p for trend = 0.04). In adjusted models, the association between MeDi adherence and MRI infarcts remained essentially unchanged. The association of high MeDi adherence with infarcts was comparable to that of hypertension (40% reduced probability), did not vary by infarct size or after excluding patients with dementia (n = 46) or clinical strokes (n = 86). There was no association between MeDi and white matter hyperintensities.

interpretationHigher adherence to the MeDi is associated with reduced cerebrovascular disease burden.

Indexed as

Diet, MediterraneanAgedAged, 80 and overAgingAnalysis of VarianceBrainBrain MappingCerebrovascular DisordersFemaleHumansImage Processing, Computer-AssistedMagnetic Resonance ImagingMaleMotor ActivityNeurologic ExaminationNeuropsychological Tests

Identifiers

PMID21387371
PMCPMC3066080

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Registered trials

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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 OpenQuestion graph.