Evidence map›Paper›PMID 24476641›Full record

SynthesisPublic health nutrition2014

Mediterranean diet and health status: an updated meta-analysis and a proposal for a literature-based adherence score.

Francesco Sofi, Claudio Macchi, Rosanna Abbate, Gian Franco Gensini, Alessandro Casini

Registry-linked trialOpen access · bronzeAbstract readMeta-AnalysisReview
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in Public health nutrition, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07387289 (Eating Fruits and Vegetables With Pleasure! A Pilot Randomized Controlled Feasibility and Acceptability Assessment of a Nutritional Intervention Integrating Eating Pleasure to Promote Healthy Eating in Higher-Weight Adults), which is not on this map. Cited by 488 papers, 14 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
488citing papers in PubMed, 14 pooled it
44.4field-weighted citation impact, top 1% of its field
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.

NCT07387289 nanot yet recruitingnot on this mapstarted 2026, after this paper: background citation

Eating Fruits and Vegetables With Pleasure! A Pilot Randomized Controlled Feasibility and Acceptability Assessment of a Nutritional Intervention Integrating Eating Pleasure to Promote Healthy Eating in Higher-Weight Adults

TypeinterventionalSponsorLaval UniversityRan2026 to 2026Enrolled88ConditionsHealthy EatingArmsEating fruits and vegetables with pleasure!
3 · Its place in the literature

Who cites it

488 citing papers in PubMed, 14 syntheses or guidelines pooled it, 982 citations in OpenAlex.

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428 more citing papers are in PubMed but not listed here.

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

5 authors at 3 institutions in 1 country.

Francesco Sofi1Department of Clinical and Experimental Medicine,University of Florence,Largo Brambilla 3,50134 Florence,Italy.
Claudio Macchi3Don Carlo Gnocchi Foundation Italy,IRCCS,Florence,Italy.
Rosanna Abbate1Department of Clinical and Experimental Medicine,University of Florence,Largo Brambilla 3,50134 Florence,Italy.
Gian Franco Gensini1Department of Clinical and Experimental Medicine,University of Florence,Largo Brambilla 3,50134 Florence,Italy.
Alessandro Casini1Department of Clinical and Experimental Medicine,University of Florence,Largo Brambilla 3,50134 Florence,Italy.
Don Carlo Gnocchi Foundation · ITAzienda Ospedaliero-Universitaria Careggi · ITUniversity of Florence · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo update previous meta-analyses of cohort studies that investigated the association between the Mediterranean diet and health status and to utilize data coming from all of the cohort studies for proposing a literature-based adherence score to the Mediterranean diet.

designWe conducted a comprehensive literature search through all electronic databases up to June 2013.

settingCohort prospective studies investigating adherence to the Mediterranean diet and health outcomes. Cut-off values of food groups used to compute the adherence score were obtained. SUBJECTS: The updated search was performed in an overall population of 4 172 412 subjects, with eighteen recent studies that were not present in the previous meta-analyses.

resultsA 2-point increase in adherence score to the Mediterranean diet was reported to determine an 8 % reduction of overall mortality (relative risk = 0·92; 95 % CI 0·91, 0·93), a 10 % reduced risk of CVD (relative risk = 0·90; 95 % CI 0·87, 0·92) and a 4 % reduction of neoplastic disease (relative risk = 0·96; 95 % CI 0·95, 0·97). We utilized data coming from all cohort studies available in the literature for proposing a literature-based adherence score. Such a score ranges from 0 (minimal adherence) to 18 (maximal adherence) points and includes three different categories of consumption for each food group composing the Mediterranean diet.

conclusionsThe Mediterranean diet was found to be a healthy dietary pattern in terms of morbidity and mortality. By using data from the cohort studies we proposed a literature-based adherence score that can represent an easy tool for the estimation of adherence to the Mediterranean diet also at the individual level.

Indexed as

Diet, MediterraneanFeeding BehaviorHealth StatusCardiovascular DiseasesHumansNeoplasms

Identifiers

PMID24476641
PMCPMC10282340
OpenAlexW2167807738

What OpenQuestion holds

Textmetadata
Read underepoch 390

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 OpenQuestion graph.