Evidence map›Paper›PMID 24782515›Full record

ArticleBMJ (Clinical research ed.)2014

Dietary fiber intake and mortality among survivors of myocardial infarction: prospective cohort study.

Shanshan Li, Alan Flint, Jennifer K Pai, John P Forman, Frank B Hu, Walter C Willett, Kathryn M Rexrode, Kenneth J Mukamal, Eric B Rimm

Open access · hybridAbstract read
In one paragraph

Article in BMJ (Clinical research ed.), 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
4.8field-weighted citation impact, top 5% 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.

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

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 50 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. Article
  13. Article
  14. Diet and Chronic Kidney Disease.Advances in nutrition (Bethesda, Md.) · 2019
    Review
  15. Article
  16. Review
  17. Article
  18. The Western Diet and Chronic Kidney Disease.Current hypertension reports · 2015
    Review
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

9 authors at 3 institutions in 1 country.

Shanshan LiDepartment of Epidemiology, Harvard School of Public Health, 655 Huntington Avenue, Boston, MA 02115, USA.
Alan Flint
Jennifer K Pai
John P Forman
Frank B Hu
Walter C Willett
Kathryn M Rexrode
Kenneth J Mukamal
Eric B Rimm
Harvard University · USBrigham and Women's Hospital · USBeth Israel Deaconess Medical Center · US

Funding

Statistical MethodsP01CA087969 · NCI · BRIGHAM AND WOMEN'S HOSPITAL · PI TWOROGER, SHELLEY S · 2000 to 2019
$77.8M
RISK FACTORS FOR CVD IN WOMENR01HL034594 · NHLBI · TULANE UNIVERSITY OF LOUISIANA · PI JoAnn Elisabeth Manson, Lu Qi · 1985 to 2026
$13.8M
Dietary Etiology of Heart DiseaseR01HL035464 · NHLBI · HARVARD UNIVERSITY (SCH OF PUBLIC HLTH) · PI ERIC B RIMM, Qi Sun · 1986 to 2026
$13.6M
DIETARY PATTERNS AND RISK OF CARDIOVASCULAR DISEASER01HL060712 · NHLBI · HARVARD UNIVERSITY (SCH OF PUBLIC HLTH) · PI HU, FRANK B, QI, QIBIN · 1998 to 2021
$8.0M
ALCOHOL CONSUMPTION PATTERNS, BIOMARKERS AND HEALTHR01AA011181 · NIAAA · HARVARD UNIVERSITY (SCH OF PUBLIC HLTH) · PI RIMM, ERIC B · 1997 to 2008
$3.3M
NCI NIH HHS CA055075NCI NIH HHS CA55075NCI NIH HHS CA87969NHLBI NIH HHS HL34594NHLBI NIH HHS HL35464NHLBI NIH HHS HL60712NIAAA NIH HHS AA11181
6 · The paper itself

Abstract

objectiveTo evaluate the associations of dietary fiber after myocardial infarction (MI) and changes in dietary fiber intake from before to after MI with all cause and cardiovascular mortality.

designProspective cohort study.

settingTwo large prospective cohort studies of US women and men with repeated dietary measurements: the Nurses' Health Study and the Health Professionals Follow-Up Study.

participants2258 women and 1840 men who were free of cardiovascular disease, stroke, or cancer at enrollment, survived a first MI during follow-up, were free of stroke at the time of initial onset of MI, and provided food frequency questionnaires pre-MI and at least one post-MI.

main outcome measuresAssociations of dietary fiber post-MI and changes from before to after MI with all cause and cardiovascular mortality using Cox proportional hazards models, adjusting for drug use, medical history, and lifestyle factors.

resultsHigher post-MI fiber intake was significantly associated with lower all cause mortality (comparing extreme fifths, pooled hazard ratio 0.75, 95% confidence interval 0.58 to 0.97). Greater intake of cereal fiber was more strongly associated with all cause mortality (pooled hazard ratio 0.73, 0.58 to 0.91) than were other sources of dietary fiber. Increased fiber intake from before to after MI was significantly associated with lower all cause mortality (pooled hazard ratio 0.69, 0.55 to 0.87).

conclusionsIn this prospective study of patients who survived MI, a greater intake of dietary fiber after MI, especially cereal fiber, was inversely associated with all cause mortality. In addition, increasing consumption of fiber from before to after MI was significantly associated with lower all cause and cardiovascular mortality.

Indexed as

AdultAgedCardiovascular DiseasesCause of DeathDietary FiberEpidemiologic MethodsFeeding BehaviorFemaleHumansMaleMiddle AgedMyocardial InfarctionPrognosisSurvivorsDietary Fiber

Identifiers

PMID24782515
PMCPMC4004785
OpenAlexW2059856233

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.