Evidence map›Paper›PMID 24944055›Full record

SynthesisThe American journal of clinical nutrition2014

Adherence to dietary guidelines and mortality: a report from prospective cohort studies of 134,000 Chinese adults in urban Shanghai.

Danxia Yu, Xianglan Zhang, Yong-Bing Xiang, Gong Yang, Honglan Li, Yu-Tang Gao, Wei Zheng, Xiao-Ou Shu

Registry-linked trialAbstract readMeta-AnalysisReview
In one paragraph

Synthesis in The American journal of clinical 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 NCT06988501 (The Effect of Goal Setting With Mobile-based Self-management Tool on Improving Diet Quality of People With High Blood Pressure), which is not on this map. Cited by 89 papers, 10 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
89citing papers in PubMed, 10 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.

NCT06988501 narecruitingnot on this mapstarted 2024, after this paper: background citation

The Effect of Goal Setting With Mobile-based Self-management Tool on Improving Diet Quality of People With High Blood Pressure: a Randomized Controlled Trial

TypeinterventionalSponsorChina National Center for Cardiovascular DiseasesRan2024 to 2025Enrolled110ConditionsBlood Pressure, HighArmsGoal setting with mobile-based self-management tool, Nutrition education
3 · Its place in the literature

Who cites it

89 citing papers in PubMed, 10 syntheses or guidelines pooled it.

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  18. Assessment of Adipokine and Inflammation Biomarkers with Cancer Risk among Chinese Men: A Prospective Cohort Study.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2025
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29 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

8 authors.

Danxia YuFrom the Division of Epidemiology, Department of Medicine, Vanderbilt University School of Medicine, Nashville, TN (DY, XZ, GY, WZ and X-OS), and the Department of Epidemiology, Shanghai Cancer Institute, Shanghai, China (Y-BX, HL, and Y-TG).
Xianglan ZhangFrom the Division of Epidemiology, Department of Medicine, Vanderbilt University School of Medicine, Nashville, TN (DY, XZ, GY, WZ and X-OS), and the Department of Epidemiology, Shanghai Cancer Institute, Shanghai, China (Y-BX, HL, and Y-TG).
Yong-Bing XiangFrom the Division of Epidemiology, Department of Medicine, Vanderbilt University School of Medicine, Nashville, TN (DY, XZ, GY, WZ and X-OS), and the Department of Epidemiology, Shanghai Cancer Institute, Shanghai, China (Y-BX, HL, and Y-TG).
Gong YangFrom the Division of Epidemiology, Department of Medicine, Vanderbilt University School of Medicine, Nashville, TN (DY, XZ, GY, WZ and X-OS), and the Department of Epidemiology, Shanghai Cancer Institute, Shanghai, China (Y-BX, HL, and Y-TG).
Honglan LiFrom the Division of Epidemiology, Department of Medicine, Vanderbilt University School of Medicine, Nashville, TN (DY, XZ, GY, WZ and X-OS), and the Department of Epidemiology, Shanghai Cancer Institute, Shanghai, China (Y-BX, HL, and Y-TG).
Yu-Tang GaoFrom the Division of Epidemiology, Department of Medicine, Vanderbilt University School of Medicine, Nashville, TN (DY, XZ, GY, WZ and X-OS), and the Department of Epidemiology, Shanghai Cancer Institute, Shanghai, China (Y-BX, HL, and Y-TG).
Wei ZhengFrom the Division of Epidemiology, Department of Medicine, Vanderbilt University School of Medicine, Nashville, TN (DY, XZ, GY, WZ and X-OS), and the Department of Epidemiology, Shanghai Cancer Institute, Shanghai, China (Y-BX, HL, and Y-TG).
Xiao-Ou ShuFrom the Division of Epidemiology, Department of Medicine, Vanderbilt University School of Medicine, Nashville, TN (DY, XZ, GY, WZ and X-OS), and the Department of Epidemiology, Shanghai Cancer Institute, Shanghai, China (Y-BX, HL, and Y-TG).

Funding

Shanghai Womens Health StudyUM1CA182910 · NCI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI ZHENG, WEI · 2014 to 2018
$5.9M
Shanghai Men's Health StudyUM1CA173640 · NCI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI SHU, XIAO-OU · 2013 to 2017
$4.9M
Cancer Risk Reduction and Diet: A Cohort Study of WomenR37CA070867 · NCI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI ZHENG, WEI · 2009 to 2013
$4.7M
Phytoestrogen and Endogenous Estrogen Exposure and Risk of StrokeR01HL095931 · NHLBI · VANDERBILT UNIVERSITY · PI YANG, GONG · 2010 to 2013
$2.5M
NCI NIH HHS R37 CA070867NCI NIH HHS UM1 CA173640NCI NIH HHS UM1 CA182910NHLBI NIH HHS R01 HL095931
6 · The paper itself

Abstract

backgroundA higher adherence to dietary recommendations, such as the Dietary Approaches to Stop Hypertension (DASH) and the Alternative Healthy Eating Index (AHEI), has been associated with lower morbidity and mortality from chronic diseases in Western populations. However, the health benefits of following the Dietary Guidelines for Chinese remain unknown.

objectiveWe examined adherence to the Chinese Food Pagoda (CHFP) in association with total and cause-specific mortality and compared associations with those of the DASH and AHEI.

designParticipants included 61,239 men and 73,216 women (aged 40-74 y) from 2 population-based prospective studies in Shanghai, China. Habitual dietary intakes were assessed at baseline in-person interviews by using validated food-frequency questionnaires. Deaths and underlying causes were identified through the Shanghai Vital Statistics Registry and follow-up home visits.

resultsWe documented 2954 deaths in men and 4348 deaths in women during mean follow-ups of 6.5 and 12.0 y, respectively. A higher CHFP score was associated with lower total mortality with multivariable-adjusted HRs of 0.67 (95% CI: 0.60, 0.75) in men and 0.87 (95% CI: 0.80, 0.95) in women when extreme quartiles were compared (both P-trend < 0.005). Decreased risks associated with a higher CHFP score were observed for cardiovascular disease, cancer, and diabetes mortality, particularly in men. A significantly lower total mortality was shown for adherence to specific recommendations on vegetables, fruit, legumes, fish, and eggs but not grains, dairy, meat, fat, and salt. A higher DASH score and AHEI also predicted lower mortality from all causes, cardiovascular disease, and diabetes but not cancer.

conclusionsA greater compliance with Chinese or US dietary guidelines is associated with lower total mortality in Chinese adults. Favorable associations are more evident in men than women and more consistent for cardiometabolic mortality than cancer mortality.

Indexed as

Health PromotionNutrition PolicyPatient ComplianceUrban HealthAdultAgedChinaCohort StudiesDietFemaleHumansMaleMiddle AgedMortalityProspective StudiesSex Characteristics

Identifiers

PMID24944055
PMCPMC4095665

What OpenQuestion holds

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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.