Evidence map›Paper›PMID 25246449›Full record

ArticleJournal of the American Heart Association2014

Low carbohydrate diet from plant or animal sources and mortality among myocardial infarction survivors.

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

Abstract read
In one paragraph

Article in Journal of the American Heart Association, 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
–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

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

  1. Pooled it
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  15. Nutrition, risk factors, prevention, and imaging: The 2018 Mario Verani Lecture.Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology · 2019
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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.

Shanshan LiDepartment of Epidemiology, Harvard School of Public Health, Boston, MA (S.L., A.F., F.B.H., W.C.W., E.B.R.).
Alan FlintDepartment of Epidemiology, Harvard School of Public Health, Boston, MA (S.L., A.F., F.B.H., W.C.W., E.B.R.) Department of Nutrition, Harvard School of Public Health, Boston, MA (A.F., F.B.H., W.C.W., E.B.R.).
Jennifer K PaiInformatics, Merck & Co, Boston, MA (J.K.P.).
John P FormanChanning Division of Network Medicine, Department of Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, MA (J.P.F., F.B.H., W.C.W., E.B.R.).
Frank B HuDepartment of Epidemiology, Harvard School of Public Health, Boston, MA (S.L., A.F., F.B.H., W.C.W., E.B.R.) Department of Nutrition, Harvard School of Public Health, Boston, MA (A.F., F.B.H., W.C.W., E.B.R.) Channing Division of Network Medicine, Department of Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, MA (J.P.F., F.B.H., W.C.W., E.B.R.).
Walter C WillettDepartment of Epidemiology, Harvard School of Public Health, Boston, MA (S.L., A.F., F.B.H., W.C.W., E.B.R.) Department of Nutrition, Harvard School of Public Health, Boston, MA (A.F., F.B.H., W.C.W., E.B.R.) Channing Division of Network Medicine, Department of Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, MA (J.P.F., F.B.H., W.C.W., E.B.R.).
Kathryn M RexrodeDivision of Preventive Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, MA (K.M.R.).
Kenneth J MukamalDivision of General Medicine and Primary Care, Beth Israel Deaconess Medical Center, Brookline, MA (K.J.M.).
Eric B RimmDepartment of Epidemiology, Harvard School of Public Health, Boston, MA (S.L., A.F., F.B.H., W.C.W., E.B.R.) Department of Nutrition, Harvard School of Public Health, Boston, MA (A.F., F.B.H., W.C.W., E.B.R.) Channing Division of Network Medicine, Department of Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, MA (J.P.F., F.B.H., W.C.W., E.B.R.).

Funding

Statistical MethodsP01CA087969 · NCI · BRIGHAM AND WOMEN'S HOSPITAL · PI ELIASSEN, A. HEATHER · 2000 to 2019
$77.8M
Validity of Diet and Activity Measures in WomenP01CA055075 · NCI · HARVARD UNIVERSITY (SCH OF PUBLIC HLTH) · PI WILLETT, WALTER C. · 1991 to 2009
$41.8M
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 CA55075NCI NIH HHS CA87969NCI NIH HHS P01 CA055075NCI NIH HHS P01 CA087969NHLBI NIH HHS HL34594NHLBI NIH HHS HL35464NHLBI NIH HHS HL60712NHLBI NIH HHS R01 HL034594NHLBI NIH HHS R01 HL035464NHLBI NIH HHS R01 HL060712NIAAA NIH HHS AA11181NIAAA NIH HHS R01 AA011181
6 · The paper itself

Abstract

backgroundThe healthiest dietary pattern for myocardial infarction (MI) survivors is not known. Specific long-term benefits of a low-carbohydrate diet (LCD) are unknown, whether from animal or vegetable sources. There is a need to examine the associations between post-MI adherence to an LCD and all-cause and cardiovascular mortality. METHODS AND

resultsWe included 2258 women from the Nurses' Health Study and 1840 men from the Health Professional Follow-Up Study who had survived a first MI during follow-up and provided a pre-MI and at least 1 post-MI food frequency questionnaire. Adherence to an LCD high in animal sources of protein and fat was associated with higher all-cause and cardiovascular mortality (hazard ratios of 1.33 [95% CI: 1.06 to 1.65] for all-cause mortality and 1.51 [95% CI: 1.09 to 2.07] for cardiovascular mortality comparing extreme quintiles). An increase in adherence to an animal-based LCD prospectively assessed from the pre- to post-MI period was associated with higher all-cause mortality and cardiovascular mortality (hazard ratios of 1.30 [95% CI: 1.03 to 1.65] for all-cause mortality and 1.53 [95% CI: 1.10 to 2.13] for cardiovascular mortality comparing extreme quintiles). An increase in adherence to a plant-based LCD was not associated with lower all-cause or cardiovascular mortality.

conclusionsGreater adherence to an LCD high in animal sources of fat and protein was associated with higher all-cause and cardiovascular mortality post-MI. We did not find a health benefit from greater adherence to an LCD overall after MI.

Indexed as

Cause of DeathDiet, Carbohydrate-RestrictedSurvivorsAdultAnimalsCardiovascular DiseasesCohort StudiesFemaleHumansMaleMiddle AgedMultivariate AnalysisMyocardial InfarctionPrognosisProportional Hazards ModelsProspective Studieslow‐carbohydrate dietmortalitymyocardial infarctionsecondary prevention

Identifiers

PMID25246449
PMCPMC4323805

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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.