Evidence map›Paper›PMID 25305231›Full record

ArticleThe American journal of medicine2015

Long-term adherence to healthy dietary guidelines and chronic inflammation in the prospective Whitehall II study.

Tasnime N Akbaraly, Martin J Shipley, Jane E Ferrie, Marianna Virtanen, Gordon Lowe, Mark Hamer, Mika Kivimaki

Open access · hybridAbstract read
In one paragraph

Article in The American journal of medicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed, 2 pooled it
4.5field-weighted citation impact, top 6% 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

41 citing papers in PubMed, 2 syntheses or guidelines pooled it, 70 citations in OpenAlex.

  1. A systematic review and meta-analysis of loss-of-control eating in relation to cardiometabolic health components and inflammatory markers.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2024
    Pooled it
  2. Pooled it
  3. Lifestyle Modification for the Management of Psoriatic Arthritis.American journal of lifestyle medicine · 2026
    Review
  4. Article
  5. Metformin attenuates fructose-induced pulmonary fibrosis, possibly through the involvement of the TRPC6 channel.Brazilian journal of medical and biological research = Revista brasileira de pesquisas medicas e biologicas · 2026
    Article
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  8. Managing the Patient with Psoriasis and Metabolic Comorbidities.American journal of clinical dermatology · 2024
    Review
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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

7 authors at 5 institutions in 3 countries.

Tasnime N AkbaralyInserm U710, Montpellier, F-34000, France; University Montpellier II, Montpellier, France; EPHE, Paris, France; Department of Epidemiology and Public Health, University College London, London, United Kingdom. Electronic address: tasnime.akbaraly@inserm.fr.
Martin J ShipleyDepartment of Epidemiology and Public Health, University College London, London, United Kingdom.
Jane E FerrieDepartment of Epidemiology and Public Health, University College London, London, United Kingdom; School of Social and Community Medicine, University of Bristol, Bristol, United Kingdom.
Marianna VirtanenFinnish Institute of Occupational Health, Helsinki, Finland.
Gordon LoweInstitute of Cardiovascular and Medical Sciences, University of Glasgow, Glasgow, United Kingdom.
Mark HamerDepartment of Epidemiology and Public Health, University College London, London, United Kingdom.
Mika KivimakiDepartment of Epidemiology and Public Health, University College London, London, United Kingdom.
University College London · GBFinnish Institute of Occupational Health · FIInserm · FRUniversity of Bristol · GBUniversity of Glasgow · GB

Funding

Socio-economic status and heterogeneity in agingR01AG013196 · NIA · UNIVERSITY OF LONDON INST OF NEUROLOGY · PI MARMOT, MICHAEL G, SINGH-MANOUX, ARCHANA · 1996 to 2013
$3.5M
Socioeconomic gradient in CHD in early old ageR01HL036310 · NHLBI · UNIVERSITY OF LONDON · PI KIVIMAKI, MIKA J, MARMOT, MICHAEL G · 1986 to 2012
$3.1M
Health behaviors over the adult lifecourse and cognitive agingR01AG034454 · NIA · UNIVERSITY COLLEGE LONDON · PI KIVIMAKI, MIKA J, SINGH-MANOUX, ARCHANA · 2009 to 2013
$1.5M
SOCIAL FACTORS INFLUENCING MEDICAL OUTCOME MEASURESR01HS006516 · AHRQ · UNIVERSITY OF LONDON · PI MARMOT, MICHAEL G · 1990 to 1995
–
AHRQ HHS HS06516British Heart Foundation RG/13/2/30098Medical Research Council MR/K013351/1NHLBI NIH HHS R01 HL036310NHLBI NIH HHS R01HL036310NIA NIH HHS R01 AG013196NIA NIH HHS R01AG013196NIA NIH HHS R01 AG034454NIA NIH HHS R01AG034454
6 · The paper itself

Abstract

backgroundInflammation plays an important role in the cause of cardiovascular diseases and may contribute to the association linking an unhealthy diet to chronic age-related diseases. However, to date the long-term associations between diet and inflammation have been poorly described. Our aim was to assess the extent to which adherence to a healthy diet and dietary improvements over a 6-year exposure period prevented subsequent chronic inflammation over a 5-year follow-up in a large British population of men and women.

methodsData were drawn from 4600 adults (mean ± standard deviation, age 49.6 ± 6.1 years, 28% were women) from the prospective Whitehall cohort II study. Adherence to a healthy diet was measured using Alternative Healthy Eating Index (AHEI) scores in 1991-1993 (50.7 ± 11.9 points) and 1997-1999 (51.6 ± 12.4 points). Chronic inflammation, defined as average levels of serum interleukin-6 from 2 measures 5 years apart, was assessed in 1997-1999 and 2002-2004.

resultsAfter adjustment for sociodemographic factors, health behaviors, and health status, participants who maintained a high AHEI score (ie, a healthy diet, n = 1736, 37.7%) and those who improved this score over time (n = 681, 14.8%) showed significantly lower mean levels of interleukin-6 (1.84 pg/mL, 95% confidence interval [CI], 1.71-1.98 and 1.84 pg/mL, 95% CI, 1.70-1.99, respectively) than those who had a low AHEI score (n = 1594, 34.6%) over the 6-year exposure period (2.01 pg/mL, 95% CI, 1.87-2.17).

conclusionsThese data suggest that maintaining and improving adherence to healthy dietary recommendations may reduce the risk of long-term inflammation.

Indexed as

Nutrition PolicyPatient ComplianceAdultBiomarkersChronic DiseaseDietFemaleHumansInflammationInterleukin-6LondonMaleMiddle AgedProspective StudiesSurveys and QuestionnairesBiomarkersInterleukin-6Alternative Healthy Eating IndexDiet quality indicesInflammatory markerInterleukin-6Middle-aged populationNutritional EpidemiologyProspective cohort

Identifiers

PMID25305231
PMCPMC4315808
OpenAlexW2030391151

What OpenQuestion holds

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LicenceCC BY
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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.