Evidence map›Paper›PMID 25697507›Full record

ArticlePublic health nutrition2015

Do older Chinese people's diets meet the Chinese Food Pagoda guidelines? Results from the China Health and Nutrition Survey 2009.

Xiaoyue Xu, John Hall, Julie Byles, Zumin Shi

Abstract read
In one paragraph

Article in Public health nutrition, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing 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

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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

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

  1. Pooled it
  2. Article
  3. Chinese Healthy Eating Index (CHEI) and risk of hypertension: A prospective cohort study in China.Hypertension research : official journal of the Japanese Society of Hypertension · 2025
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  8. Dietary diversity indicesPublic health nutrition · 2023
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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

4 authors.

Xiaoyue Xu1Priority Research Centre for Gender,Health and Ageing,School of Medicine and Public Health,Hunter Medical Research Institute,University of Newcastle,W-4 HMRI Building,Callaghan,NSW 2305,Australia.
John Hall2Centre for Clinical Epidemiology and Biostatistics,School of Medicine and Public Health,Hunter Medical Research Institute,University of Newcastle,Callaghan,Australia.
Julie Byles1Priority Research Centre for Gender,Health and Ageing,School of Medicine and Public Health,Hunter Medical Research Institute,University of Newcastle,W-4 HMRI Building,Callaghan,NSW 2305,Australia.
Zumin Shi3Department of Medicine,University of Adelaide,Adelaide,Australia.

Funding

UNIV OF NORTH CAROLINA CLINICAL NUTRITION RESEARCH UNITP30DK056350 · NIDDK · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Ian Michael Carroll · 1999 to 2026
$31.6M
MONITORING SOCIAL CHANGE: HEALTH, REPRODUCTION, AGINGR01HD030880 · NICHD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI ADAIR, LINDA S, POPKIN, BARRY M · 1994 to 2024
$27.0M
Carolina Population CenterR24HD050924 · NICHD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI MORGAN, SAMUEL PHILIP · 2005 to 2014
$10.0M
CHILD HEALTH EFFECTS OF RAPID SOCIO-DEMOGRAPHIC CHANGER01HD038700 · NICHD · UNIVERSITY OF NORTH CAROLINA CHAPEL HILL · PI POPKIN, BARRY M · 2000 to 2004
$1.5M
NICHD NIH HHS 5 R24 HD050924NICHD NIH HHS R01 HD030880NICHD NIH HHS R01 HD038700NICHD NIH HHS R01-HD30880NICHD NIH HHS R01-HD38700NICHD NIH HHS R24 HD050924NIDDK NIH HHS DK056350NIDDK NIH HHS P30 DK056350
6 · The paper itself

Abstract

objectiveTo evaluate dietary intake based on the Chinese Food Pagoda (CFP) and to determine what factors may be associated with adherence to CFP guidelines for older Chinese.

designThis cross-sectional population-based study used 24 h recall over three consecutive days to assess dietary intake and adherence to CFP among older Chinese participating in the China Health and Nutrition Survey 2009.

settingNine provinces across four diverse regions (Northeast, East Coast, Central and West). SUBJECTS: A total of 2745 older Chinese, aged 60-69 years (n 1563) and ≥70 years (n 1182), with dietary data.

resultsNone of the participants reached all ten food group recommendations. More than half of the participants exceeded the recommended amount for grains (63%), oil (62·8%) and salt (55·7%). Ten per cent of the participants consumed dairy, while merely 0·5% met the recommended amount. Average Chinese Food Pagoda Score (CFPS) was 3·3 in men and 3·5 in women, far below the maximum possible score of 10. Women had 0·26 higher CFPS than men (P<0·001; 95% CI 0·16, 0·36). People living in medium and high urbanicity areas had significantly higher scores than those living in low urbanicity areas (P<0·001). Also, there were significant differences in CFPS according to gender, BMI, work status, education level and region.

conclusionsFew older Chinese are meeting the intake of the various food groups based on the recommendations in the CFP guidelines, thus increasing the risk of malnutrition and non-communicable diseases. Action is needed to increase dissemination and uptake of nutrition education, with interventions targeted at socio-economic regions. Moreover, specific dietary guidelines for older Chinese people should be developed.

Indexed as

DietFeeding BehaviorNutrition PolicyAgedAged, 80 and overBody Mass IndexChinaEnergy IntakeFemaleGeriatric AssessmentHumansMaleMiddle AgedNutrition AssessmentNutrition SurveysSex FactorsChinese Food PagodaOlder peopleSocio-economic regionsUrbanicity

Identifiers

PMID25697507
PMCPMC10271761

What OpenQuestion holds

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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.