Evidence map›Paper›PMID 26035241›Full record

Trial reportNutrients2015

Dietary Inflammatory Index and Incidence of Cardiovascular Disease in the PREDIMED Study.

Ana Garcia-Arellano, Raul Ramallal, Miguel Ruiz-Canela, Jordi Salas-Salvadó, Dolores Corella, Nitin Shivappa, Helmut Schröder, James R Hébert, Emilio Ros, Enrique Gómez-Garcia and 12 more

Abstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Nutrients, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 136 papers, 9 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
136citing papers in PubMed, 9 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

136 citing papers in PubMed, 9 syntheses or guidelines pooled it.

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  4. Dietary Inflammatory Index in relation to Type 2 Diabetes: A Meta-Analysis.International journal of clinical practice · 2022
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  14. The HDL lipidome is widely remodeled by fast food versus Mediterranean diet in 4 days.Metabolomics : Official journal of the Metabolomic Society · 2019
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76 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

22 authors.

Ana Garcia-ArellanoDepartment of Emergency, Complejo Hospitalario de Navarra, Servicio Navarro de Salud, Pamplona 31008, Spain. raulramallal@hotmail.com.
Raul RamallalDepartment of Preventive Medicine and Public Health, School of Medicine, University of Navarra, Pamplona 31008, Spain. raulramallal@hotmail.com.
Miguel Ruiz-CanelaThe PREDIMED (Prevención con Dieta Mediterránea) Research Network (RD 06/0045), Instituto de Salud Carlos III, Madrid 28029, Spain. raulramallal@hotmail.com.
Jordi Salas-SalvadóThe PREDIMED (Prevención con Dieta Mediterránea) Research Network (RD 06/0045), Instituto de Salud Carlos III, Madrid 28029, Spain. jordi.salas@urv.cat.
Dolores CorellaCentro de Investigación Biomédica en Epidemiología y Salud Pública, Madrid 28029, Spain. dolores.corella@uv.es.
Nitin ShivappaSouth Carolina Statewide Cancer Prevention and Control Program, University of South Carolina, Columbia, SC, 29208 USA. shivappa@email.sc.edu.
Helmut SchröderCentro de Investigación Biomédica en Epidemiología y Salud Pública, Madrid 28029, Spain. HSchoeder@imim.es.
James R HébertSouth Carolina Statewide Cancer Prevention and Control Program, University of South Carolina, Columbia, SC, 29208 USA. JHEBERT@mailbox.sc.edu.
Emilio RosCentro de Investigación Biomédica en Epidemiología y Salud Pública, Madrid 28029, Spain. EROS@clinic.ub.es.
Enrique Gómez-GarciaThe PREDIMED (Prevención con Dieta Mediterránea) Research Network (RD 06/0045), Instituto de Salud Carlos III, Madrid 28029, Spain. egomezgracia@uma.es.
Ramon EstruchThe PREDIMED (Prevención con Dieta Mediterránea) Research Network (RD 06/0045), Instituto de Salud Carlos III, Madrid 28029, Spain. restruch@clinic.ub.es.
José LapetraCentro de Investigación Biomédica en Epidemiología y Salud Pública, Madrid 28029, Spain. jlapetra@ono.com.
Fernando ArósThe PREDIMED (Prevención con Dieta Mediterránea) Research Network (RD 06/0045), Instituto de Salud Carlos III, Madrid 28029, Spain. raulramallal@hotmail.com.
Miquel FiolCentro de Investigación Biomédica en Epidemiología y Salud Pública, Madrid 28029, Spain. miquelfiol@yahoo.es.
Lluis Serra-MajemThe PREDIMED (Prevención con Dieta Mediterránea) Research Network (RD 06/0045), Instituto de Salud Carlos III, Madrid 28029, Spain. agarare@gmail.com.
Xavier PintóThe PREDIMED (Prevención con Dieta Mediterránea) Research Network (RD 06/0045), Instituto de Salud Carlos III, Madrid 28029, Spain. xpinto@bellvitgehospital.cat.
Nancy BabioThe PREDIMED (Prevención con Dieta Mediterránea) Research Network (RD 06/0045), Instituto de Salud Carlos III, Madrid 28029, Spain. nancy.babio@urv.cat.
José I GonzálezCentro de Investigación Biomédica en Epidemiología y Salud Pública, Madrid 28029, Spain. arraez@uv.es.
Montse FitóCentro de Investigación Biomédica en Epidemiología y Salud Pública, Madrid 28029, Spain. miquelfiol@yahoo.es.
J Alfredo MartínezThe PREDIMED (Prevención con Dieta Mediterránea) Research Network (RD 06/0045), Instituto de Salud Carlos III, Madrid 28029, Spain. jalfmtz@unav.es.
Miguel A Martínez-GonzálezThe PREDIMED (Prevención con Dieta Mediterránea) Research Network (RD 06/0045), Instituto de Salud Carlos III, Madrid 28029, Spain. raulramallal@hotmail.com.
Predimed InvestigatorsDepartment of Emergency, Complejo Hospitalario de Navarra, Servicio Navarro de Salud, Pamplona 31008, Spain. agarare@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Previous studies have reported an association between a more pro-inflammatory diet profile and various chronic metabolic diseases. The Dietary Inflammatory Index (DII) was used to assess the inflammatory potential of nutrients and foods in the context of a dietary pattern. We prospectively examined the association between the DII and the incidence of cardiovascular disease (CVD: myocardial infarction, stroke or cardiovascular death) in the PREDIMED (Prevención con Dieta Mediterránea) study including 7216 high-risk participants. The DII was computed based on a validated 137-item food frequency questionnaire. Multivariate-adjusted hazard ratios (HR) and 95% confidence intervals of CVD risk were computed across quartiles of the DII where the lowest (most anti-inflammatory) quartile is the referent. Risk increased across the quartiles (i.e., with increasing inflammatory potential): HR(quartile2) = 1.42 (95%CI = 0.97-2.09); HR(quartile3) = 1.85 (1.27-2.71); and HR(quartile4) = 1.73 (1.15-2.60). When fit as continuous the multiple-adjusted hazard ratio for each additional standard deviation of the DII was 1.22 (1.06-1.40). Our results provide direct prospective evidence that a pro-inflammatory diet is associated with a higher risk of cardiovascular clinical events.

Indexed as

Diet, MediterraneanInflammationAgedAged, 80 and overBody Mass IndexCardiovascular DiseasesEndpoint DeterminationEnergy IntakeFemaleFollow-Up StudiesHumansIncidenceMaleMiddle AgedMultivariate AnalysisNutsOlive Oilcardiovascular diseasedietary inflammatory indexinflammationPREDIMED

Identifiers

PMID26035241
PMCPMC4488776

What OpenQuestion holds

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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.