Evidence map›Paper›PMID 26335393›Full record

ArticleLung2015

Association Between Adherence to the Mediterranean Diet and Asthma in Peruvian Children.

Jessica L Rice, Karina M Romero, Rocio M Galvez Davila, Carla Tarazona Meza, Andrew Bilderback, D'Ann L Williams, Patrick N Breysse, Sonali Bose, William Checkley, Nadia N Hansel and 1 more

Open access · hybridAbstract read
In one paragraph

Article in Lung, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 5 pooled it
3.4field-weighted citation impact, top 8% 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

33 citing papers in PubMed, 5 syntheses or guidelines pooled it, 64 citations in OpenAlex.

  1. Pooled it
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  6. Trial
  7. Review
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  9. Article
  10. Foundations of Pediatric Lifestyle Medicine.Children (Basel, Switzerland) · 2025
    Article
  11. Review
  12. Article
  13. Importance of diet in children and adolescents with obesity and asthma.Pediatric endocrinology, diabetes, and metabolism · 2024
    Review
  14. Review
  15. Review
  16. Article
  17. Article
  18. Household food insecurity is associated with asthma control in Peruvian children living in a resource-poor setting.The Journal of asthma : official journal of the Association for the Care of Asthma · 2020
    Article
  19. Review
  20. Article
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

11 authors at 2 institutions in 2 countries.

Jessica L RiceDivision of Pediatric Pulmonology, School of Medicine, Johns Hopkins University, Baltimore, MD, USA.
Karina M RomeroBiomedical Research Unit, A.B. PRISMA, Lima, Peru.
Rocio M Galvez DavilaBiomedical Research Unit, A.B. PRISMA, Lima, Peru.
Carla Tarazona MezaBiomedical Research Unit, A.B. PRISMA, Lima, Peru.
Andrew BilderbackDivision of Pulmonary and Critical Care, School of Medicine, Johns Hopkins University, Baltimore, MD, USA.
D'Ann L WilliamsDepartment of Environmental Health Sciences, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA.
Patrick N BreysseDepartment of Environmental Health Sciences, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA.
Sonali BoseDivision of Pulmonary and Critical Care, School of Medicine, Johns Hopkins University, Baltimore, MD, USA.
William CheckleyDivision of Pulmonary and Critical Care, School of Medicine, Johns Hopkins University, Baltimore, MD, USA.
Nadia N HanselDivision of Pulmonary and Critical Care, School of Medicine, Johns Hopkins University, Baltimore, MD, USA. nhansel1@jhmi.edu.
GASP Study Investigators
Johns Hopkins University · USPrisma · PE

Funding

Institute for Clinical and Translational ResearchKL2TR001077 · NCATS · JOHNS HOPKINS UNIVERSITY · PI FORD, DANIEL ERNEST · 2013 to 2017
$9.2M
Multidisciplinary Training Program in Pediatric PulmonaryT32HL072748 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI Joseph Michael Collaco · 2003 to 2026
$6.1M
Genetic Susceptibility to Asthma and IndoorAir Pollution in PeruR01ES018845 · NIEHS · JOHNS HOPKINS UNIVERSITY · PI HANSEL, NADIA N · 2010 to 2014
$3.8M
NCATS NIH HHS KL2 TR001077NHLBI NIH HHS T32 HL072748NIEHS NIH HHS R01 ES018845NIEHS NIH HHS R01ES018845
6 · The paper itself

Abstract

purposeAdherence to a Mediterranean diet pattern may be associated with lower asthma prevalence in children. We sought to corroborate these findings in Peruvian children.

methodsThis case-control study included children of ages 9-19 years living in Lima, Peru. A food frequency questionnaire (FFQ) was completed and diet pattern was analyzed using a modified Mediterranean diet score (MDS). Primary analysis investigated the relationship between MDS and asthma status. Maternal education, age, sex, and body mass index category were included in multivariate model. Secondary outcomes included asthma control, forced expiratory volume in 1 s (FEV1), allergic rhinitis, and atopic status.

results287 participants with asthma and 96 controls without asthma completed a FFQ. Mean age was 13.5 years. According to the asthma control test (ACT), 86 % of those with asthma were controlled (score >19). MDS scores ranged 6-18 (median 15). In adjusted analysis, being above the median MDS scores was associated with decreased odds of asthma [OR = 0.55, 95 % CI (0.33, 0.92), p = 0.02]. Among children whose mothers completed secondary education, being above the median MDS significantly decreased the odds of asthma [OR = 0.31, 95 % CI (0.14, 0.71), p < 0.01], whereas among those whose mothers did not complete secondary education there was no protective effect [OR = 0.86, 95 % CI (0.43, 1.7), p = 0.66]. There was no association between MDS scores and asthma control, FEV1, allergic rhinitis, or atopic status.

conclusionAdherence to the Mediterranean diet was inversely associated with having asthma among children in Lima, Peru. This effect was strongest among children with better educated mothers.

Indexed as

AdolescentAsthmaCase-Control StudiesChildDiet, MediterraneanEducational StatusFemaleForced Expiratory VolumeHumansHypersensitivity, ImmediateLinear ModelsLogistic ModelsMaleMultivariate AnalysisPeruPrevalenceAllergic rhinitisAtopicControlDiet patternFood frequency questionnairePeru

Identifiers

PMID26335393
PMCPMC4651981
OpenAlexW1786520101

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.