Evidence map›Paper›PMID 26534856›Full record

ArticleEuropean journal of nutrition2017

A Western dietary pattern is associated with higher blood pressure in Iranian adolescents.

Abdollah Hojhabrimanesh, Masoumeh Akhlaghi, Elham Rahmani, Sasan Amanat, Masoumeh Atefi, Maryam Najafi, Maral Hashemzadeh, Saedeh Salehi, Shiva Faghih

Registry-linked trialAbstract read
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In one paragraph

Article in European journal of nutrition, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04143737 (Community-Based Lifestyle Intervention for Primary and Secondary Prevention of Diabetes in Arab Women in East-Jerusalem, A Quasi-experimental Study.), which is not on this map. Cited by 28 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 2 pooled it
2.0field-weighted citation impact, top 13% 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.

NCT04143737 nacompletednot on this map

Community-Based Lifestyle Intervention for Primary and Secondary Prevention of Diabetes in Arab Women in East-Jerusalem, A Quasi-experimental Study.

TypeinterventionalSponsorHadassah Medical OrganizationRan2016 to 2017Enrolled60ConditionsDiabetes, Cardiovascular Diseases, Health BehaviorArmsHealthy lifestyle intervention
3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 2 syntheses or guidelines pooled it, 45 citations in OpenAlex.

  1. Pooled it
  2. The influence of diet quality and dietary behavior on health-related quality of life in the general population of children and adolescents: a systematic review and meta-analysis.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2019
    Pooled it
  3. Trial
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  5. A Scoping Review of School-Based Nutrition Education Interventions in the Islamic Republic of Iran.The Journal of school nursing : the official publication of the National Association of School Nurses · 2026
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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 at 1 institution in 1 country.

Abdollah HojhabrimaneshNutrition and Food Sciences Research Center, School of Nutrition and Food Sciences, Shiraz University of Medical Sciences, Shiraz, Iran.
Masoumeh AkhlaghiNutrition and Food Sciences Research Center, School of Nutrition and Food Sciences, Shiraz University of Medical Sciences, Shiraz, Iran.
Elham RahmaniDepartment of Community Nutrition, School of Nutrition and Food Sciences, Research Center for Health Sciences, Shiraz University of Medical Sciences, Shiraz, Iran.
Sasan AmanatDepartment of Community Nutrition, School of Nutrition and Food Sciences, Research Center for Health Sciences, Shiraz University of Medical Sciences, Shiraz, Iran.
Masoumeh AtefiDepartment of Community Nutrition, School of Nutrition and Food Sciences, Research Center for Health Sciences, Shiraz University of Medical Sciences, Shiraz, Iran.
Maryam NajafiDepartment of Community Nutrition, School of Nutrition and Food Sciences, Research Center for Health Sciences, Shiraz University of Medical Sciences, Shiraz, Iran.
Maral HashemzadehDepartment of Community Nutrition, School of Nutrition and Food Sciences, Research Center for Health Sciences, Shiraz University of Medical Sciences, Shiraz, Iran.
Saedeh SalehiDepartment of Community Nutrition, School of Nutrition and Food Sciences, Research Center for Health Sciences, Shiraz University of Medical Sciences, Shiraz, Iran.
Shiva FaghihDepartment of Community Nutrition, School of Nutrition and Food Sciences, Research Center for Health Sciences, Shiraz University of Medical Sciences, Shiraz, Iran. sh_faghih@sums.ac.ir.
Shiraz University of Medical Sciences · IR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe dietary determinants of adolescent blood pressure (BP) are not well understood. We determined the association between major dietary patterns and BP in a sample of Iranian adolescents.

methodsThis cross-sectional study was conducted among a representative sample (n = 557) of Shirazi adolescents aged 12-19 years. Participants' systolic and diastolic BP was measured using a validated oscillometric BP monitor. Usual dietary intakes during the past 12 months were assessed using a valid and reproducible 168-item semiquantitative food frequency questionnaire through face-to-face interviews. Principal component factor analysis was used to identify major dietary patterns based on a set of 25 predefined food groups.

resultsOverall, three major dietary patterns were identified, among which only the Western pattern (abundant in soft drinks, sweets and desserts, salt, mayonnaise, tea and coffee, salty snacks, high-fat dairy products, French fries, and red or processed meats) had a significant association with BP. After adjusting for potential confounders in the analysis of covariance models, multivariable adjusted means of the systolic and mean BP of subjects in the highest tertile of the Western pattern score were significantly higher than those in the lowest tertile (for systolic BP: mean difference 6.9 mmHg, P = 0.001; and for mean BP: mean difference 4.2 mmHg, P = 0.003). A similar but statistically insignificant difference was observed in terms of diastolic BP.

conclusionsThe findings suggest that a Western dietary pattern is associated with higher BP in Iranian adolescents. However, additional large-scale prospective studies with adequate methodological quality are required to confirm these findings.

Indexed as

Blood PressureAdolescentAsian PeopleBody Mass IndexBody WeightChildCross-Sectional StudiesDiet, WesternEnergy IntakeExerciseFemaleHumansHypertensionIranMalePrincipal Component AnalysisAdolescentBlood pressureDietFactor analysisIran

Identifiers

PMID26534856
OpenAlexW1957037453

What OpenQuestion holds

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Registered trials

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.