Evidence map›Paper›PMID 27620002›Full record

ArticleThe British journal of nutrition2016

Dietary patterns and the risk of CVD and all-cause mortality in older British men.

Janice L Atkins, Peter H Whincup, Richard W Morris, Lucy T Lennon, Olia Papacosta, S Goya Wannamethee

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In one paragraph

Article in The British journal of nutrition, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 1 pooled it
7.9field-weighted citation impact, top 2% 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

37 citing papers in PubMed, 1 synthesis or guideline pooled it, 75 citations in OpenAlex.

  1. Pooled it
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  17. Best Paper of the Year 2021.Journal of cardiovascular translational research · 2022
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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

6 authors at 4 institutions in 1 country.

Janice L Atkins1Department of Primary Care and Population Health,University College London,London NW3 2PF,UK.
Peter H Whincup3Population Health Research Centre,Division of Population Health Sciences and Education,St George's, University of London, London SW17 0RE,UK.
Richard W Morris4School of Social and Community Medicine,University of Bristol, Bristol BS8 2PS,UK.
Lucy T Lennon1Department of Primary Care and Population Health,University College London,London NW3 2PF,UK.
Olia Papacosta1Department of Primary Care and Population Health,University College London,London NW3 2PF,UK.
S Goya Wannamethee1Department of Primary Care and Population Health,University College London,London NW3 2PF,UK.
University College London · GBSt George's, University of London · GBUniversity of Bristol · GBUniversity of Exeter · GB

Funding

British Heart Foundation RG/08/013/25942British Heart Foundation RG/13/16/30528
6 · The paper itself

Abstract

Dietary patterns are a major risk factor for cardiovascular morbidity and mortality; however, few studies have examined this relationship in older adults. We examined prospective associations between dietary patterns and the risk of CVD and all-cause mortality in 3226 older British men, aged 60-79 years and free from CVD at baseline, from the British Regional Heart Study. Baseline FFQ data were used to generate thirty-four food groups. Principal component analysis identified dietary patterns that were categorised into quartiles, with higher quartiles representing higher adherence to the dietary pattern. Cox proportional hazards examined associations between dietary patterns and risk of all-cause mortality and cardiovascular outcomes. We identified three interpretable dietary patterns: 'high fat/low fibre' (high in red meat, meat products, white bread, fried potato, eggs), 'prudent' (high in poultry, fish, fruits, vegetables, legumes, pasta, rice, wholemeal bread, eggs, olive oil) and 'high sugar' (high in biscuits, puddings, chocolates, sweets, sweet spreads, breakfast cereals). During 11 years of follow-up, 899 deaths, 316 CVD-related deaths, 569 CVD events and 301 CHD events occurred. The 'high-fat/low-fibre' dietary pattern was associated with an increased risk of all-cause mortality only, after adjustment for confounders (highest v. lowest quartile; hazard ratio 1·44; 95 % CI 1·13, 1·84). Adherence to a 'high-sugar' diet was associated with a borderline significant trend for an increased risk of CVD and CHD events. The 'prudent' diet did not show a significant trend with cardiovascular outcomes or mortality. Avoiding 'high-fat/low-fibre' and 'high-sugar' dietary components may reduce the risk of cardiovascular events and all-cause mortality in older adults.

Indexed as

DietMortalityAgedCardiovascular DiseasesDietary CarbohydratesDietary FiberDiet, High-FatHumansMaleMiddle AgedProportional Hazards ModelsProspective StudiesRed MeatRisk FactorsUnited KingdomDietary CarbohydratesDietary FiberA posteriori dietary patternsBRHS British Regional Heart StudyCRP C-reactive proteinCVDHR hazard ratioICD-9 International Classification of DiseasesMI myocardial infarctionMortalityninth revisionOlder adultsPrincipal component analysisSRRE summary relative risk estimatesvWF von Willebrand factor

Identifiers

PMID27620002
PMCPMC5053073
OpenAlexW2518782323

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.