Evidence map›Paper›PMID 28088234›Full record

ArticleNutrition journal2017

Stability-based validation of dietary patterns obtained by cluster analysis.

Nicolas Sauvageot, Anna Schritz, Sonia Leite, Ala'a Alkerwi, Saverio Stranges, Faiez Zannad, Sylvie Streel, Axelle Hoge, Anne-Françoise Donneau, Adelin Albert and 1 more

Abstract read
In one paragraph

Article in Nutrition journal, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing 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

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

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

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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

11 authors.

Nicolas SauvageotLuxembourg Institute of Health (LIH), CCMS (Competence center in methodology and statistics), 1A rue Thomas Edison, L-1445, Strassen, Luxembourg. nicolas.sauvageot@lih.lu.
Anna SchritzLuxembourg Institute of Health (LIH), CCMS (Competence center in methodology and statistics), 1A rue Thomas Edison, L-1445, Strassen, Luxembourg.
Sonia LeiteMinistry of Health, Luxembourg, Service épidémiologie & statistique, Allée Marconi, Villa Louvigny, L-2120, Luxembourg city, Luxembourg.
Ala'a AlkerwiLuxembourg Institute of Health (LIH), CCMS (Competence center in methodology and statistics), 1A rue Thomas Edison, L-1445, Strassen, Luxembourg.
Saverio StrangesLuxembourg Institute of Health (LIH), CCMS (Competence center in methodology and statistics), 1A rue Thomas Edison, L-1445, Strassen, Luxembourg.
Faiez ZannadDépartement des maladies cardiovasculaires, Hypertension Unit, Centre Hospitalier Universitaire, 5, Rue du Morvan, 54500, Vandœuvre-lès-Nancy, France.
Sylvie StreelEcole de Santé Publique, Université de Liège, 7, Place du 20 Août, 4000, Liège, Belgium.
Axelle HogeEcole de Santé Publique, Université de Liège, 7, Place du 20 Août, 4000, Liège, Belgium.
Anne-Françoise DonneauEcole de Santé Publique, Université de Liège, 7, Place du 20 Août, 4000, Liège, Belgium.
Adelin AlbertEcole de Santé Publique, Université de Liège, 7, Place du 20 Août, 4000, Liège, Belgium.
Michèle GuillaumeEcole de Santé Publique, Université de Liège, 7, Place du 20 Août, 4000, Liège, Belgium.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCluster analysis is a data-driven method used to create clusters of individuals sharing similar dietary habits. However, this method requires specific choices from the user which have an influence on the results. Therefore, there is a need of an objective methodology helping researchers in their decisions during cluster analysis. The objective of this study was to use such a methodology based on stability of clustering solutions to select the most appropriate clustering method and number of clusters for describing dietary patterns in the NESCAV study (Nutrition, Environment and Cardiovascular Health), a large population-based cross-sectional study in the Greater Region (N = 2298).

methodsClustering solutions were obtained with K-means, K-medians and Ward's method and a number of clusters varying from 2 to 6. Their stability was assessed with three indices: adjusted Rand index, Cramer's V and misclassification rate.

resultsThe most stable solution was obtained with K-means method and a number of clusters equal to 3. The "Convenient" cluster characterized by the consumption of convenient foods was the most prevalent with 46% of the population having this dietary behaviour. In addition, a "Prudent" and a "Non-Prudent" patterns associated respectively with healthy and non-healthy dietary habits were adopted by 25% and 29% of the population. The "Convenient" and "Non-Prudent" clusters were associated with higher cardiovascular risk whereas the "Prudent" pattern was associated with a decreased cardiovascular risk. Associations with others factors showed that the choice of a specific dietary pattern is part of a wider lifestyle profile.

conclusionThis study is of interest for both researchers and public health professionals. From a methodological standpoint, we showed that using stability of clustering solutions could help researchers in their choices. From a public health perspective, this study showed the need of targeted health promotion campaigns describing the benefits of healthy dietary patterns.

Indexed as

Cluster AnalysisDietAdolescentAdultAgedCardiovascular DiseasesCross-Sectional StudiesExerciseFemaleHumansLife StyleMaleMiddle AgedPrincipal Component AnalysisReproducibility of ResultsRisk FactorsCluster analysisDietary patternsStability

Identifiers

PMID28088234
PMCPMC5237531

What OpenQuestion holds

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LicenceCC BY
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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.