ReviewCirculation2018
Dietary Diversity: Implications for Obesity Prevention in Adult Populations: A Science Advisory From the American Heart Association.
Review in Circulation, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 93 papers, 2 of them syntheses that pooled 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.
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.
Who cites it
93 citing papers in PubMed, 2 syntheses or guidelines pooled it, 140 citations in OpenAlex.
- Effect of dietary diversity on depression and depressive symptoms: a systematic review and meta-analysis of cross-sectional studies.BMC public health · 2025Pooled it
- Dietary patterns associated with obesity outcomes in adults: an umbrella review of systematic reviews.Public health nutrition · 2021Pooled it
- Primary school-based food environment intervention increases diet diversity: Project Daire, a cluster randomized controlled trial.The international journal of behavioral nutrition and physical activity · 2025Trial
- Effect of double duty interventions on dietary diversity score of adolescents using a cluster randomized controlled trial in Debre Berhan Regiopolitan City, Ethiopia.Scientific reports · 2025Trial
- Adherence to dietary guidelines for the Spanish population and risk of overweight/obesity in the SUN cohort.PloS one · 2019Trial
- Associations of combined lifestyle and genetic risk with incident head and neck cancer: a prospective study in the UK Biobank.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2026Article
- Dietary Diversity and Risk of Developing Gout: A Cohort Study of 161,213 Participants.Arthritis care & research · 2026Article
- Evaluating the impact of a multi-year produce prescription program on fruit and vegetable intake, and food security in south central New York.The international journal of behavioral nutrition and physical activity · 2026Article
- Food Variety and Unhealthy Food Consumption Among International Students in Hungary: Associations with Sociodemographic and Behavioural Factors.Nutrients · 2026Article
- How Could Agroecological Markets Support Healthier Diets in Urban and Periurban Areas for Low-Income Women? A Case Study of Dakar, Senegal.Current developments in nutrition · 2026Article
- Food literacy as a moderator in the relationship between food security and dietary diversity among adults in Seoul: based on the 2021-2023 Seoul Food Survey.Nutrition research and practice · 2026Article
- Associations Between Dietary Diversity Score and Adiposity Indexes in Obese AdolescentsJournal of clinical research in pediatric endocrinology · 2026Article
- Dietary Diversity, Dietary Patterns, and Cardiometabolic Health in University Students: A Cross-Sectional Study.Nutrients · 2026Article
- Associations between beverage consumption patterns and adiposity and urinary biomarkers among young adults: a multicenter cross-sectional study in China.Frontiers in nutrition · 2026Article
- A study on dietary diversification intervention for elderly patients with chronic heart failure who can eat by mouth.Frontiers in nutrition · 2026Article
- Association between dietary diversity in complementary feeding and growth and nutritional status among children aged 0-36 months in China: a cross-sectional study.Frontiers in public health · 2026Article
- Prominent mediatory role of gut microbiome in the effect of lifestyle on host metabolic phenotypes.Gut microbes · 2025Article
- Dietary diversity and the risk of metabolic syndrome in a Japanese population: an analysis of baseline cross-sectional data from the J-MICC study.European journal of clinical nutrition · 2025Article
- Determinants of Beverage Consumption in Young Adults: A Multicenter Cross-Sectional Study Across Seven Major Geographic Regions of China.Foods (Basel, Switzerland) · 2025Article
- Dietary diversity and metabolic health among people in Västerbotten, Sweden.European journal of clinical nutrition · 2025Article
33 more citing papers are in PubMed but not listed here.
Corrections and comments
- Erratum issued
Authors and funding
9 authors at 2 institutions in 2 countries.
Funding
Abstract
"Eat a variety of foods," or dietary diversity, is a widely accepted recommendation to promote a healthy, nutritionally adequate diet and to reduce the risk of major chronic diseases. However, recent evidence from observational studies suggests that greater dietary diversity is associated with suboptimal eating patterns, that is, higher intakes of processed foods, refined grains, and sugar-sweetened beverages and lower intakes of minimally processed foods, such as fish, fruits, and vegetables, and may be associated with weight gain and obesity in adult populations. This American Heart Association science advisory summarizes definitions for dietary diversity and reviews current evidence on its relationship with obesity outcomes, eating behavior, and food-based diet quality measures. Current data do not support greater dietary diversity as an effective strategy to promote healthy eating patterns and healthy body weight. Given the current state of the science on dietary diversity and the insufficient data to inform recommendations on specific aspects of dietary diversity that may be beneficial or detrimental to healthy weight, it is appropriate to promote a healthy eating pattern that emphasizes adequate intake of plant foods, protein sources, low-fat dairy products, vegetable oils, and nuts and limits consumption of sweets, sugar-sweetened beverages, and red meats.
Indexed as
Identifiers
What OpenQuestion holds
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.