Evidence map›Paper›PMID 31326011›Full record

SynthesisAmerican journal of preventive medicine2019

Complex Systems Approaches to Diet: A Systematic Review.

Brent A Langellier, Usama Bilal, Felipe Montes, Jose D Meisel, Letícia de Oliveira Cardoso, Ross A Hammond

Abstract readSystematic Review
In one paragraph

Synthesis in American journal of preventive medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing 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

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

  1. Pooled it
  2. Article
  3. Systems Science in Nutrition and Dietetics Research: A Practical Lens for Applying Systems Approaches in Research.Journal of human nutrition and dietetics : the official journal of the British Dietetic Association · 2026
    Review
  4. Article
  5. Article
  6. Causal Loop Diagrams of Food Systems, Diet, and Obesity: A Scoping Review of Methods, Contextual Factors, and Outcomes.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2025
    Article
  7. Article
  8. Simulated retail food environments: A literature review of systems science approaches to advance equity in access to healthy diets.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2025
    Review
  9. Article
  10. Article
  11. Review
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Review
  18. Article
  19. Article
  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

6 authors.

Brent A LangellierDepartment of Health Management and Policy, Dornsife School of Public Health, Drexel University, Philadelphia, Pennsylvania. Electronic address: bal95@drexel.edu.
Usama BilalUrban Health Collaborative, Dornsife School of Public Health, Drexel University, Philadelphia, Pennsylvania; Department of Epidemiology and Biostatistics, Dornsife School of Public Health, Drexel University, Philadelphia, Pennsylvania.
Felipe MontesDepartment of Industrial Engineering, Universidad de los Andes, Social and Health Complexity Center, Bogota, Colombia.
Jose D MeiselFacultad de Ingeniería, Universidad de Ibagué, Ibagué, Colombia.
Letícia de Oliveira CardosoOswaldo Cruz Foundation, Rio de Janeiro, Brazil.
Ross A HammondCenter on Social Dynamics and Policy, The Brookings Institution, Washington, District of Columbia; Public Health and Social Policy, Washington University in St. Louis, St. Louis, Missouri; The Santa Fe Institute, Santa Fe, New Mexico.

Funding

Research Mentoring and Building Capacity of underrepresented Minority Research Scientists in India.D43TW010540 · FIC · YALE UNIVERSITY · PI MICHELE BARRY, Eva Harris · 2017 to 2026
$15.5M
The Health Consequences of Urban ScalingDP5OD026429 · OD · DREXEL UNIVERSITY · PI BILAL, USAMA · 2018 to 2022
$2.7M
FIC NIH HHS D43 TW010540NIH HHS DP5 OD026429Wellcome Trust 205177/Z/16/Z
6 · The paper itself

Abstract

contextComplex systems approaches can help to elucidate mechanisms that shape population-level patterns in diet and inform policy approaches. This study reports results of a structured review of key design elements and methods used by existing complex systems models of diet. EVIDENCE ACQUISITION: The authors conducted systematic searches of the PubMed, Web of Science, and LILACS databases between May and September 2018 to identify peer-reviewed manuscripts that used agent-based models or system dynamics models to explore diet. Searches occurred between November 2017 and May 2018. The authors extracted relevant data regarding each study's diet and nutrition outcomes; use of data for parameterization, calibration, and validation; results; and generated insights. The literature search adhered to PRISMA guidelines. EVIDENCE SYNTHESIS: Twenty-two agent-based model studies and five system dynamics model studies met the inclusion criteria. Mechanistic studies explored neighborhood- (e.g., residential segregation), interpersonal- (e.g., social influence) and individual-level (e.g., heuristics that guide food purchasing decisions) mechanisms that influence diet. Policy-oriented studies examined policies related to food pricing, the food environment, advertising, nutrition labels, and social norms. Most studies used empirical data to inform values of key parameters; studies varied in their approaches to calibration and validation.

conclusionsOpportunities remain to advance the state of the science of complex systems approaches to diet and nutrition. These include using models to better understand mechanisms driving population-level diet, increasing use of models for policy decision support, and leveraging the wide availability of epidemiologic and policy evaluation data to improve model validation.

Indexed as

Consumer BehaviorCosts and Cost AnalysisDietFoodNutritional StatusResidence CharacteristicsAdvertisingFood LabelingHumansSocial Norms

Identifiers

PMID31326011
PMCPMC6650152

What OpenQuestion holds

Textmetadata
LicenceTDM
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.