Evidence map›Paper›PMID 32489172›Full record

ArticlePublic health nutrition2021

Impact of diet on CVD and diabetes mortality in Latin America and the Caribbean: a comparative risk assessment analysis.

Ivan Sisa, Enrique Abeyá-Gilardon, Regina M Fisberg, Maria D Jackson, Guadalupe L Mangialavori, Rosely Sichieri, Frederick Cudhea, Raveendhara R Bannuru, Robin Ruthazer, Dariush Mozaffarian and 1 more

Open access · bronzeAbstract read
In one paragraph

Article in Public health nutrition, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
2.2field-weighted citation impact, top 12% 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

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.

  1. Pooled it
  2. Association of two cut-off points for theThe British journal of nutrition · 2025
    Observational
  3. Article
  4. Measuring and Forecasting the Healthy Eating Index in Iran: 1991-2027.International journal of preventive medicine · 2025
    Article
  5. Article
  6. Article
  7. Article
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  9. Article
  10. Article
  11. Building capacity in reducing population dietary sodium intake in the Americas.Revista panamericana de salud publica = Pan American journal of public health · 2022
    Article
  12. Article
  13. Review
  14. Article
  15. 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

11 authors at 7 institutions in 5 countries.

Ivan SisaColegio de Ciencias de la Salud, Escuela de Medicina, Universidad San Francisco de Quito USFQ, Quito, Ecuador.
Enrique Abeyá-GilardonMinisterio de Salud de la Nación (National Health Ministry), Buenos Aires, Argentina.
Regina M FisbergDepartment of Nutrition, School of Public Health, University of São Paulo, São Paulo, Brazil.
Maria D JacksonDepartment of Community Health & Psychiatry, University of the West Indies (Mona), Kingston, Jamaica.
Guadalupe L MangialavoriNational Department on Maternal, Infant and Adolescent Health, Buenos Aires, Argentina.
Rosely SichieriInstitute of Social Medicine, State University of Rio de Janeiro, Rio de Janeiro, Brazil.ORCID 0000-0001-5286-5354
Frederick CudheaTufts University Friedman School of Nutrition Science & Policy, Boston, MA02111, USA.
Raveendhara R BannuruCenter for Treatment Comparison and Integrative Analysis, Tufts Medical Center, Boston, MA, USA.
Robin RuthazerThe Institute for Clinical Research and Health Policy Studies, Tufts Medical Center, Boston, MA, USA.
Dariush MozaffarianTufts University Friedman School of Nutrition Science & Policy, Boston, MA02111, USA.
Gitanjali M SinghTufts University Friedman School of Nutrition Science & Policy, Boston, MA02111, USA.
Tufts University · USInfant Foundation · ARMinisterio de Salud · ARTufts Medical Center · USUniversidade de São Paulo · BRUniversidade do Estado do Rio de Janeiro · BRUniversity of the West Indies System · JM

Funding

Tufts Clinical and Translational Science Institute (Pilot Supplement)UL1TR002544 · NCATS · TUFTS UNIVERSITY BOSTON · PI SELKER, HARRY P. · 2018 to 2022
$50.2M
Tufts Clinical and Translational Research InstituteUL1TR001064 · NCATS · TUFTS UNIVERSITY BOSTON · PI SELKER, HARRY P. · 2013 to 2017
$26.4M
Comparative effectiveness of mind-body interventions for osteoarthritis - individual patient data network meta-analysisK23AT009374 · NCCIH · TUFTS MEDICAL CENTER · PI BANNURU, RAVEENDHARA REDDY · 2017 to 2021
$830k
Diet and metabolic risks: joint drivers of global epidemiologic transition R00HL124321 · NHLBI · TUFTS UNIVERSITY BOSTON · PI SINGH, GITANJALI · 2017 to 2019
$728k
NCATS NIH HHS UL1 TR001064NCATS NIH HHS UL1 TR002544NCCIH NIH HHS K23 AT009374NHLBI NIH HHS R00 HL124321
6 · The paper itself

Abstract

objectiveTo quantify diet-related burdens of cardiometabolic diseases (CMD) by country, age and sex in Latin America and the Caribbean (LAC).

designIntakes of eleven key dietary factors were obtained from the Global Dietary Database Consortium. Aetiologic effects of dietary factors on CMD outcomes were obtained from meta-analyses. We combined these inputs with cause-specific mortality data to compute country-, age- and sex-specific absolute and proportional CMD mortality of eleven dietary factors in 1990 and 2010.

settingThirty-two countries in LAC.

participantsAdults aged 25 years and older.

resultsIn 2010, an estimated 513 371 (95 % uncertainty interval (UI) 423 286-547 841; 53·8 %) cardiometabolic deaths were related to suboptimal diet. Largest diet-related CMD burdens were related to low intake of nuts/seeds (109 831 deaths (95 % UI 71 920-121 079); 11·5 %), low fruit intake (106 285 deaths (95 % UI 94 904-112 320); 11·1 %) and high processed meat consumption (89 381 deaths (95 % UI 82 984-97 196); 9·4 %). Among countries, highest CMD burdens (deaths per million adults) attributable to diet were in Trinidad and Tobago (1779) and Guyana (1700) and the lowest were in Peru (492) and The Bahamas (504). Between 1990 and 2010, greatest decline (35 %) in diet-attributable CMD mortality was related to greater consumption of fruit, while greatest increase (7·2 %) was related to increased intakes of sugar-sweetened beverages.

conclusionsSuboptimal intakes of commonly consumed foods were associated with substantial CMD mortality in LAC with significant heterogeneity across countries. Improved access to healthful foods, such as nuts and fruits, and limits in availability of unhealthful factors, such as processed foods, would reduce diet-related burdens of CMD in LAC.

Indexed as

Cardiovascular DiseasesDiabetes MellitusAdultDietFeeding BehaviorHumansLatin AmericaNutrition SurveysNutsRisk AssessmentRisk FactorsCardiometabolic diseaseCVDDiabetesDietLatin America and the Caribbean

Identifiers

PMID32489172
PMCPMC7710925
OpenAlexW3029193196

What OpenQuestion holds

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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.