Evidence map›Paper›PMID 32923349›Full record

ReviewGlobal heart2020

Mediterranean-Style Diet for the Primary and Secondary Prevention of Cardiovascular Disease: A Cochrane Review.

Karen Rees, Andrea Takeda, Nicole Martin, Leila Ellis, Dilini Wijesekara, Abhinav Vepa, Archik Das, Louise Hartley, Saverio Stranges

Open access · goldAbstract readReview
In one paragraph

Review in Global heart, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 5 pooled it
4.9field-weighted citation impact, top 4% 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

26 citing papers in PubMed, 5 syntheses or guidelines pooled it, 55 citations in OpenAlex.

  1. The effectiveness of the Mediterranean Diet for primary and secondary prevention of cardiovascular disease: An umbrella review.Nutrition & dietetics : the journal of the Dietitians Association of Australia · 2025
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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

9 authors at 4 institutions in 4 countries.

Karen ReesDivision of Health Sciences, Warwick Medical School, University of Warwick, Coventry, UK.
Andrea TakedaInstiutute of Health Informatics Research, University College London, London, UK.
Nicole MartinInstiutute of Health Informatics Research, University College London, London, UK.
Leila EllisDivision of Health Sciences, Warwick Medical School, University of Warwick, Coventry, UK.
Dilini WijesekaraDivision of Health Sciences, Warwick Medical School, University of Warwick, Coventry, UK.
Abhinav VepaDivision of Health Sciences, Warwick Medical School, University of Warwick, Coventry, UK.
Archik DasDivision of Health Sciences, Warwick Medical School, University of Warwick, Coventry, UK.
Louise HartleyRTI Health Solutions, Manchester, UK.
Saverio StrangesDepartment of Epidemiology and Biostatistics, Schulich School of Medicine and Dentistry, Western University, London, CA.
University of Warwick · GBUniversity College London · GBLuxembourg Institute of Health · LURTI Health Solutions · US

Funding

Department of Health
6 · The paper itself

Abstract

Background: Diet plays a major role in cardiovascular disease (CVD) risk. Objectives: To determine the effectiveness of a Mediterranean-style diet for the primary and secondary prevention of CVD. Methods: We searched for randomised controlled trials (RCTs) of Mediterranean-style diets in healthy adults and those at increased risk of CVD (primary prevention) and with established CVD (secondary prevention). Results: Thirty RCTs were included, 22 in primary prevention and eight in secondary prevention. Clinical endpoints were reported in two trials where there was moderate quality evidence for a reduction in strokes for primary prevention, and low quality evidence for a reduction in total and CVD mortality in secondary prevention. We found moderate quality evidence of improvement in CVD risk factors for primary prevention and low quality evidence of little or no effect in secondary prevention. Conclusions: There is still some uncertainty regarding the effects of a Mediterranean-style diet in CVD prevention.

Indexed as

Diet, MediterraneanCardiovascular DiseasesHumansPrimary PreventionSecondary PreventionCardiovascular diseaseCardiovascular risk factorsMediterranean dietary patternPrimary PreventionSecondary PreventionSystematic Review

Identifiers

PMID32923349
PMCPMC7427685
OpenAlexW3048538594

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.