Evidence map›Paper›PMID 33410584›Full record

ArticleAlzheimer's & dementia : the journal of the Alzheimer's Association2021

Unhealthy foods may attenuate the beneficial relation of a Mediterranean diet to cognitive decline.

Puja Agarwal, Klodian Dhana, Lisa L Barnes, Thomas M Holland, Yanyu Zhang, Denis A Evans, Martha Clare Morris

Open access · greenAbstract read
In one paragraph

Article in Alzheimer's & dementia : the journal of the Alzheimer's Association, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 3 pooled it
6.5field-weighted citation impact, top 3% 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

20 citing papers in PubMed, 3 syntheses or guidelines pooled it, 34 citations in OpenAlex.

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  7. Association between dietary inflammatory index score and incident dementia.Alzheimer's & dementia : the journal of the Alzheimer's Association · 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

7 authors at 1 institution in 1 country.

Puja AgarwalRush Institute of Healthy Aging, Department of Internal Medicine, Rush University Medical Center, Chicago, Illinois, USA.ORCID 0000-0002-0274-6653
Klodian DhanaRush Institute of Healthy Aging, Department of Internal Medicine, Rush University Medical Center, Chicago, Illinois, USA.
Lisa L BarnesRush Alzheimer's Disease Center, Rush University Medical Center, Chicago, Illinois, USA.
Thomas M HollandRush Institute of Healthy Aging, Department of Internal Medicine, Rush University Medical Center, Chicago, Illinois, USA.
Yanyu ZhangRush Institute of Healthy Aging, Department of Internal Medicine, Rush University Medical Center, Chicago, Illinois, USA.
Denis A EvansRush Institute of Healthy Aging, Department of Internal Medicine, Rush University Medical Center, Chicago, Illinois, USA.
Martha Clare MorrisRush Institute of Healthy Aging, Department of Internal Medicine, Rush University Medical Center, Chicago, Illinois, USA.
Rush University Medical Center · US

Funding

Risk Factors for Incident Alzheimer's Disease in a Biracial CommunityR01AG011101 · NIA · RUSH UNIVERSITY MEDICAL CENTER · PI EVANS, DENIS A · 1993 to 2010
$24.7M
Neuropathologic-Epidemiological Study of Metallomics and Alzheimer's DiseaseR01AG054057 · NIA · RUSH UNIVERSITY MEDICAL CENTER · PI Julie A. Schneider · 2022 to 2026
$3.0M
Neuropathologic-Epidemiological Study of Metallomics and Alzheimer's DiseaseRF1AG054057 · NIA · RUSH UNIVERSITY MEDICAL CENTER · PI BUSH, ASHLEY I, SCHNEIDER, JULIE A. · 2016 to 2016
$2.8M
Long-Term Dietary Risk Factor Assessment and Incident ADR01AG021972 · NIA · RUSH UNIVERSITY MEDICAL CENTER · PI MORRIS, MARTHA CLARE · 2004 to 2009
$2.8M
Diet Patterns and Alzheimer Disease and Other DementiasR01AG054476 · NIA · RUSH UNIVERSITY MEDICAL CENTER · PI SCHNEIDER, JULIE A. · 2017 to 2021
$2.3M
National Institute of Aging at the National Institutes of Health R01AG021972National Institute of Aging at the National Institutes of Health RO1AG054057National Institute of Aging at the National Institutes of Health RO1AG054476NIA NIH HHS R01 AG011101NIA NIH HHS R01 AG021972NIA NIH HHS R01 AG054057NIA NIH HHS R01 AG054476NIA NIH HHS RF1 AG054057
6 · The paper itself

Abstract

introductionIt is unclear whether eating Western diet food components offsets the Mediterranean diet's (MedDiet) potential benefits on cognitive decline.

methodsThe study includes 5001 Chicago Health and Aging Project participants (63% African American, 36% males, 74 ± 6.0 years old), with food frequency questionnaires and ≥ two cognitive assessments over 6.3 ± 2.8 years of follow-up. Mixed-effects models were adjusted for age, sex, education, race, cognitive activities, physical activity, and total calories.

resultsStratified analysis showed a significant effect of higher MedDiet on cognitive decline only with a low Western diet score (highest vs lowest MedDiet tertile: β = 0.020, P = .002; p trend = 0.002) and not with a high Western diet score (highest vs lowest MedDiet tertile: β = 0.010, P = .11; p trend = 0.09).

conclusionThis prospective study found that high consumption of Western diet components attenuates benefits of the MedDiet on cognition.

Indexed as

AgedAgingBlack or African AmericanChicagoCognitive DysfunctionDiet, MediterraneanDiet, WesternFemaleHumansLongitudinal StudiesMaleProspective StudiesSurveys and Questionnairesbiracialhigh-fat dietlongitudinalMediterranean dietWestern diet

Identifiers

PMID33410584
PMCPMC9764420
OpenAlexW3119346280

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.