Evidence map›Paper›PMID 33612135›Full record

SynthesisPublic health nutrition2021

Dietary patterns associated with obesity outcomes in adults: an umbrella review of systematic reviews.

Canaan Negash Seifu, Paul P Fahey, Tewodros G Hailemariam, Steven A Frost, Evan Atlantis

Open access · bronzeAbstract readSystematic Review
In one paragraph

Synthesis 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 45 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
45citing papers in PubMed, 3 pooled it
7.1field-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

45 citing papers in PubMed, 3 syntheses or guidelines pooled it, 59 citations in OpenAlex.

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  15. The Role of Food Consumption in the Global Syndemic: A Scoping Review and Conceptual Model.International journal of environmental research and public health · 2025
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  18. Diet and sociodemographic predictors of the double burden of malnutrition in urban Zimbabwe.African journal of primary health care & family medicine · 2025
    Article
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  20. Frontiers in nutrition · 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

5 authors at 4 institutions in 1 country.

Canaan Negash SeifuSchool of Nursing and Midwifery, Western Sydney University, 48-52 Warby St, Campbeltown, Sydney, NSW2560, Australia.ORCID 0000-0003-4331-8513
Paul P FaheySchool of Health Sciences, Western Sydney University, Sydney, NSW, Australia.
Tewodros G HailemariamSchool of Public Health and Community Medicine, University of New South Wales, Sydney, NSW, Australia.
Steven A FrostSchool of Nursing and Midwifery, Western Sydney University, 48-52 Warby St, Campbeltown, Sydney, NSW2560, Australia.
Evan AtlantisSchool of Nursing and Midwifery, Western Sydney University, 48-52 Warby St, Campbeltown, Sydney, NSW2560, Australia.
Translational Research Institute · AULiverpool Hospital · AUUNSW Sydney · AUWestern Sydney University · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe aim of this umbrella review was to summarise the evidence from existing systematic reviews on the association between different dietary patterns (DP) and overweight or obesity outcomes in adults.

designWe followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines and searched the MEDLINE, EMBASE, CINAHL, Cochrane, Scopus, and Web of Science for systematic reviews reporting on DP and weight gain or overweight/obesity outcomes.

resultWe identified 16 systematic reviews with 143 unique studies published between 2001 and 2019. Overall quality scores ranged from 4 to 10. Six reviews in 2/11 cohort and 6/19 cross-sectional studies reported (statistically significant) decreased OR for obesity (range: 0·53 to 0·73 and 0·35 to 0·88, respectively) associated with the Mediterranean diet. Five reviews in 5/15 cohort and 10/45 cross-sectional studies reported an inverse association between diet quality and weight gain or BMI (β range: -1·3 to -0·09). Two reviews in 1/3 cohort and 1/2 cross-sectional studies reported a decreased risk of obesity (OR = 0·76) and weight gain (OR = 0·26), respectively, with fruit and vegetable intake. Five reviews of mixed DP in 3/40 cross-sectional studies reported an increased prevalence of obesity (OR = 1·19) or abdominal obesity (OR range: 1·07 to 1·27) with the Korean diet pattern.

conclusionsOur umbrella review confirms the hypothesis that Mediterranean-type DP reduce the risk of obesity in adults. Although population-specific evidence of effective interventions is needed, characteristics of Mediterranean-type DP are important considerations for national obesity prevention strategies.

Indexed as

Diet, MediterraneanObesityAdultCross-Sectional StudiesFruitHumansOverweightSystematic Reviews as TopicDietary patternMediterranean dietObesityUmbrella review

Identifiers

PMID33612135
PMCPMC11148623
OpenAlexW3129691128

What OpenQuestion holds

Textmetadata
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.