Evidence map›Paper›PMID 33671575›Full record

ArticleNutrients2021

Mediterranean Diet and Risk of Dementia and Alzheimer's Disease in the EPIC-Spain Dementia Cohort Study.

María Encarnación Andreu-Reinón, María Dolores Chirlaque, Diana Gavrila, Pilar Amiano, Javier Mar, Mikel Tainta, Eva Ardanaz, Rosa Larumbe, Sandra M Colorado-Yohar, Fernando Navarro-Mateu and 2 more

Abstract read
In one paragraph

Article in Nutrients, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
44citing papers in PubMed, 7 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

44 citing papers in PubMed, 7 syntheses or guidelines pooled it.

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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

12 authors.

María Encarnación Andreu-ReinónSection of Neurology, Department of Internal Medicine, Rafael Méndez Hospital, Murcia Health Service, 30813 Lorca, Murcia, Spain.
María Dolores ChirlaqueMurcia Biomedical Research Institute (IMIB-Arrixaca), 30120 Murcia, Spain.
Diana GavrilaMurcia Biomedical Research Institute (IMIB-Arrixaca), 30120 Murcia, Spain.
Pilar AmianoCIBER Epidemiología y Salud Pública (CIBERESP), 28029 Madrid, Spain.
Javier MarBiodonostia Health Research Institute, 20014 San Sebastián, Spain.ORCID 0000-0002-9455-4869
Mikel TaintaCITA Alzheimer Foundation, 20019 Donostia-San Sebastián, Spain.ORCID 0000-0003-0624-1211
Eva ArdanazCIBER Epidemiología y Salud Pública (CIBERESP), 28029 Madrid, Spain.
Rosa LarumbePublic Health Institute of Navarra, IdiSNA, 31008 Pamplona, Spain.
Sandra M Colorado-YoharMurcia Biomedical Research Institute (IMIB-Arrixaca), 30120 Murcia, Spain.
Fernando Navarro-MateuMurcia Biomedical Research Institute (IMIB-Arrixaca), 30120 Murcia, Spain.
Carmen NavarroMurcia Biomedical Research Institute (IMIB-Arrixaca), 30120 Murcia, Spain.
José María HuertaMurcia Biomedical Research Institute (IMIB-Arrixaca), 30120 Murcia, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The Mediterranean diet (MD) has shown to reduce the occurrence of several chronic diseases. To evaluate its potential protective role on dementia incidence we studied 16,160 healthy participants from the European Prospective Investigation into Cancer and Nutrition (EPIC)-Spain Dementia Cohort study recruited between 1992-1996 and followed up for a mean (±SD) of 21.6 (±3.4) years. A total of 459 incident cases of dementia were ascertained through expert revision of medical records. Data on habitual diet was collected through a validated diet history method to assess adherence to the relative Mediterranean Diet (rMED) score. Hazard ratios (HR) of dementia by rMED levels (low, medium and high adherence levels: ≤6, 7-10 and ≥11 points, respectively) were estimated using multivariable Cox models, whereas time-dependent effects were evaluated using flexible parametric Royston-Parmar (RP) models. Results of the fully adjusted model showed that high versus low adherence to the categorical rMED score was associated with a 20% (HR = 0.80, 95%CI: 0.60-1.06) lower risk of dementia overall and HR of dementia was 8% (HR = 0.92, 0.85-0.99,

Indexed as

Diet, MediterraneanAdultAgedAlzheimer DiseaseCase-Control StudiesCohort StudiesDementiaFemaleHumansMaleMiddle AgedRisk FactorsSpainAlzheimer’s diseasecohort studydementiaEPIC-SpainMediterranean dietprospective analysis

Identifiers

PMID33671575
PMCPMC7927039

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Registered trials

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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.