Evidence map›Paper›PMID 33712723›Full record

ArticleEuropean journal of clinical nutrition2021

Diet quality in an ethnically diverse population of older men in Australia.

Fiona F Stanaway, Rosilene V Ribeiro, Saman Khalatbari-Soltani, Erin Cvejic, Fiona M Blyth, Vasi Naganathan, David J Handelsman, David G Le Couteur, Stephen J Simpson, Louise M Waite and 2 more

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Article in European journal of clinical nutrition, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 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

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. 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

12 authors.

Fiona F Stanaway *Faculty of Medicine and Health, University of Sydney School of Public Health, Sydney, NSW, Australia. fiona.stanaway@sydney.edu.au.ORCID http://orcid.org/0000-0003-2104-3010
Rosilene V Ribeiro *School of Life and Environmental Sciences, Charles Perkins Centre, University of Sydney, Sydney, NSW, Australia.
Saman Khalatbari-SoltaniFaculty of Medicine and Health, University of Sydney School of Public Health, Sydney, NSW, Australia.ORCID http://orcid.org/0000-0001-8437-1906
Erin CvejicFaculty of Medicine and Health, University of Sydney School of Public Health, Sydney, NSW, Australia.ORCID http://orcid.org/0000-0002-6043-6071
Fiona M BlythFaculty of Medicine and Health, University of Sydney School of Public Health, Sydney, NSW, Australia.
Vasi NaganathanFaculty of Medicine and Health, Concord Clinical School, University of Sydney, Sydney, NSW, Australia.
David J HandelsmanANZAC Research Institute, University of Sydney and Concord Hospital, Sydney, NSW, Australia.
David G Le CouteurCentre for Education and Research on Ageing, Faculty of Medicine and Health, University of Sydney, Sydney, NSW, Australia.
Stephen J SimpsonSchool of Life and Environmental Sciences, Charles Perkins Centre, University of Sydney, Sydney, NSW, Australia.
Louise M WaiteFaculty of Medicine and Health, Concord Clinical School, University of Sydney, Sydney, NSW, Australia.
Robert G CummingFaculty of Medicine and Health, University of Sydney School of Public Health, Sydney, NSW, Australia.
Vasant HiraniSchool of Life and Environmental Sciences, Charles Perkins Centre, University of Sydney, Sydney, NSW, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

objectivesTo compare the Australian Dietary Guideline Index (DGI-2013) and the Pyramid-based Mediterranean Diet Score (pyrMDS) as measures of diet quality in an ethnically diverse group of older men. SUBJECTS/

methodsSeven hundred and ninety-four older men aged ≥75 participated in wave 3 (2012-2013) of the Concord Health and Ageing in Men Project. Dietary intake was assessed using a validated diet history questionnaire. Ethnicity was based on self-reported country of birth and categorised as Australian-born (418 men), Italian or Greek migrants (188), and other migrants (188). Incident cardiovascular outcomes until March 2018 were measured using the composite of major adverse cardiovascular events (MACE), which comprises all-cause mortality, acute myocardial infarction, congestive cardiac failure, coronary revascularisation and/or ischaemic stroke. Ability to predict incident cardiovascular outcomes and all-cause mortality were compared between standardised DGI-2013 pyrMDS scores by comparison of hazard ratios, discrimination (Harrell's C-statistic) and calibration (calibration plots).

resultsItalian and Greek migrant men had significantly lower DGI-2013 scores (91.7 vs. 93.9; p = 0.01) but significantly higher pyrMDS scores (8.8 vs. 8.2; p < 0.0001) than Australian-born men. In the whole sample (794 men), the pyrMDS was a better predictor of both MACE (age-adjusted HR = 0.84; 95% CI = 0.75-0.94 vs. HR = 0.92; 95% CI = 0.82-1.03 for DGI-2013) and all-cause mortality (age-adjusted HR = 0.69; 95% CI = 0.60-0.80 vs. HR = 0.86; 95% CI = 0.74-0.99). The pyrMDS also demonstrated superior discrimination for predicting all-cause mortality and superior calibration for MACE and all-cause mortality.

conclusionsThe DGI-2013 appears to underestimate diet quality in older Italian and Greek migrant men. The pyrMDS appears superior to the DGI-2013 for prediction of incident cardiovascular disease and mortality regardless of ethnic background.

Indexed as

Brain IschemiaDiet, MediterraneanStrokeAgedAustraliaDietHumansMaleNutrition Policy

Identifiers

PMID33712723

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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.