ArticleNutrients2021
Macronutrient Quality and All-Cause Mortality in the SUN Cohort.
Article in Nutrients, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed.
- The Association of Dietary Macronutrient Quality and Mortality Among Patients With Liver Cirrhosis: A Prospective Cohort Study.Health science reports · 2026Article
- Associations of pre- and post-diagnosis dietary macronutrient quality and its changes with ovarian cancer survival: evidence from a prospective cohort study.Nutrition journal · 2026Article
- Adherence to a diet with higher protein quality significantly reduces the risk of lung cancer: results from a population-based prospective study.Frontiers in public health · 2026Article
- Association of fat quality index with head and neck cancer risk: results from a prospective study.Frontiers in nutrition · 2026Article
- Specific macronutrient clusters associated with lower mortality risk: Evidence from NHANES 1999-2018.Journal of advanced research · 2025Article
- Associations between dietary macronutrient quality and odds of hyperlipidemia: findings from the NEC-Biobank cohort.Nutrition journal · 2025Article
- Macronutrient quality and colorectal cancer outcomes: evidence from the PLCO screening trial.Frontiers in nutrition · 2025Article
- Negative associations between macronutrient quality index and lung cancer incidence and mortality: results from the prostate, lung, colorectal, and ovarian cancer screening trial.Frontiers in nutrition · 2025Article
- Adherence to the diet with higher protein quality reduces the risk of colorectal cancer: results from a population-based prospective study.Frontiers in nutrition · 2025Article
- Exploring metabolic syndrome and dietary quality in Iranian adults: a cross-sectional study.BMC nutrition · 2024Article
- Macronutrient quality index and cardiovascular disease risk in the Seguimiento Universidad de Navarra (SUN) cohort.European journal of nutrition · 2022Article
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
No previous study has assessed the relationship between overall macronutrient quality and all-cause mortality. We aimed to prospectively examine the association between a multidimensional macronutrient quality index (MQI) and all-cause mortality in the SUN (Seguimiento Universidad de Navarra) (University of Navarra Follow-Up) study, a Mediterranean cohort of middle-aged adults. Dietary intake information was obtained from a validated 136-item semi-quantitative food-frequency questionnaire. We calculated the MQI (categorized in quartiles) based on three quality indexes: the carbohydrate quality index (CQI), the fat quality index (FQI), and the healthy plate protein source quality index (HPPQI). Among 19,083 participants (mean age 38.4, 59.9% female), 440 deaths from all causes were observed during a median follow-up of 12.2 years (IQR, 8.3-14.9). No significant association was found between the MQI and mortality risk with multivariable-adjusted hazard ratio (HR) for the highest vs. the lowest quartile of 0.79 (95% CI, 0.59-1.06; P
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