Evidence map›Paper›PMID 33807053›Full record

SynthesisNutrients2021

Adherence to Food-Based Dietary Guidelines: A Systemic Review of High-Income and Low- and Middle-Income Countries.

Ana Carolina B Leme, Sophia Hou, Regina Mara Fisberg, Mauro Fisberg, Jess Haines

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in Nutrients, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 80 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
80citing papers in PubMed, 3 pooled it
12.0field-weighted citation impact, top 1% 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

80 citing papers in PubMed, 3 syntheses or guidelines pooled it, 106 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Trial
  6. Article
  7. Prevalence of Healthy Eating Initiatives in Australian Primary Schools: A Cross-Sectional Survey.Health promotion journal of Australia : official journal of Australian Association of Health Promotion Professionals · 2026
    Article
  8. Eating Behavior Traits and Success in Dietary Changes in Men with Prediabetes - the T2D-GENE Intervention.Health education & behavior : the official publication of the Society for Public Health Education · 2026
    Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Review
  14. Article
  15. Food desert residence and prenatal diet quality.Pregnancy (Hoboken, N.J.) · 2026
    Article
  16. Article
  17. Article
  18. Plant-based analogues to meat and dairy for sustainable food systems.The Proceedings of the Nutrition Society · 2026
    Review
  19. Article
  20. How Are Adolescents Participating in the Transformation of Healthy Food Environments? A Scoping Review of Empirical Research.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2026
    Article

20 more citing papers are in PubMed but not listed here.

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 2 institutions in 2 countries.

Ana Carolina B LemeDepartment of Family Relations and Applied Nutrition, University of Guelph, Guelph, ON N1G 2W1, Canada.ORCID 0000-0003-2782-4301
Sophia HouDepartment of Family Relations and Applied Nutrition, University of Guelph, Guelph, ON N1G 2W1, Canada.
Regina Mara FisbergDepartment of Nutrition, School of Public University of São Paulo, São Paulo 01246-904, Brazil.ORCID 0000-0002-4490-9035
Mauro FisbergCenter of Excellence in Nutrition and Feeding Difficulties, PENSI Institute, Sabará Children's Hospital, José Luis Egydio Setúbal Foundation, São Paulo 01228-200, Brazil.ORCID 0000-0003-2992-3215
Jess HainesDepartment of Family Relations and Applied Nutrition, University of Guelph, Guelph, ON N1G 2W1, Canada.
University of Guelph · CAUniversidade de São Paulo · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Research comparing the adherence to food-based dietary guidelines (FBDGs) across countries with different socio-economic status is lacking, which may be a concern for developing nutrition policies. The aim was to report on the adherence to FBDGs in high-income (HIC) and low-and-middle-income countries (LMIC). A systematic review with searches in six databases was performed up to June 2020. English language articles were included if they investigated a population of healthy children and adults (7-65 years), using an observational or experimental design evaluating adherence to national FBDGs. Findings indicate that almost 40% of populations in both HIC and LMIC do not adhere to their national FBDGs. Fruit and vegetables (FV) were most adhered to and the prevalence of adhering FV guidelines was between 7% to 67.3%. HIC have higher consumption of discretionary foods, while results were mixed for LMIC. Grains and dairy were consumed below recommendations in both HIC and LMIC. Consumption of animal proteins (>30%), particularly red meat, exceeded the recommendations. Individuals from HIC and LMIC may be falling short of at least one dietary recommendation from their country's guidelines. Future health policies, behavioral-change strategies, and dietary guidelines may consider these results in their development.

Indexed as

Developing CountriesNutrition PolicyDairy ProductsDatabases, FactualDietFruitHumansNon-Randomized Controlled Trials as TopicPatient ComplianceRandomized Controlled Trials as TopicSocioeconomic FactorsVegetablesWhole Grainsadherencedietary guidelinesdiet intakehigh-income countrieslow- and middle-income countries

Identifiers

PMID33807053
PMCPMC8004702
OpenAlexW3146866186

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.