Evidence map›Paper›PMID 34157852›Full record

Observational studyJournal of the American Heart Association2021

Association of Meal and Snack Patterns With Mortality of All-Cause, Cardiovascular Disease, and Cancer: The US National Health and Nutrition Examination Survey, 2003 to 2014.

Wei Wei, Wenbo Jiang, Jiaxin Huang, Jiaxu Xu, Xuanyang Wang, Xitao Jiang, Yu Wang, Guili Li, Changhao Sun, Ying Li and 1 more

Abstract readObservational Study
In one paragraph

Observational study in Journal of the American Heart Association, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
–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

21 citing papers in PubMed.

  1. Trial
  2. Effect of the Replacement of Corn (Life (Basel, Switzerland) · 2026
    Article
  3. Review
  4. Article
  5. Article
  6. [Innovative Practices of Precision Nutrition in Obesity Intervention: From Theory to Application].Sichuan da xue xue bao. Yi xue ban = Journal of Sichuan University. Medical science edition · 2025
    Article
  7. Article
  8. Article
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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

11 authors.

Wei WeiDepartment of Nutrition and Food Hygiene The National Key Discipline School of Public Health Harbin Medical University Harbin P. R. China.
Wenbo JiangDepartment of Nutrition and Food Hygiene The National Key Discipline School of Public Health Harbin Medical University Harbin P. R. China.
Jiaxin HuangDepartment of Postgraduate Harbin Medical University Cancer Hospital Harbin P. R. China.
Jiaxu XuDepartment of Nutrition and Food Hygiene The National Key Discipline School of Public Health Harbin Medical University Harbin P. R. China.
Xuanyang WangDepartment of Nutrition and Food Hygiene The National Key Discipline School of Public Health Harbin Medical University Harbin P. R. China.
Xitao JiangIT and Environment College of Engineering Charles Darwin University Darwin Northern Territory Australia.
Yu WangDepartment of Nutrition and Food Hygiene The National Key Discipline School of Public Health Harbin Medical University Harbin P. R. China.
Guili LiDepartment of Nutrition and Food Hygiene The National Key Discipline School of Public Health Harbin Medical University Harbin P. R. China.
Changhao SunDepartment of Nutrition and Food Hygiene The National Key Discipline School of Public Health Harbin Medical University Harbin P. R. China.
Ying LiDepartment of Nutrition and Food Hygiene The National Key Discipline School of Public Health Harbin Medical University Harbin P. R. China.
Tianshu HanDepartment of Nutrition and Food Hygiene The National Key Discipline School of Public Health Harbin Medical University Harbin P. R. China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background Although accumulating evidence has demonstrated that consumption time of energy and macronutrients plays an important role in maintaining health, the association between consumption time of different foods and cardiovascular disease, cancer, and all-cause mortalities is still largely unknown. Methods and Results A noninstitutionalized household population of the US 21 503 participants from National Health and Nutrition Examination Survey was included. Meal patterns and snack patterns throughout a whole day were measured using 24-hour dietary recall. Principal component analysis was performed to establish dietary patterns. Cox proportional hazards models were used to evaluate the association between dietary patterns across meals and cardiovascular disease (CVD), cancer, and all-cause mortalities. During the 149 875 person-years of follow-up, 2192 deaths including 676 deaths because of CVD and 476 because of cancer were documented. After adjusting for potential confounders, participants consuming fruit-lunch had lower mortality risks of all-cause (hazard ratio [HR], 0.82; 95% CI, 0.72-0.92) and CVD (HR, 0.66; 95% CI, 0.49-0.87); whereas participants who consumed Western-lunch were more likely to die because of CVD (HR, 1.44; 95% CI, 1.10-1.89). Participants who consumed vegetable-dinner had lower mortality risks of all-cause, CVD, and cancer (HR

Indexed as

Energy IntakeFeeding BehaviorMealsNutritive ValueSnacksAdultAgedAged, 80 and overCardiovascular DiseasesFemaleHumansMaleMiddle AgedNeoplasmsNutrition SurveysPrognosisconsumption‐timedietary‐patternsmortalityNHANES

Identifiers

PMID34157852
PMCPMC8403276

What OpenQuestion holds

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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.