Evidence map›Paper›PMID 34282294›Full record

ReviewEuropean journal of clinical nutrition2022

Food-based dietary guidelines in Spain: an assessment of their methodological quality.

Montserrat Rabassa, Yolanda Hernández Ponce, Sònica Garcia-Ribera, Bradley C Johnston, Gemma Salvador Castell, Maria Manera, Carmen Pérez Rodrigo, Javier Aranceta-Bartrina, Miguel Ángel Martínez-González, Pablo Alonso-Coello

Abstract readReview
PubMed Publisher
In one paragraph

Review in European journal of clinical nutrition, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
2.2field-weighted citation impact, top 13% 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Treatments for non-small cell lung cancer: a systematic quality assessment of clinical practice guidelines.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2023
    Article
  4. Review
  5. Review
  6. Predictors of Higher Quality of Systematic Reviews Addressing Nutrition and Cancer Prevention.International journal of environmental research and public health · 2022
    Article
  7. 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

10 authors at 6 institutions in 3 countries.

Montserrat RabassaIberoamerican Cochrane Centre, Biomedical Research Institute Sant Pau (IIB Sant Pau), Barcelona, Spain. mrabassa@santpau.cat.ORCID http://orcid.org/0000-0002-0276-6726
Yolanda Hernández PonceIberoamerican Cochrane Centre, Biomedical Research Institute Sant Pau (IIB Sant Pau), Barcelona, Spain.
Sònica Garcia-RiberaIberoamerican Cochrane Centre, Biomedical Research Institute Sant Pau (IIB Sant Pau), Barcelona, Spain.
Bradley C JohnstonDepartment of Nutrition, Texas A&M University, College Station, TX, USA.
Gemma Salvador CastellAgència de Salut Pública de Catalunya, Departament de Salut. Generalitat de Catalunya, Barcelona, Spain.
Maria ManeraAgència de Salut Pública de Catalunya, Departament de Salut. Generalitat de Catalunya, Barcelona, Spain.
Carmen Pérez RodrigoDepartment of Physiology, Faculty of Medicine; Spanish Society of Community Nutrition (SENC), University of the Basque Country (UPV/EHU), Biscay, Spain.ORCID http://orcid.org/0000-0002-4554-6184
Javier Aranceta-BartrinaUniversity of Navarra, Department of Food Science and Physiology; University of Las Palmas de Gran Canaria (ULPGC), Department of Preventive Medicine and Public Health. University of the Basque Country (UPV/EHU), Department of Physiology, Faculty of Medicine; CIBER-OBN-Instituto de Salud Carlos III, Madrid, Spain.
Miguel Ángel Martínez-GonzálezDepartment of Preventive Medicine & Public Health, CIBER-OBN-Instituto de Salud Carlos III, University of Navarra, Madrid, Spain.
Pablo Alonso-CoelloIberoamerican Cochrane Centre, Biomedical Research Institute Sant Pau (IIB Sant Pau), Barcelona, Spain.
Iberoamerican Cochrane Centre · ESGeneralitat de Catalunya · ESInstituto de Salud Carlos III · ESImpact · CAUniversidad de Las Palmas de Gran Canaria · ESUniversity of the Basque Country · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND &

objectivesFood-based dietary guidelines (FBDGs) have been developed to promote healthy diets and prevent chronic diseases. However, the methodological quality of Spanish FBDGs has not been systematically assessed yet. The objective of this review is to identify and assess the methodological quality of Spanish FBDGs, as well as to describe their food guides and key recommendations.

methodsWe conducted a systematic search to identify Spanish FBDGs targeted at the general population using multiple sources. Two authors independently screened the references, extracted data, and assessed the quality of the FBDGs using the Appraisal of Guidelines for Research and Evaluation (AGREE) II and the Recommendation Excellence (AGREE-REX) instruments. We performed a descriptive analysis of the FBDGs.

resultsWe included 19 FBDGs, published between 2007 and 2019. The median scores for each AGREE II domain were: "scope and purpose" 44% (Q1-Q3: 33-61%); "Stakeholder involvement" 31% (11-44%), "rigor of development" 3% (1-14%); "clarity of presentation" 42% (33-47%), "applicability" 0% (0-6%); and "editorial independence" 0% (0-8%). Six FBDGs (32%; 6/19) were categorized as "recommended with modifications", and the rest (68%; 13/19) as "not recommended". None of the FBDGs scored ≥60% in three or more domains, including the "rigor of development" domain. FBDGs indexed in literature databases scored significantly higher in overall rating than those not indexed (P = 0.023). The majority of FBDGs (74%; 14/19) used the pyramid as a food guide representation with a larger number of food levels (3-7 levels). The majority of FBDGs recommended a daily intake of cereals and grains, vegetables, fruits, olive oil and dairy products; a weekly intake of vegetable and animal proteins; and the occasional and limited intake of other food groups (e.g., ultraprocessed foods).

conclusionsOverall, the methodological quality of FBDGs is poor showing that only 32% of FBDGs are "recommended for use with modifications". Our results highlight the need to revise, systematize and improve FBDG development processes in Spain.

Indexed as

Diet, HealthyNutrition PolicyFruitHumansSpainVegetables

Identifiers

PMID34282294
OpenAlexW3183782052

What OpenQuestion holds

Textmetadata
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.