Evidence map›Paper›PMID 34444786›Full record

SynthesisNutrients2021

Mediterranean Diet and Mortality in People with Cardiovascular Disease: A Meta-Analysis of Prospective Cohort Studies.

Chengyao Tang, Xiaowen Wang, Li-Qiang Qin, Jia-Yi Dong

Registry-linked trialOpen access · goldAbstract readMeta-AnalysisReview
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. It is linked to trial NCT07017127 (Remission of Type 2 Diabetes With Mediterranean Diet, Physical Activity and Psychological Support), which is not on this map. Cited by 34 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 4 pooled it
13.5field-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.

NCT07017127 narecruitingnot on this mapstarted 2025, after this paper: background citation

Remission of Type 2 Diabetes With Mediterranean Diet, Physical Activity and Psychological Support: a Randomized Clinical Trial

TypeinterventionalSponsorUniversity of Split, School of MedicineRan2025 to 2027Enrolled120ConditionsDiabetes Mellitus Type 2, Obese DiabeticsArmsMediterranean diet, Physical activity intervention, Psychological intervention
3 · Its place in the literature

Who cites it

34 citing papers in PubMed, 4 syntheses or guidelines pooled it, 82 citations in OpenAlex.

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  7. Obesity: An Overlooked Factor in Inflammatory Bowel Disease.International journal of molecular sciences · 2026
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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

4 authors at 3 institutions in 2 countries.

Chengyao TangPublic Health, Department of Social Medicine, Osaka University Graduate School of Medicine, Osaka 565-0871, Japan.ORCID 0000-0001-6508-3693
Xiaowen WangPublic Health, Department of Social Medicine, Osaka University Graduate School of Medicine, Osaka 565-0871, Japan.ORCID 0000-0003-4623-1608
Li-Qiang QinDepartment of Nutrition and Food Hygiene, School of Public Health, Soochow University, Suzhou 215000, China.
Jia-Yi DongPublic Health, Department of Social Medicine, Osaka University Graduate School of Medicine, Osaka 565-0871, Japan.ORCID 0000-0002-8667-6946
The University of Osaka · JPPeking University · CNSoochow University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The association of the Mediterranean diet (MD) with mortality among people with a history of cardiovascular disease (CVD) has not been systematically examined. Hereby, our objective was to investigate the association of MD with all-cause and cardiovascular mortality in people with a history of CVD. We searched five electronic databases including Embase, PubMed, Scopus, Web of Science, and Cochrane Central Register of Controlled Trials to screen eligible studies published before 31 August 2020. A random-effect model was used to examine the association of a 2-unit increment in MD score with the risk of all-cause and cardiovascular mortality. We conducted sensitivity and subgroup analyses and examined potential publication bias by Egger's and Begg's tests. Seven cohort studies (eight datasets) with a total of 37,879 participants who had a history of CVD were eligible for the main analysis. The pooled hazard ratios were 0.85 (95% CIs: 0.78-0.93; n = 8) for all-cause mortality and 0.91 (95% CIs; 0.82-1.01; n = 4) for cardiovascular mortality for each 2-unit increment in a score of adherence to MD. Subgroup analyses for all-cause mortality showed that the association appeared relatively stronger in Mediterranean areas (HR = 0.76 [0.69-0.83]) than non-Mediterranean areas (HR = 0.95 [0.93-0.98]) and in studies with a shorter duration (HR = 0.75 [0.66-0.84] for <7 years vs. HR = 0.94 [0.91-0.98] for ≥7 years). No evidence of publication bias was observed. The present meta-analysis of prospective cohort studies provided evidence that adherence to MD improved survival in people with a history of CVD.

Indexed as

Diet, MediterraneanCardiovascular DiseasesCohort StudiesDatabases, FactualHumansProportional Hazards ModelsSecondary Preventioncardiovascular diseasecohort studiesmediterranean dietmeta-analysismortalitysecondary prevention

Identifiers

PMID34444786
PMCPMC8400615
OpenAlexW3184845268

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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.