Evidence map›Paper›PMID 34611632›Full record

ArticleAmerican journal of preventive cardiology2021

Meta-analysis of effect of vegetarian diet on ischemic heart disease and all-cause mortality.

Ahmad Jabri, Ashish Kumar, Elizabeth Verghese, Anas Alameh, Anirudh Kumar, Muhammad Shahzeb Khan, Safi U Khan, Erin D Michos, Samir R Kapadia, Grant W Reed and 1 more

Open access · goldAbstract read
In one paragraph

Article in American journal of preventive cardiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 3 pooled it
7.8field-weighted citation impact, top 2% 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

31 citing papers in PubMed, 3 syntheses or guidelines pooled it, 53 citations in OpenAlex.

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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 at 5 institutions in 1 country.

Ahmad JabriHeart and Vascular Center, Case Western Reserve University/MetroHealth Medical Center, Cleveland, OH, USA.
Ashish KumarSection of Cardiovascular Research, Heart, Vascular and Thoracic Department, Cleveland Clinic Akron General, 224 West Exchange St, Suite 225, Akron, OH 44302, USA.
Elizabeth VergheseDepartment of Internal Medicine, Cleveland Clinic Akron General, Akron, OH, USA.
Anas AlamehDepartment of Internal Medicine, Cleveland Clinic Akron General, Akron, OH, USA.
Anirudh KumarDepartment of Cardiovascular Medicine, Cleveland Clinic, Heart, Vascular and Thoracic Institute, Cleveland, OH, USA.
Muhammad Shahzeb KhanDepartment of Internal Medicine, John H. Stroger Jr. Cook County Hospital, Chicago, IL, USA.
Safi U KhanDepartment of Internal Medicine, West Virginia University, Morgantown, WV, USA.
Erin D MichosDivision of Cardiology, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Samir R KapadiaDepartment of Cardiovascular Medicine, Cleveland Clinic, Heart, Vascular and Thoracic Institute, Cleveland, OH, USA.
Grant W ReedDepartment of Cardiovascular Medicine, Cleveland Clinic, Heart, Vascular and Thoracic Institute, Cleveland, OH, USA.
Ankur KalraSection of Cardiovascular Research, Heart, Vascular and Thoracic Department, Cleveland Clinic Akron General, 224 West Exchange St, Suite 225, Akron, OH 44302, USA.
Cleveland Clinic · USJohn H. Stroger, Jr. Hospital of Cook County · USJohns Hopkins University · USMetroHealth Medical Center · USWest Virginia University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo summarize the association between vegetarian versus non-vegetarian diet on mortality due to ischemic heart disease, cerebrovascular disease, or all-cause mortality.

methodsWe searched PubMed, Cochrane databases, and ClinicalTrials.Gov from the inception of the databases to October 2019 with no language restriction. Randomized controlled trials or prospective observational studies comparing the association between vegetarian versus non-vegetarian diets among adults and reporting major adverse cardiovascular outcomes were selected. We used Paule-Mandel estimator for tau2 with Hartung-Knapp adjustment for random effects model to estimate risk ratio [RR] with 95% confidence interval [CI].The primary outcome of interest was all-cause mortality. The secondary outcome was ischemic heart disease mortality.

resultsEight observational studies (

conclusionA vegetarian diet, compared with a non-vegetarian diet, was associated with a reduced risk of ischemic heart disease mortality, whereas it had no effect on all-cause and cerebrovascular mortality. However, the results are to be considered with caution considering the low certainty of evidence. Despite recent studies supporting no restriction on animal protein intake gaining wide media attention and public traction, consideration for vegetarianism amongst those with risk factors for coronary artery disease should be contemplated.

Indexed as

CardiovascularCerebrovascularDietMortalityVegetarian

Identifiers

PMID34611632
PMCPMC8387295
OpenAlexW3154350038

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.