Evidence map›Paper›PMID 35565655›Full record

ArticleNutrients2022

Does Mediterranean Adequacy Index Correlate with Cardiovascular Events in Patients with Advanced Chronic Kidney Disease? An Exploratory Study.

Andreana De Mauri, Deborah Carrera, Matteo Vidali, Marco Bagnati, Roberta Rolla, Sergio Riso, Doriana Chiarinotti, Massimo Torreggiani

Open access · goldAbstract read
In one paragraph

Article in Nutrients, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.4field-weighted citation impact, top 38% 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

3 citing papers in PubMed, 2 citations in OpenAlex.

  1. Review
  2. Article
  3. 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

8 authors at 4 institutions in 2 countries.

Andreana De MauriNephrology and Dialysis Unit, Maggiore della Carità University Hospital, 28100 Novara, Italy.ORCID 0000-0002-3266-195X
Deborah CarreraNutritional Science and Dietetic, Maggiore della Carità University Hospital, 28100 Novara, Italy.
Matteo VidaliClinical Chemistry Unit, Fondazione IRCCS Ca' Granda Maggiore Policlinico Hospital, 20122 Milano, Italy.ORCID 0000-0001-9991-7502
Marco BagnatiClinical Chemistry Laboratory, Maggiore della Carità University Hospital, 28100 Novara, Italy.
Roberta RollaClinical Chemistry Laboratory, Maggiore della Carità University Hospital, 28100 Novara, Italy.
Sergio RisoNutritional Science and Dietetic, Maggiore della Carità University Hospital, 28100 Novara, Italy.ORCID 0000-0001-8798-1224
Doriana ChiarinottiNephrology and Dialysis Unit, Maggiore della Carità University Hospital, 28100 Novara, Italy.
Massimo TorreggianiNéphrologie et Dialyse, Centre Hospitalier Le Mans, 72037 Le Mans, France.ORCID 0000-0002-5561-948X
Magna Graecia University · ITCentre Hospitalier du Mans · FRFondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico · ITUniversità degli Studi del Piemonte Orientale “Amedeo Avogadro” · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The Mediterranean Diet (MD) is a healthy dietary pattern, demonstrated to reduce the risk of cancer, diabetes, cardiovascular and neurodegenerative diseases, and early death. The Mediterranean Adequacy Index (MAI) is used to measure adherence to the MD in perspective studies in the general population and correlates with cardiovascular events. The aim of this study was to calculate the MAI among patients with advanced chronic kidney disease (CKD) and correlate it with traditional uremic, microbiota-derived, and proatherogenic toxins as well as nutritional status, quality of life, and cardiovascular events. A total of 60 adult patients with advanced CKD were enrolled and their MAI was calculated. According to the median value, patients were divided into lower (l-MAI, <1.80) and higher (h-MAI, ≥1.80) MAI groups. Biochemical parameters, microbiota-derived and proatherogenic toxins (p-Cresyl sulphate, Indoxyl-sulphate, and Lipoprotein-associated phospholipase A2), nutritional status, quality of life, and cardiovascular events that occurred in the previous three years were recorded. The mean value of the MAI was 2.78 ± 2.86. The MAI was significantly higher in foreigners (median (IQR) 6.38 (8.98) vs. 1.74 (1.67), p < 0.001) and diabetic patients. The l-MAI and h-MAI groups had similar routinary blood, p-Cresyl-sulphate, Indoxyl-sulphate, and Lp-PLA2 as well as nutritional status and quality of life parameters. The MAI was not associated with previous cardiovascular events and did not correlate with cardiovascular events in CKD patients. New and nephro-tailored indexes are warranted to evaluate nutritional therapy in CKD patients.

Indexed as

Cardiovascular DiseasesDiet, MediterraneanRenal Insufficiency, ChronicToxins, BiologicalAdultFemaleHumansIndicanMaleQuality of LifeSulfatesIndicanSulfatesToxins, Biologicaladherencechronic kidney diseaseindoxyl-sulphateLipoprotein-associated phospholipase A2Mediterranean Adequacy IndexMediterranean dietp-cresol-sulphate

Identifiers

PMID35565655
PMCPMC9101145
OpenAlexW4224232146

What OpenQuestion holds

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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.