Evidence map›Paper›PMID 35631268›Full record

ArticleNutrients2022

A Prospective Study of Fruit Juice Consumption and the Risk of Overall and Cardiovascular Disease Mortality.

Zhuang Zhang, Xueke Zeng, Meiling Li, Tengfei Zhang, Haowei Li, Hu Yang, Yong Huang, Yu Zhu, Xiude Li, Wanshui Yang

Abstract 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 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing 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

10 citing papers in PubMed.

  1. Article
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  6. Observational
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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

10 authors.

Zhuang ZhangDepartment of Nutrition, School of Public Health, Anhui Medical University, Hefei 230032, China.
Xueke ZengDepartment of Nutrition, School of Public Health, Anhui Medical University, Hefei 230032, China.
Meiling LiDepartment of Nutrition, School of Public Health, Anhui Medical University, Hefei 230032, China.
Tengfei ZhangDepartment of Nutrition, School of Public Health, Anhui Medical University, Hefei 230032, China.
Haowei LiDepartment of Nutrition, School of Public Health, Anhui Medical University, Hefei 230032, China.
Hu YangDepartment of Nutrition, School of Public Health, Anhui Medical University, Hefei 230032, China.
Yong HuangDepartment of Nutrition, School of Public Health, Anhui Medical University, Hefei 230032, China.
Yu ZhuDepartment of Nutrition, School of Public Health, Anhui Medical University, Hefei 230032, China.
Xiude LiDepartment of Nutrition, School of Public Health, Anhui Medical University, Hefei 230032, China.
Wanshui YangDepartment of Nutrition, School of Public Health, Anhui Medical University, Hefei 230032, China.ORCID 0000-0002-7365-2689

Funding

Anhui Medical University 2020xkj010Anhui Medical University 2021xkjT007Anhui Medical University XJ201935Anhui Provincial Education Department gxyqZD2021099Anhui Provincial Natural Science Foundation 2008085MH262Anhui Provincial Natural Science Foundation 2108085QH357National Natural Science Foundation of China 82073651National Natural Science Foundation of China 82103796
6 · The paper itself

Abstract

There is little evidence for the association between fruit juice, especially 100% fruit juice, and mortality risk. In addition, whether 100% fruit juice can be a healthy alternative to whole fruit remains uncertain. This prospective study utilized the data from the US National Health and Nutrition Examination Survey (NHANES) from 1999 to 2014. After a median follow-up of 7.8 years, 4904 deaths among 40,074 participants aged 18 years or older were documented. Compared to non-consumption, daily consumption of 250 g or more of 100% fruit juice was associated with higher overall mortality (hazard ratio (HR) = 1.30, 95% confidence interval (CI): 1.11-1.52) and mortality from heart disease (HR = 1.49, 95 CI: 1.01-2.21). A similar pattern was observed for total fruit juice, with HRs of 1.28 (95% CI: 1.09-1.49) for overall mortality and 1.48 (95% CI: 1.01-2.17) for heart disease mortality. Replacing 5% of energy from whole fruit with 100% or total fruit juice was associated with a 9% (95% CI: 2-16%) and 8% (95% CI: 1-15%) increased mortality risk, respectively. Our findings suggest that both total and 100% fruit juice could be associated with high mortality risk, and need to be validated in well-designed studies given the potential misclassification of diet and death reasons.

Indexed as

Cardiovascular DiseasesHeart DiseasesFruit and Vegetable JuicesHumansNutrition SurveysProspective Studiescardiovascular diseasefruitfruit juicemortalitysubstitution analysis

Identifiers

PMID35631268
PMCPMC9144949

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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.