Evidence map›Paper›PMID 36811594›Full record

SynthesisAdvances in nutrition (Bethesda, Md.)2023

Long-Term Consumption of 10 Food Groups and Cardiovascular Mortality: A Systematic Review and Dose Response Meta-Analysis of Prospective Cohort Studies.

Buna Bhandari, Zhixin Liu, Sophia Lin, Rona Macniven, Blessing Akombi-Inyang, John Hall, Xiaoqi Feng, Aletta E Schutte, Xiaoyue Xu

Abstract readSystematic ReviewMeta-Analysis
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in Advances in nutrition (Bethesda, Md.), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 2 pooled it
–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

24 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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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

9 authors.

Buna BhandariSchool of Population Health, University of New South Wales, Sydney, Australia; Central Department of Public Health, Tribhuvan University Institute of Medicine, Kathmandu, Nepal; Department of Global Health and Population, Harvard T.H. Chan School of Public Health, Boston, USA.
Zhixin LiuStats Central, University of New South Wales, Sydney, Australia.
Sophia LinSchool of Population Health, University of New South Wales, Sydney, Australia.
Rona MacnivenSchool of Population Health, University of New South Wales, Sydney, Australia.
Blessing Akombi-InyangSchool of Population Health, University of New South Wales, Sydney, Australia.
John HallSchool of Population Health, University of New South Wales, Sydney, Australia; Ministry of Health, New South Wales, Sydney, Australia.
Xiaoqi FengSchool of Population Health, University of New South Wales, Sydney, Australia.
Aletta E SchutteSchool of Population Health, University of New South Wales, Sydney, Australia; The George Institute for Global Health, Sydney, Australia.
Xiaoyue XuSchool of Population Health, University of New South Wales, Sydney, Australia; The George Institute for Global Health, Sydney, Australia. Electronic address: luna.xu@unsw.edu.au.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A large body of evidence exists on diet and cardiovascular mortality, but limited studies have investigated the long-term intake of food groups, which may have cumulative effects on cardiovascular health in the long term. This review therefore evaluated the relationship between the long-term consumption of 10 food groups and cardiovascular mortality. We conducted a systematic search in Medline, Embase, Scopus, CINAHL, and Web of Science till January 2022. Of the 5318 studies initially identified, 22 studies with a total of 70,273 participants with cardiovascular mortality were included. Summary HRs and 95% CIs were estimated using a random effects model. We found that a long-term high intake of whole grains (HR: 0.87; 95% CI: 0.80, 0.95; P = 0.001), fruits and vegetables (HR: 0.72; 95% CI: 0.61, 0.85; P < 0.0001), and nuts (HR: 0.73; 95% CI: 0.66, 0.81; P < 0.00001) significantly reduced cardiovascular mortality. Each 10-gram increase in whole grain consumption per day was associated with a 4% reduction in the risk of cardiovascular mortality, whereas each 10-gram increase in red/processed meat consumption per day was associated with a 1.8% increase in the risk of cardiovascular mortality. Compared with the lowest intake category, red/processed meat consumption in the highest category was associated with an increased risk of cardiovascular mortality (HR: 1.23; 95% CI: 1.09, 1.39; P = 0.006). High intake of dairy products (HR: 1.11; 95% CI: 0.92, 1.34; P = 0.28), and legumes (HR: 0.86; 95% CI: 0.53, 1.38; P = 0.53) were not associated with cardiovascular mortality. However, in the dose-response analysis, each 10-gram increase in legume intake per week was associated with a 0.5% reduction in cardiovascular mortality. We conclude that the long-term high intake of whole grains, vegetables, fruits, nuts, and a low intake of red/processed meat are associated with reduced cardiovascular mortality. More data on the long-term effects of legumes on cardiovascular mortality are encouraged. This study was registered at PROSPERO as CRD42020214679.

Indexed as

Cardiovascular DiseasesFabaceaeDietFruitHumansProspective StudiesRisk FactorsVegetablescardiovascular mortalitydietfruitsgrainslegumesmeatnutritionnutsvegetables

Identifiers

PMID36811594
PMCPMC10102997

What OpenQuestion holds

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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.