ArticleNutrients2023
The Association between Plant-Based Diet Indices and Metabolic Syndrome in Chinese Adults: Longitudinal Analyses from the China Health and Nutrition Survey.
Article in Nutrients, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.
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Who cites it
12 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Plant-based and sustainable diet: A systematic review of its impact on obesity.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2025Pooled it
- The association between plant-based diet indices and metabolic syndrome: a systematic review and dose-response meta-analysis.Frontiers in nutrition · 2023Pooled it
- A narrative review of dietary patterns in cardiovascular-kidney-metabolic syndrome.Frontiers in nutrition · 2026Review
- Dietary quality across the life course and metabolic syndrome: evidence from two decades of follow-up in rural China young adults.Frontiers in public health · 2026Article
- Branched-chain amino acids from plants and the metabolic syndrome: pathways and pharmacological applications.Frontiers in nutrition · 2026Review
- Article
- Association Between Plant-Based Diets and Metabolic Syndrome in Zhejiang, China: A Cross-Sectional Study.Nutrients · 2025Article
- Article
- Review
- Association between Dietary Patterns and Metabolic Syndrome Risk Factors: A Cross-Sectional Study of Christian Orthodox Church Fasters and Non-Fasters in Greece.Foods (Basel, Switzerland) · 2023Article
- The Interplay between Metabolic Syndrome and Religious Fasting in Postmenopausal Women.Nutrients · 2023Article
- Association between plant-based diets and metabolic syndrome in obese adults from Iran: a cross-sectional study.BMC endocrine disorders · 2023Article
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Authors and funding
12 authors.
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Abstract
objectivesTo investigate the association between a plant-based diet and metabolic syndrome (MetS) among Chinese adults.
methodsBased on the data from the 2004-2015 China Health and Nutrition Survey and the corresponding edition of China Food Composition, we calculated the healthy plant-based diet indices (hPDI) and unhealthy plant-based diet indices (uPDI). The Cox proportional hazards regression model was used to estimate the hazard ratios (HRs) with 95% confidence intervals (CIs) for MetS. Mediation analysis was further conducted to explore the mediator role of Body Mass Index (BMI) in the association between hPDI and MetS.
resultsWe included 10,013 participants, and over a median follow-up of 5 years, 961 patients (9.60%) developed MetS. Compared to those in the lowest quintile of hPDI score, we found that those in the highest quintile of hPDI score had a 28% lower ([HR]: 0.72, 95% CI 0.56-0.93,
conclusionThe current findings reveal a possible causal relationship between a healthy plant-based diet and a reduced risk of MetS, especially abdominal obesity. It is observed that BMI may mediate the relationship between hPDI score and MetS. Controlling early dietary patterns and BMI may help reduce the risk of MetS.
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