Evidence map›Paper›PMID 37432367›Full record

ArticleNutrients2023

Association between Dietary Patterns and Metabolic Syndrome and Modification Effect of Altitude: A Cohort Study of Tibetan Adults in China.

Haijing Wang, Yanxiang Wang, Zumin Shi, Lei Zhao, Wenxiu Jian, Ke Li, Ruihua Xu, Yan Wu, Fei Xu, Youfa Wang and 1 more

Abstract read
In one paragraph

Article in Nutrients, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 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

13 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Cardiometabolic Risk Factors in Women Exposed to High Altitude.International journal of molecular sciences · 2026
    Review
  4. Article
  5. Article
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  10. Review
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  12. The Association of HDL2b with Metabolic Syndrome Among Normal HDL-C Populations in Southern China.Diabetes, metabolic syndrome and obesity : targets and therapy · 2024
    Article
  13. 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

11 authors.

Haijing WangNutrition and Health Promotion Center, Department of Public Health, Medical College, Qinghai University, Xining 810008, China.
Yanxiang WangNutrition and Health Promotion Center, Department of Public Health, Medical College, Qinghai University, Xining 810008, China.
Zumin ShiHuman Nutrition Department, College of Health Sciences, QU Health, Qatar University, Doha 2713, Qatar.ORCID 0000-0002-3099-3299
Lei ZhaoNutrition and Health Promotion Center, Department of Public Health, Medical College, Qinghai University, Xining 810008, China.
Wenxiu JianNutrition and Health Promotion Center, Department of Public Health, Medical College, Qinghai University, Xining 810008, China.
Ke LiGlobal Health Institute, School of Public Health, Xi'an Jiaotong University, Xi'an 710061, China.
Ruihua XuNutrition and Health Promotion Center, Department of Public Health, Medical College, Qinghai University, Xining 810008, China.
Yan WuGlobal Health Institute, School of Public Health, Xi'an Jiaotong University, Xi'an 710061, China.
Fei XuDepartment of Epidemiology, School of Public Health, Nanjing Medical University, Nanjing 211166, China.
Youfa WangGlobal Health Institute, School of Public Health, Xi'an Jiaotong University, Xi'an 710061, China.
Wen PengNutrition and Health Promotion Center, Department of Public Health, Medical College, Qinghai University, Xining 810008, China.

Funding

Key R&D and Transformation Program of Qinghai 2023-QY-204Key Science and Technology Project of Qinghai Province 2021-NK-A3National Natural Science Foundation of China 82103846Science Promotion and Communication Fund, Chinese Nutrition Society CNS-SCP2020-040
6 · The paper itself

Abstract

Little is known about the longitudinal association between dietary patterns (DPs) and metabolic disorders in people living at high altitude areas, such as Tibetans. We constructed the first open cohort, with 1832 Tibetans, and collected data in 2018 and in 2022. The metabolic syndrome (MetS) prevalence was 30.1% (32.3% in men and 28.3% in women). Three different DPs were identified: modern DP (pulses, poultry, offal, and processed meat), urban DP (vegetables, refined grain, beef/mutton, and eggs), and pastoral DP (Tibetan cheese, tsamba, butter/milk tea, and desserts). Participants within the third tertile of the urban DP had a 3.42-fold (95% CI 1.65-7.10) higher risk of MetS than those with the first tertile. Modern DP was positively associated with elevated blood pressure (BP) and elevated triglycerides (TAG), while it was inversely associated with low HDL-C. The urban DP was associated with a higher risk of low HDL-C, but a lower risk of impaired fasting blood glucose (FBG). The pastoral DP was a risk factor for impaired FBG, but protective for central obesity and elevated BP. Associations of modern DP with elevated BP, and pastoral DP with low HDL-C, were modified by altitude. In conclusion, among Tibetan adults, DPs were associated with MetS and its components, and the associations were modified by altitude among Tibetans.

Indexed as

HypertensionMetabolic SyndromeAdultAltitudeAnimalsCattleChinaCohort StudiesFemaleHumansMaleTibetblood glucoseblood pressuredietary patternhigh altitudelipidsmetabolic syndromeobesityTibetans

Identifiers

PMID37432367
PMCPMC10181060

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.