Evidence map›Paper›PMID 38748667›Full record

SynthesisPloS one2024

Cardiovascular health and cancer risk associated with plant based diets: An umbrella review.

Angelo Capodici, Gabriele Mocciaro, Davide Gori, Matthew J Landry, Alice Masini, Francesco Sanmarchi, Matteo Fiore, Angela Andrea Coa, Gisele Castagna, Christopher D Gardner and 1 more

Abstract readSystematic Review
In one paragraph

Synthesis in PloS one, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 3 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

28 citing papers in PubMed, 3 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

11 authors.

Angelo CapodiciDepartment of Biomedical and Neuromotor Science, Alma Mater Studiorum-University of Bologna, Bologna, Italy.ORCID 0000-0002-7505-0702
Gabriele MocciaroDepartment of Biochemistry, University of Cambridge, Cambridge, United Kingdom.ORCID 0000-0001-5392-0909
Davide GoriDepartment of Biomedical and Neuromotor Science, Alma Mater Studiorum-University of Bologna, Bologna, Italy.ORCID 0000-0003-4954-9419
Matthew J LandryStanford Prevention Research Center, Stanford University School of Medicine, Stanford, CA, United States of America.
Alice MasiniDepartment of Translational Medicine, University of Eastern Piedmont, (UNIUPO), Novara, Italy.
Francesco SanmarchiDepartment of Biomedical and Neuromotor Science, Alma Mater Studiorum-University of Bologna, Bologna, Italy.
Matteo FioreDepartment of Biomedical and Neuromotor Science, Alma Mater Studiorum-University of Bologna, Bologna, Italy.ORCID 0000-0001-6868-2130
Angela Andrea CoaDepartment of Biomedical and Neuromotor Science, Alma Mater Studiorum-University of Bologna, Bologna, Italy.
Gisele CastagnaDepartment of Biomedical and Neuromotor Science, Alma Mater Studiorum-University of Bologna, Bologna, Italy.
Christopher D GardnerStanford Prevention Research Center, Stanford University School of Medicine, Stanford, CA, United States of America.
Federica GuaraldiIRCCS Istituto delle Scienze Neurologiche di Bologna, Programma Neurochirurgia Ipofisi-Pituitary Unit, Bologna, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

contextCardiovascular diseases (CVDs) and cancer are the two main leading causes of death and disability worldwide. Suboptimal diet, poor in vegetables, fruits, legumes and whole grain, and rich in processed and red meat, refined grains, and added sugars, is a primary modifiable risk factor. Based on health, economic and ethical concerns, plant-based diets have progressively widespread worldwide.

objectiveThis umbrella review aims at assessing the impact of animal-free and animal-products-free diets (A/APFDs) on the risk factors associated with the development of cardiometabolic diseases, cancer and their related mortalities. DATA SOURCES: PubMed and Scopus were searched for reviews, systematic reviews, and meta-analyses published from 1st January 2000 to 31st June 2023, written in English and involving human subjects of all ages. Primary studies and reviews/meta-analyses based on interventional trials which used A/APFDs as a therapy for people with metabolic diseases were excluded. DATA EXTRACTION: The umbrella review approach was applied for data extraction and analysis. The revised AMSTAR-R 11-item tool was applied to assess the quality of reviews/meta-analyses.

resultsOverall, vegetarian and vegan diets are significantly associated with better lipid profile, glycemic control, body weight/BMI, inflammation, and lower risk of ischemic heart disease and cancer. Vegetarian diet is also associated with lower mortality from CVDs. On the other hand, no difference in the risk of developing gestational diabetes and hypertension were reported in pregnant women following vegetarian diets. Study quality was average. A key limitation is represented by the high heterogeneity of the study population in terms of sample size, demography, geographical origin, dietary patterns, and other lifestyle confounders.

conclusionsPlant-based diets appear beneficial in reducing cardiometabolic risk factors, as well as CVDs, cancer risk and mortality. However, caution should be paid before broadly suggesting the adoption of A/AFPDs since the strength-of-evidence of study results is significantly limited by the large study heterogeneity alongside the potential risks associated with potentially restrictive regimens.

Indexed as

Cardiovascular DiseasesDiet, VegetarianNeoplasmsDiet, VeganHumansRisk Factors

Identifiers

PMID38748667
PMCPMC11095673

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.