Evidence map›Paper›PMID 38942982›Full record

ArticleNature aging2024

Adherence to the planetary health diet and cognitive decline: findings from the ELSA-Brasil study.

Natalia Gomes Gonçalves, Leandro Teixeira Cacau, Naomi Vidal Ferreira, Paulo Andrade Lotufo, Alessandra Carvalho Goulart, Maria Carmen Viana, Sandhi Maria Barreto, Isabela Martins Bensenor, Dirce Maria Marchioni, Claudia Kimie Suemoto

Abstract read
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In one paragraph

Article in Nature aging, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing 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

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

  1. Pooled it
  2. Pooled it
  3. Review
  4. Observational
  5. Association of the Planetary Health Diet with dementia risk and brain pathology.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026
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  11. Associations between the EAT-Lancet planetary health diet and incident dementia.The journal of prevention of Alzheimer's disease · 2025
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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.

Natalia Gomes GonçalvesDivision of Geriatrics, University of São Paulo Medical School, São Paulo, Brazil.
Leandro Teixeira CacauDepartment of Nutrition, School of Public Health, University of São Paulo, São Paulo, Brazil.ORCID http://orcid.org/0000-0003-1681-5960
Naomi Vidal FerreiraAmazônia Adventist College, Pará, Brazil.ORCID http://orcid.org/0000-0002-1557-7350
Paulo Andrade LotufoCenter for Clinical and Epidemiological Research, Hospital Universitario, University of São Paulo, São Paulo, Brazil.
Alessandra Carvalho GoulartCenter for Clinical and Epidemiological Research, Hospital Universitario, University of São Paulo, São Paulo, Brazil.
Maria Carmen VianaDepartment of Social Medicine, Federal University of Espírito Santo, Vitória, Brazil.
Sandhi Maria BarretoPreventive and Social Medicine Department, Clinical Hospital/ EBSERH, Federal University of Minas Gerais, Belo Horizonte, Brazil.
Isabela Martins BensenorCenter for Clinical and Epidemiological Research, Hospital Universitario, University of São Paulo, São Paulo, Brazil.
Dirce Maria MarchioniDepartment of Nutrition, School of Public Health, University of São Paulo, São Paulo, Brazil.
Claudia Kimie SuemotoDivision of Geriatrics, University of São Paulo Medical School, São Paulo, Brazil. cksuemoto@usp.br.ORCID http://orcid.org/0000-0002-5942-4778

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The EAT-Lancet Commission proposed a planetary health diet to improve human health within planetary boundaries; however, little is known about the association between adherence to this diet and cognitive decline. We used data from three waves of the Brazilian Longitudinal Study of Adult Health to evaluate the association between the planetary health diet and cognitive decline using linear mixed-effects models. Here we show that in 11,737 participants (mean (s.d.) age 51.6 (9.0) years, 54% women and 53% white), higher adherence to the planetary health diet was associated with slower memory decline (P = 0.046) and that income was a modifier in this association (P < 0.001). Adherence to the planetary health diet was associated with slower decline of memory (P = 0.040) and global cognition (P = 0.009) in high-income participants. No association was found among low-income participants. The results of our study highlight that the promotion of healthy dietary patterns should take into consideration income barriers as well as differences in dietary habits to achieve high adherence.

Indexed as

Cognitive DysfunctionDiet, HealthyAdultAgedBrazilCognitionFeeding BehaviorFemaleHumansIncomeLongitudinal StudiesMaleMiddle Aged

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.