Evidence map›Paper›PMID 39353986›Full record

ArticleScientific reports2024

The ketogenic diet has the potential to decrease all-cause mortality without a concomitant increase in cardiovascular-related mortality.

Xiaolong Qu, Lei Huang, Jiacheng Rong

Abstract read
In one paragraph

Article in Scientific reports, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing 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

13 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

3 authors.

Xiaolong QuDepartment of Cardiovascular Medicine, Renji Hospital, Shanghai Jiaotong University School of Medicine, 160 Pujian Road, Pudong New Area, Shanghai, 200120, China.
Lei HuangDepartment of Cardiology, Renji Hospital Ningbo Branch, Shanghai Jiao Tong University School of Medicine, 1155 Binhai 2nd Road, Hangzhou Bay New District, Ningbo, 315336, China.
Jiacheng RongDepartment of Cardiology, Renji Hospital Ningbo Branch, Shanghai Jiao Tong University School of Medicine, 1155 Binhai 2nd Road, Hangzhou Bay New District, Ningbo, 315336, China. gshlsh20012005@126.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The impact of the ketogenic diet (KD) on overall mortality and cardiovascular disease (CVD) mortality remains inconclusive.This study enrolled a total of 43,776 adults from the National Health and Nutrition Examination Survey (NHANES) conducted between 2001 and 2018 to investigate the potential association between dietary ketogenic ratio (DKR) and both all-cause mortality as well as cardiovascular disease(CVD) mortality.Three models were established, and Cox proportional hazards regression analysis was employed to examine the correlation. Furthermore, a restricted cubic spline function was utilized to assess the non-linear relationship. In addition, subgroup analysis and sensitivity analysis were performed.In the adjusted Cox proportional hazards regression model, a significant inverse association was observed between DKR and all-cause mortality (HR = 0.76, 95% CI = 0.63-0.9, P = 0.003). However, no significant association with cardiovascular mortality was found (HR = 1.13; CI = 0.79-1.6; P = 0.504). Additionally, a restricted cubic spline(RCS) analysis demonstrated a linear relationship between DKR and all-cause mortality risk. In the adult population of the United States, adherence to a KD exhibits potential in reducing all-cause mortality risk while not posing an increased threat of CVD-related fatalities.

Indexed as

Cardiovascular DiseasesDiet, KetogenicNutrition SurveysAdultAgedFemaleHumansMaleMiddle AgedProportional Hazards ModelsRisk FactorsUnited StatesCohort studyKetogenic dietMortalityNHANES

Identifiers

PMID39353986
PMCPMC11445255

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.