Evidence map›Paper›PMID 40022027›Full record

ArticleBMC public health2025

Associations between dietary diversity and self-rated health in a transverse study of four local food systems (French Guiana, Guadeloupe, Portugal and Senegal).

Michael Rapinski, Richard Raymond, Damien Davy, Jean-Philippe Bedell, Abdou Ka, Jean Lubszynski, Pascal Jean Lopez, Eduardo Ferreira Da Silva, Nathalie El Deghel, Enguerran Macia and 1 more

Abstract read
In one paragraph

Article in BMC public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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

1 citing paper in PubMed.

  1. 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.

Michael RapinskiUMR 7206 Eco-Anthropologie, MNHN / CNRS Université Paris Cité, Paris, 75116, France.
Richard RaymondUMR 7206 Eco-Anthropologie, MNHN / CNRS Université Paris Cité, Paris, 75116, France.
Damien DavyUAR 3456 LEEISA, CNRS, Université de Guyane, IFFREMER, Cayenne, 97300, French Guiana.
Jean-Philippe BedellUniversité Claude Bernard Lyon 1, LEHNA UMR 5023, CNRS, ENTPE, Vaulx-en-Velin, F-69518, France.
Abdou KaIRL 3189 ESS, UCAD / CNRS / UGB / USTTB / CNRST, Faculté de médecine de l'UCAD, Dakar, Sénégal.
Jean LubszynskiUAR 3456 LEEISA, CNRS, Université de Guyane, IFFREMER, Cayenne, 97300, French Guiana.
Pascal Jean LopezUMR 8067 BOREA, MNHN / CNRS / Sorbonne Université / IRD Université de Caen Normandie / Université des Antilles, Paris, 75005, France.
Eduardo Ferreira Da SilvaDepartamento de Geociências, Universidade de Aveiro, Campus de Santiago, Aveiro, 3810-193, Portugal.
Nathalie El DeghelUniversité Claude Bernard Lyon 1, LEHNA UMR 5023, CNRS, ENTPE, Vaulx-en-Velin, F-69518, France.
Enguerran MaciaFaculté de médecine Nord, UMR 7268 ADES, CNRS / EFS / AMU, Marseille cedex 15, 13916, France.
Priscilla DubozFaculté de médecine Nord, UMR 7268 ADES, CNRS / EFS / AMU, Marseille cedex 15, 13916, France. priscilla.duboz@cnrs.fr.

Funding

Agence de la transition écologique 2166D0013Agence Nationale de la Recherche ANR-11-LABX-0010
6 · The paper itself

Abstract

backgroundThe nutrition transition is linked to the double-burden of malnutrition worldwide, and its impact on the quality of life is considerable. The dietary diversity score and self-rated health are two proxies that have been used to assess, for the former, nutrient adequacy and overall diet quality, and for the latter, health from a sociological, epidemiological and economical lens. The general aim of this study was to evaluate the relation between food and subjective health, and to test the hypothesis that greater dietary diversity is positively associated with a better perception of health.

methodsA transverse comparison of foods consumed in four highly contrasted local socio-ecosystems (i.e., two French oversea territories: French Guiana, Guadeloupe, Portugal and Senegal) was conducted using 24-hour dietary recalls. Dietary diversity was calculated using 18 food groups based on classifications provided by WHO and FAO. Binary logistic regressions were used to assess the relationship between dietary diversity scores and answers to the question assessing self-rated health.

resultsOverall, 465 individuals, 18 years and older, from Senegal, Guiana, Guadeloupe and Portugal were interviewed using a 24-hour dietary recall. Participants were selected via a combination of non-probability sampling methods. The mean dietary diversity score for all regions combined was 9.22. Over one-third of participants reported their health as 'good' (39.8%), whereas 'bad' and 'excellent' health were the least reported, at 6.45% and 9.03%, respectively. Multiple binary logistic regression notably found that dietary diversity score (OR = 0.88, 95% CI [0.79, 0.99], p = 0.010) and at-home meal preparation, specifically with the reference category 'all the time' compared to 'never' (OR = 3.31, 95% CI [1.55, 7.07], p = 0.002) were statistically significant predictors of self-rated health (i.e., declaring overall bad health).

conclusionsThis study demonstrates a positive association between dietary diversity and self-rated health across distinct cultural contexts. The findings reinforce the importance of diverse diets for subjective well-being, regardless of differences in food systems. Public health messaging should continue to promote dietary diversity and home-cooked meals as effective strategies for improving health. Self-rated health could serve as a useful tool for quickly assessing the outcomes of nutrition therapy.

Indexed as

Diagnostic Self EvaluationDietFood SupplyHealth StatusAdolescentAdultAgedCross-Sectional StudiesFemaleFrench GuianaGuadeloupeHumansMaleMiddle AgedPortugalSelf ReportAfricaAmericasDietary diversity scoreEuropeFood systemsHealthSelf-rated health

Identifiers

PMID40022027
PMCPMC11871774

What OpenQuestion holds

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LicenceCC BY
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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.