Evidence map›Paper›PMID 40113968›Full record

ArticleScientific reports2025

Adherence to the planetary health diet reduces dietary costs by 21% supporting affordable healthy eating among older adults in Iran.

Maryam Karim Dehnavi, Hanieh Abbasi, Parisa Nezhad Hajian, Ahmadreza Dorosty Motlagh, Leila Azadbakht

Abstract read
In one paragraph

Article in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

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

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
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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

5 authors.

Maryam Karim DehnaviDepartment of Community Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences, P.O Box 14155-6117, Tehran, Iran.
Hanieh AbbasiDepartment of Community Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences, P.O Box 14155-6117, Tehran, Iran.
Parisa Nezhad HajianDepartment of Community Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences, P.O Box 14155-6117, Tehran, Iran.
Ahmadreza Dorosty MotlaghDepartment of Community Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences, P.O Box 14155-6117, Tehran, Iran.
Leila AzadbakhtDepartment of Community Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences, P.O Box 14155-6117, Tehran, Iran. azadbakhtleila@gmail.com.

Funding

Tehran University of Medical Sciences and Health Services IR.TUMS.MEDICINE.REC.1401.588
6 · The paper itself

Abstract

Poor dietary patterns among older adults are significantly influenced by socioeconomic status (SES) and food prices, impacting both diet quality and food choice. This study examines how dietary costs relate to the Planetary Health Diet Index (PHDI) and assesses the role of SES in Iran's elderly population. In this cross-sectional study, 398 elderly individuals from southern Tehran were sampled. Dietary data were collected using a validated food frequency questionnaire, and adherence to the PHDI was evaluated based on EAT-Lancet guidelines. Food costs were derived from the Iranian Statistics Center and retail prices. Multivariable linear regression analyzed the relationship between PHDI adherence and dietary cost. PHDI adherence varied significantly across demographics. Higher adherence was observed in females (OR = 0.82, 95% CI: 0.71-0.95) and those with a BMI ≤ 27.5 (OR = 0.84, 95% CI: 0.73-0.97), while single individuals had higher scores (OR = 0.85, 95% CI: 0.74-0.98). Higher PHDI tertiles were linked to lower daily dietary cost, with a significant decrease observed in the highest tertile compared to the lowest (β = - 708,367 Rials, 95% CI: - 1,060,371 to - 356,362). However, this association was not significant among single and low-income participants. The study reveals that higher adherence to the PHDI is associated with reduced dietary costs, a key barrier to obtaining a healthy, balanced diet among older adults, and may thereby support better health outcomes, including malnutrition prevention and functional independence. Future research should focus on longitudinal studies to develop equitable public health strategies that promote affordable and sustainable dietary practices.

Indexed as

Diet, HealthyAgedAged, 80 and overCross-Sectional StudiesFeeding BehaviorFemaleHumansIranMaleMiddle AgedSocioeconomic FactorsDietary costPlanetary Health Diet IndexSocioeconomic status

Identifiers

PMID40113968
PMCPMC11926348

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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.