Evidence map›Paper›PMID 40156601›Full record

SynthesisNutrition reviews2025

What Do Australians Eat? A Systematic Review of Dietary Patterns and Adverse Health Outcomes.

Zegeye Abebe, Kacie Dickinson, Tefera Chane Mekonnen, Amy Reynolds, Sarah Appleton, Leila Mohammadi, Danny J Eckert, Robert Adams, Katherine M Livingstone, Yohannes Adama Melaku

Abstract readSystematic Review
In one paragraph

Synthesis in Nutrition reviews, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. 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

10 authors.

Zegeye AbebeFlinders Health and Medical Research Institute, Flinders University, Bedford Park, Adelaide, SA 5042, Australia.
Kacie DickinsonCaring Futures Institute, College of Nursing and Health Sciences, Flinders University, Bedford Park, Adelaide, SA 5042, Australia.
Tefera Chane MekonnenAdelaide Medical School, Faculty of Health and Medical Sciences, The University of Adelaide, Adelaide, SA 5000, Australia.ORCID 0000-0003-4680-3645
Amy ReynoldsFlinders Health and Medical Research Institute, Flinders University, Bedford Park, Adelaide, SA 5042, Australia.
Sarah AppletonFlinders Health and Medical Research Institute, Flinders University, Bedford Park, Adelaide, SA 5042, Australia.ORCID 0000-0001-7292-9714
Leila MohammadiCentral Coast Local Health District, Directorate of Clinical Safety, Quality & Governance Library, Gosford, NSW, Australia.
Danny J EckertFlinders Health and Medical Research Institute, Flinders University, Bedford Park, Adelaide, SA 5042, Australia.
Robert AdamsFlinders Health and Medical Research Institute, Flinders University, Bedford Park, Adelaide, SA 5042, Australia.
Katherine M LivingstoneInstitute for Physical Activity and Nutrition (IPAN), School of Exercise and Nutrition Sciences, Deakin University, Geelong, VIC 3220, Australia.ORCID 0000-0002-9682-7541
Yohannes Adama MelakuFlinders Health and Medical Research Institute, Flinders University, Bedford Park, Adelaide, SA 5042, Australia.ORCID 0000-0002-3051-7313

Funding

National Health and Medical Research Council 2009776NHMRC 1173803NHMRC 1196261NHMRC 2009776NHMRC Emerging Leadership Fellowship 2009776NHMRC Leadership Fellowship 1196261
6 · The paper itself

Abstract

contextA suboptimal diet is a leading factor in the current burden of chronic diseases. In Australia, dietary factors contribute to one-fifth of the chronic disease burden. Understanding the dietary patterns of Australian adults and summarizing their effects on chronic conditions are imperative for improving interventions targeting dietary behaviors.

objectiveThis systematic review aims to summarize the dietary patterns of Australian adults derived using a posteriori and hybrid analysis methods and their associations with adverse health outcomes. DATA SOURCES: Six databases were first searched in December 2020 and updated in August 2023. DATA EXTRACTION: Cardiometabolic health, cardiovascular mortality, cancer, pregnancy-related metabolic conditions (gestational diabetes mellitus [GDM] or hypertensive disorders during pregnancy [HDP]), mental health, and cognitive function were the main health outcomes. DATA ANALYSIS: Dietary patterns from each study were classified as either healthy or unhealthy. A narrative synthesis was used to describe the association of dietary patterns with adverse health outcomes in longitudinal studies. Fifty-nine observational studies (31 cross-sectional, 3 case-control, 22 longitudinal, and 3 combining both cross-sectional and longitudinal designs) were included, involving a total of 362 263 participants aged 18 years and older.

conclusionHigher adherence to a healthy dietary pattern (characterized by higher consumption of dark-yellow, green leafy, cruciferous vegetables and fruits, nuts, whole grains, tomatoes, fish, and low-fat dairy) is associated with improved cardiometabolic risk factors, reduced risk of GDM and HDP, better mental health, and improved pregnancy outcomes. On the other hand, an unhealthy dietary pattern (characterized by a higher intake of processed and red meat, takeaway foods, white bread, high-fat dairy, potatoes, discretionary fat, sweet snacks, soft drinks, fat spreads, jam, and Vegemite) is linked to increased cardiometabolic risks. Overall, while healthy dietary patterns are associated with a reduced risk of several physical and mental health outcomes, unhealthy dietary patterns are linked to an increased risk in Australian adults. SYSTEMATIC REVIEW REGISTRATION: PROSPERO registration no. CRD42023452960.

Indexed as

DietDiet, HealthyFeeding BehaviorAdultAustralasian PeopleAustraliaCardiovascular DiseasesChronic DiseaseFemaleHumansMaleMental HealthMiddle AgedPregnancyAustraliachronic diseaseshealth outcomeshealthy dietary patternunhealthy dietary pattern

Identifiers

PMID40156601
PMCPMC12422010

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.