Evidence map›Paper›PMID 40634894›Full record

ArticleBMC cardiovascular disorders2025

Gender-specific protective effects of dietary index for gut microbiota on cardiovascular disease: insights from NHANES 2007-2020.

Hui Liu, Xin Xu, Ruoyan Wang, Jialu Kang, Yongqing Shen, Wei Liu

Abstract readComparative Study
In one paragraph

Article in BMC cardiovascular disorders, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Review
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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

6 authors.

Hui Liu *Faculty of Nursing, Hebei University of Chinese Medicine, Shijiazhuang, Hebei, 050200, China.
Xin Xu *Hebei Provincial People's Hospital, Shijiazhuang, Hebei, 050051, China.
Ruoyan WangFaculty of Nursing, Hebei University of Chinese Medicine, Shijiazhuang, Hebei, 050200, China.
Jialu KangFaculty of Nursing, Hebei University of Chinese Medicine, Shijiazhuang, Hebei, 050200, China.
Yongqing ShenFaculty of Nursing, Hebei University of Chinese Medicine, Shijiazhuang, Hebei, 050200, China. shenyongqing@hebcm.edu.cn.
Wei LiuFaculty of Nursing, Hebei University of Chinese Medicine, Shijiazhuang, Hebei, 050200, China. liuwei000430@hebcm.edu.cn.

Funding

the Project of Provincial Colleges and Universities' Basic Scientific Research Operating Expenses Project in 2024 TDSK2024001the Teaching Reform Research Project of Postgraduate Education in 2024 XYJG2024003the Yanzhao Medical Research Project of Hebei University of Traditional Chinese Medicine YZSY2024005
6 · The paper itself

Abstract

backgroundCardiovascular disease (CVD) represents a significant global health burden. The gut microbiome, as a potential regulatory factor, and its synergistic interaction with dietary patterns remains underexplored. The dietary index for gut microbiota (DI-GM), which quantifies the impact of diet on gut microbiota, has limited evidence of DI-GM's association with CVD, particularly regarding gender-specific effects and dose-response patterns.

methodsThis study utilized data from the National Health and Nutrition Examination Survey (NHANES) 2007-2020, which included 24,111 adult participants. We employed multivariable logistic regression models to assess the relationship between DI-GM and CVD. To explore possible nonlinear associations, we carried out a restricted cubic spline (RCS) analysis. Furthermore, we conducted subgroup analysis, gender stratification analysis, and sensitivity analysis.

resultsA 1-unit increase in DI-GM score was associated with a 4% reduction in CVD prevalence (adjusted OR = 0.96, 95% CI: 0.93-0.98, p = 0.002). Compared to the lowest quartile (Q1), the highest quartile (Q4) showed a 17% lower CVD prevalence (OR = 0.83, 95% CI: 0.72-0.95, p = 0.008). Subgroup analysis revealed a more pronounced association in women (OR = 0.95, 95% CI: 0.92-0.99, p = 0.026). Gender-stratified logistic regression and RCS confirmed a significant inverse linear relationship between DI-GM and CVD in women. Sensitivity analyses further validated the robustness of these findings.

conclusionDietary patterns with higher DI-GM scores were found to be linked to a lower prevalence of CVD, especially among women. These findings highlight DI-GM as a microbiota-targeted dietary strategy for CVD prevention. Prospective studies integrating multi-omics data are warranted to validate causality and elucidate sex-specific microbiota-mediated pathways.

Indexed as

Cardiovascular DiseasesDiet, HealthyGastrointestinal MicrobiomeAdultAgedCross-Sectional StudiesFemaleHumansMaleMiddle AgedNutrition SurveysPrevalenceProtective FactorsRisk AssessmentSex FactorsUnited StatesCardiovascular diseaseDietary indexDI-GMGut microbiotaNHANES

Identifiers

PMID40634894
PMCPMC12239357

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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.