Evidence map›Paper›PMID 40944222›Full record

SynthesisNutrients2025

Unraveling the Role of Foods on Chronic Anti- and Pro-Inflammatory Cytokines: A Systematic Review of Chronic Dietary Intervention Trials in Humans.

Veronica D'Antonio, Marina Ramal-Sanchez, Chiara Bravo-Trippetta, Elena Corvaglia, Mauro Serafini, Donato Angelino

Abstract readSystematic Review
In one paragraph

Synthesis in Nutrients, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Observational
  2. 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

6 authors.

Veronica D'AntonioDepartment of Bioscience and Technology for Food, Agriculture and Environment, University of Teramo, 64100 Teramo, Italy.ORCID 0000-0002-7880-9796
Marina Ramal-SanchezDepartment of Bioscience and Technology for Food, Agriculture and Environment, University of Teramo, 64100 Teramo, Italy.ORCID 0000-0001-7096-4006
Chiara Bravo-TrippettaDepartment of Bioscience and Technology for Food, Agriculture and Environment, University of Teramo, 64100 Teramo, Italy.
Elena CorvagliaDepartment of Bioscience and Technology for Food, Agriculture and Environment, University of Teramo, 64100 Teramo, Italy.
Mauro SerafiniDepartment of Bioscience and Technology for Food, Agriculture and Environment, University of Teramo, 64100 Teramo, Italy.ORCID 0000-0003-0913-936X
Donato AngelinoDepartment of Bioscience and Technology for Food, Agriculture and Environment, University of Teramo, 64100 Teramo, Italy.ORCID 0000-0002-5436-7428

Funding

European Union - NextGenerationEU, Mission 4, Component 1, under the Italian Ministry of Uni-versity and Research (MUR) National Innovation Ecosystem ECS00000041 - VITALITY - CUP: C43C22000380007
6 · The paper itself

Abstract

BACKGROUND/

objectivesUnbalanced diets contribute to a rise in low-grade systemic inflammation, a risk factor for metabolic diseases. The aim of this study is to systematically review evidence from chronic intervention studies to understand the role of foods in modulating inflammatory responses in humans.

methodsA literature search was conducted on PubMed using specific keywords. Risk of bias was assessed using Cochrane guidelines. Inclusion criteria required chronic dietary intervention studies measuring cytokine levels in humans.

resultsIn the 75 studies selected, results revealed extremely high variability both in outcomes, study design, and participant selection criteria. Studies with fruits and vegetables showed a reduction in circulating cytokine levels and/or an increase in anti-inflammatory cytokines in 80% of studies (8/10), followed by fish (78%; 7/9), dairy (67%; 4/6), cereals (64%; 7/11), and oils (57%; 4/7). Beverages and hot beverages showed a decrease in circulating cytokines in 50% of cases (10/20 and 4/8, respectively). An increase in pro-inflammatory cytokines was observed in dietary interventions with beverages. As further findings, we also observed greater effectiveness from fruits and vegetables (87.5%; 7/8), fish (75%; 6/8), and cereals (62.5%; 5/8) when studies were conducted in subjects with pathologies or risk factors.

conclusionsFruits and vegetables, fish, and cereals reduce systemic inflammation mainly in subjects with pathologies or risk factors. However, the limited number of studies do not allow us to draw solid conclusions on individual foods. Standardized dietary intervention trials are urgently needed to understand the role of foods in modulating inflammatory responses and to deliver findings to the general public.

Indexed as

CytokinesDietInflammationEdible GrainFruitHumansVegetablesCytokinesanti-inflammatorychronic diseasecytokinesdietfoodfood interventioninflammationlow-grade inflammationnon-communicable diseasepro-inflammatory

Identifiers

PMID40944222
PMCPMC12430716

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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.