Evidence map›Paper›PMID 41693097›Full record

ArticleRespirology (Carlton, Vic.)2026

Association Between Mediterranean Diet and the Incidence of Adult-Onset Asthma in the SUN Project: A Spanish Prospective Cohort Study.

Javier Errasti Viader, Carmen de la Fuente-Arrillaga, Arantza Campo Ezquibela, Carmen Sayon-Orea, Miguel Ángel Martínez-González, Maira Bes-Rastrollo

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Article in Respirology (Carlton, Vic.), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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0cells of the map it votes in
2citing papers in PubMed
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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Mechanisms and therapeutic strategies of asthma: from bench to bedside.Signal transduction and targeted therapy · 2026
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors.

Javier Errasti ViaderDepartment of Preventive Medicine and Public Health, University of Navarra-IDISNA, Pamplona, Spain.ORCID 0009-0001-6213-5838
Carmen de la Fuente-ArrillagaDepartment of Preventive Medicine and Public Health, University of Navarra-IDISNA, Pamplona, Spain.
Arantza Campo EzquibelaDepartment of Respiratory Medicine, University Clinic of Navarra, Pamplona, Spain.
Carmen Sayon-OreaDepartment of Preventive Medicine and Public Health, University of Navarra-IDISNA, Pamplona, Spain.
Miguel Ángel Martínez-GonzálezDepartment of Preventive Medicine and Public Health, University of Navarra-IDISNA, Pamplona, Spain.
Maira Bes-RastrolloDepartment of Preventive Medicine and Public Health, University of Navarra-IDISNA, Pamplona, Spain.ORCID 0000-0002-9139-4206

Funding

European regional Development Fund (FEDER) PI23/01332European regional Development Fund (FEDER) PI24/01723Navarra regional government 19/2023Spanish Government-Instituto de Salud Carlos III
6 · The paper itself

Abstract

introductionDietary factors have been suggested as drivers of asthma in children and adults. However, evidence is inconclusive. The aim of this study was to explore the Mediterranean diet (MedDiet) and its association with asthma incidence in the SUN project, an adult cohort of Mediterranean heritage. MATERIAL AND

methodsDietary habits and asthma diagnosis were collected from the SUN cohort study (Seguimiento Universidad de Navarra). Adult-onset asthma was defined as self-reported diagnosis in the last 2 years, recorded in any of the follow-up questionnaires completed every 2 years in adults free of airway disease at baseline. Food frequency questionnaire was assessed at baseline and at 10 years follow up. We measured the Mediterranean Diet Score (MDS) as an indicator of adherence to the MedDiet. We generated four categories of adherence to the MedDiet based on the MDS (0 to 9 range score). We used multivariable repeated-measurement Cox models adjusted for potential confounders.

resultsFrom 17,127 participants followed up for a mean of 12.8 years, 302 (1.76%) reported a new diagnosis of asthma. In the multivariable analysis a significant negative association was seen between the risk of newly diagnosed asthma and the MDS. Those participants with the highest adherence to the MedDiet (MDS ≥ 7 points) showed a lower risk of asthma than those with the lowest adherence (MDS ≤ 2 points) (Hazard Ratio: 0.58; 95% Confidence Interval: 0.36-0.95; p-trend = 0.02).

conclusionTo our knowledge, this is the first study conducted in an adult Mediterranean population that has found a significant association between greater adherence to the Mediterranean diet and a lower incidence of asthma in adults.

Indexed as

AsthmaDiet, MediterraneanAdultAge of OnsetFemaleFollow-Up StudiesHumansIncidenceMaleMiddle AgedProspective StudiesRisk FactorsSpainSurveys and Questionnairesadult asthmaasthma incidenceepidemiologyMediterranean dietprimary prevention

Identifiers

PMID41693097
PMCPMC13050624

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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.