Evidence map›Paper›PMID 41878791›Full record

Trial reportPublic health nutrition2026

Wellbeing and quality of life secondary outcomes from a Mediterranean Diet and walking randomised controlled trial in older Australians.

Ella L Bracci, Courtney R Davis, Denny Meyer, Michael Kingsley, Jeff Breckon, Catherine Itsiopoulos, Helen Macpherson, Kade Davison, Andrew Scholey, Greg Kennedy and 3 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Public health nutrition, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

13 authors.

Ella L BracciClinical and Health Sciences, https://ror.org/028g18b61University of South Australia, Adelaide, South Australia, Australia.ORCID 0000-0001-7319-027X
Courtney R DavisJustice and Society, University of South Australia, Adelaide, South Australia, Australia.
Denny MeyerCentre for Mental Health and Brain Sciences, Swinburne University of Technology, Melbourne, Victoria, Australia.
Michael KingsleyDepartment of Exercise Sciences, The University of Auckland, Auckland, New Zealand.
Jeff BreckonSchool of Health and Life Sciences, Teesside University, Middlesbrough, UK.
Catherine ItsiopoulosSchool of Health and Biomedical Sciences, RMIT University, Bundoora, Victoria, Australia.
Helen MacphersonInstitute for Physical Activity and Nutrition, Deakin University, Burwood, Victoria, Australia.
Kade DavisonAllied Health and Human Performance, University of South Australia, Adelaide, South Australia, Australia.
Andrew ScholeyCentre for Mental Health and Brain Sciences, Swinburne University of Technology, Melbourne, Victoria, Australia.
Greg KennedyCentre for Mental Health and Brain Sciences, Swinburne University of Technology, Melbourne, Victoria, Australia.
Leonie SegalHealth Economics and Social Policy Group, University of South Australia, Adelaide, South Australia, Australia.
Andrew PipingasCentre for Mental Health and Brain Sciences, Swinburne University of Technology, Melbourne, Victoria, Australia.
Karen J MurphyClinical and Health Sciences, https://ror.org/028g18b61University of South Australia, Adelaide, South Australia, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe Mediterranean Diet (MedDiet) and physical activity (PA) can enhance mood and support psychological wellbeing in adults. However, the combined effect is relatively unknown. MedWalk aimed to determine the combined effect on wellbeing, psychological health and quality of life (QoL), compared to a control group.

designThis is an analysis of secondary outcomes from the MedWalk 12-month cluster-randomised controlled trial. Participants completed the Total and Secure Flourishing Index (FI), the four domain General Health Questionnaire (GHQ-28) and the 8-domain Assessment of Quality of Life (AQoL-8D). Data were analysed using general linear models using change scores (FI and AQoL-8D) or generalised linear mixed models with a time × group interaction effect (GHQ-28).

settingIndependent living facilities across South Australia and Victoria in 2021-2022.

participantsOne hundred and sixty-one older men and women.

resultsParticipants were 74·9 ± 5·9 years of age and predominantly female (74 %). A greater improvement was found for the MedWalk group (marginal means (MM) = 1·65, se = 1·36) than the control group (MM = -2·50, se = 1·32) for the Total Flourish score (

conclusionsCombined MedDiet and walking interventions can modify psychological health, wellbeing and QoL in relatively healthy populations.

Indexed as

Diet, MediterraneanMental HealthQuality of LifeWalkingAgedAged, 80 and overAustralasian PeopleExerciseFemaleHumansMalePsychological Well-BeingSouth AustraliaSurveys and QuestionnairesVictoriaMediterranean DietPsychological healthQuality of lifeWellbeing

Identifiers

PMID41878791
PMCPMC13087977

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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.