Evidence map›Paper›PMID 41879072›Full record

ArticleThe British journal of nutrition2026

Food-based healthy diet metrics, type 2 diabetes and insulin resistance in Brazilian Longitudinal Study of Adults Health (ELSA-Brasil): a prospective study of over 12 000 Brazilians.

Marina Maintinguer Norde, Isabela Martins Bensenor, Leandro Teixeira Cacau, Megan Deitchler, Sabri Bromage, Ana Carolina Vasques, Aline Martins de Carvalho, Dirce Maria Lobo Marchioni, Lício Augusto Velloso, Edward Giovannucci and 2 more

Abstract read
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In one paragraph

Article in The British journal of 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

12 authors.

Marina Maintinguer NordeCenter for Food Studies and Research of the University of Campinashttps://ror.org/04wffgt70, Brazil.ORCID https://orcid.org/0000-0001-7666-3052
Isabela Martins BensenorCenter for Clinical and Epidemiological Research, University Hospital, University of Sao Paulo, Brazil.
Leandro Teixeira CacauDepartment of Nutrition, School of Public Health of the University of Sao Paulo, Brazil.ORCID https://orcid.org/0000-0003-1681-5960
Megan DeitchlerIntake-Center for Dietary Assessment, FHI 360, Washington, DC, USA.
Sabri BromageInstitute of Nutrition, Mahidol University, Thailand.
Ana Carolina VasquesSchool of Applied Sciences, University of Campinas, Brazil.
Aline Martins de CarvalhoDepartment of Nutrition, School of Public Health of the University of Sao Paulo, Brazil.ORCID https://orcid.org/0000-0002-4900-5609
Dirce Maria Lobo MarchioniDepartment of Nutrition, School of Public Health of the University of Sao Paulo, Brazil.ORCID https://orcid.org/0000-0002-6810-5779
Lício Augusto VellosoObesity and Comorbidities Research Center, University of Campinashttps://ror.org/04wffgt70, Brazil.
Edward GiovannucciDepartment of Nutrition, Harvard T. H. Chan School of Public Health, USA.
Paulo Andrade LotufoCenter for Clinical and Epidemiological Research, University Hospital, University of Sao Paulo, Brazil.
Bruno GelonezeObesity and Comorbidities Research Center, University of Campinashttps://ror.org/04wffgt70, Brazil.

Funding

Partnership for Global Health Research Training Program (Renewal)-Supplement for OBSSR, NCI, NCI-AIDS and NIDCDD43TW010543 · FIC · HARVARD UNIVERSITY D/B/A HARVARD SCHOOL OF PUBLIC HEALTH · PI Wafaie W Fawzi, DAVIDSON HOWES HAMER · 2017 to 2026
$12.1M
TRAINING GRANT IN ACADEMIC NUTRITIONT32DK007703 · NIDDK · HARVARD UNIVERSITY (SCH OF PUBLIC HLTH) · PI CHRISTOPHER P DUGGAN, Frank B Hu · 1994 to 2026
$7.8M
FIC NIH HHS D43 TW010543NIDDK NIH HHS T32 DK007703
6 · The paper itself

Abstract

The Global Diet Quality Score (GDQS), the Global Dietary Recommendations score (GDR), Nova ultra-processed foods score and Minimum Diet Diversity for Women were listed by the UN as promising food-based metrics to track dietary quality. The aim was to evaluate those diet metrics performances for monitoring diet-related type 2 diabetes risk and insulin resistance in comparison with the Alternative Healthy Eating Index (AHEI). The study included 12 254 participants (56 % women; 35–74 years) of the Brazilian Longitudinal Study of Adults Health (ELSA-Brasil) with available dietary, biochemical, socio-demographic and lifestyle data. Diet quality scores were derived from a validated FFQ covering the previous 12 months. Incident diabetes and changes in insulin resistance (HOMA-IR) over time were evaluated, and mediation by BMI was assessed. After an average 8·2 years follow-up period (17 % attrition;

Indexed as

Healthy diet metricsInsulin resistanceLongitudinal cohort studyType 2 diabetes

Identifiers

PMID41879072
PMCPMC13186580

What OpenQuestion holds

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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.