Evidence map›Paper›PMID 40765017›Full record

ArticleRenal failure2025

Comparative analysis of dietary pattern indices and their associations with chronic kidney disease: a comprehensive analysis of NHANES data (2000-2020).

Xianglong Meng, Xiuling Chen, Bo Zhang, Junru Wang

Abstract readComparative Study
In one paragraph

Article in Renal failure, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
–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

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
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  5. 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

4 authors.

Xianglong MengDepartment of Nephrology and Institute of Nephrology, Sichuan Provincial People's Hospital, University of Electronic Science and Technology of China, Sichuan Clinical Research Center for Kidney Diseases, Chengdu, China.
Xiuling ChenDepartment of Nephrology and Institute of Nephrology, Sichuan Provincial People's Hospital, University of Electronic Science and Technology of China, Sichuan Clinical Research Center for Kidney Diseases, Chengdu, China.
Bo ZhangDepartment of Urology, Air Force Hospital of Western Theater Command, Chengdu, China.
Junru WangDepartment of Nephrology and Institute of Nephrology, Sichuan Provincial People's Hospital, University of Electronic Science and Technology of China, Sichuan Clinical Research Center for Kidney Diseases, Chengdu, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAlthough dietary patterns are recognized as modifiable risk factors for chronic kidney disease (CKD), comparative evidence on the differential impacts of commonly used dietary indices remains limited. This study aims to evaluate associations between four indices (Healthy Eating Index-2020, HEI-2020; alternative Mediterranean Diet Score, aMED; Dietary Approaches to Stop Hypertension, DASH; Dietary Inflammatory Index, DII) and CKD risk, and explore their population heterogeneity.

methodsUtilizing cross-sectional data from NHANES (2000-2020), dietary scores were calculated for individuals with or without CKD. Logistic regressions estimated normalized odds ratio (ORs) per 25% scoring range increase. Predictive utility was assessed

resultsDASH (OR = 0.880, 95%CI: 0.812-0.954) and DII (OR = 1.099, 95%CI: 1.025-1.180) were significantly associated with CKD risk, only DII remained associated with CKD severity progression (OR = 1.264, 95%CI: 1.103-1.450). Dietary indices provided incremental utility second to comorbidities and age. Nonlinear analyses revealed that greater adherence to DASH/DII reduced CKD risk, with consistent results across subgroups of males, individuals over 65 years, Non-Hispanic Whites, both smokers and nonsmokers, family income-to-poverty ratio >3.5, and individuals with hypertension or without diabetes and cardiovascular diseases.

conclusionsDASH and DII exhibited superior CKD risk discrimination versus other indices. Adopting dietary habits aligned with DASH/DII was most effective for reducing CKD risk in dietary interventions.

Indexed as

DietDiet, HealthyRenal Insufficiency, ChronicAdultAgedCross-Sectional StudiesDietary Approaches To Stop HypertensionDiet, MediterraneanDisease ProgressionFemaleHumansLogistic ModelsMaleMiddle AgedNutrition SurveysRisk FactorsChronic kidney diseasedietary interventionsdietary pattern indicespopulation heterogeneityrestricted cubic splines

Identifiers

PMID40765017
PMCPMC12329849

What Socratic holds

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LicenceCC BY-NC
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Registered trials

None linked

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 Socratic graph.