Evidence mapPaperPMID 41001283Full record

ArticleCureus2025

AI-Generated Diet and Exercise Recommendations for Cardiovascular Health Compared to Established Cardiology Society Guidelines.

Tagbo C Nduka, Andrew Ndakotsu, Valentine C Nriagu, Suganya Karikalan, Lukan Abdulkareem, Faith O Omede, Tamunoinemi Bob-Manuel

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Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. 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

7 authors.

Tagbo C NdukaMedicine, CHRISTUS Health/Texas A and M University, Longview, USA.
Andrew NdakotsuInternal Medicine, MedStar Georgetown University Hospital, Washington, USA.
Valentine C NriaguEpidemiology and Public Health, East Tennessee State University, Johnson City, USA.
Suganya KarikalanInternal Medicine, Venkataeswara Hospitals, Chennai, IND.
Lukan AbdulkareemCardiology, Advocate Illinois Masonic Medical Center, Chicago, USA.
Faith O OmedeInternal Medicine, North Shore Physicians Group, Mass General Brigham, Beverly, USA.
Tamunoinemi Bob-ManuelInterventional Cardiology, The Stern Cardiovascular Foundation, Memphis, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

aimAs numerous individuals turn to the internet for initial guidance, health literacy is crucial for establishing sound health practices within the broader society. Although diet and exercise are crucial for prevention, artificial intelligence (AI) models can offer accurate health information; cardiovascular disease (CVD) continues to be a significant source of morbidity and mortality. The increasing application of AI in healthcare necessitates a thorough evaluation of the efficacy of large language models (LLMs) in providing dependable health recommendations. This study aimed to assess the appropriateness, biases, and clinical relevance of diet and exercise recommendations produced by four prominent language models (ChatGPT {San Francisco, CA: OpenAI}, Claude AI {San Francisco, CA: Anthropic}, DeepSeek AI {Hangzhou, China: DeepSeek}, Google Gemini {Google LLC: Mountain View, CA}) in relation to established cardiovascular disease association guidelines from the American Heart Association/American College of Cardiology (AHA/ACC) and the European Society of Cardiology (ESC).

methodsA cross-sectional study was conducted using 15 standardized questions (five on physical activity, 10 on diet) evaluated by a primary care physician and a cardiology fellow. A cardiologist reviewed discrepancies in the evaluations by the two examiners; in such instances, the final grade was established by the median of the grades assigned by all three examiners. Based on compliance with AHA/ACC and ESC guidelines, responses were rated as appropriate, appropriate but insufficient, partially inappropriate, or entirely inappropriate.

resultsNinety percent of responses from ChatGPT, Claude AI, and DeepSeek AI met established cardiovascular health standards, indicating superior performance among the language models. All five recommendations for physical activity were deemed appropriate. Google Gemini had a performance level of 80%, while 90% of the outcomes from the three LLMs were suitable for nutritional guidance. Particularly concerning carbohydrate and added sugar intake, all models struggled to provide precise quantitative guidance. Exercise recommendations indicated a slight preference for AHA/ACC guidelines.

conclusionsWhile LLMs demonstrate potential for accessible health information sources, they cannot replace expert medical advice. This study highlights the need for continued medical professional interpretation and tailored healthcare guidance. Future advances should concentrate on raising the specificity of health recommendations and guaranteeing a fairer interpretation of international guidelines.

Indexed as

artificial intelligencecardiovascular diseasesdietexerciselarge language model

Identifiers

PMID41001283
PMCPMC12459915

What Socratic holds

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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 Socratic graph.