Evidence mapPaperPMID 41419630Full record

SynthesisEuropean journal of clinical nutrition2026

Dose‒response relationships of DASH, Mediterranean, and AHEI dietary patterns with heart failure incidence: a systematic review and meta-analysis of cohort studies.

Fang Yan, Lihua Fan, Moqing Yin, Longzhi Li, Yunhu Chen, Lijuan Zhao

Abstract readSystematic ReviewMeta-AnalysisReview
PubMed Publisher
In one paragraph

Synthesis in European journal of clinical nutrition, 2026. 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

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

1 citing paper in PubMed.

  1. Well-Known and Novel Behavioural Risk Factors for Heart Failure.Journal of cardiovascular development and disease · 2026
    Review
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

6 authors.

Fang Yan *Laboratory Medicine Department, Taicang TCM Hospital Affiliated to Nanjing University of Chinese Medicine, Suzhou, 215400, China.
Lihua Fan *Cardiovascular Department, Taicang TCM Hospital Affiliated to Nanjing University of Chinese Medicine, Suzhou, 215400, China.
Moqing YinCardiovascular Department, Taicang TCM Hospital Affiliated to Nanjing University of Chinese Medicine, Suzhou, 215400, China.
Longzhi LiAnesthesiology Department, Taicang TCM Hospital Affiliated to Nanjing University of Chinese Medicine, Suzhou, 215400, China.
Yunhu ChenCardiovascular Department, Taicang TCM Hospital Affiliated to Nanjing University of Chinese Medicine, Suzhou, 215400, China. chenyunhu1208@njucm.edu.cn.ORCID 0000-0002-8109-148X
Lijuan ZhaoCardiovascular Department, Taicang TCM Hospital Affiliated to Nanjing University of Chinese Medicine, Suzhou, 215400, China. zhaolijuan0607@sina.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This study aimed to quantify the associations between adherence to three dietary patterns-the Dietary Approaches to Stop Hypertension (DASH), Mediterranean diet (MED), and Alternative Healthy Eating Index (AHEI)-and the risk of heart failure (HF) through a dose-response meta-analysis. Prospective cohort studies evaluating the associations between these dietary patterns and HF incidence were systematically identified from the PubMed, EMBASE, Web of Science, Cochrane Library, Scopus, and ClinicalTrials.gov databases. Random-effects models were used to pool effect estimates. Generalized least squares regression and restricted cubic spline models were applied to explore potential dose-response relationships between dietary adherence and HF risk. Eleven independent cohorts (n = 450,451; ≥18,877 HF events) were included in the final analysis. Combined across patterns, the highest adherence group had a 25% lower risk of HF than the lowest adherence group did (hazard ratio [HR] 0.75; 95% confidence interval [CI]: 0.67-0.84; P < 0.001). Subgroup analyses revealed significant inverse associations for the DASH (HR 0.81; 95% CI: 0.67-0.98; P = 0.034), MED (HR 0.74; 95% CI: 0.64-0.87; P < 0.001), and AHEI (HR 0.75; 95% CI: 0.63-0.89; P < 0.001) patterns, with no significant differences across patterns (P = 0.860). Dose-response analyses revealed linear associations between adherence to each dietary pattern and HF risk. High adherence to DASH, MED, and AHEI is associated with lower HF risk, with similar effects among the different dietary patterns and linear dose-response relationships. PROSPERO registration: CRD420251024001.

Indexed as

Dietary Approaches To Stop HypertensionDiet, HealthyDiet, MediterraneanHeart FailureCohort StudiesFemaleHumansIncidenceMaleMiddle Aged

Identifiers

What Socratic holds

Textmetadata
Read underepoch 390

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.