Evidence map›Paper›PMID 41957017›Full record

ArticleNPJ science of food2026

The association between the Prospective Urban Rural Epidemiology (PURE) healthy diet score and cognitive decline in Chinese older adults.

Xinyue Su, Yuanxiu Wei, Gangling Wang, Qiguo Meng, Cheng Zu, Ziliang Ye, Yuanyuan Zhang, Xianhui Qin

Abstract read
In one paragraph

Article in NPJ science of food, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0cells of the map it votes in
0citing papers in PubMed
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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

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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

8 authors.

Xinyue Su *Division of Nephrology, Nanfang Hospital, Southern Medical University; National Clinical Research Center for Kidney and Urological Disease; State Key Laboratory of Multi-organ Injury Prevention and Treatment; Guangdong Provincial Institute of Nephrology, Guangdong Provincial Key Laboratory of Renal Failure Research, Guangzhou 510515, China, Nanfang Hospital, Southern Medical University, Guangzhou, China.
Yuanxiu Wei *Division of Nephrology, Nanfang Hospital, Southern Medical University; National Clinical Research Center for Kidney and Urological Disease; State Key Laboratory of Multi-organ Injury Prevention and Treatment; Guangdong Provincial Institute of Nephrology, Guangdong Provincial Key Laboratory of Renal Failure Research, Guangzhou 510515, China, Nanfang Hospital, Southern Medical University, Guangzhou, China.
Gangling WangDepartment of Epidemiology and Biostatistics, School of Public Health, Anhui Medical University, Hefei, China.
Qiguo MengDepartment of Epidemiology and Biostatistics, School of Public Health, Anhui Medical University, Hefei, China.
Cheng ZuDepartment of Epidemiology and Biostatistics, School of Public Health, Anhui Medical University, Hefei, China.
Ziliang YeDivision of Nephrology, Nanfang Hospital, Southern Medical University; National Clinical Research Center for Kidney and Urological Disease; State Key Laboratory of Multi-organ Injury Prevention and Treatment; Guangdong Provincial Institute of Nephrology, Guangdong Provincial Key Laboratory of Renal Failure Research, Guangzhou 510515, China, Nanfang Hospital, Southern Medical University, Guangzhou, China.
Yuanyuan ZhangDivision of Nephrology, Nanfang Hospital, Southern Medical University; National Clinical Research Center for Kidney and Urological Disease; State Key Laboratory of Multi-organ Injury Prevention and Treatment; Guangdong Provincial Institute of Nephrology, Guangdong Provincial Key Laboratory of Renal Failure Research, Guangzhou 510515, China, Nanfang Hospital, Southern Medical University, Guangzhou, China.
Xianhui QinDivision of Nephrology, Nanfang Hospital, Southern Medical University; National Clinical Research Center for Kidney and Urological Disease; State Key Laboratory of Multi-organ Injury Prevention and Treatment; Guangdong Provincial Institute of Nephrology, Guangdong Provincial Key Laboratory of Renal Failure Research, Guangzhou 510515, China, Nanfang Hospital, Southern Medical University, Guangzhou, China. pharmaqin@126.com.

Funding

Guangdong Provincial Clinical Research Center for Kidney Disease 2020B1111170013Key Technologies R&D Program of Guangdong Province 2023B1111030004National Natural Science Foundation of China 82570914President Foundation of Nanfang Hospital, Southern Medical University 2024B029Program of Introducing Talents of Discipline to Universities, 111 Plan D18005the Development and Reform Commission of Shenzhen Municipality XMHT20220104055
6 · The paper itself

Abstract

The Prospective Urban Rural Epidemiology (PURE) healthy diet score emphasizes six protective food groups, yet its association with cognitive decline in aging populations remains unclear. This longitudinal analysis of 3106 participants used data from the 1997, 2000, 2004, and 2006 waves of the China Health and Nutrition Survey (CHNS). Dietary quality was measured using the PURE healthy diet score (range 0-6) based on fruits, vegetables, nuts, legumes, fish, and dairy. Cognitive function was assessed repeatedly using modified Telephone Interview for Cognitive Status-modified (TICS-m), yielding global (0-27) and standardized composite cognitive scores. Cognitive decline was defined as the annual rate of change in these scores over time. Linear mixed‑effects models evaluated the association between PURE score and cognitive decline. Over a median of 5.3 years, a higher score was associated with a slower rate of cognitive decline. Compared to a score of 0, those scoring 5-6 had an adjusted 0.42-points/year slower decline in global cognitive score (95%CI: 0.22-0.62; P < 0.001) and a 0.06-SDU/year slower decline in composite cognitive score (95%CI:0.03-0.09; P < 0.001). Higher adherence to the PURE healthy diet score was associated with a modest but statistically significant attenuation of cognitive decline in Chinese older adults, supporting its potential utility for cognitive health promotion.

Identifiers

PMID41957017
PMCPMC13246955

What Socratic holds

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LicenceCC BY-NC-ND
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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 Socratic graph.