Evidence map›Paper›PMID 42124052›Full record

Observational studyNutrients2026

Combined Effects of Mediterranean Diet Adherence and Physical Activity on Metabolic Homeostasis and Beta-Cell Function in Male Adolescents.

Karin Herrera-Carrasco, Maria Puche-Juarez, Juan Manuel Toledano, Francisco Manuel Ocaña-Peinado, Julio J Ochoa, Javier Diaz-Castro, Jorge Moreno-Fernandez

Abstract readObservational Study
In one paragraph

Observational study in Nutrients, 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. 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.

Karin Herrera-CarrascoDepartment of Physiology, Faculty of Pharmacy, Campus Universitario de Cartuja, University of Granada, 18071 Granada, Spain.ORCID 0000-0003-1841-5266
Maria Puche-JuarezDepartment of Physiology, Faculty of Pharmacy, Campus Universitario de Cartuja, University of Granada, 18071 Granada, Spain.
Juan Manuel ToledanoDepartment of Physiology, Faculty of Pharmacy, Campus Universitario de Cartuja, University of Granada, 18071 Granada, Spain.
Francisco Manuel Ocaña-PeinadoDepartment of Statistics and Operative Research, Faculty of Pharmacy, Campus Universitario de Cartuja, University of Granada, 18071 Granada, Spain.ORCID 0000-0002-9692-6670
Julio J OchoaDepartment of Physiology, Faculty of Pharmacy, Campus Universitario de Cartuja, University of Granada, 18071 Granada, Spain.ORCID 0000-0001-8976-6296
Javier Diaz-CastroDepartment of Physiology, Faculty of Pharmacy, Campus Universitario de Cartuja, University of Granada, 18071 Granada, Spain.ORCID 0000-0003-3659-1757
Jorge Moreno-FernandezDepartment of Physiology, Faculty of Pharmacy, Campus Universitario de Cartuja, University of Granada, 18071 Granada, Spain.ORCID 0000-0001-9690-7851

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

objectivesAdolescence is a critical developmental period during which dietary quality and physical activity (PA) may influence insulin sensitivity and pancreatic β-cell function. This observational cohort study investigated how adherence to the Mediterranean diet (MedDiet) and participation in structured physical activity (PA) relate to metabolic changes over six months in Spanish male adolescents.

methodsA total of 78 participants (median age 11 years; IQR 10-12) were followed in a school-based study (2020-2021) and categorized by MedDiet adherence using the KIDMED index into medium (M) and high (H) groups. Metabolic health was assessed at baseline (T1) and after six months (T2) using lipid profiles, glucose, insulin, and several indirect indices of insulin resistance and β-cell function, including HOMA-IR, QUICKI, and SPINA indices. Statistical analyses included correlations and adjusted linear models, with false discovery rate correction applied.

resultsAt baseline, higher MedDiet adherence was associated with lower fasting insulin and improved insulin resistance markers (

conclusionsHigh MedDiet adherence combined with structured PA was associated with more favorable trajectories in insulin sensitivity, attenuated β-cell secretory demand, and a more favorable LDL-c profile. These findings support integrated lifestyle approaches for early cardiometabolic prevention in male adolescence.

Indexed as

Diet, MediterraneanExerciseHomeostasisInsulin-Secreting CellsPatient ComplianceAdolescentBlood GlucoseChildHumansInsulinInsulin ResistanceMaleSpainBlood GlucoseInsulinadolescentbeta-cell functioncardiometabolic riskHOMA-IRinsulin resistanceMediterranean dietphysical activitySPINA indices

Identifiers

PMID42124052
PMCPMC13164707

What Socratic holds

Textmetadata
LicenceCC BY
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.