Evidence map›Paper›PMID 42280465›Full record

ArticleNutrients2026

Adherence to the DASH Diet in the Spanish Population and Its Environmental Impact: An Ecological Study.

Sergio Rodríguez Núñez, Laura Álvarez-Álvarez, Vicente Martín-Sánchez, Lucia Callejo Quintanilla, Isabel García-Cuesta, Beatriz San-Miguel, Antonio J Molina

Abstract read
In one paragraph

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

0numbers the graph read from it
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

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

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

7 authors.

Sergio Rodríguez NúñezGroup of Investigation in Interactions Gene-Environment and Health (GIIGAS), Universidad de León, 24007 León, Spain.ORCID 0009-0003-6951-0607
Laura Álvarez-ÁlvarezGroup of Investigation in Interactions Gene-Environment and Health (GIIGAS), Universidad de León, 24007 León, Spain.ORCID 0000-0002-4915-8314
Vicente Martín-SánchezGroup of Investigation in Interactions Gene-Environment and Health (GIIGAS), Universidad de León, 24007 León, Spain.
Lucia Callejo QuintanillaGroup of Investigation in Interactions Gene-Environment and Health (GIIGAS), Universidad de León, 24007 León, Spain.ORCID 0009-0004-3902-9836
Isabel García-CuestaConsortium for Biomedical Research in Epidemiology & Public Health (CIBER Epidemiología y Salud Pública-CIBERESP), 28029 Madrid, Spain.ORCID 0009-0002-2659-2684
Beatriz San-MiguelInstitute of Biomedicine (IBIOMED), Universidad de León, 24007 León, Spain.ORCID 0000-0002-4890-6309
Antonio J MolinaGroup of Investigation in Interactions Gene-Environment and Health (GIIGAS), Universidad de León, 24007 León, Spain.ORCID 0000-0002-5948-6397

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

objectivesPlant-based dietary patterns like the Dietary Approaches to Stop Hypertension (DASH) reduce cardiovascular risk, which is a leading cause of mortality globally and in Spain. Diet is also a major environmental determinant, highlighting the need to evaluate public health alongside environmental sustainability. The aim of this study was to analyze the evolution of adherence to the DASH dietary pattern in Spain between 2006 and 2023 and evaluate its relationship with environmental sustainability indicators.

methodsThis was an ecological epidemiological study. Food consumption data were harmonized into daily servings to calculate annual DASH scores using a standard 80-point methodology. Environmental impact was assessed by calculating the comprehensive Ecological Footprint (EF) using the Agribalyse

resultsDASH adherence increased by 8.26% over the study period, peaking in 2020. The EF demonstrated an overall decrease over time, largely driven by reduced consumption of meat, fish, and eggs. A strong inverse correlation was found between the DASH score and the EF (r = -0.8237 (95% CI: -0.932 to -0.580;

conclusionsA shift toward the DASH dietary pattern in Spain demonstrates potentially convergent health and environmental associations, promoting population cardiovascular health potential while simultaneously mitigating environmental impacts.

Indexed as

Dietary Approaches To Stop HypertensionEnvironmentPatient ComplianceCardiovascular DiseasesDiet, Plant-BasedFeeding BehaviorHumansSpaincardiovascular healthDASHdietary patternsecological footprintenvironmental impactlife cycle assessmentsustainability

Identifiers

PMID42280465
PMCPMC13259029

What Socratic holds

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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.