Evidence map›Paper›PMID 42660334›Full record

ArticleAmerican journal of preventive medicine2026

Association between the food environment and the risk of ischemic stroke.

Christopher J Becker, Mohanad Ahmad, Jocelyn Ra, Madeline Kwicklis, Jiacong Du, Chen Chen, Hely D Nanavati, Leanna Delhey, Lynda D Lisabeth, Lewis B Morgenstern

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in American journal of preventive medicine, 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
–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

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

10 authors.

Christopher J BeckerDepartment of Neurology, University of Michigan, Ann Arbor, MI. Electronic address: cbec@med.umich.edu.
Mohanad AhmadDepartment of Neurology, Wayne State University, Detroit, MI.
Jocelyn RaUniversity of Michigan Medical School, Ann Arbor, MI.
Madeline KwicklisDepartment of Epidemiology, School of Public Health, University of Michigan, Ann Arbor, MI.
Jiacong DuDepartment of Biostatistics, School of Public Health, University of Michigan, Ann Arbor, MI.
Chen ChenDepartment of Epidemiology, School of Public Health, University of Michigan, Ann Arbor, MI.
Hely D NanavatiDepartment of Epidemiology, School of Public Health, University of Michigan, Ann Arbor, MI.
Leanna DelheyDepartment of Epidemiology, School of Public Health, University of Michigan, Ann Arbor, MI.
Lynda D LisabethDepartment of Neurology, University of Michigan, Ann Arbor, MI; Department of Epidemiology, School of Public Health, University of Michigan, Ann Arbor, MI.
Lewis B MorgensternDepartment of Neurology, University of Michigan, Ann Arbor, MI; Department of Epidemiology, School of Public Health, University of Michigan, Ann Arbor, MI.

Funding

STROKE SURVEILLANCE IN A BIETHNIC COMMUNITYR01NS038916 · NINDS · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI LISABETH, LYNDA D, MORGENSTERN, LEWIS B · 1999 to 2023
$20.9M
Brain Attack Surveillance in Corpus Christi (BASIC) ProjectR37NS038916 · NINDS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI LYNDA D LISABETH, LEWIS B MORGENSTERN · 2024 to 2026
$3.7M
NINDS NIH HHS R01 NS038916NINDS NIH HHS R37 NS038916
6 · The paper itself

Abstract

introductionA healthy diet is critical for stroke prevention. The role of the food environment is less clear. This study evaluated the association between the food environment and incident ischemic stroke in a large population-based study.

methodsAll first-ever ischemic strokes among residents of Nueces County, Texas from 2000-2023 were identified and geocoded by patient home address. The primary exposure was the modified retail food environment index (mRFEI), reflecting the mix of healthy and unhealthy food sources in each census tract (range 0-1, higher=healthier, modeled continuously), obtained from the National Neighborhood Data Archive. Population data were obtained from the US Census and American Community Survey. Stroke incidence rates were estimated using Poisson regression on cross-classified aggregate data. Covariates included age, sex, ethnicity, and neighborhood socioeconomic status (nSES).

resultsA total of 6,716 first-ever ischemic strokes occurred in the study region from 2000-2023. Unexpectedly, higher (healthier) mRFEI values were associated with lower (poorer) nSES. Before adjustment, there was a marginal association between higher mRFEI scores and greater stroke incidence (incidence rate ratio [IRR] of 75

conclusionsNo association was observed between the food environment and stroke incidence. These results add to a growing literature suggesting that improved access to healthy food sources alone may not be sufficient to reduce incidence of stroke and other cardiovascular events.

Indexed as

food environmentneighborhoodstroke

Identifiers

PMID42660334
PMCPMC13585181

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.