{"doi":"10.1016/j.tjnut.2024.04.037","title":"Plant-Based Diets and Risk of Multimorbidity: The Health and Retirement Study","abstract":null,"journal":"The Journal of Nutrition","year":2024,"id":624925,"datarank":0.3453877639491069,"base_score":2.302585092994046,"endowment":2.302585092994046,"self_citation_contribution":0.3453877639491069,"citation_network_contribution":0.0,"self_endowment_contribution":0.3453877639491069,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":9,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":null,"is_data_producer":false,"deposit_databanks":null,"is_oa":false,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":null,"fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":1615685,"name":"Maymona Al Hinai","orcid":null,"position":1,"is_corresponding":false},{"id":1615687,"name":"Humberto Yévenes-Briones","orcid":null,"position":2,"is_corresponding":false},{"id":1615689,"name":"Francisco Felix Caballero","orcid":null,"position":3,"is_corresponding":false},{"id":1615691,"name":"Esther Lopez-García","orcid":null,"position":4,"is_corresponding":false},{"id":341899,"name":"Ana Baylín","orcid":"0000-0002-6602-0392","position":5,"is_corresponding":false},{"id":1615683,"name":"Veronica Vega-Cabello","orcid":"0000-0001-8944-756X","position":0,"is_corresponding":false}],"reference_count":0,"raw_metadata":{"has_enrichment":true,"resolved":true,"title":"Plant-Based Diets and Risk of Multimorbidity: The Health and Retirement Study","abstract":"<h4>Background</h4>Plant-based diets have gained attention due to their beneficial effects against major chronic diseases, although their association with multimorbidity is mostly unknown.<h4>Objectives</h4>We examined the association between the healthful (hPDI) and unhealthful plant-based diet indices (uPDI) with multimorbidity among middle-aged and older adults from the United States.<h4>Methods</h4>Data on 4262 adults aged >50 y was obtained from the 2012-2020 Health and Retirement Study (HRS) and 2013 Health Care and Nutrition Study (HCNS). Food consumption was collected at baseline with a food frequency questionnaire and 2 PDIs were derived: the hPDI, with positive scores for healthy plant foods and reverse scores for less healthy plant foods and animal foods; and the uPDI, with only positive scoring for less healthy plant foods. Complex multimorbidity, defined as ≥3 coexistent conditions, was ascertained from 8 self-reported conditions: hypertension, diabetes, cancer, chronic lung disease, heart disease, stroke, arthritis, and depression. Cox proportional hazards models were used to estimate the hazard ratios (HRs) and 95% confidence intervals (CIs).<h4>Results</h4>After a median follow-up of 7.8 y, we documented 1202 incident cases of multimorbidity. Compared with the lowest quartile, higher adherence to the hPDI was inversely associated with multimorbidity (HR for quartile 3: 0.77; 95% CI: 0.62, 0.96 and HR for quartile 4: 0.79; 95% CI, 0.63, 0.98; P-trend = 0.02). In addition, a 10-point increment in the hPDI was associated with a 11% lower incidence of multimorbidity (95% CI: 1, 20%). No significant associations were found for the uPDI after adjusting for sociodemographic and lifestyle factors.<h4>Conclusions</h4>Higher adherence to the hPDI was inversely associated with multimorbidity among middle-aged and older adults. Plant-based diets that emphasize consumption of high-quality plant foods may help prevent the development of complex multimorbidity.","is_dataset_classified":null,"base_score":2.302585092994046,"endowment":2.302585092994046,"datacite_reuse_total":0,"file_count":0,"downloads":0,"views":0,"has_version_chain":false,"is_dataset":false,"is_oa":false,"pmid":"38705471","pmcid":"PMC11923422","openalex_id":"https://openalex.org/W4396640320","authors":[],"funders":[{"funder_name":"European Regional Development Fund","grant_id":"FPU19/06572","title":null},{"funder_name":"University of Michigan","grant_id":"20,21","title":null},{"funder_name":"National Institute on Aging","grant_id":"U01AG009740","title":null},{"funder_name":"Instituto de Salud Carlos III","grant_id":"23/272","title":null},{"funder_name":"Instituto de Salud Carlos III","grant_id":"20/01040","title":null},{"funder_name":"Government of Spain Ministry of Universities","grant_id":"","title":null},{"funder_name":"U.S. Social Security Administration","grant_id":"","title":null}],"total_grants":7,"fwci":2.9882,"citation_percentile":0.90363545,"influential_citations":0,"citation_trend":[{"year":2024,"count":1},{"year":2025,"count":7},{"year":2026,"count":1}],"oa_status":"green","license":"http://www.elsevier.com/open-access/userlicense/1.0/","oa_locations":[{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC11923422/pdf/main.pdf","host_type":"repository"},{"url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC11923422/pdf/main.pdf","host_type":"repository"},{"url":"https://api.elsevier.com/content/article/PII:S0022316624002402?httpAccept=text/xml","host_type":"publisher"},{"url":"https://api.elsevier.com/content/article/PII:S0022316624002402?httpAccept=text/plain","host_type":"publisher"},{"url":"https://www.ncbi.nlm.nih.gov/pmc/articles/11923422","host_type":"repository"},{"url":"https://doi.org/10.1016/j.tjnut.2024.04.037","host_type":"journal"},{"url":"https://pubmed.ncbi.nlm.nih.gov/38705471","host_type":"repository"}],"fields_of_study":["Agriculture Sustainability and Environmental Impact","Nutritional Studies and Diet","Consumer Attitudes and Food Labeling","Humans","Male","Female","Multimorbidity","Middle Aged","Diet, Vegetarian","Aged","United States","Risk Factors","Retirement","Chronic Disease","Diet, Healthy","Diet, Plant-Based"],"mesh_terms":["Diet, Healthy","Multimorbidity","Diet, Plant-Based","Aged","Chronic Disease","Female","Humans","Male","Middle Aged","Retirement","Risk Factors","United States","Diet, Vegetarian"],"keywords":["Medicine","Quartile","Hazard ratio","Proportional hazards model","Confidence interval","Environmental health","Diabetes mellitus","Type 2 diabetes","Stroke (engine)","Depression (economics)","Multimorbidity","Lower risk","Demography","Gerontology","Population","Internal medicine","Endocrinology","Chronic disease","Diet quality","Older Adults","Plant-based Diet"],"sdg_mappings":[{"sdg_number":0,"sdg_label":"Zero hunger"}],"linked_datasets":[],"clinical_trials":[],"software_tools":[],"database_accessions":[],"source":"live","citation_network_status":"fetched"},"created_at":"2026-08-04T05:15:18.174404Z","pmid":null,"pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}