{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,28]],"date-time":"2026-08-28T06:18:54Z","timestamp":1787897934686,"version":"build-2784847793"},"reference-count":56,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,8,28]],"date-time":"2026-08-28T00:00:00Z","timestamp":1787875200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Nutr."],"abstract":"<jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>Evidence linking overall dietary patterns with psychological health in older adults remains inconsistent, particularly in urban China. We derived dietary patterns among community-dwelling older adults in Shanghai and examined their associations with multiple psychological outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We analyzed cross-sectional baseline data from adults aged \u226560 years recruited at two community health service centers in Shanghai. Previous-month diet was assessed using a modified quantitative 25-item food-frequency questionnaire. Parallel analysis guided principal component analysis of 21 non-alcohol food groups; bootstrap resampling assessed pattern stability. The prespecified primary outcome was continuous K10 psychological distress; secondary outcomes were K10 \u226516 and the WHOQOL-BREF psychological-domain score. A reconstructed depressive-symptom composite and CD-RISC-10 were exploratory. Associations per 1-SD were estimated with HC3 linear or modified Poisson regression. Model 2, selected as the main parsimonious model in the revised analysis, adjusted for age, sex, district, and education. FDR correction was applied within four-pattern outcome families and globally across 12 main-model comparisons spanning primary and secondary outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Among 246 respondents, 233 were included in pattern derivation and the main regression analyses. Four components explained 45.28% of total variance; the fourth, characterized by sugar-sweetened beverages, showed limited bootstrap reproducibility and was treated as exploratory. No dietary pattern was associated with continuous K10 (all within-family FDR-adjusted\n                      <jats:italic>P<\/jats:italic>\n                      \u22650.208) or K10 \u226516 (all within-family FDR-adjusted\n                      <jats:italic>P<\/jats:italic>\n                      \u22650.459). In a secondary, hypothesis-generating analysis, each 1-SD higher sweet\u2013fried\u2013processed pattern score was associated with a 0.392-point lower WHOQOL psychological-domain score (\u03b2 = \u22120.392, 95% CI \u22120.671 to \u22120.113; within-WHOQOL-family FDR-adjusted\n                      <jats:italic>P<\/jats:italic>\n                      = 0.024; global FDR-adjusted\n                      <jats:italic>P<\/jats:italic>\n                      = 0.073). No exploratory association with the depressive-symptom composite or CD-RISC-10 survived within-outcome-family FDR correction. The first three patterns and the secondary WHOQOL association were similar in three-component varimax and four-component promax analyses.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The analysis of the prespecified primary outcome, continuous K10 psychological distress, was null. The association between the sweet\u2013fried\u2013processed pattern and poorer psychological quality of life was secondary and hypothesis-generating. Given the cross-sectional design, small sample, and data-driven dietary assessment, prospective replication using validated dietary measures and external pattern validation is required.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fnut.2026.1935582","type":"journal-article","created":{"date-parts":[[2026,8,28]],"date-time":"2026-08-28T05:36:47Z","timestamp":1787895407000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Data-driven dietary patterns in relation to psychological distress and psychological quality of life among community-dwelling older adults in Shanghai, China: a cross-sectional study"],"prefix":"10.3389","volume":"13","author":[{"given":"Haonan","family":"Shi","sequence":"first","affiliation":[{"name":"Mental Health Center Affiliated to School of Medicine, Shanghai University (Shanghai Hongkou Mental Health Center)","place":["Shanghai, China"]},{"name":"School of Medicine, Shanghai University","place":["Shanghai, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zuowei","family":"Wang","sequence":"additional","affiliation":[{"name":"Mental Health Center Affiliated to School of Medicine, Shanghai University (Shanghai Hongkou Mental Health Center)","place":["Shanghai, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jia","family":"Zhu","sequence":"additional","affiliation":[{"name":"The Third Ward of the Medical Staff Health Care Center of Xinjiang Uygur Autonomous Region People's Hospital","place":["Urumqi, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Miqiong","family":"Li","sequence":"additional","affiliation":[{"name":"Baiyu Community Health Service Center","place":["Shanghai, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wang","family":"Li","sequence":"additional","affiliation":[{"name":"Baiyu Community Health Service Center","place":["Shanghai, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Weiyun","family":"Xu","sequence":"additional","affiliation":[{"name":"Mental Health Center Affiliated to School of Medicine, Shanghai University (Shanghai Hongkou Mental Health Center)","place":["Shanghai, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ziyi","family":"Sun","sequence":"additional","affiliation":[{"name":"School of Medicine, Shanghai University","place":["Shanghai, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cheng","family":"Chen","sequence":"additional","affiliation":[{"name":"School of Medicine, Shanghai University","place":["Shanghai, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chuan","family":"Zhang","sequence":"additional","affiliation":[{"name":"School of Medicine, Shanghai University","place":["Shanghai, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tingting","family":"Wang","sequence":"additional","affiliation":[{"name":"School of Nursing and Health Management, Shanghai University of Medicine and Health Sciences","place":["Shanghai, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xuan","family":"Yao","sequence":"additional","affiliation":[{"name":"Mental Health Center Affiliated to School of Medicine, Shanghai University (Shanghai Hongkou Mental Health Center)","place":["Shanghai, China"]},{"name":"School of Medicine, Shanghai University","place":["Shanghai, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,8,28]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"486","DOI":"10.1016\/j.jad.2025.01.086","article-title":"Global, regional, and national burden of major depressive disorders in adults aged 60 years and older from 1990 to 2021, with projections of prevalence to 2050: Analyses from the Global Burden of Disease Study 2021","volume":"374","author":"Wang","year":"2025","journal-title":"J Affect Disord."},{"key":"B2","doi-asserted-by":"publisher","first-page":"e70069","DOI":"10.1002\/gps.70069","article-title":"Changes in the disease burden of depressive disorders among middle-aged and older adults (aged 45\u201389) in China over 30 years: insights from the global burden of disease study 2021","volume":"40","author":"Xiao","year":"2025","journal-title":"Int J Geriatr Psychiatry"},{"key":"B3","doi-asserted-by":"publisher","first-page":"104253","DOI":"10.1016\/j.ajp.2024.104253","article-title":"Prevalence of subthreshold depression in older adults: a systematic review and meta-analysis","volume":"102","author":"Zhao","year":"2024","journal-title":"Asian J Psychiatr."},{"key":"B4","doi-asserted-by":"publisher","first-page":"89","DOI":"10.5093\/pi2024a6","article-title":"Dual-factor models of mental health: a systematic review of empirical evidence","volume":"33","author":"Magalh\u00e3es","year":"2024","journal-title":"Psychosoc Interven."},{"key":"B5","doi-asserted-by":"publisher","first-page":"264","DOI":"10.1038\/s41538-025-00623-4","article-title":"Healthy dietary patterns for prevention of neuropsychiatric disorders: role of inflammatory and metabolic mechanisms","volume":"9","author":"Xu","year":"2025","journal-title":"NPJ Sci Food."},{"key":"B6","doi-asserted-by":"publisher","first-page":"154","DOI":"10.1016\/j.jad.2025.03.162","article-title":"Diet quality and depression risk: A systematic review and meta-analysis of prospective studies","volume":"382","author":"Molero","year":"2025","journal-title":"J Affect Disord."},{"key":"B7","doi-asserted-by":"publisher","first-page":"74","DOI":"10.1186\/s12966-023-01461-x","article-title":"Relationship between dietary pattern and depressive symptoms: an international multicohort study","volume":"20","author":"Wu","year":"2023","journal-title":"Int J Behav Nutrit Phys Acti."},{"key":"B8","doi-asserted-by":"publisher","first-page":"384","DOI":"10.20944\/preprints202308.1407.v1","article-title":"Ultra-processed food exposure and adverse health outcomes: umbrella review of epidemiological meta-analyses","author":"Lane","year":"2024","journal-title":"BMJ"},{"key":"B9","doi-asserted-by":"publisher","first-page":"172","DOI":"10.1186\/s12916-025-04002-4","article-title":"The risk associated with ultra-processed food intake on depressive symptoms and mental health in older adults: a target trial emulation","volume":"23","author":"Mengist","year":"2025","journal-title":"BMC Med."},{"key":"B10","doi-asserted-by":"publisher","first-page":"942","DOI":"10.3390\/nu17060942","article-title":"Adherence to the Mediterranean diet and risk of depression: a cohort study in Chinese community residents","volume":"17","author":"Zhang","year":"2025","journal-title":"Nutrients."},{"key":"B11","doi-asserted-by":"publisher","first-page":"599","DOI":"10.1186\/s12889-025-21834-0","article-title":"Independent and joint associations of dietary diversity and physical activity on mental health among older adults in China: a cross-sectional study","volume":"25","author":"Dong","year":"2025","journal-title":"BMC Public Health."},{"key":"B12","doi-asserted-by":"publisher","first-page":"660","DOI":"10.1017\/S0007114525105102","article-title":"Associations between plant-based dietary pattern trajectories and depression and life satisfaction in older adults: insights from the 2008\u20132018 Chinese Longitudinal Healthy Longevity Survey (CLHLS)","volume":"134","author":"Zhao","year":"2025","journal-title":"Brit J Nutrit."},{"key":"B13","doi-asserted-by":"publisher","first-page":"e4","DOI":"10.1017\/S0033291724003349","article-title":"Triangulated evidence provides no support for bidirectional causal pathways between diet\/physical activity and depression\/anxiety","volume":"55","author":"Van Hooijdonk","year":"2025","journal-title":"Psychol Med."},{"key":"B14","doi-asserted-by":"publisher","first-page":"5230","DOI":"10.3390\/nu14245230","article-title":"Association between dietary patterns and depression in Chinese older adults: a longitudinal study based on CLHLS","volume":"14","author":"Pei","year":"2022","journal-title":"Nutrients."},{"key":"B15","doi-asserted-by":"publisher","first-page":"37","DOI":"10.1146\/annurev-publhealth-071521-121621","article-title":"Enhancing capacity for food and nutrient intake assessment in population sciences research","volume":"44","author":"Neuhouser","year":"2023","journal-title":"Annu Rev Public Health."},{"key":"B16","doi-asserted-by":"publisher","first-page":"100165","DOI":"10.1016\/j.advnut.2023.100165","article-title":"Are major a posteriori dietary patterns reproducible in the Italian population? A systematic review and quantitative assessment","volume":"15","author":"Bianco","year":"2024","journal-title":"Adv Nutrit."},{"key":"B17","doi-asserted-by":"publisher","first-page":"e297","DOI":"10.1371\/journal.pmed.0040297","article-title":"Strengthening the reporting of observational studies in epidemiology (STROBE): explanation and elaboration","volume":"4","author":"Vandenbroucke","year":"2007","journal-title":"PLoS Med."},{"key":"B18","doi-asserted-by":"publisher","first-page":"240","DOI":"10.1111\/nbu.12217","article-title":"Strengthening the reporting of observational studies in epidemiology\u2013nutritional epidemiology (STROBE-nut): an extension of the STROBE statement","volume":"41","author":"Lachat","year":"2016","journal-title":"Nutrit Bullet."},{"key":"B19","doi-asserted-by":"publisher","first-page":"458","DOI":"10.1038\/s41430-026-01712-7","article-title":"The (ab) use of food frequency questionnaire data in substitution modelling in nutritional epidemiology: a critique","volume":"80","author":"Louie","year":"2026","journal-title":"Eur J Clin Nutr."},{"key":"B20","doi-asserted-by":"publisher","first-page":"567","DOI":"10.1079\/PHN2001318","article-title":"Development, validation and utilisation of food-frequency questionnaires\u2013a review","volume":"5","author":"Cade","year":"2002","journal-title":"Public Health Nutr."},{"key":"B21","doi-asserted-by":"publisher","first-page":"37","DOI":"10.1186\/s12937-021-00692-7","article-title":"A review of statistical methods for dietary pattern analysis","volume":"20","author":"Zhao","year":"2021","journal-title":"Nutr J."},{"key":"B22","doi-asserted-by":"publisher","first-page":"377","DOI":"10.1177\/0013164495055003002","article-title":"An improvement on Horn's parallel analysis methodology for selecting the correct number of factors to retain","volume":"55","author":"Glorfeld","year":"1995","journal-title":"Educ Psychol Meas."},{"key":"B23","doi-asserted-by":"publisher","first-page":"362","DOI":"10.1080\/00273170902938969","article-title":"Exploring the sensitivity of Horn's parallel analysis to the distributional form of random data","volume":"44","author":"Dinno","year":"2009","journal-title":"Multivariate Behav Res."},{"key":"B24","doi-asserted-by":"publisher","first-page":"318","DOI":"10.3758\/BF03193163","article-title":"Applying the bootstrap to the multivariate case: bootstrap component\/factor analysis","volume":"39","author":"Zientek","year":"2007","journal-title":"Behav Res Methods."},{"key":"B25","doi-asserted-by":"publisher","first-page":"57","DOI":"10.1027\/1614-2241.2.2.57","article-title":"Tucker's congruence coefficient as a meaningful index of factor similarity","volume":"2","author":"Lorenzo-Seva","year":"2006","journal-title":"Methodology."},{"key":"B26","doi-asserted-by":"publisher","first-page":"959","DOI":"10.1017\/S0033291702006074","article-title":"Short screening scales to monitor population prevalences and trends in non-specific psychological distress","volume":"32","author":"Kessler","year":"2002","journal-title":"Psychol Med."},{"key":"B27","doi-asserted-by":"publisher","first-page":"112","DOI":"10.1016\/j.genhosppsych.2025.02.017","article-title":"Large-scale validation of the Kessler-10 Scale's psychometric properties among healthcare professionals in China","volume":"94","author":"Wang","year":"2025","journal-title":"Gen Hosp Psychiatry."},{"key":"B28","doi-asserted-by":"publisher","first-page":"494","DOI":"10.1111\/j.1467-842X.2001.tb00310.x","article-title":"Interpreting scores on the Kessler psychological distress scale (K10)","volume":"25","author":"Andrews","year":"2001","journal-title":"Aust N Z J Public Health."},{"key":"B29","doi-asserted-by":"publisher","first-page":"551","DOI":"10.1017\/S0033291798006667","article-title":"Development of the World Health Organization WHOQOL-BREF quality of life assessment","volume":"28","author":"Group","year":"1998","journal-title":"Psychol Med."},{"key":"B30","doi-asserted-by":"publisher","first-page":"37","DOI":"10.1186\/1471-2288-12-37","article-title":"Quality of life of Chinese urban community residents: a psychometric study of the mainland Chinese version of the WHOQOL-BREF","volume":"12","author":"Xia","year":"2012","journal-title":"BMC Med Res Methodol."},{"key":"B31","doi-asserted-by":"publisher","first-page":"1360","DOI":"10.3389\/fpsyg.2019.01360","article-title":"Factor structure and measurement invariance across gender groups of the 15-item geriatric depression scale among Chinese elders","volume":"10","author":"Zhao","year":"2019","journal-title":"Front Psychol."},{"key":"B32","doi-asserted-by":"publisher","first-page":"37","DOI":"10.1016\/0022-3956(82)90033-4","article-title":"Development and validation of a geriatric depression screening scale: a preliminary report","volume":"17","author":"Yesavage","year":"1982","journal-title":"J Psychiatr Res."},{"key":"B33","doi-asserted-by":"publisher","first-page":"1019","DOI":"10.1002\/jts.20271","article-title":"Psychometric analysis and refinement of the Connor","author":"Campbell-Sills","year":"2007"},{"key":"B34","doi-asserted-by":"publisher","first-page":"499","DOI":"10.1111\/j.1440-1819.2010.02130.x","article-title":"Psychometric properties of the 10-item Connor\u2013Davidson Resilience Scale in Chinese earthquake victims","volume":"64","author":"Wang","year":"2010","journal-title":"Psychiatry Clin Neurosci."},{"key":"B35","doi-asserted-by":"publisher","first-page":"179","DOI":"10.1093\/geront\/9.3_Part_1.179","article-title":"Assessment of older people: self-maintaining and instrumental activities of daily living","volume":"9","author":"Lawton","year":"1969","journal-title":"Gerontologist"},{"key":"B36","doi-asserted-by":"publisher","first-page":"503","DOI":"10.1093\/geront\/46.4.503","article-title":"Performance of an abbreviated version of the Lubben Social Network Scale among three European community-dwelling older adult populations","volume":"46","author":"Lubben","year":"2006","journal-title":"Gerontologist."},{"key":"B37","doi-asserted-by":"publisher","first-page":"e0201612","DOI":"10.1371\/journal.pone.0201612","article-title":"Validation of an abbreviated version of the Lubben Social Network Scale (\u201cLSNS-6\u201d) and its associations with suicidality among older adults in China","volume":"13","author":"Chang","year":"2018","journal-title":"PLoS One."},{"key":"B38","doi-asserted-by":"publisher","first-page":"683","DOI":"10.1111\/ajag.13214","article-title":"The psychometric properties of the Lubben Social Network Scale (LSNS-6) and its associations with well-being indicators in Hong Kong older adults","volume":"42","author":"Chan","year":"2023","journal-title":"Australas J Ageing."},{"key":"B39","doi-asserted-by":"publisher","first-page":"3083","DOI":"10.1002\/sim.3697","article-title":"Balance diagnostics for comparing the distribution of baseline covariates between treatment groups in propensity-score matched samples","volume":"28","author":"Austin","year":"2009","journal-title":"Stat Med."},{"key":"B40","doi-asserted-by":"publisher","first-page":"305","DOI":"10.1016\/0304-4076(85)90158-7","article-title":"Some heteroskedasticity-consistent covariance matrix estimators with improved finite sample properties","volume":"29","author":"MacKinnon","year":"1985","journal-title":"J Econom."},{"key":"B41","doi-asserted-by":"publisher","first-page":"3091","DOI":"10.1080\/02664763.2025.2496719","article-title":"A review and comparison of methods of parameter estimation and inference for heteroskedastic linear regression models","volume":"52","author":"Farrar","year":"2025","journal-title":"J Appl Stat."},{"key":"B42","doi-asserted-by":"publisher","first-page":"21","DOI":"10.1186\/1471-2288-3-21","article-title":"Alternatives for logistic regression in cross-sectional studies: an empirical comparison of models that directly estimate the prevalence ratio","volume":"3","author":"Barros","year":"2003","journal-title":"BMC Med Res Methodol."},{"key":"B43","doi-asserted-by":"publisher","first-page":"702","DOI":"10.1093\/aje\/kwh090","article-title":"A modified poisson regression approach to prospective studies with binary data","volume":"159","author":"Zou","year":"2004","journal-title":"Am J Epidemiol."},{"key":"B44","doi-asserted-by":"publisher","first-page":"289","DOI":"10.1111\/j.2517-6161.1995.tb02031.x","article-title":"Controlling the false discovery rate: a practical and powerful approach to multiple testing","volume":"57","author":"Benjamini","year":"1995","journal-title":"J Royal Stat Soc. Series B (Methodological)."},{"key":"B45","doi-asserted-by":"publisher","first-page":"189","DOI":"10.1016\/0022-3956(75)90026-6","article-title":"\u201cMini-mental state\u201d: a practical method for grading the cognitive state of patients for the clinician","volume":"12","author":"Folstein","year":"1975","journal-title":"J Psychiatr Res"},{"key":"B46","doi-asserted-by":"publisher","first-page":"361","DOI":"10.1111\/j.1600-0404.2010.01484.x","article-title":"Cognitive impairment using education-based cutoff points for CMMSE scores in elderly Chinese people of agricultural and rural Shanghai China","volume":"124","author":"Cui","year":"2011","journal-title":"Acta Neurol Scand."},{"key":"B47","doi-asserted-by":"publisher","first-page":"dyaf088","DOI":"10.1093\/ije\/dyaf088","article-title":"Estimating and presenting non-linear associations with restricted cubic splines","volume":"54","author":"Discacciati","year":"2025","journal-title":"Int J Epidemiol."},{"key":"B48","doi-asserted-by":"publisher","first-page":"65","DOI":"10.1080\/00401706.2000.10485981","article-title":"Detection of influential observation in linear regression","volume":"42","author":"Cook","year":"2000","journal-title":"Technometrics."},{"key":"B49","doi-asserted-by":"publisher","first-page":"e54","DOI":"10.1017\/jns.2025.10023","article-title":"A healthful plant-based diet is associated with higher health-related quality of life among older adults independent of circulating CRP: a cross-sectional analysis from the Lifelines Cohort Study","volume":"14","author":"Schorr","year":"2025","journal-title":"J Nutr Sci."},{"key":"B50","doi-asserted-by":"publisher","first-page":"1190","DOI":"10.1016\/j.clnu.2024.03.028","article-title":"Adherence to the ultra-processed dietary pattern and risk of depressive outcomes: findings from the NutriNet Brasil cohort study and an updated systematic review and meta-analysis","volume":"43","author":"Werneck","year":"2024","journal-title":"Clin Nutr."},{"key":"B51","doi-asserted-by":"publisher","first-page":"38","DOI":"10.1016\/j.clnu.2025.04.031","article-title":"Food consumption by degree of processing and perceived mental and physical health: a cross-sectional analysis in the Moli-sani Study cohort","volume":"50","author":"Bracone","year":"2025","journal-title":"Clin Nutr."},{"key":"B52","doi-asserted-by":"publisher","first-page":"1582","DOI":"10.3390\/nu17091582","article-title":"Associations of ultra-processed food intake and its circulating metabolomic signature with mental disorders in middle-aged and older adults","volume":"17","author":"Yuan","year":"2025","journal-title":"Nutrients."},{"key":"B53","doi-asserted-by":"publisher","first-page":"228","DOI":"10.1186\/s13690-025-01721-1","article-title":"Reciprocal association between dietary diversity and subjective well-being in Chinese older adults: a three-wave longitudinal study","volume":"83","author":"Wang","year":"2025","journal-title":"Arch Public Health."},{"key":"B54","doi-asserted-by":"publisher","first-page":"523","DOI":"10.1093\/ajcn\/nqac092","article-title":"The impacts of measurement errors on a dietary pattern analyses: a simulation study based on dietary data from the China Multi-Ethnic Cohort (CMEC) study","volume":"116","author":"Hu","year":"2022","journal-title":"Am J Clin Nutr."},{"key":"B55","doi-asserted-by":"publisher","first-page":"dyad177","DOI":"10.1093\/ije\/dyad177","article-title":"Overadjustment bias in systematic reviews and meta-analyses of socio-economic inequalities in health: a meta-research scoping review","volume":"53","author":"Van Zwieten","year":"2024","journal-title":"Int J Epidemiol."},{"key":"B56","doi-asserted-by":"publisher","first-page":"488","DOI":"10.1097\/EDE.0b013e3181a819a1","article-title":"Overadjustment bias and unnecessary adjustment in epidemiologic studies","volume":"20","author":"Schisterman","year":"2009","journal-title":"Epidemiology (Cambridge, Mass)."}],"container-title":["Frontiers in Nutrition"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fnut.2026.1935582\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,28]],"date-time":"2026-08-28T05:36:48Z","timestamp":1787895408000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fnut.2026.1935582\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,28]]},"references-count":56,"alternative-id":["10.3389\/fnut.2026.1935582"],"URL":"https:\/\/doi.org\/10.3389\/fnut.2026.1935582","relation":{},"ISSN":["2296-861X"],"issn-type":[{"value":"2296-861X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8,28]]},"article-number":"1935582"}}