Coeheal
Peer-reviewed evidence

Research highlights

Key findings from peer-reviewed journals — summarised in plain English. Each finding links to the original source.

Nutrition

Mediterranean-diet intervention lowered relative cardiovascular-event risk by ~30% in high-risk adults

Study type: Randomised controlled trialYear: 2013

Population: 7,447 high-risk adults aged 55–80 (Spain)

Context: Relative risk reduction, not absolute. Absolute event rates were ~3–4% lower over ~5 years. Retraction and re-analysis confirmed the direction of effect.
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Movement

150 min/week of moderate aerobic activity associated with ~31% lower all-cause mortality risk

Study type: Systematic review & meta-analysisYear: 2011

Population: Adults across multiple large prospective cohort studies

Context: Observational association; relative risk reduction. Absolute benefit depends on baseline risk. Causality is strongly supported by biological plausibility.
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Sleep

Adults sleeping fewer than 7 hours/night had 3× higher risk of catching a cold in a controlled exposure study

Study type: Randomised controlled exposure studyYear: 2009

Population: 164 healthy adults aged 18–55 (Pittsburgh, USA)

Context: Participants were directly exposed to rhinovirus. The 3× figure is a relative risk ratio; absolute infection rates were ~45% vs ~18%.
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Nutrition

High dietary fibre intake (>25g/day) associated with 15–30% lower risk of colorectal cancer

Study type: Systematic review & meta-analysisYear: 2011

Population: Pooled analysis of prospective cohort studies (hundreds of thousands of adults)

Context: Observational; relative risk reduction. Absolute risk of colorectal cancer is ~4–5% lifetime, so a 20% relative reduction represents roughly 1 in 100 people.
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Movement

Resistance training 2×/week associated with ~34% lower type 2 diabetes risk

Study type: Prospective cohort studyYear: 2012

Population: 32,002 US male health professionals followed over 18 years

Context: Observational association in men only; relative risk reduction. Results may not generalise to women or other populations.
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Sleep

Consistent sleep timing associated with better metabolic health independent of total sleep duration

Study type: Observational cohort studyYear: 2017

Population: 2,003 adults from the Multi-Ethnic Study of Atherosclerosis (MESA)

Context: Observational; cannot establish causation. Effect was independent of sleep duration, suggesting timing matters beyond just hours slept.
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Nutrition

Replacing 5% of saturated fat with polyunsaturated fat reduces coronary heart disease risk by ~10%

Study type: Prospective cohort study with modellingYear: 2010

Population: Pooled analysis of large US cohort studies (Nurses' Health Study, Health Professionals Follow-up Study)

Context: Observational with dietary modelling; relative risk reduction. Absolute benefit depends on individual baseline cardiovascular risk.
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Movement

Short post-meal walks (10 min) reduce post-meal blood glucose in adults with type 2 diabetes

Study type: Randomised crossover trialYear: 2009

Population: 41 adults with type 2 diabetes

Context: Small RCT; results are specific to people with type 2 diabetes. The glucose-lowering effect was acute (within 2 hours of eating).
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Sleep

Morning bright light exposure advances sleep timing by ~1.5 hours within one week

Study type: Randomised controlled trialYear: 1993

Population: 20 adults with delayed sleep phase (evening chronotypes)

Context: Small RCT in people with delayed sleep phase specifically. Effect size may be smaller in people with normal sleep timing.
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Nutrition

A high-fermented-food diet increased microbiome diversity and reduced 19 inflammatory proteins over 10 weeks

Study type: Randomised controlled trialYear: 2021

Population: 36 healthy adults (Stanford, USA)

Context: Small RCT; short duration. Microbiome diversity gains were sustained at 10 weeks. Larger trials are needed to confirm long-term effects.
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Movement

Tai chi reduces fall rates in adults over 65 by 20–45% (Cochrane Review, 43 trials, 9,000+ participants)

Study type: Systematic review & meta-analysis (Cochrane)Year: 2017

Population: 9,000+ adults aged 65+ across 43 trials

Context: High-quality evidence. Relative risk reduction of 20–45% in fall rate. Absolute benefit depends on individual fall risk at baseline.
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Sleep

CBT for insomnia (CBT-I) outperforms sleep medication for long-term insomnia in head-to-head trials

Study type: Randomised controlled trialYear: 2012

Population: Adults with chronic primary insomnia

Context: CBT-I showed superior long-term outcomes vs. medication. Effects were maintained at 6-month follow-up; medication effects diminished after stopping.
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Nutrition

Omega-3 fatty acids (EPA+DHA) reduce triglycerides by 20–30% at 2–4g/day

Study type: Systematic review & meta-analysisYear: 2019

Population: Adults with elevated triglycerides across multiple RCTs

Context: Well-established dose-dependent effect. Absolute reduction depends on baseline triglyceride level. Cardiovascular outcome benefit is less clear at lower doses.
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Movement

Regular aerobic exercise reduces systolic blood pressure by ~5–8 mmHg in hypertensive adults

Study type: Systematic review & meta-analysisYear: 2013

Population: Adults with hypertension across multiple RCTs

Context: Clinically meaningful absolute reduction. A 5 mmHg drop in systolic BP is associated with ~10% lower stroke risk at the population level.
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Wellbeing

Social isolation associated with ~26% higher all-cause mortality risk — comparable in magnitude to smoking 15 cigarettes/day

Study type: Meta-analysis of prospective cohort studiesYear: 2015

Population: 3.4 million adults across 70 prospective studies

Context: Observational; relative risk increase. The smoking comparison is a statistical equivalence in effect size, not a biological mechanism claim.
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Nutrition

Each additional daily serving of vegetables associated with ~4% lower coronary heart disease risk

Study type: Prospective cohort studyYear: 2006

Population: 110,000+ adults from the Nurses' Health Study and Health Professionals Follow-up Study

Context: Observational; relative risk reduction per serving. Absolute benefit is modest per serving but accumulates with consistent intake over years.
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Movement

Exercise reduces depressive symptoms with effect sizes comparable to antidepressants in mild-to-moderate depression

Study type: Randomised controlled trialYear: 1999

Population: 156 adults aged 50+ with major depressive disorder

Context: RCT comparing aerobic exercise, sertraline, and combination. Effect sizes were similar at 16 weeks. Exercise group had lower relapse rates at 10-month follow-up.
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Nutrition

Vitamin D deficiency (serum 25(OH)D <20 ng/mL) affects ~42% of US adults

Study type: Cross-sectional surveyYear: 2011

Population: 4,495 US adults from NHANES 2001–2006

Context: Prevalence estimate; not a causal study. Rates vary significantly by age, skin tone, geography, and season. The clinical threshold for 'deficiency' is debated.
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Nutrition

Time-restricted eating (10-hour window) improved blood pressure, glucose, and lipids in adults with metabolic syndrome

Study type: Pilot randomised controlled trialYear: 2020

Population: 19 adults with metabolic syndrome on stable statin therapy

Context: Small pilot RCT; no control group. Results are promising but require confirmation in larger trials. Participants also reduced caloric intake.
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Movement

Sarcopenia affects ~10% of adults over 60 and is substantially slowed by progressive resistance training

Study type: Systematic reviewYear: 2019

Population: Adults aged 60+ across multiple observational and intervention studies

Context: Prevalence estimate varies by diagnostic criteria (6–36%). Resistance training evidence is from RCTs; effect on muscle mass is well-established.
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About these highlights: Each finding is drawn from peer-reviewed research and linked to its original source. Effect sizes and risk reductions are from the cited studies and may not apply to all populations. This page is for educational purposes only and does not constitute medical advice. Our editorial standards →

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