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Landmark 87/100

Lyon Diet Heart Study

In plain English

After a first heart attack, 605 patients were randomised to either a Mediterranean-pattern diet or the standard American Heart Association control diet. Within four years the Mediterranean group had 72% fewer cardiac events. It was one of the first hard-outcome trials to show a diet could rival cardiac drugs.

Why it matters

Mediterranean diet cut cardiac events 72% versus the AHA control diet.

Informs: Heart Disease

Provenance

Design
Randomised controlled trial
Sample size (n)
605
Follow-up
4 years
Peer-reviewed
Yes
Replications
3
Funding
Public / academic
Funders
French Ministry of Health, INSERM
Institutions
Lyon University Hospital, INSERM

decades.plus score

A transparent 0–100 weighted sum across six components. Higher scores reflect bigger, cleaner, more replicated work.

Landmark 87/100
  • Study design 25/25
  • Sample size 7/20
  • Funding independence 20/20
  • Journal + peer review 15/15
  • Institution tier 10/10
  • Replication 10/10

Caveats

Single-centre trial in France; smaller sample than later RCTs. The 'control' AHA diet has since evolved, so the comparator differs from current standard of care.