Food, Health, and Mitigation of Climate change in Italy

Autor:	Mangone L; School of Public Health, Imperial College, London (United Kingdom).; School of Advanced Studies 'Sant'Anna', Pisa (Italy)., Sacerdote C; Unit of Cancer Epidemiology, Città della Salute e della Scienza University-Hospital, Turin (Italy)., Laine J; School of Public Health, Imperial College, London (United Kingdom)., Masala G; Unit of Clinical Epidemiology and support to Clinical Management, Istituto per lo studio, la prevenzione e la rete oncologica (ISPRO), Florence (Italy)., Bendinelli B; Unit of Clinical Epidemiology and support to Clinical Management, Istituto per lo studio, la prevenzione e la rete oncologica (ISPRO), Florence (Italy)., Panico S; Department of Clinical Medicine and Surgery, Federico II University, Naples (Italy)., Chiodini P; Department of Physical and Mental Health and Preventive, University of Campania 'Luigi Vanvitelli', Naples (Italy)., Grioni S; Unit of Epidemiology and Prevention, Italian Cancer Institute of Milan, Milan (Italy) Valeria Pala., Tumino R; Iblea Association - Epidemiological Research (AIRE-ONLUS), Ragusa (Italy)., Petiti L; Italian Institute of Technology, Genoa (Italy)., Vineis P; School of Public Health, Imperial College, London (United Kingdom).; Italian Institute of Technology, Genoa (Italy).
Jazyk:	angličtina
Zdroj:	Epidemiologia e prevenzione [Epidemiol Prev] 2023 May-Jun; Vol. 47 (3), pp. 32-38.
DOI:	10.19191/EP23.3.S1.A560.038
Abstrakt:	Objectives: to provide evidence on how diet can influence health, greenhouse gas (GHG) emissions, and land use. Design: cohort study. Setting and Participants: data collected in the EPIC Italy cohort (N. 47,749). Main Outcome Measures: hazard ratios (HR) for overall mortality and for cancer incidence in association with a sustainable diet (EAT-Lancet). Results: sustainable diets are characterized by lower associated GHG emissions and lower land use (LU). Adherence to the guidelines proposed by the EAT-Lancet Commission was considered. This diet was associated with lower HRs for mortality and cancer incidence in EPIC Italy, estimated with Cox models accounting for potential confounders and stratified by sex. The hazard ratios for overall mortality showed a dose-response relationship with quartiles of diets associated with high GHG emissions, land use, and high distance from the EAT-Lancet diet calculated using a novel index, the EAT-Lancet distance index (EatDI). The HR for overall cancer incidence was also higher in the population with non-sustainable diets. Conclusions: the association among dietary GHG emissions, LU, and EatDI and overall mortality and overall cancer incidence suggests that promoting diets with low associated environmental impact can be an effective mitigation strategy with important co-benefits.
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu