Does a better adherence to dietary guidelines reduce mortality risk and environmental impact in the Dutch sub-cohort of the European Prospective Investigation into Cancer and Nutrition?
| Autor: | Sander Biesbroek, Elisabeth H. M. Temme, W M Monique Verschuren, Moniek Looman, Yvonne T. van der Schouw, Anouk Geelen, Jolanda M. A. Boer, Mirjam E. van de Kamp |
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| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
0301 basic medicine
Gerontology Male Nutrition and Disease Healthy Diet Medicine (miscellaneous) Nutrition Policy Environmental impact Neoplasms Voeding en Ziekte Medicine Prospective Studies Young adult Prospective cohort study Netherlands Nutrition and Dietetics Hazard ratio Dietary Surveys and Nutritional Epidemiology Agriculture Full Papers Middle Aged European Prospective Investigation into Cancer and Nutrition Sustainable and healthy diets Dairying Cohort Hypertension Female Diet Healthy Adult Conservation of Natural Resources DASH diet 03 medical and health sciences Young Adult Dash Journal Article Humans Mortality risk Aged VLAG Global Nutrition Wereldvoeding 030109 nutrition & dietetics business.industry Healthy Diet Indicator Feeding Behavior Healthy diet Chronic Disease business Dutch Healthy Diet index 2015 Dietary Approaches to Stop Hypertension Demography |
| Zdroj: | British Journal of Nutrition, 118(1), 69. Cambridge University Press British Journal of Nutrition, 118(1), 69-80 The British Journal of Nutrition British Journal of Nutrition 118 (2017) 1 |
| ISSN: | 0007-1145 |
| Popis: | Guidelines for a healthy diet aim to decrease the risk of chronic diseases. It is unclear as to what extent a healthy diet is also an environmentally friendly diet. In the Dutch sub-cohort of the European Prospective Investigation into Cancer and Nutrition, the diet was assessed with a 178-item FFQ of 40 011 participants aged 20–70 years between 1993 and 1997. The WHO’s Healthy Diet Indicator (HDI), the Dietary Approaches to Stop Hypertension (DASH) score and the Dutch Healthy Diet index 2015 (DHD15-index) were investigated in relation to greenhouse gas (GHG) emissions, land use and all-cause mortality risk. GHG emissions were associated with HDI scores (−3·7 % per sd increase (95 % CI −3·4, −4·0) for men and −1·9 % (95 % CI −0·4, −3·4) for women), with DASH scores in women only (1·1 % per sd increase, 95 % CI 0·9, 1·3) and with DHD15-index scores (−2·5 % per sd increase (95 % CI −2·2, −2·8) for men and −2·0 % (95 % CI −1·9, −2·2) for women). For all indices, higher scores were associated with less land use (ranging from −1·3 to −3·1 %). Mortality risk decreased with increasing scores for all indices. Per sd increase of the indices, hazard ratios for mortality ranged from 0·88 (95 % CI 0·82, 0·95) to 0·96 (95 % CI 0·92, 0·99). Our results showed that adhering to the WHO and Dutch dietary guidelines will lower the risk of all-cause mortality and moderately lower the environmental impact. The DASH diet was associated with lower mortality and land use, but because of high dairy product consumption in the Netherlands it was also associated with higher GHG emissions. |
| Databáze: | OpenAIRE |
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