Intake of 12 food groups and disability-adjusted life years from coronary heart disease, stroke, type 2 diabetes, and colorectal cancer in 16 European countries

Autor: Khalid Iqbal, Georg F. Hoffmann, Lukas Schwingshackl, Stefaan De Henauw, Heiner Boeing, Carolina Schwedhelm, Sven Knüppel, Brecht Devleesschauwer, Nathalie Michels
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Agriculture and Food Sciences
Epidemiology
Coronary Disease
Type 2 diabetes
030204 cardiovascular system & hematology
Food group
Eating
0302 clinical medicine
Risk Factors
Vegetables
Medicine and Health Sciences
Nutritional Epidemiology
030212 general & internal medicine
Prospective cohort study
RISK
Whole Grains
Population Health
digestive
oral
and skin physiology
DEATH
Europe
Coronary heart disease
Stroke
Meta-analysis
Quality-Adjusted Life Years
Colorectal Neoplasms
Risk assessment
BURDEN
medicine.medical_specialty
Comparative risk assessment
Disability-adjusted life years
03 medical and health sciences
Life Expectancy
Environmental health
medicine
Humans
Disabled Persons
HYPERTENSION
business.industry
Public health
MORTALITY
medicine.disease
Food safety
Colorectal cancer
Diabetes Mellitus
Type 2
Food groups
Food
Fruit
DOSE-RESPONSE METAANALYSIS
business
Risk Reduction Behavior
Population health-impact
Zdroj: EUROPEAN JOURNAL OF EPIDEMIOLOGY
European Journal of Epidemiology
ISSN: 0393-2990
1573-7284
Popis: Our aim was to estimate and rank 12 food groups according to disability-adjusted life years (DALYs) from coronary heart disease (CHD), stroke, type 2 diabetes (T2D), and colorectal cancer (CRC) in 16 European countries. De novo published non-linear dose–response meta-analyses of prospective studies (based on 297 primary reports), and food consumption data from the European Food Safety Authority Comprehensive European Food Consumption Database in Exposure Assessment, and DALY estimates from the Institute for Health Metrics and Evaluation were used. By implementing disease-specific counterfactual scenarios of theoretical minimum risk exposure level (TMRELs), the proportion of DALYs attributed to 12 food groups was estimated. In addition, a novel modelling approach was developed to obtain a single (optimized) TMREL across diseases. Four scenarios were analysed (A: disease-specific TMRELs/all food-disease associations; B: disease-specific TMRELs/only significant food-disease associations; C: single TMREL/all food-disease associations; D: single TMREL/only significant food-disease associations). Suboptimal food intake was associated with the following proportions of DALYs; Scenario A (highest-estimate) and D (lowest-estimate): CHD (A: 67%, D: 52%), stroke (A: 49%, D: 30%), T2D (A: 57%, D: 51%), and CRC (A: 54%, D: 40%). Whole grains (10%) had the highest impact on DALYs, followed by nuts (7.1%), processed meat (6.4%), fruit (4.4%) and fish and legumes (4.2%) when combining all scenarios. The contribution to total DALYs of all food groups combined in the different scenarios ranged from 41–52% in Austria to 51–69% in the Czech-Republic. These findings could have important implications for planning future food-based dietary guidelines as a public health nutrition strategy. Electronic supplementary material The online version of this article (10.1007/s10654-019-00523-4) contains supplementary material, which is available to authorized users.
Databáze: OpenAIRE
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