Projects per year
Abstract
BACKGROUND: Current global food systems threaten human health and environmental sustainability. In 2019, the EAT-Lancet Commission on healthy diets from sustainable food systems defined the first global reference diet to improve both areas, but there is no consensus on how to quantify the EAT-Lancet reference diet as a diet index and its relation to mortality has not been widely studied.
OBJECTIVE: To develop a new dietary index to quantify adherence to the EAT-Lancet diet and assess its association with mortality in a large population-based Swedish cohort. We also examined food components included in the index and their individual associations with mortality.
DESIGN: We used the Malmö Diet and Cancer cohort (n = 22,421, 45-73 years at baseline). Dietary data were collected using a modified diet history method. The EAT-Lancet index was developed based on intake levels and reference intervals of 14 food components defined in the EAT-Lancet diet (0-3 points per component, 0-42 points in total). Associations with mortality were examined based on registers during a mean of 20 years of follow-up and were adjusted for potential confounders.
RESULTS: Divided into five adherence groups, the highest adherence to the EAT-Lancet diet (≥23 points) was associated with lower all-cause mortality (HR: 0.75; 95% CI: 0.67, 0.85), cancer mortality (HR 0.76; 95% CI: 0.63, 0.92) and cardiovascular mortality (HR 0.68; 95% CI: 0.54, 0.84) than the lowest adherence (≤13 points). Several food components included in the index contributed to the observed reductions in mortality.
CONCLUSIONS: We developed a new dietary index to investigate adherence to the EAT-Lancet diet. The findings indicate a 25% lower risk of mortality among those with the highest adherence to the EAT-Lancet diet, as defined using our index, which adds to the evidence base for the development of sustainable dietary guidelines.
Original language | English |
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Journal | The American journal of clinical nutrition |
Early online date | 2021 Nov 13 |
DOIs | |
Publication status | Published - 2021 Nov 13 |
Bibliographical note
© The Author(s) 2021. Published by Oxford University Press on behalf of the American Society for Nutrition.Subject classification (UKÄ)
- Nutrition and Dietetics
- Public Health, Global Health, Social Medicine and Epidemiology
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- 2 Active
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Mat för människa och planet (inom forskarskolan Agenda 2030)
Sonestedt, E. (Supervisor), Stubbendorff, A. (Research student), Ericson, U. (Assistant supervisor) & Hallström, E. (Assistant supervisor)
Crafoord Foundation, The Swedish Heart Lung Foundation
2019/10/01 → …
Project: Dissertation
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Lund University Agenda 2030 Graduate School
Gunneflo, M. (Project coordinator), van Meeningen, Y. (Project coordinator), Håkansson, S. (Project communication officer), Tagesson, A. (Research student), Johansson, A. (Research student), Stubbendorff, A. (Research student), Jones, B. (Research student), Nicoli Aldini, C. (Research student), Lantz, E. (Research student), Tsiakiris, G. (Research student), Hygum, I. L. (Research student), Abdulahi, I. J. (Research student), Salustiano Trojaborg, I. (Research student), Hannerz, J. (Research student), Samper, J. A. (Research student), Bello Bermejo, J. M. (Research student), Ocampo, J. (Research student), Francis, J. (Research student), Van Dooren, L. (Research student), Hemberg, L. (Research student), Ternsjö, L. (Research student), Menon, M. (Research student), Mannberg, M. (Research student), Yndal-Olsen, N. (Research student), Jönsson, K. (Project coordinator), López, J. (Research student), Önnudóttir, S. H. K. (Research student), Zalar, A. (Research student), Andersson Nystedt, T. (Research student), Nicoson, C. J. (Research student), Takman, M. (Research student), Flores, P. (Research student), Loxa, A. (Research student), Lee, S. H. (Research student), Johannesson, S. (Project communication officer) & Lindberg, H. G. (Administrator)
2018/09/26 → …
Project: Network
Activities
- 1 Supervision of PhD students
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Food for planet and health
Sonestedt, E. (First/primary/lead supervisor), Ericson, U. (Second supervisor) & Hallström, E. (Second supervisor)
2020 Oct 1 → …Activity: Examination and supervision › Supervision of PhD students