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?

2.50
Hdl Handle:
http://hdl.handle.net/10029/621054
Title:
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?
Authors:
Biesbroek, Sander; Verschuren, W M Monique; Boer, Jolanda M A; van de Kamp, Mirjam E; van der Schouw, Yvonne T; Geelen, Anouk; Looman, Moniek; Temme, Elisabeth H M
Abstract:
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.
Citation:
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? 2017, 118 (1):69-80 Br. J. Nutr.
Journal:
Br J Nutr 2017, 18(1):69-80
Issue Date:
Jul-2017
URI:
http://hdl.handle.net/10029/621054
DOI:
10.1017/S0007114517001878
PubMed ID:
28768562
Type:
Article
Language:
en
ISSN:
1475-2662
Appears in Collections:
Miscellaneous

Full metadata record

DC FieldValue Language
dc.contributor.authorBiesbroek, Sanderen
dc.contributor.authorVerschuren, W M Moniqueen
dc.contributor.authorBoer, Jolanda M Aen
dc.contributor.authorvan de Kamp, Mirjam Een
dc.contributor.authorvan der Schouw, Yvonne Ten
dc.contributor.authorGeelen, Anouken
dc.contributor.authorLooman, Monieken
dc.contributor.authorTemme, Elisabeth H Men
dc.date.accessioned2018-01-09T12:13:20Z-
dc.date.available2018-01-09T12:13:20Z-
dc.date.issued2017-07-
dc.identifier.citationDoes 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? 2017, 118 (1):69-80 Br. J. Nutr.en
dc.identifier.issn1475-2662-
dc.identifier.pmid28768562-
dc.identifier.doi10.1017/S0007114517001878-
dc.identifier.urihttp://hdl.handle.net/10029/621054-
dc.description.abstractGuidelines 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.en
dc.language.isoenen
dc.rightsArchived with thanks to The British journal of nutritionen
dc.subject.meshAdult-
dc.subject.meshAged-
dc.subject.meshAgriculture-
dc.subject.meshChronic Disease-
dc.subject.meshConservation of Natural Resources-
dc.subject.meshDairying-
dc.subject.meshFeeding Behavior-
dc.subject.meshFemale-
dc.subject.meshHealthy Diet-
dc.subject.meshHumans-
dc.subject.meshHypertension-
dc.subject.meshMale-
dc.subject.meshMiddle Aged-
dc.subject.meshNeoplasms-
dc.subject.meshNetherlands-
dc.subject.meshNutrition Policy-
dc.subject.meshProspective Studies-
dc.subject.meshYoung Adult-
dc.titleDoes 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?en
dc.typeArticleen
dc.identifier.journalBr J Nutr 2017, 18(1):69-80en

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