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?
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Verschuren, W M Monique
Boer, Jolanda M A
van de Kamp, Mirjam E
van der Schouw, Yvonne T
Temme, Elisabeth H M
MetadataShow full item record
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?
Published inBr J Nutr 2017, 18(1):69-80
PubliekssamenvattingGuidelines 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.
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- Authors: Struijk EA, May AM, Wezenbeek NL, Fransen HP, Soedamah-Muthu SS, Geelen A, Boer JM, van der Schouw YT, Bueno-de-Mesquita HB, Beulens JW
- Issue date: 2014 Sep 20
- Are our diets getting healthier and more sustainable? Insights from the European Prospective Investigation into Cancer and Nutrition - Netherlands (EPIC-NL) cohort.
- Authors: Biesbroek S, Verschuren WM, Boer JM, van der Schouw YT, Sluijs I, Temme EH
- Issue date: 2019 Nov
- Healthy diets with reduced environmental impact? - The greenhouse gas emissions of various diets adhering to the Dutch food based dietary guidelines.
- Authors: van de Kamp ME, van Dooren C, Hollander A, Geurts M, Brink EJ, van Rossum C, Biesbroek S, de Valk E, Toxopeus IB, Temme EHM
- Issue date: 2018 Feb
- Adherence to the WHO's healthy diet indicator and overall cancer risk in the EPIC-NL cohort.
- Authors: Berentzen NE, Beulens JW, Hoevenaar-Blom MP, Kampman E, Bueno-de-Mesquita HB, Romaguera-Bosch D, Peeters PH, May AM
- Issue date: 2013
- Development and evaluation of the Dutch Healthy Diet index 2015.
- Authors: Looman M, Feskens EJ, de Rijk M, Meijboom S, Biesbroek S, Temme EH, de Vries J, Geelen A
- Issue date: 2017 Sep