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?
Average rating
Cast your vote
You can rate an item by clicking the amount of stars they wish to award to this item.
When enough users have cast their vote on this item, the average rating will also be shown.
Star rating
Your vote was cast
Thank you for your feedback
Thank you for your feedback
Authors
Biesbroek, SanderVerschuren, 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
Type
ArticleLanguage
en
Metadata
Show full item recordTitle
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?Published in
Br J Nutr 2017, 18(1):69-80Publiekssamenvatting
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.PMID
28768562ae974a485f413a2113503eed53cd6c53
10.1017/S0007114517001878
Scopus Count
Collections
Related articles
- Adherence to dietary guidelines and cardiovascular disease risk in the EPIC-NL cohort.
- 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