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dc.contributor.authorBiesbroek, Sander
dc.contributor.authorVerschuren, W M Monique
dc.contributor.authorBoer, Jolanda M A
dc.contributor.authorvan de Kamp, Mirjam E
dc.contributor.authorvan der Schouw, Yvonne T
dc.contributor.authorGeelen, Anouk
dc.contributor.authorLooman, Moniek
dc.contributor.authorTemme, Elisabeth H M
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.
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
refterms.dateFOA2018-12-18T14:01:07Z
html.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.


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