Adherence to the Swedish dietary guidelines and the impact on mortality and climate in a population-based cohort study
Abstract Objective: To assess the associations between adherence to the Swedish dietary guidelines and all-cause mortality (i.e. assessing the index’ ability to predict health outcomes), as well as levels of dietary greenhouse gas emissions (GHGEs). Design: A longitudinal study 1990–2016 within the...
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Cambridge University Press
2023
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ftdoajarticles:oai:doaj.org/article:2a24d2241daa4d20965089a83686befe 2023-12-10T09:52:10+01:00 Adherence to the Swedish dietary guidelines and the impact on mortality and climate in a population-based cohort study Anna Strid Elinor Hallström Anna Karin Lindroos Bernt Lindahl Ingegerd Johansson Anna Winkvist 2023-11-01T00:00:00Z https://doi.org/10.1017/S1368980023001295 https://doaj.org/article/2a24d2241daa4d20965089a83686befe EN eng Cambridge University Press https://www.cambridge.org/core/product/identifier/S1368980023001295/type/journal_article https://doaj.org/toc/1368-9800 https://doaj.org/toc/1475-2727 doi:10.1017/S1368980023001295 1368-9800 1475-2727 https://doaj.org/article/2a24d2241daa4d20965089a83686befe Public Health Nutrition, Vol 26, Pp 2333-2342 (2023) Food-based dietary guidelines Diet quality Dietary indices Sustainability Sustainable diets Public aspects of medicine RA1-1270 Nutritional diseases. Deficiency diseases RC620-627 article 2023 ftdoajarticles https://doi.org/10.1017/S1368980023001295 2023-11-12T01:39:09Z Abstract Objective: To assess the associations between adherence to the Swedish dietary guidelines and all-cause mortality (i.e. assessing the index’ ability to predict health outcomes), as well as levels of dietary greenhouse gas emissions (GHGEs). Design: A longitudinal study 1990–2016 within the population-based cohort Västerbotten Intervention Programme. Dietary data were based on FFQs. Diet quality was assessed by the Swedish Healthy Eating Index for Adults 2015 (SHEIA15), based on the 2015 Swedish dietary guidelines. Dietary GHGEs were estimated from life cycle assessment data including emissions from farm to industry gate. Hazard ratios (HR) and 95 % CI of all-cause mortality were evaluated with Cox proportional hazards regression, and differences in median GHGEs were tested between quintiles of SHEIA15 score using the Kruskal–Wallis one-way ANOVA test. Setting: Northern Sweden. Participants: In total, 49 124 women and 47 651 men, aged 35–65 years. Results: Median follow-up times were 16·0 years for women and 14·7 years for men, during which time 3074 women and 4212 men died. A consistent trend of lower all-cause mortality HR for both sexes with higher SHEIA15 scores was demonstrated. For women, the all-cause mortality HR was 0·81 ((95 % CI 0·71, 0·92); P = 0·001) and for men 0·90 ((95 % CI 0·81, 0·996); P = 0·041) between the quintile with the highest SHEIA15 score compared with the quintile with the lowest SHEIA15 score. A consistent trend of lower estimated dietary GHGEs among both sexes with higher SHEIA15 scores was also found. Conclusions: Adherence to Swedish dietary guidelines, estimated by SHEIA15, seems to promote longevity and reduce dietary climate impact. Article in Journal/Newspaper Northern Sweden Directory of Open Access Journals: DOAJ Articles Public Health Nutrition 1 10 |
institution |
Open Polar |
collection |
Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English |
topic |
Food-based dietary guidelines Diet quality Dietary indices Sustainability Sustainable diets Public aspects of medicine RA1-1270 Nutritional diseases. Deficiency diseases RC620-627 |
spellingShingle |
Food-based dietary guidelines Diet quality Dietary indices Sustainability Sustainable diets Public aspects of medicine RA1-1270 Nutritional diseases. Deficiency diseases RC620-627 Anna Strid Elinor Hallström Anna Karin Lindroos Bernt Lindahl Ingegerd Johansson Anna Winkvist Adherence to the Swedish dietary guidelines and the impact on mortality and climate in a population-based cohort study |
topic_facet |
Food-based dietary guidelines Diet quality Dietary indices Sustainability Sustainable diets Public aspects of medicine RA1-1270 Nutritional diseases. Deficiency diseases RC620-627 |
description |
Abstract Objective: To assess the associations between adherence to the Swedish dietary guidelines and all-cause mortality (i.e. assessing the index’ ability to predict health outcomes), as well as levels of dietary greenhouse gas emissions (GHGEs). Design: A longitudinal study 1990–2016 within the population-based cohort Västerbotten Intervention Programme. Dietary data were based on FFQs. Diet quality was assessed by the Swedish Healthy Eating Index for Adults 2015 (SHEIA15), based on the 2015 Swedish dietary guidelines. Dietary GHGEs were estimated from life cycle assessment data including emissions from farm to industry gate. Hazard ratios (HR) and 95 % CI of all-cause mortality were evaluated with Cox proportional hazards regression, and differences in median GHGEs were tested between quintiles of SHEIA15 score using the Kruskal–Wallis one-way ANOVA test. Setting: Northern Sweden. Participants: In total, 49 124 women and 47 651 men, aged 35–65 years. Results: Median follow-up times were 16·0 years for women and 14·7 years for men, during which time 3074 women and 4212 men died. A consistent trend of lower all-cause mortality HR for both sexes with higher SHEIA15 scores was demonstrated. For women, the all-cause mortality HR was 0·81 ((95 % CI 0·71, 0·92); P = 0·001) and for men 0·90 ((95 % CI 0·81, 0·996); P = 0·041) between the quintile with the highest SHEIA15 score compared with the quintile with the lowest SHEIA15 score. A consistent trend of lower estimated dietary GHGEs among both sexes with higher SHEIA15 scores was also found. Conclusions: Adherence to Swedish dietary guidelines, estimated by SHEIA15, seems to promote longevity and reduce dietary climate impact. |
format |
Article in Journal/Newspaper |
author |
Anna Strid Elinor Hallström Anna Karin Lindroos Bernt Lindahl Ingegerd Johansson Anna Winkvist |
author_facet |
Anna Strid Elinor Hallström Anna Karin Lindroos Bernt Lindahl Ingegerd Johansson Anna Winkvist |
author_sort |
Anna Strid |
title |
Adherence to the Swedish dietary guidelines and the impact on mortality and climate in a population-based cohort study |
title_short |
Adherence to the Swedish dietary guidelines and the impact on mortality and climate in a population-based cohort study |
title_full |
Adherence to the Swedish dietary guidelines and the impact on mortality and climate in a population-based cohort study |
title_fullStr |
Adherence to the Swedish dietary guidelines and the impact on mortality and climate in a population-based cohort study |
title_full_unstemmed |
Adherence to the Swedish dietary guidelines and the impact on mortality and climate in a population-based cohort study |
title_sort |
adherence to the swedish dietary guidelines and the impact on mortality and climate in a population-based cohort study |
publisher |
Cambridge University Press |
publishDate |
2023 |
url |
https://doi.org/10.1017/S1368980023001295 https://doaj.org/article/2a24d2241daa4d20965089a83686befe |
genre |
Northern Sweden |
genre_facet |
Northern Sweden |
op_source |
Public Health Nutrition, Vol 26, Pp 2333-2342 (2023) |
op_relation |
https://www.cambridge.org/core/product/identifier/S1368980023001295/type/journal_article https://doaj.org/toc/1368-9800 https://doaj.org/toc/1475-2727 doi:10.1017/S1368980023001295 1368-9800 1475-2727 https://doaj.org/article/2a24d2241daa4d20965089a83686befe |
op_doi |
https://doi.org/10.1017/S1368980023001295 |
container_title |
Public Health Nutrition |
container_start_page |
1 |
op_container_end_page |
10 |
_version_ |
1784898169729974272 |