Adherence to the Swedish dietary guidelines and the impact on mortality and climate in a population-based cohort study
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 populatio...
Published in: | Public Health Nutrition |
---|---|
Main Authors: | , , , , , |
Format: | Text |
Language: | English |
Published: |
Cambridge University Press
2023
|
Subjects: | |
Online Access: | http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10641615/ http://www.ncbi.nlm.nih.gov/pubmed/37395057 https://doi.org/10.1017/S1368980023001295 |
id |
ftpubmed:oai:pubmedcentral.nih.gov:10641615 |
---|---|
record_format |
openpolar |
spelling |
ftpubmed:oai:pubmedcentral.nih.gov:10641615 2024-01-14T10:09:27+01:00 Adherence to the Swedish dietary guidelines and the impact on mortality and climate in a population-based cohort study Strid, Anna Hallström, Elinor Lindroos, Anna Karin Lindahl, Bernt Johansson, Ingegerd Winkvist, Anna 2023-11 http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10641615/ http://www.ncbi.nlm.nih.gov/pubmed/37395057 https://doi.org/10.1017/S1368980023001295 en eng Cambridge University Press http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10641615/ http://www.ncbi.nlm.nih.gov/pubmed/37395057 http://dx.doi.org/10.1017/S1368980023001295 © The Authors 2023 https://creativecommons.org/licenses/by/4.0/This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited. Public Health Nutr Research Paper Text 2023 ftpubmed https://doi.org/10.1017/S1368980023001295 2023-12-17T01:45:52Z 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. Text Northern Sweden PubMed Central (PMC) Public Health Nutrition 26 11 2333 2342 |
institution |
Open Polar |
collection |
PubMed Central (PMC) |
op_collection_id |
ftpubmed |
language |
English |
topic |
Research Paper |
spellingShingle |
Research Paper Strid, Anna Hallström, Elinor Lindroos, Anna Karin Lindahl, Bernt Johansson, Ingegerd Winkvist, Anna Adherence to the Swedish dietary guidelines and the impact on mortality and climate in a population-based cohort study |
topic_facet |
Research Paper |
description |
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 |
Text |
author |
Strid, Anna Hallström, Elinor Lindroos, Anna Karin Lindahl, Bernt Johansson, Ingegerd Winkvist, Anna |
author_facet |
Strid, Anna Hallström, Elinor Lindroos, Anna Karin Lindahl, Bernt Johansson, Ingegerd Winkvist, Anna |
author_sort |
Strid, Anna |
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 |
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10641615/ http://www.ncbi.nlm.nih.gov/pubmed/37395057 https://doi.org/10.1017/S1368980023001295 |
genre |
Northern Sweden |
genre_facet |
Northern Sweden |
op_source |
Public Health Nutr |
op_relation |
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10641615/ http://www.ncbi.nlm.nih.gov/pubmed/37395057 http://dx.doi.org/10.1017/S1368980023001295 |
op_rights |
© The Authors 2023 https://creativecommons.org/licenses/by/4.0/This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited. |
op_doi |
https://doi.org/10.1017/S1368980023001295 |
container_title |
Public Health Nutrition |
container_volume |
26 |
container_issue |
11 |
container_start_page |
2333 |
op_container_end_page |
2342 |
_version_ |
1788063964475686912 |