Adherence to the EAT-Lancet Planetary Health Diet in Portugal and its associations with socioeconomic and lifestyle factors DOI Creative Commons
Catarina Carvalho, Daniela Correia, Carla Lopes

et al.

European Journal of Nutrition, Journal Year: 2025, Volume and Issue: 64(4)

Published: April 9, 2025

Abstract Purpose The Planetary Health Diet (PHDiet) proposed by the EAT-Lancet Commission is expected to bear health and environmental benefits. This study assesses adherence PHDiet in Portuguese adults its associations with socioeconomic lifestyle factors. For that, an adapted score was computed, construct validated. Methods Data from National Food Physical Activity Survey 2015–2016 were used for this analysis, covering a representative sample of 3852 two non-consecutive dietary interviews (8–15 days apart). Adherence measured through (ranging 0 140), afterwards divided into terciles (T1–T3). Multinomial regression models (i) assess validity diet quality based on WHO recommendations impact using greenhouse gas emissions (GHGE) land use (LU); (ii) investigate between characteristics. prevalence consumption components above/below estimated. Results generally low (36.0, 95% CI 35.4–36.6), high meat added sugars pulses, nuts, whole grains. Higher scores found diets lower (GHGE: OR T1vsT3 :1.31; 1.26; 1.37; LU: :1.25; 1.21; 1.29), animal protein intake levels (OR :1.11; 1.06; 1.16) higher :0.70; 0.68; 0.72), verifying validity. Men :1.32; 1.12; 1.55), intermediate-educated individuals :1.43; 1.16; 1.75), those facing food insecurity :1.79; 1.36; 2.38) had odds having scores. Conclusion Low associated several highlights need implement targeted public policies that encourage shifts towards healthier more sustainable pattern.

Language: Английский

Planetary Health Diet Index and risk of total and cause-specific mortality in three prospective cohorts DOI
Linh Bui, Tung Pham Thanh, Fenglei Wang

et al.

American Journal of Clinical Nutrition, Journal Year: 2024, Volume and Issue: 120(1), P. 80 - 91

Published: June 12, 2024

Language: Английский

Citations

35
Adherence to the EAT-Lancet reference diet is associated with a reduced risk of incident cancer and all-cause mortality in UK adults DOI Creative Commons
Nena Karavasiloglou, Alysha S. Thompson, Giulia Pestoni

et al.

One Earth, Journal Year: 2023, Volume and Issue: 6(12), P. 1726 - 1734

Published: Nov. 21, 2023

Food systems have been identified as significant contributors to the global environmental emergency. However, there is no universally agreed-upon definition of what constitutes a planetary healthy, sustainable diet. In our study, we investigated association between EAT-Lancet reference diet, diet within boundaries, and incident cancer, major cardiovascular events, all-cause mortality. Higher adherence was associated with lower cancer risk (hazard ratio [HR]continuous: 0.99; 95% confidence interval [CI]: 0.98–0.99]) mortality (HR continuous: 0.98; CI: 0.98–0.99), while mostly null associations were detected for event 1.00; 0.98–1.01). Stratified analyses using potentially modifiable factors led similar results. Our findings, in conjunction existing literature, support that adoption could benefit prevention non-communicable diseases.

Language: Английский

Citations

28
The EAT-Lancet Diet Index, Plasma Proteins, and Risk of Heart Failure in a Population-Based Cohort DOI Creative Commons
Shunming Zhang,

Ida Marken,

Anna Stubbendorff

et al.

JACC Heart Failure, Journal Year: 2024, Volume and Issue: 12(7), P. 1197 - 1208

Published: April 3, 2024

The landmark EAT-Lancet Commission proposed that a planetary health diet is comprised mainly of plant-based foods. However, studies examining whether this associated with heart failure (HF) are currently lacking. In addition, the potential proteomics mechanism on association between and HF warrants further elucidation. This study aims to both examine index risk identify plasma proteins underlying such an association. prospective cohort included 23,260 participants. cases during follow-up were identified through Swedish national register. An (score range: 0-42) was created assess adherence reference diet. subcohort (n = 4,742), fasting quantified. During median 25.0 years, 1,768 incident documented. After adjusting for sociodemographic, lifestyle, diabetes, hypertension, use lipid-lowering drugs, body mass index, HR per 3-point increase 0.93 (95% CI: 0.88-0.97). robust in several sensitivity analyses. Among 136 proteins, total 8 (AM, GDF15, IL6, TIM, CTSD, CCL20, FS, FUR) inversely positively HF; overall proteomic score mediated 9.4% 2.2%-32.1%) Higher lower HF. eight provide information pathways mediating

Language: Английский

Citations

16
Planetary health diet and cardiovascular disease: results from three large prospective cohort studies in the USA DOI Creative Commons
Caleigh M Sawicki,

G. Ramesh,

Linh Bui

et al.

The Lancet Planetary Health, Journal Year: 2024, Volume and Issue: 8(9), P. e666 - e674

Published: Sept. 1, 2024

Language: Английский

Citations

11
Association between planetary health diet and cardiovascular disease: a prospective study from the UK Biobank DOI Creative Commons
Mercedes Sotos‐Prieto, Rosario Ortolá, Javier Maroto-Rodríguez

et al.

European Journal of Preventive Cardiology, Journal Year: 2024, Volume and Issue: unknown

Published: Aug. 29, 2024

Abstract Aims The Planetary Health Diet Index (PHDI) prioritizes the well-being of both individuals and planet but has yielded mixed results on cardiovascular disease (CVD). aim this study was to assess association between PHDI risk CVD. Methods A cohort 118 469 aged 40–69 years from UK Biobank, who were free CVD at 2009–12 followed up 2021. calculated using least two 24-h dietary assessments included 14 food groups, with a possible range 0 130 points. Cardiovascular incidence defined as primary myocardial infarction or stroke obtained clinical records death registries. During 9.4-year follow-up, 5257 incident cases ascertained. When comparing highest (89.9–128.5 points) vs. lowest (21.1–71.1 quartile adherence, multivariable-adjusted hazard ratio [95% confidence interval (CI)] 0.86 (0.79, 0.94) for CVD, 0.88 (0.80, 0.97) infarction, 0.82 (0.70, stroke. linear until plateau effect reached 80 points adherence PHDI. Results remained robust when excluding participants type 2 diabetes, including only those three more diet assessments, in first 3 follow-up. group components strongly associated reduced higher consumption whole grains, fruits, fish lower added sugars fruit juices. Conclusion In large middle-aged older British adults, These provide empirical evidence that pattern, thought be environmentally sustainable, benefits health.

Language: Английский

Citations

9
Examining the link between adherence to the planetary health diet pattern and mortality in the us: a prospective cohort study DOI
Shaojie Han, Chao Yan,

Zenghui Zhang

et al.

European Journal of Nutrition, Journal Year: 2025, Volume and Issue: 64(2)

Published: Feb. 1, 2025

Language: Английский

Citations

1
Temporal trends in the planetary health diet index and its association with cardiovascular, kidney, and metabolic diseases: A comprehensive analysis from global and individual perspectives DOI Creative Commons
Haoxian Tang, Xuan Zhang, Nan Luo

et al.

The journal of nutrition health & aging, Journal Year: 2025, Volume and Issue: 29(5), P. 100520 - 100520

Published: Feb. 21, 2025

Diet plays a critical role in human health and environmental sustainability, particularly cardiovascular, kidney, metabolic (CKM) diseases. However, the variations Planetary Health Index (PHDI) across populations, regions, over time, as well its association with CKM disease burdens, remain insufficiently explored. We assessed PHDI scores using data from 185 countries (1990-2018) Global Dietary Database, examining demographic characteristics temporal trends. The Burden of Disease Study was used to evaluate associations between including incidence, prevalence, mortality, disability-adjusted life years. syndrome defined by American Heart Association. Individual-level National Nutrition Examination Survey (NHANES) were also assess impact on risks mortality. From 1990 2018, while overall remained relatively stable sexes, composition shifted different age groups. In mean score 42.80 (95% uncertainty interval [UI] 42.49-46.50) for males 44.65 UI 44.53-47.82) females. Higher observed among females, older adults, urban residents, individuals higher education, those South Asia. Globally, consumption red/processed meat, saturated oils/trans fats, added sugars substantially exceeded EAT-Lancet Commission's reference values. generally associated lower although these varied subtype. individual-level analysis, 45,460 NHANES participants (weighted age: 47.21 years, 51.4% female), each 10-point increase linked 13.7% reduction stage 3/4 risk, an 11.1% 4 incidences mortality rates cardiovascular diseases, chronic kidney disease. significant changes occurred components PHDI, notable demographics region. may reduce warranting further investigation into specific subtypes.

Language: Английский

Citations

1
The Role of the Planetary Diet in Managing Metabolic Syndrome and Cardiovascular Disease: A Narrative Review DOI Open Access
Aleksandra Muszalska,

Julia Wiecanowska,

Joanna Michałowska

et al.

Nutrients, Journal Year: 2025, Volume and Issue: 17(5), P. 862 - 862

Published: Feb. 28, 2025

Introduction: The planetary health diet, introduced by the EAT-Lancet Commission, aims to address global and sustainability challenges promoting a plant-based diet with reduced consumption of animal-sourced foods. This not only contributes environmental but also offers significant benefits, including prevention management abdominal obesity, carbohydrate metabolism disorders, dyslipidemia, elevated blood pressure. These metabolic disorders are components syndrome, cluster risk factors for cardiovascular disease. Objectives: narrative review gather most recent findings on impact individual syndrome treatment Methods: available research topic was identified via searches in PubMed, Scopus, Google Scholar. Results: Abdominal major factor range chronic diseases, can be effectively mitigated adhering dietary patterns, which have been shown reduce waist circumference improve overall cardiometabolic health. Furthermore, plays crucial role reducing type-2 diabetes improving glycemic control, specific such as whole grains fiber, demonstrating positive effects glucose levels. is additionally associated favorable lipid profiles, lower levels LDL cholesterol total cholesterol, critical atherosclerosis diseases. Conclusions: multiple benefits highlight that may an effective strategy managing preventing However, further needed confirm its long-term efficacy applicability across diverse populations.

Language: Английский

Citations

1
The EAT-Lancet diet, genetic susceptibility and risk of atrial fibrillation in a population-based cohort DOI Creative Commons
Shunming Zhang, Anna Stubbendorff, Ulrika Ericson

et al.

BMC Medicine, Journal Year: 2023, Volume and Issue: 21(1)

Published: July 28, 2023

Abstract Background The EAT-Lancet Commission proposed a global reference diet with both human health benefits and environmental sustainability in 2019. However, evidence regarding the association of such risk atrial fibrillation (AF) is lacking. In addition, whether genetic AF can modify effect on remains unclear. This study aimed to assess incident examine interaction between susceptibility AF. Methods prospective included 24,713 Swedish adults who were free AF, coronary events, stroke at baseline. Dietary habits estimated modified history method, an index was constructed measure diet. A weighted score using 134 variants associated Cox proportional hazards regression models applied estimate hazard ratio (HR) 95% confidence interval (CI). Results During median follow-up 22.9 years, 4617 (18.7%) participants diagnosed multivariable HR (95% CI) for highest versus lowest group 0.84 (0.73, 0.98) ( P trend < 0.01). per one SD increment high 0.92 (0.87, = 0.15). Conclusions Greater adherence significantly lower Such tended be stronger higher risk, though gene-diet not significant.

Language: Английский

Citations

21
Adherence to a planetary health diet, genetic susceptibility, and incident cardiovascular disease: a prospective cohort study from the UK Biobank DOI
Yi‐Xiang Ye,

Jun-Xiang Chen,

Yue Li

et al.

American Journal of Clinical Nutrition, Journal Year: 2024, Volume and Issue: 120(3), P. 648 - 655

Published: June 29, 2024

Language: Английский

Citations

7