Association between the EAT-Lancet Diet, Incidence of Cardiovascular Events, and All-Cause Mortality: Results from a Swiss Cohort
Saved in:
| Title: | Association between the EAT-Lancet Diet, Incidence of Cardiovascular Events, and All-Cause Mortality: Results from a Swiss Cohort |
|---|---|
| Authors: | Martins, L.B., Gamba, M., Stubbendorff, A., Gasser, N., Löbl, L., Stern, F., Ericson, U., Marques-Vidal, P., Vuilleumier, S., Chatelan, A. |
| Source: | The Journal of nutrition, vol. 155, no. 2, pp. 483-491 |
| Publisher Information: | Elsevier BV, 2025. |
| Publication Year: | 2025 |
| Subject Terms: | Male, Adult, Cardiometabolic Health, EAT-Lancet Diet, Incidence, Middle Aged, Cardiovascular disease, Diet, Cohort Studies, Cardiovascular Diseases, Humans, Cardiovascular Diseases/mortality, Switzerland/epidemiology, Female, Prospective Studies, Aged, Diet, Healthy, EAT-Lancet diet, cardiometabolic health, cardiovascular disease, mortality, nutrition, sustainable diets, Sustainable Diets, Mortality, Switzerland, Nutrition |
| Description: | Background An unhealthy diet is a major contributor to several noncommunicable diseases, including cardiovascular diseases (CVD), the leading cause of death worldwide. Additionally, our food system has significant impacts on the environment. The EAT-Lancet Commission has recommended a healthy diet that preserves global environmental resources.Objective This prospective study evaluated the associations between adherence to the EAT-Lancet diet and the incidence of cardiovascular events and all-cause mortality in a Swiss cohort.Methods We analyzed data from the CoLaus|PsyCoLaus cohort study (n = 3,866). Dietary intake was assessed using a semiquantitative food frequency questionnaire. The EAT-Lancet adherence score was calculated based on the recommended intake and reference intervals of 12 food components, ranging from 0 to 39 points. Participants were categorized into low-, medium-, and high-adherence groups according to score tertiles. We used Cox Proportional Hazards regressions to assess the association between diet adherence, incident cardiovascular events and all-cause mortality.Results During a mean follow-up of 7.9 years (SD, ±2.0), 294 individuals (7.6%) from our initial sample experienced a first cardiovascular event, and 264 (6.8%) died. Compared with the low-adherence group, the adjusted hazard ratios for all-cause mortality were 0.88 (95% CI: 0.66-1.17) and 0.70 (95% CI: 0.49-0.98) for the medium- and high-adherence groups, respectively (p for trend = 0.04). We observed no association between adherence groups and cardiovascular events.Conclusions In a Swiss cohort, high adherence to the EAT-Lancet diet was associated with a potential 30% lower risk of overall mortality. However, no association was found between the EAT-Lancet diet and cardiovascular events. |
| Document Type: | Article Other literature type |
| File Description: | application/pdf |
| Language: | English |
| ISSN: | 0022-3166 |
| DOI: | 10.1016/j.tjnut.2024.12.012 |
| DOI: | 10.48620/78859 |
| Access URL: | https://pubmed.ncbi.nlm.nih.gov/39742968 https://serval.unil.ch/notice/serval:BIB_09BBDCA475AA https://serval.unil.ch/resource/serval:BIB_09BBDCA475AA.P001/REF.pdf http://nbn-resolving.org/urn/resolver.pl?urn=urn:nbn:ch:serval-BIB_09BBDCA475AA9 |
| Rights: | CC BY |
| Accession Number: | edsair.doi.dedup.....4413271b9af8b76724a47ba5f6d0a844 |
| Database: | OpenAIRE |
Nájsť tento článok vo Web of Science | Abstract: | Background An unhealthy diet is a major contributor to several noncommunicable diseases, including cardiovascular diseases (CVD), the leading cause of death worldwide. Additionally, our food system has significant impacts on the environment. The EAT-Lancet Commission has recommended a healthy diet that preserves global environmental resources.Objective This prospective study evaluated the associations between adherence to the EAT-Lancet diet and the incidence of cardiovascular events and all-cause mortality in a Swiss cohort.Methods We analyzed data from the CoLaus|PsyCoLaus cohort study (n = 3,866). Dietary intake was assessed using a semiquantitative food frequency questionnaire. The EAT-Lancet adherence score was calculated based on the recommended intake and reference intervals of 12 food components, ranging from 0 to 39 points. Participants were categorized into low-, medium-, and high-adherence groups according to score tertiles. We used Cox Proportional Hazards regressions to assess the association between diet adherence, incident cardiovascular events and all-cause mortality.Results During a mean follow-up of 7.9 years (SD, ±2.0), 294 individuals (7.6%) from our initial sample experienced a first cardiovascular event, and 264 (6.8%) died. Compared with the low-adherence group, the adjusted hazard ratios for all-cause mortality were 0.88 (95% CI: 0.66-1.17) and 0.70 (95% CI: 0.49-0.98) for the medium- and high-adherence groups, respectively (p for trend = 0.04). We observed no association between adherence groups and cardiovascular events.Conclusions In a Swiss cohort, high adherence to the EAT-Lancet diet was associated with a potential 30% lower risk of overall mortality. However, no association was found between the EAT-Lancet diet and cardiovascular events. |
|---|---|
| ISSN: | 00223166 |
| DOI: | 10.1016/j.tjnut.2024.12.012 |