Adherence to the EAT-Lancet diet in midlife and development in weight or waist circumference after five years in a Danish cohort
Purpose: The EAT-Lancet reference diet has been proposed as a healthy dietary pattern to reduce food-related climate impacts, but little is known regarding associations with bodyweight development. This study investigated adherence to the EAT-Lancet diet in midlife and development in weight and wais...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2023-12-01
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| Series: | Dialogues in Health |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2772653323000552 |
| _version_ | 1797401652635893760 |
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| author | Fie Langmann Daniel B. Ibsen Anne Tjønneland Anja Olsen Kim Overvad Christina C. Dahm |
| author_facet | Fie Langmann Daniel B. Ibsen Anne Tjønneland Anja Olsen Kim Overvad Christina C. Dahm |
| author_sort | Fie Langmann |
| collection | DOAJ |
| description | Purpose: The EAT-Lancet reference diet has been proposed as a healthy dietary pattern to reduce food-related climate impacts, but little is known regarding associations with bodyweight development. This study investigated adherence to the EAT-Lancet diet in midlife and development in weight and waist circumference (WC) after five years. Design: The Danish Diet, Cancer and Health cohort recruited participants in 1993–1997. At baseline, data on diet, lifestyle, and anthropometry were collected. Participants self-reported weight and WC five years later. In total, 44,194 participants were included in analyses of weight (43,678 for WC). Baseline adherence to the EAT-Lancet diet was scored 0–14 points. Multiple linear regression was used to estimate associations between the EAT-Lancet diet and development in weight and WC after five years. Poisson regression was used to estimate risk ratios (RR) of obesity (≥30 kg/m2) or elevated WC. Results: Adherence to the EAT-Lancet diet was not associated with follow-up weight, adjusting for baseline weight and confounders (11–14 vs 0–7 points β: -0.08, 95% CI: -0.27, 0.11 kg), but was associated with lower follow-up WC adjusting for baseline WC and confounders (β: -0.38, 95% CI: -0.69, -0.07 cm), and was associated with lower risk of obesity and elevated WC (RR 0.89, 95% CI: 0.82, 0.98, and 0.95, 95% CI: 0.93, 0.96, respectively). Conclusion: Adherence to the EAT-Lancet diet in midlife was associated with lower WC but not weight after five years follow up, taking baseline into account. Our findings suggest that greater adherence to the EAT-Lancet diet does not contribute to development of obesity. |
| first_indexed | 2024-03-09T02:13:10Z |
| format | Article |
| id | doaj.art-dffbe11e62e94878ac606436531b0e7a |
| institution | Directory Open Access Journal |
| issn | 2772-6533 |
| language | English |
| last_indexed | 2024-03-09T02:13:10Z |
| publishDate | 2023-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Dialogues in Health |
| spelling | doaj.art-dffbe11e62e94878ac606436531b0e7a2023-12-07T05:31:29ZengElsevierDialogues in Health2772-65332023-12-013100151Adherence to the EAT-Lancet diet in midlife and development in weight or waist circumference after five years in a Danish cohortFie Langmann0Daniel B. Ibsen1Anne Tjønneland2Anja Olsen3Kim Overvad4Christina C. Dahm5Department of Public Health, Aarhus University, Bartholins Allé 2, 8000 Aarhus, DenmarkDepartment of Public Health, Aarhus University, Bartholins Allé 2, 8000 Aarhus, Denmark; Steno Diabetes Center Aarhus, Aarhus University Hospital, Palle-Juul Jensens Blvd. 11, Entrance A, 8200 Aarhus, Denmark; Department of Nutrition, Exercise and Sports, University of Copenhagen, Nørre Allé 51, 2100 Copenhagen, Denmark.Danish Cancer Society, Strandboulevarden 49, 2100, Copenhagen, Denmark; Department of Public Health, University of Copenhagen, Øster Farimagsgade 5, 1353 Copenhagen, DenmarkDepartment of Public Health, Aarhus University, Bartholins Allé 2, 8000 Aarhus, Denmark; Danish Cancer Society, Strandboulevarden 49, 2100, Copenhagen, DenmarkDepartment of Public Health, Aarhus University, Bartholins Allé 2, 8000 Aarhus, DenmarkDepartment of Public Health, Aarhus University, Bartholins Allé 2, 8000 Aarhus, Denmark; Corresponding author at: Department of Public Health, Aarhus University, Bartholins Allé 2, 8000 Aarhus C, Denmark.Purpose: The EAT-Lancet reference diet has been proposed as a healthy dietary pattern to reduce food-related climate impacts, but little is known regarding associations with bodyweight development. This study investigated adherence to the EAT-Lancet diet in midlife and development in weight and waist circumference (WC) after five years. Design: The Danish Diet, Cancer and Health cohort recruited participants in 1993–1997. At baseline, data on diet, lifestyle, and anthropometry were collected. Participants self-reported weight and WC five years later. In total, 44,194 participants were included in analyses of weight (43,678 for WC). Baseline adherence to the EAT-Lancet diet was scored 0–14 points. Multiple linear regression was used to estimate associations between the EAT-Lancet diet and development in weight and WC after five years. Poisson regression was used to estimate risk ratios (RR) of obesity (≥30 kg/m2) or elevated WC. Results: Adherence to the EAT-Lancet diet was not associated with follow-up weight, adjusting for baseline weight and confounders (11–14 vs 0–7 points β: -0.08, 95% CI: -0.27, 0.11 kg), but was associated with lower follow-up WC adjusting for baseline WC and confounders (β: -0.38, 95% CI: -0.69, -0.07 cm), and was associated with lower risk of obesity and elevated WC (RR 0.89, 95% CI: 0.82, 0.98, and 0.95, 95% CI: 0.93, 0.96, respectively). Conclusion: Adherence to the EAT-Lancet diet in midlife was associated with lower WC but not weight after five years follow up, taking baseline into account. Our findings suggest that greater adherence to the EAT-Lancet diet does not contribute to development of obesity.http://www.sciencedirect.com/science/article/pii/S2772653323000552Cohort studyEpidemiologySustainable dietSustainable dietary patternsWeight changeWaist circumference |
| spellingShingle | Fie Langmann Daniel B. Ibsen Anne Tjønneland Anja Olsen Kim Overvad Christina C. Dahm Adherence to the EAT-Lancet diet in midlife and development in weight or waist circumference after five years in a Danish cohort Dialogues in Health Cohort study Epidemiology Sustainable diet Sustainable dietary patterns Weight change Waist circumference |
| title | Adherence to the EAT-Lancet diet in midlife and development in weight or waist circumference after five years in a Danish cohort |
| title_full | Adherence to the EAT-Lancet diet in midlife and development in weight or waist circumference after five years in a Danish cohort |
| title_fullStr | Adherence to the EAT-Lancet diet in midlife and development in weight or waist circumference after five years in a Danish cohort |
| title_full_unstemmed | Adherence to the EAT-Lancet diet in midlife and development in weight or waist circumference after five years in a Danish cohort |
| title_short | Adherence to the EAT-Lancet diet in midlife and development in weight or waist circumference after five years in a Danish cohort |
| title_sort | adherence to the eat lancet diet in midlife and development in weight or waist circumference after five years in a danish cohort |
| topic | Cohort study Epidemiology Sustainable diet Sustainable dietary patterns Weight change Waist circumference |
| url | http://www.sciencedirect.com/science/article/pii/S2772653323000552 |
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