Association between the EAT-Lancet Diet, Incidence of Cardiovascular Events, and All-cause Mortality : Results from a Swiss Cohort
Martins, Laís Bhering ; Gamba, Magda ; Stubbendorff, Anna LU
; Gasser, Nathalie
; Löbl, Laura
; Stern, Florian
; Ericson, Ulrika
LU
; Marques-Vidal, Pedro
; Vuilleumier, Séverine
and Chatelan, Angeline
(2024)
In The Journal of nutrition
- 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... (More)
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.
(Less)
- author
- Martins, Laís Bhering
; Gamba, Magda
; Stubbendorff, Anna
LU
; Gasser, Nathalie
; Löbl, Laura
; Stern, Florian
; Ericson, Ulrika
LU
; Marques-Vidal, Pedro
; Vuilleumier, Séverine
and Chatelan, Angeline
- organization
- publishing date
- 2024-12-30
- type
- Contribution to journal
- publication status
- epub
- subject
- in
- The Journal of nutrition
- publisher
- Oxford University Press
- external identifiers
-
- pmid:39742968
- scopus:85215563589
- ISSN
- 1541-6100
- DOI
- 10.1016/j.tjnut.2024.12.012
- language
- English
- LU publication?
- yes
- additional info
- Copyright © 2024. Published by Elsevier Inc.
- id
- 56ae5760-dd79-4f1b-bd8d-55a11803fc44
- date added to LUP
- 2025-01-04 11:00:43
- date last changed
- 2025-07-17 11:25:11
@article{56ae5760-dd79-4f1b-bd8d-55a11803fc44,
abstract = {{<p>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.</p><p>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.</p><p>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.</p><p>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.</p><p>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.</p>}},
author = {{Martins, Laís Bhering and Gamba, Magda and Stubbendorff, Anna and Gasser, Nathalie and Löbl, Laura and Stern, Florian and Ericson, Ulrika and Marques-Vidal, Pedro and Vuilleumier, Séverine and Chatelan, Angeline}},
issn = {{1541-6100}},
language = {{eng}},
month = {{12}},
publisher = {{Oxford University Press}},
series = {{The Journal of nutrition}},
title = {{Association between the EAT-Lancet Diet, Incidence of Cardiovascular Events, and All-cause Mortality : Results from a Swiss Cohort}},
url = {{http://dx.doi.org/10.1016/j.tjnut.2024.12.012}},
doi = {{10.1016/j.tjnut.2024.12.012}},
year = {{2024}},
}