Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Toward a More Climate-Sustainable Diet: Possible Deleterious Impacts on Health When Diet Quality Is Ignored
University of Gothenburg, Sweden.
Umeå University, Sweden.
Umeå University, Sweden.
RISE Research Institutes of Sweden, Bioeconomy and Health, Agriculture and Food.ORCID iD: 0000-0002-0522-3591
Show others and affiliations
2023 (English)In: Journal of Nutrition, ISSN 0022-3166, E-ISSN 1541-6100, Vol. 153, no 1, p. 242-252Article in journal (Refereed) Published
Abstract [en]

Background Nutritional quality, and health and climate impacts are important considerations in the design of sustainable diets. Objectives To investigate the association between diets varying in nutrient density and climate impact and MI and stroke HRs. Methods Dietary data of 41,194 women and 39,141 men (35–65 y) who participated in a Swedish population-based cohort study were employed. Nutrient density was calculated using the Sweden-adapted Nutrient Rich Foods 11.3 index. Dietary climate impact was calculated with data from life cycle assessments, including greenhouse gas emissions from primary production to industry gate. HRs and 95% CIs for MI and stroke were assessed with multivariable Cox proportional hazards regression, comparing a least-desirable diet scenario reference group (lower nutrient density, higher climate impact) with three diet groups that varied with respect to higher/lower nutrient density and higher/lower climate impact. Results Median follow-up time from the baseline study visit to MI or stroke diagnosis was 15.7 y for women and 12.8 y for men. The MI hazard was significantly higher for the men with diets of lower nutrient density and lower climate impact (HR: 1.19; 95% CI: 1.06, 1.33; P = 0.004), compared with the reference group. No significant association with MI was observed for any of the diet groups of women. No significant association with stroke was observed among any of the diet groups of women or men. Conclusions The results among men suggest some adverse health effects for men when diet quality is not considered in the pursuit of more climate-sustainable diets. For women, no significant associations were detected. The mechanism underlying this association for men needs further investigation.

Place, publisher, year, edition, pages
2023. Vol. 153, no 1, p. 242-252
Keywords [en]
carbon dioxide equivalents, cardiovascular disease, climate impact, diet quality, food frequency questionnaire, myocardial infarction, nutrient density, NRF index, nutrient profiling, stroke
National Category
Nutrition and Dietetics
Identifiers
URN: urn:nbn:se:ri:diva-62450DOI: 10.1016/j.tjnut.2022.10.004OAI: oai:DiVA.org:ri-62450DiVA, id: diva2:1729999
Note

The Northern Sweden Diet Database was supported by the Swedish Research Council for Health, Working Life and Welfare and the Swedish Research Council. The current project was supported by a grant from the Swedish Research Council for Environment, Agricultural Sciences and Spatial Planning (For-mas, grant number: FR-2019/0007 to AW).

Available from: 2023-01-23 Created: 2023-01-23 Last updated: 2024-04-10Bibliographically approved

Open Access in DiVA

No full text in DiVA

Other links

Publisher's full text

Authority records

Hallström, Elinor

Search in DiVA

By author/editor
Hallström, Elinor
By organisation
Agriculture and Food
In the same journal
Journal of Nutrition
Nutrition and Dietetics

Search outside of DiVA

GoogleGoogle Scholar

doi
urn-nbn

Altmetric score

doi
urn-nbn
Total: 14 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf