BACKGROUND: Although diet is related to chronic disease risk and mortality, its association with total disease burden is not clear. OBJECTIVE: We investigated the minimum impact of different dietary patterns on disability-adjusted life years (DALYs) by using individual longitudinal data. DESIGN: A prospective cohort study was conducted in 33,066 healthy men and women aged 20-70 y recruited into the European Prospective Investigation into Cancer and Nutrition-Netherlands study during 1993-1997. We measured adherence to 3 a priori dietary patterns [the modified Mediterranean diet score (mMDS), the WHO-based Healthy Diet Indicator, and the Dutch Healthy Diet index] and 2 a posteriori dietary patterns. Two a posteriori methods were used to extract Western and prudent patterns. Participants were followed until the end of 2007 for the occurrence of and mortality from the most important chronic diseases. The disease burden was expressed in DALYs, which are the sum of Years Lost due to Disability and Years of Life Lost because of premature mortality. The associations between dietary patterns (per SD change in score) and DALYs were estimated by using a 2-part model and adjusted for relevant confounders (sex, age at recruitment, smoking status and intensity, educational level, marital status, job status, energy intake, and physical activity). RESULTS: After an average follow-up of 12.4 y, higher adherence to the mMDS or prudent pattern was most strongly associated with healthy survival; per SD higher adherence to the mMDS or prudent pattern, fewer healthy life years were lost [51 d (-0.14 DALYs; 95% CI: -0.21, -0.08 DALYs) and 58 d (-0.16 DALYs; 95% CI: -0.23, -0.09 DALYs), respectively]. CONCLUSION: In this Dutch study, of various dietary patterns evaluated, higher adherence to the mMDS or prudent dietary pattern was associated with a lower disease burden as assessed by DALYs.
BACKGROUND: Although diet is related to chronic disease risk and mortality, its association with total disease burden is not clear. OBJECTIVE: We investigated the minimum impact of different dietary patterns on disability-adjusted life years (DALYs) by using individual longitudinal data. DESIGN: A prospective cohort study was conducted in 33,066 healthy men and women aged 20-70 y recruited into the European Prospective Investigation into Cancer and Nutrition-Netherlands study during 1993-1997. We measured adherence to 3 a priori dietary patterns [the modified Mediterranean diet score (mMDS), the WHO-based Healthy Diet Indicator, and the Dutch Healthy Diet index] and 2 a posteriori dietary patterns. Two a posteriori methods were used to extract Western and prudent patterns. Participants were followed until the end of 2007 for the occurrence of and mortality from the most important chronic diseases. The disease burden was expressed in DALYs, which are the sum of Years Lost due to Disability and Years of Life Lost because of premature mortality. The associations between dietary patterns (per SD change in score) and DALYs were estimated by using a 2-part model and adjusted for relevant confounders (sex, age at recruitment, smoking status and intensity, educational level, marital status, job status, energy intake, and physical activity). RESULTS: After an average follow-up of 12.4 y, higher adherence to the mMDS or prudent pattern was most strongly associated with healthy survival; per SD higher adherence to the mMDS or prudent pattern, fewer healthy life years were lost [51 d (-0.14 DALYs; 95% CI: -0.21, -0.08 DALYs) and 58 d (-0.16 DALYs; 95% CI: -0.23, -0.09 DALYs), respectively]. CONCLUSION: In this Dutch study, of various dietary patterns evaluated, higher adherence to the mMDS or prudent dietary pattern was associated with a lower disease burden as assessed by DALYs.
Authors: Anne M May; Ellen A Struijk; Heidi P Fransen; N Charlotte Onland-Moret; G Ardine de Wit; Jolanda M A Boer; Yvonne T van der Schouw; Jeljer Hoekstra; H Bas Bueno-de-Mesquita; Petra H M Peeters; Joline W J Beulens Journal: BMC Med Date: 2015-02-27 Impact factor: 8.775
Authors: Hanna Lagström; Sari Stenholm; Tasnime Akbaraly; Jaana Pentti; Jussi Vahtera; Mika Kivimäki; Jenny Head Journal: Am J Clin Nutr Date: 2020-04-01 Impact factor: 7.045
Authors: Laural K English; Jamy D Ard; Regan L Bailey; Marlana Bates; Lydia A Bazzano; Carol J Boushey; Clarissa Brown; Gisela Butera; Emily H Callahan; Janet de Jesus; Richard D Mattes; Elizabeth J Mayer-Davis; Rachel Novotny; Julie E Obbagy; Elizabeth B Rahavi; Joan Sabate; Linda G Snetselaar; Eve E Stoody; Linda V Van Horn; Sudha Venkatramanan; Steven B Heymsfield Journal: JAMA Netw Open Date: 2021-08-02
Authors: Sander Biesbroek; W M Monique Verschuren; Jolanda M A Boer; Mirjam E van de Kamp; Yvonne T van der Schouw; Anouk Geelen; Moniek Looman; Elisabeth H M Temme Journal: Br J Nutr Date: 2017-08-03 Impact factor: 3.718