ArticleBMJ open2011
Differences in coronary heart disease, stroke and cancer mortality rates between England, Wales, Scotland and Northern Ireland: the role of diet and nutrition.
Article in BMJ open, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 5 of them syntheses that pooled it.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
35 citing papers in PubMed, 5 syntheses or guidelines pooled it, 72 citations in OpenAlex.
- Effects of a gluten-reduced or gluten-free diet for the primary prevention of cardiovascular disease.The Cochrane database of systematic reviews · 2022Pooled it
- Association of vitamin K with cardiovascular events and all-cause mortality: a systematic review and meta-analysis.European journal of nutrition · 2019Pooled it
- Nut consumption for the primary prevention of cardiovascular disease.The Cochrane database of systematic reviews · 2015Pooled it
- Vitamin K for the primary prevention of cardiovascular disease.The Cochrane database of systematic reviews · 2015Pooled it
- Increased consumption of fruit and vegetables for the primary prevention of cardiovascular diseases.The Cochrane database of systematic reviews · 2013Pooled it
- Spinal pain prevalence and associated determinants: A population-based study using the National Survey for Wales.Physiological reports · 2024Article
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- Estimating the dietary and health impact of implementing front-of-pack nutrition labeling in Canada: A macrosimulation modeling study.Frontiers in nutrition · 2023Article
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- Estimating the impact of achieving Turkey's non-communicable disease policy targets: A macro-simulation modelling study.The Lancet regional health. Europe · 2021Article
- A comparison of the modelled impacts on CVD mortality if attainment of public health recommendations was achieved in metropolitan and rural Australia.Public health nutrition · 2020Article
- Modelling the Effect of Compliance with Nordic Nutrition Recommendations on Cardiovascular Disease and Cancer Mortality in the Nordic Countries.Nutrients · 2019Article
- Prevention of Cardiovascular Disease and Cancer Mortality by Achieving Healthy Dietary Goals for the Swedish Population: A Macro-Simulation Modelling Study.International journal of environmental research and public health · 2019Article
- A cross-sectional investigation into the occupational and socio-demographic characteristics of British police force employees reporting a dietary pattern associated with cardiometabolic risk: findings from the Airwave Health Monitoring Study.European journal of nutrition · 2018Article
- Time to address the double inequality of differences in dietary intake between Scotland and England.The British journal of nutrition · 2018Article
- Associations between dietary risk factors and ischemic stroke: a comparison of regression methods using data from the Multi-Ethnic Study of Atherosclerosis.Epidemiology and health · 2018Article
- Risk factors of acute ischemic stroke in patients presented to Beni-Suef University Hospital: prevalence and relation to stroke severity at presentation.The Egyptian journal of neurology, psychiatry and neurosurgery · 2018Article
- Article
- Identifying dietary differences between Scotland and England: a rapid review of the literature.Public health nutrition · 2017Review
- Article
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Introduction It is unclear how much of the geographical variation in coronary heart disease (CHD), stroke and cancer mortality rates within the UK is associated with diet. The aim of this study is to estimate how many deaths from CHD, stroke and cancer would be delayed or averted if Wales, Scotland and Northern Ireland adopted a diet equivalent in nutritional quality to the English diet. Methods Mortality data for CHD, stroke and 10 diet-related cancers for 2007-2009 were used to calculate the mortality gap (the difference between actual mortality and English mortality rates) for Wales, Scotland and Northern Ireland. Estimates of mean national consumption of 10 dietary factors were used as baseline and counterfactual inputs in a macrosimulation model (DIETRON). An uncertainty analysis was conducted using a Monte Carlo simulation with 5000 iterations. Results The mortality gap in the modelled scenario (achieving the English diet) was reduced by 81% (95% credible intervals: 62% to 108%) for Wales, 40% (33% to 51%) for Scotland and 81% (67% to 99%) for Northern Ireland, equating to approximately 3700 deaths delayed or averted annually. For CHD only, the mortality gap was reduced by 88% (69% to 118%) for Wales, 58% (47% to 72%) for Scotland, and 88% (70% to 111%) for Northern Ireland. Conclusion Improving the average diet in Wales, Scotland and Northern Ireland to a level already achieved in England could have a substantial impact on reducing geographical variations in chronic disease mortality rates in the UK. Much of the mortality gap between Scotland and England is explained by non-dietary risk factors.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.