ArticleEuropean journal of epidemiology2019
Intake of 12 food groups and disability-adjusted life years from coronary heart disease, stroke, type 2 diabetes, and colorectal cancer in 16 European countries.
Article in European journal of epidemiology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 3 of them syntheses that pooled it.
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Who cites it
36 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Heterogeneity in diet-related non-communicable disease risks in a Chinese population.European journal of nutrition · 2024Pooled it
- Protein intake and type 2 diabetes mellitus: an umbrella review of systematic reviews for the evidence-based guideline for protein intake of the German Nutrition Society.European journal of nutrition · 2024Pooled it
- An Empirical Evaluation of the Impact Scenario of Pooling Bodies of Evidence from Randomized Controlled Trials and Cohort Studies in Nutrition Research.Advances in nutrition (Bethesda, Md.) · 2022Pooled it
- An overview of international reference values for vitamin E intake - similarities and differences in derivation.European journal of nutrition · 2026Review
- The intersection of colorectal cancer and cardiovascular disease: shared mechanisms and clinical implications.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026Review
- Preferences and recommendations from content creators on carnivore diets: a social media analysis.Journal of health, population, and nutrition · 2026Article
- Carnivore Diet: A Scoping Review of the Current Evidence, Potential Benefits and Risks.Nutrients · 2026Article
- Reducing disease burden through sustainable diets: a modeling approach for national food-based dietary guidelines.Frontiers in nutrition · 2026Article
- Contextual factors in the surveillance of non-communicable diseases (NCD) in Germany: political, social and environmental indicators.Journal of health monitoring · 2026Article
- Investigations of a multi-objective diet optimization model including human health, environment, and observed dietary intake.Food & nutrition research · 2026Article
- A path to sustainable and healthy diets: modeling ovo-lacto-vegetarian food-based dietary guidelines.Frontiers in nutrition · 2026Article
- Non-communicable disease burden through adhering to Dutch dietary guidelines: a modeling study to estimate future reductions.EClinicalMedicine · 2025Article
- Article
- Dapagliflozin and sacubitril on myocardial microperfusion in patients with post-acute myocardial infarction heart failure and type 2 diabetes.World journal of clinical cases · 2024Article
- Environmental sustainability of diets among children and adolescents in the German DONALD cohort study: age and time trends, and nutrient adequacy.The American journal of clinical nutrition · 2024Article
- Evaluating agreement between evidence from randomised controlled trials and cohort studies in nutrition: a meta-research replication study.European journal of epidemiology · 2024Article
- Association between plasma trimethylamine N-oxide and cerebral white matter hyperintensity: a cross-sectional study.Frontiers in aging neuroscience · 2024Article
- Oxidative balance score: a potential tool for reducing the risk of colorectal cancer and its subsites incidences.Frontiers in endocrinology · 2024Article
- Analysing food groups and nutrient intake in adults who met and did not meet the daily recommended vegetable intake of 350 g: the 2016 National Health and Nutrition Survey in Japan.Journal of nutritional science · 2024Article
- Associations between protein to non-protein ratio and intakes of other dietary components in a cohort aged 65-75 years: the Nutrition for Healthy Living Study.Public health nutrition · 2023Article
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Authors and funding
9 authors.
Funding
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Abstract
Our aim was to estimate and rank 12 food groups according to disability-adjusted life years (DALYs) from coronary heart disease (CHD), stroke, type 2 diabetes (T2D), and colorectal cancer (CRC) in 16 European countries. De novo published non-linear dose-response meta-analyses of prospective studies (based on 297 primary reports), and food consumption data from the European Food Safety Authority Comprehensive European Food Consumption Database in Exposure Assessment, and DALY estimates from the Institute for Health Metrics and Evaluation were used. By implementing disease-specific counterfactual scenarios of theoretical minimum risk exposure level (TMRELs), the proportion of DALYs attributed to 12 food groups was estimated. In addition, a novel modelling approach was developed to obtain a single (optimized) TMREL across diseases. Four scenarios were analysed (A: disease-specific TMRELs/all food-disease associations; B: disease-specific TMRELs/only significant food-disease associations; C: single TMREL/all food-disease associations; D: single TMREL/only significant food-disease associations). Suboptimal food intake was associated with the following proportions of DALYs; Scenario A (highest-estimate) and D (lowest-estimate): CHD (A: 67%, D: 52%), stroke (A: 49%, D: 30%), T2D (A: 57%, D: 51%), and CRC (A: 54%, D: 40%). Whole grains (10%) had the highest impact on DALYs, followed by nuts (7.1%), processed meat (6.4%), fruit (4.4%) and fish and legumes (4.2%) when combining all scenarios. The contribution to total DALYs of all food groups combined in the different scenarios ranged from 41-52% in Austria to 51-69% in the Czech-Republic. These findings could have important implications for planning future food-based dietary guidelines as a public health nutrition strategy.
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