ArticleEuropean journal of nutrition2021
Traditional Eastern European diet and mortality: prospective evidence from the HAPIEE study.
Article in European journal of nutrition, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.
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Who cites it
24 citing papers in PubMed, 50 citations in OpenAlex.
- Causes and extent of avoidable mortality across the european union: insights for advancing healthy aging.GeroScience · 2026Article
- Cohort profile: The Czech Health, Alcohol and Psychosocial factors In Eastern Europe study (HAPIEE-CZ).Research square · 2026Article
- The global, regional, and national disease burden of laryngeal cancer attributable to high alcohol use from 1990 to 2021: a global burden of disease study.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2025Article
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- Mediterranean diet score linked to cognitive functioning in Czech women: a cross-sectional population-based study.European journal of nutrition · 2025Article
- Fatty Acid Composition and Bioactive Profiles in the Aerial Parts ofMolecules (Basel, Switzerland) · 2025Article
- Processed food intake assortativity in the personal networks of older adults.Scientific reports · 2025Article
- The global burden of cardiovascular disease attributable to high alcohol use from 1990 to 2021: an analysis for the global burden of disease study 2021.Frontiers in public health · 2025Article
- Global burden and trend of stroke attributable to metabolic risks among young adults (20-39 years old) from 1990 to 2021.Frontiers in cardiovascular medicine · 2025Article
- Follow-up of patients with chronic conditions within primary care practices during COVID-19: Results from 7 Central and Eastern-European countries from the cross-sectional PRICOV-19 study.The European journal of general practice · 2024Article
- Bread consumption trends in Poland: A socio-economic perspective and factors affecting current intake.Food science & nutrition · 2024Article
- Modern vs traditional indigenous diet preference in Gauteng region, South Africa: A public health concern?Heliyon · 2024Article
- The Southern European Atlantic diet and all-cause and cause-specific mortality: a European multicohort study.European journal of preventive cardiology · 2024Article
- Article
- Lifestyle patterns, nutritional, and metabolic syndrome determinants in a sample of the older Iranian population.BMC geriatrics · 2024Article
- The Southern European Atlantic diet and depression risk: a European multicohort study.Molecular psychiatry · 2023Article
- Incident type 2 diabetes attributable to suboptimal diet in 184 countries.Nature medicine · 2023Article
- Dietary Antioxidants, Quality of Nutrition and Cardiovascular Characteristics among Omnivores, Flexitarians and Vegetarians in Poland-The Results of Multicenter National Representative Survey WOBASZ.Antioxidants (Basel, Switzerland) · 2023Article
- Implications of the 2021 ESC cardiovascular risk classification among 283,000 European immigrants living in a low-risk region: a population-based analysis in Catalonia.Archives of medical science : AMS · 2023Article
- Relationship between Dietary Macronutrients Intake and the ATHLOS Healthy Ageing Scale: Results from the Polish Arm of the HAPIEE Study.Nutrients · 2022Article
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Authors and funding
18 authors at 11 institutions in 6 countries.
Funding
Abstract
purposeCardiovascular disease (CVD) and cancer mortality rates in Eastern Europe are among the highest in the world. Although diet is an important risk factor, traditional eating habits in this region have not yet been explored. This analysis assessed the relationship between traditional dietary pattern and mortality from all-causes, CVD and cancer in Eastern European cohorts.
methodsData from the Health, Alcohol and Psychosocial factors in Eastern Europe prospective cohort were used, including participants from Russia, Poland and the Czech Republic. Based on food frequency questionnaire data, we constructed an Eastern European diet score (EEDS) from nine food groups which can be considered as traditional in this region. The relationship between categorical (low, moderate, high) and continuous (range 0-18) EEDS and mortality was estimated with Cox-regression.
resultsFrom 18,852 eligible participants, 2234 died during follow-up. In multivariable adjusted models, participants with high adherence to the traditional Eastern European diet had significantly higher risk of all-cause (HR 1.23; 95% CI 1.08-1.42) and CVD (1.34; 1.08-1.66) deaths compared to those with low adherence. The association with cancer mortality was only significant in Poland (high vs. low EEDS: 1.41; 1.00-1.98). From the specific EEDS components, high consumption of lard was significantly positively related to all three mortality outcomes, while preserved fruit and vegetable consumption showed consistent inverse associations.
conclusionOur results suggest that traditional eating habits may contribute to the poor health status, particularly the high CVD mortality rates, of populations in Eastern Europe. Adequate public health nutritional interventions in this region are essential.
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