ArticleThe American journal of clinical nutrition2021
Diets benefiting health and climate relate to longevity in northern Sweden.
Article in The American journal of clinical nutrition, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.
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Who cites it
15 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Environmental Impact of Current Diets and Alternative Dietary Scenarios Worldwide: A Systematic Review.Nutrition reviews · 2025Pooled it
- Associations of daily diet-related greenhouse gas emissions with the incidence and mortality of chronic diseases: a systematic review and meta-analysis of epidemiological studies.Epidemiology and health · 2023Pooled it
- Trial
- Intake of ultra-processed foods in Sweden and its association with diet quality and weight status: cross-sectional analyses from three national dietary surveys.Nutrition journal · 2026Article
- Nutritional quality indicators as complementary functional units for the sustainability assessment of grain-based foods in Sweden.Current research in food science · 2026Article
- Adherence to the mediterranean diet in adults: the role of environmental and sustainable food literacy.BMC public health · 2025Article
- Assessing Plant-Based Diets in Taiwan Using a Harmonized Food Description-Incorporated Framework.Nutrients · 2025Article
- Evaluation of the relationship between nutrition literacy, Mediterranean diet compliance, ecological footprint and sustainable environmental attitudes in adolescents.BMC public health · 2025Article
- Nutritional intake and determinants of nutritional quality changes from pregnancy to postpartum-a longitudinal study.Food science & nutrition · 2024Article
- Adherence to the Swedish dietary guidelines and the impact on mortality and climate in a population-based cohort study.Public health nutrition · 2023Article
- Measurement of diets that are healthy, environmentally sustainable, affordable, and equitable: A scoping review of metrics, findings, and research gaps.Frontiers in nutrition · 2023Article
- Health and sustainability co-benefits of eating behaviors: Towards a science of dietary eco-wellness.Preventive medicine reports · 2022Review
- Advantages and limitations of the methodological approaches used to study dietary shifts towards improved nutrition and sustainability.Nutrition reviews · 2022Article
- Perspective: Identifying Ultra-Processed Plant-Based Milk Alternatives in the USDA Branded Food Products Database.Advances in nutrition (Bethesda, Md.) · 2021Article
- The importance of considering both nutrient quality and climate impact to support sustainable development.The American journal of clinical nutrition · 2021Article
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7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDiets combining adequate nutritional quality and low climate impact are highly needed for human and planet health.
objectivesWe aimed to 1) evaluate nutrient density indexes' ability to predict mortality, and 2) assess the effects of diets varying in nutrient density and climate impact on total mortality.
methodsDietary data from 49,124 women and 47,651 men aged 35-65 y in the population-based prospective study Västerbotten Intervention Programme (Sweden) were used. Greenhouse gas emissions (GHGEs) were estimated using data from life cycle assessments. Fifteen variants of nutrient density indexes were evaluated and the index that best predicted mortality was used to estimate participants' nutrient density. GHGEs and nutrient density were adjusted for energy intakes. Total mortality risk was estimated by Cox proportional hazards models for 4 groups of women and men, respectively, i.e., higher nutrient density, lower climate impact (HNutr/LClim); higher nutrient density, higher climate impact (HNutr/HClim); lower nutrient density, lower climate impact (LNutr/LClim); and lower nutrient density, higher climate impact (LNutr/HClim-reference group).
resultsNRF11.3, a Sweden-adapted variant of the Nutrient Rich Foods index, was identified to have the best ability to predict mortality in the study population. Median follow-up times for women and men were 16.0 and 14.7 y, respectively. For women a significantly lower mortality risk was found for HNutr/LClim (HR: 0.87; 95% CI: 0.79, 0.96; P = 0.008) and HNutr/HClim (HR: 0.87; 95% CI: 0.78, 0.97; P = 0.011) than for LNutr/HClim. Among men LNutr/LClim had a significantly higher mortality risk (HR: 1.10; 95% CI: 1.01, 1.21; P = 0.033) than LNutr/HClim.
conclusionsDiets beneficial for both health and climate are feasible and associated with lower mortality risk in women. Further studies are needed to understand how men may transition into diets that are more sustainable from a combined health and climate perspective.
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