ArticleNutrients2021
Adherence to the Planetary Health Diet Index and Obesity Indicators in the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil).
Article in Nutrients, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 69 papers, 1 of them a synthesis that pooled it.
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Who cites it
69 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The Health and Environmental Impacts, Safety, and Affordability of the EAT-Lancet Planetary Health Diet: A Multidisciplinary Systematic Review and Meta-Analysis.Advances in nutrition (Bethesda, Md.) · 2026Pooled it
- Association between the planetary health diet index and risk of cardiovascular diseases in postmenopausal women: Findings from the Women's Health Initiative Observational Study.American journal of preventive cardiology · 2026Article
- Identification of serum metabolites associated with the EAT-Lancet planetary health diet, and their mediating role in weight status and weight changes in adults.European journal of nutrition · 2026Article
- Sustainable Plant-Based Diets in Children and Adolescents: Current Evidence on Metabolic Syndrome and Cardiometabolic Health.Current nutrition reports · 2026Review
- The Gut Microbiome as a Mechanistic Link Between the Planetary Health Diet and Healthy Aging.Nutrients · 2026Review
- Adherence to a Chinese planetary health diet, environmental impacts, and all-cause mortality risk: a prospective cohort study from the China Health and Nutrition Survey.European journal of nutrition · 2026Observational
- Association between changes in adherence to the planetary health diet and adiposity and body fat distribution: a cohort study.The Lancet regional health. Europe · 2026Article
- Planetary health diet: dissecting the link between diet, mortality risk and heart age from a 16-year follow-up of the Guangzhou Biobank Cohort Study.European journal of nutrition · 2026Article
- Optimal Dietary Patterns for Lower Weight Gain and Risk of Obesity Surrounding Menopause.JAMA network open · 2026Article
- Adherence to a healthy and sustainable diet and its association with overweight and obesity among Mexican adolescents: a cross-sectional study.European journal of nutrition · 2026Article
- Health and environmental evidence, challenges, and sustainable strategies of Planetary Health Diet: A mixed-methods review.Eco-Environment & Health · 2026Review
- Adherence to the EAT-Lancet planetary health diet and its associations with obesity and health-related quality of life in Iranian adolescents: a cross-sectional study.BMC public health · 2026Article
- Greater adherence to the Planetary Health Diet is inversely associated with dyslipidemia in children: PASE Study-Brazil.Frontiers in nutrition · 2026Article
- Article
- Planetary health diet adherence, nutritional adequacy, and environmental footprints: a cross-sectional study in Turkish adults.Frontiers in nutrition · 2026Article
- Nutritional adequacy of the EAT-Lancet planetary health diet: cross-sectional analyses of the United Kingdom National Diet and Nutrition Survey.The American journal of clinical nutrition · 2026Article
- Adherence to the Planetary Health Diet Index and Fetal Body Composition.JAMA network open · 2025Article
- Adherence to the mediterranean diet in adults: the role of environmental and sustainable food literacy.BMC public health · 2025Article
- The Role of a Sustainable Planetary Health Diet in the Prevention of Non-Communicable Diseases and Cause-Specific Mortality: A Narrative Review.Foods (Basel, Switzerland) · 2025Review
- The role of healthy diet literacy in promoting sustainable and healthy eating behaviors in Türkiye: implications for environmental health.BMC public health · 2025Article
9 more citing papers are in PubMed but not listed here.
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Authors and funding
7 authors.
Funding
Abstract
The EAT-Lancet Commission has proposed a model diet to improve the health of human beings and that of the planet. Recently, we proposed the Planetary Health Diet Index (PHDI) to assess adherence of the population to this model diet. In this study, we aimed to evaluate adherence to the PHDI and obesity outcomes using baseline data from 14,515 participants in the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil). The dietary data were assessed using a 114-item FFQ. Body mass index (BMI) and waist circumference (WC) were both used continuously and categorized. Linear and multinomial regression models adjusted for potential confounding factors were performed to assess the relationship between adherence to PHDI and outcomes. An inverse association was observed between adherence to PHDI and obesity indicators. Individuals with high adherence to the PHDI had lower BMI (β-0.50 95% CI-0.73:-0.27) and WC (β-1.70 95% CI-2.28:-1.12) values. They were also 24% less likely to be overweight (OR 0.76 95% CI 0.67:0.85) or obese (OR 0.76 95% CI 0.65:0.88), and they were 14% and 27% less likely to have increased WC (OR 0.86 95% CI 0.75:0.98) or substantially increased WC (OR 0.73 95% CI 0.64:0.83) than those with lower adherence. Our results showed that higher adherence to the PHDI may decrease obesity indicators.
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