ArticlePublic health nutrition2023
Adherence to the Swedish dietary guidelines and the impact on mortality and climate in a population-based cohort study.
Article in Public health nutrition, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed.
- Studying factual versus social cues as triggers of change in food behaviour.Journal of nutritional science · 2024Trial
- Temporal meal patterns in relation to diet quality and body mass index: findings from a cross-sectional analysis.European journal of nutrition · 2025Article
- Dietary assessment and dietary guidelines across 11 European Union countries: a review from the PLAN'EAT project.Frontiers in nutrition · 2025Review
- A Swedish dietary guideline index, gut microbial α-diversity and prevalence of metabolic syndrome - observations in the Swedish CArdioPulmonary bioImage Study (SCAPIS).Food & nutrition research · 2024Article
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Authors and funding
6 authors.
Funding
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Abstract
objectiveTo assess the associations between adherence to the Swedish dietary guidelines and all-cause mortality (i.e. assessing the index' ability to predict health outcomes), as well as levels of dietary greenhouse gas emissions (GHGEs).
designA longitudinal study 1990-2016 within the population-based cohort Västerbotten Intervention Programme. Dietary data were based on FFQs. Diet quality was assessed by the Swedish Healthy Eating Index for Adults 2015 (SHEIA15), based on the 2015 Swedish dietary guidelines. Dietary GHGEs were estimated from life cycle assessment data including emissions from farm to industry gate. Hazard ratios (HR) and 95 % CI of all-cause mortality were evaluated with Cox proportional hazards regression, and differences in median GHGEs were tested between quintiles of SHEIA15 score using the Kruskal-Wallis one-way ANOVA test.
settingNorthern Sweden.
participantsIn total, 49 124 women and 47 651 men, aged 35-65 years.
resultsMedian follow-up times were 16·0 years for women and 14·7 years for men, during which time 3074 women and 4212 men died. A consistent trend of lower all-cause mortality HR for both sexes with higher SHEIA15 scores was demonstrated. For women, the all-cause mortality HR was 0·81 ((95 % CI 0·71, 0·92);
conclusionsAdherence to Swedish dietary guidelines, estimated by SHEIA15, seems to promote longevity and reduce dietary climate impact.
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