ArticleThe American journal of clinical nutrition2024
Planetary Health Diet Index and risk of total and cause-specific mortality in three prospective cohorts.
Article in The American journal of clinical nutrition, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 76 papers, 5 of them syntheses that pooled it.
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Who cites it
76 citing papers in PubMed, 5 syntheses or guidelines 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
- Digital Interventions Targeting Healthy and Sustainable Eating Behavior: Systematic Review and Meta-Analysis.Journal of medical Internet research · 2026Pooled it
- Association between EAT-Lancet diet adherence and cancer incidence/mortality: a systematic review and meta-analysis.Frontiers in oncology · 2026Pooled it
- Planetary Health Diet and risk of mortality and chronic diseases: Results from US NHANES, UK Biobank, and a meta-analysis.Science advances · 2025Pooled it
- Nut consumption in chronic kidney disease: a systematic review.Frontiers in nutrition · 2025Pooled it
- A Sustainable Lifestyle Intervention Among Office Workers: Cluster Randomized Pilot and Feasibility Study.JMIR formative research · 2026Trial
- Sustainable diets reduce diet-related greenhouse gas emissions and improve diet quality: results from the MyPlanetDiet randomized controlled trial.The American journal of clinical nutrition · 2025Trial
- Trial
- Scoping Review of Dietary Quality Indices: Heterogeneity of Definitions and Health Associations among Adults.Nutrition reviews · 2026Article
- Planetary Health Diet Index and breast cancer risk.British journal of cancer · 2026Article
- EAT-Lancet Diet-Associated Serum Metabolites Are Linked to Cardiovascular Disease and Mortality.The Journal of nutrition · 2026Article
- The Gut Microbiome as a Mechanistic Link Between the Planetary Health Diet and Healthy Aging.Nutrients · 2026Review
- The association between a healthy and sustainable diet based on the planetary health diet index (PHDI) and the odds of postmenopausal osteoporosis.European journal of nutrition · 2026Article
- 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
- Planetary health diet index and risk of irritable bowel syndrome: a prospective cohort study.European journal of nutrition · 2026Article
- Sustainable diets and long-term cardiovascular disease outcomes; insights from the 20-year follow-up ATTICA study (2002-2022).European journal of nutrition · 2026Observational
- Trends in Planetary Health Diet Index for the United States (PHDI-US) Scores and Associations With Mortality Risk in the United States Between 1999 and 2020.Food science & nutrition · 2026Article
- Planetary Health Diet, Socioeconomic Inequalities, and CKD and Mortality Risk.Clinical journal of the American Society of Nephrology : CJASN · 2026Article
- 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
- Social norm intervention in real-world supermarkets in the Netherlands: A quasi-experimental evaluation of effects on perceived social norms and meat substitute purchases.Applied psychology. Health and well-being · 2026Article
16 more citing papers are in PubMed but not listed here.
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9 authors.
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Abstract
backgroundIn 2019, the EAT-Lancet Commission proposed a healthy dietary pattern that, along with reductions in food waste and improved agricultural practices, could feed the increasing global population sustainably. We developed a Planetary Health Diet Index (PHDI) to quantify adherence to the EAT-Lancet reference diet.
objectivesWe aimed to assess associations between PHDI and total and cause-specific mortality in 3 prospective cohorts of males and females in the United States.
methodsWe followed 66,692 females from the Nurses' Health Study (1986-2019), 92,438 females from the Nurses' Health Study II (1989-2019), and 47,274 males from the Health Professionals Follow-up Study (1986-2018) who were free of cancer, diabetes, and major cardiovascular diseases at baseline. The PHDI was calculated every 4 y using a semiquantitative food frequency questionnaire. Hazard ratios (HRs) were calculated using multivariable proportional-hazards models.
resultsDuring follow-up, we documented 31,330 deaths among females and 23,206 among males. When comparing the highest with the lowest quintile of PHDI, the pooled multivariable-adjusted HRs were 0.77 [95% confidence interval (CI): 0.75, 0.80] for all-cause mortality (P-trend < 0.0001). The PHDI was associated with lower risk of deaths from cardiovascular diseases (HR: 0.86; 95% CI: 0.81, 0.91), cancer (HR: 0.90; 95% CI: 0.85, 0.95), respiratory diseases (HR: 0.53; 95% CI: 0.48, 0.59), and neurodegenerative diseases (HR: 0.72; 95% CI: 0.67, 0.78). In females, but not males, the PHDI was also significantly associated with a lower risk of deaths from infectious diseases (HR: 0.62; 95% CI: 0.51, 0.76). PHDI scores were also associated inversely with greenhouse gas emissions and other environmental impacts.
conclusionsIn 3 large United States-based prospective cohorts of males and females with up to 34 y of follow-up, a higher PHDI was associated with lower risk of total and cause-specific mortality and environment impacts.
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