Adherence to the EAT-Lancet sustainable reference diet and cardiometabolic risk profile: cross-sectional results from the ELSA-Brasil cohort study

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Citações na Scopus
10
Tipo de produção
article
Data de publicação
2023
Título da Revista
ISSN da Revista
Título do Volume
Editora
SPRINGER HEIDELBERG
Autores
CACAU, Leandro Teixeira
CARDOSO, Leticia de Oliveira
MORENO, Luis A.
MARCHIONI, Dirce Maria
Citação
EUROPEAN JOURNAL OF NUTRITION, v.62, n.2, p.807-817, 2023
Projetos de Pesquisa
Unidades Organizacionais
Fascículo
Resumo
Purpose The EAT-Lancet Commission released a reference sustainable diet to improve human health and respect the planetary boundaries. The Planetary Health Diet Index (PHDI) was developed with the purpose of evaluate the adherence to this reference diet. The aim of the present study was to evaluate the association between adherence to the EAT-Lancet diet with cardiometabolic risk profile. Methods We used the cross-sectional baseline data from 14,155 participants of the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil), a multicenter ongoing cohort study. Dietary data were collected using a 114-item validated food frequency questionnaire. The PHDI was used to assess the adherence to the EAT-Lancet diet. It consists of 16 components and the total score can range from 0 to 150 points. Linear, logistic and quasi-Poisson regression models were built to evaluate the associations between PHDI and the outcomes. Results Individuals with higher adherence to EAT-Lancet diet (PHDI, 5th quintile) had lower values for systolic blood pressure (beta - 0.84; 95% CI - 1.66: - 0.01), diastolic blood pressure (beta - 0.70; 95% CI - 1.24: - 0.15), total cholesterol (beta - 3.15; 95% CI - 5.30: - 1.01), LDL-c (beta - 4.10; 95% CI - 5.97: - 2.23), and non-HDL-cholesterol (beta - 2.57; 95% CI - 4.62: - 0.52). No association was observed for HDL-c, triglycerides and HOMA-IR. Conclusions Our results indicate that higher adherence to the EAT-Lancet diet is associated with lower levels of blood pressure, total cholesterol, LDL-c, and non-HDL-c.
Palavras-chave
EAT-Lancet diet, Sustainable diet, Diet indexes, Cardiovascular diseases, Blood pressure, Lipid profile
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