Co-benefits from sustainable dietary shifts for population and environmental health: an assessment from a large European cohort study

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Co-benefits from sustainable dietary shifts for population and environmental health : an assessment from a large European cohort study. / Laine, Jessica E; Huybrechts, Inge; Gunter, Marc J; Ferrari, Pietro; Weiderpass, Elisabete; Tsilidis, Kostas; Aune, Dagfinn; Schulze, Matthias B; Bergmann, Manuela; Temme, Elisabeth H M; Boer, Jolanda M A; Agnoli, Claudia; Ericson, Ulrika; Stubbendorff, Anna; Ibsen, Daniel B; Dahm, Christina Catherine; Deschasaux, Mélanie; Touvier, Mathilde; Kesse-Guyot, Emmanuelle; Sánchez Pérez, Maria-Jose; Rodríguez Barranco, Miguel; Tong, Tammy Y N; Papier, Keren; Knuppel, Anika; Boutron-Ruault, Marie-Christine; Mancini, Francesca; Severi, Gianluca; Srour, Bernard; Kühn, Tilman; Masala, Giovanna; Agudo, Antonio; Skeie, Guri; Rylander, Charlotta; Sandanger, Torkjel M; Riboli, Elio; Vineis, Paolo.

I: The Lancet Planetary Health, Bind 5, Nr. 11, 11.2021, s. e786-e796.

Publikation: Bidrag til tidsskrift/Konferencebidrag i tidsskrift /Bidrag til avisTidsskriftartikelForskningpeer review

Harvard

Laine, JE, Huybrechts, I, Gunter, MJ, Ferrari, P, Weiderpass, E, Tsilidis, K, Aune, D, Schulze, MB, Bergmann, M, Temme, EHM, Boer, JMA, Agnoli, C, Ericson, U, Stubbendorff, A, Ibsen, DB, Dahm, CC, Deschasaux, M, Touvier, M, Kesse-Guyot, E, Sánchez Pérez, M-J, Rodríguez Barranco, M, Tong, TYN, Papier, K, Knuppel, A, Boutron-Ruault, M-C, Mancini, F, Severi, G, Srour, B, Kühn, T, Masala, G, Agudo, A, Skeie, G, Rylander, C, Sandanger, TM, Riboli, E & Vineis, P 2021, 'Co-benefits from sustainable dietary shifts for population and environmental health: an assessment from a large European cohort study', The Lancet Planetary Health, bind 5, nr. 11, s. e786-e796. https://doi.org/10.1016/S2542-5196(21)00250-3

APA

Laine, J. E., Huybrechts, I., Gunter, M. J., Ferrari, P., Weiderpass, E., Tsilidis, K., Aune, D., Schulze, M. B., Bergmann, M., Temme, E. H. M., Boer, J. M. A., Agnoli, C., Ericson, U., Stubbendorff, A., Ibsen, D. B., Dahm, C. C., Deschasaux, M., Touvier, M., Kesse-Guyot, E., ... Vineis, P. (2021). Co-benefits from sustainable dietary shifts for population and environmental health: an assessment from a large European cohort study. The Lancet Planetary Health, 5(11), e786-e796. https://doi.org/10.1016/S2542-5196(21)00250-3

CBE

Laine JE, Huybrechts I, Gunter MJ, Ferrari P, Weiderpass E, Tsilidis K, Aune D, Schulze MB, Bergmann M, Temme EHM, Boer JMA, Agnoli C, Ericson U, Stubbendorff A, Ibsen DB, Dahm CC, Deschasaux M, Touvier M, Kesse-Guyot E, Sánchez Pérez M-J, Rodríguez Barranco M, Tong TYN, Papier K, Knuppel A, Boutron-Ruault M-C, Mancini F, Severi G, Srour B, Kühn T, Masala G, Agudo A, Skeie G, Rylander C, Sandanger TM, Riboli E, Vineis P. 2021. Co-benefits from sustainable dietary shifts for population and environmental health: an assessment from a large European cohort study. The Lancet Planetary Health. 5(11):e786-e796. https://doi.org/10.1016/S2542-5196(21)00250-3

MLA

Vancouver

Laine JE, Huybrechts I, Gunter MJ, Ferrari P, Weiderpass E, Tsilidis K o.a. Co-benefits from sustainable dietary shifts for population and environmental health: an assessment from a large European cohort study. The Lancet Planetary Health. 2021 nov.;5(11):e786-e796. https://doi.org/10.1016/S2542-5196(21)00250-3

Author

Laine, Jessica E ; Huybrechts, Inge ; Gunter, Marc J ; Ferrari, Pietro ; Weiderpass, Elisabete ; Tsilidis, Kostas ; Aune, Dagfinn ; Schulze, Matthias B ; Bergmann, Manuela ; Temme, Elisabeth H M ; Boer, Jolanda M A ; Agnoli, Claudia ; Ericson, Ulrika ; Stubbendorff, Anna ; Ibsen, Daniel B ; Dahm, Christina Catherine ; Deschasaux, Mélanie ; Touvier, Mathilde ; Kesse-Guyot, Emmanuelle ; Sánchez Pérez, Maria-Jose ; Rodríguez Barranco, Miguel ; Tong, Tammy Y N ; Papier, Keren ; Knuppel, Anika ; Boutron-Ruault, Marie-Christine ; Mancini, Francesca ; Severi, Gianluca ; Srour, Bernard ; Kühn, Tilman ; Masala, Giovanna ; Agudo, Antonio ; Skeie, Guri ; Rylander, Charlotta ; Sandanger, Torkjel M ; Riboli, Elio ; Vineis, Paolo. / Co-benefits from sustainable dietary shifts for population and environmental health : an assessment from a large European cohort study. I: The Lancet Planetary Health. 2021 ; Bind 5, Nr. 11. s. e786-e796.

Bibtex

@article{224dc3848ab54e00b5b0c9802c08b71d,
title = "Co-benefits from sustainable dietary shifts for population and environmental health: an assessment from a large European cohort study",
abstract = "BACKGROUND: Unhealthy diets, the rise of non-communicable diseases, and the declining health of the planet are highly intertwined, where food production and consumption are major drivers of increases in greenhouse gas emissions, substantial land use, and adverse health such as cancer and mortality. To assess the potential co-benefits from shifting to more sustainable diets, we aimed to investigate the associations of dietary greenhouse gas emissions and land use with all-cause and cause-specific mortality and cancer incidence rates.METHODS: Using data from 443 991 participants in the European Prospective Investigation into Cancer and Nutrition (EPIC) study, a multicentre prospective cohort, we estimated associations between dietary contributions to greenhouse gas emissions and land use and all-cause and cause-specific mortality and incident cancers using Cox proportional hazards regression models. The main exposures were modelled as quartiles. Co-benefits, encompassing the potential effects of alternative diets on all-cause mortality and cancer and potential reductions in greenhouse gas emissions and land use, were estimated with counterfactual attributable fraction intervention models, simulating potential effects of dietary shifts based on the EAT-Lancet reference diet.FINDINGS: In the pooled analysis, there was an association between levels of dietary greenhouse gas emissions and all-cause mortality (adjusted hazard ratio [HR] 1·13 [95% CI 1·10-1·16]) and between land use and all-cause mortality (1·18 [1·15-1·21]) when comparing the fourth quartile to the first quartile. Similar associations were observed for cause-specific mortality. Associations were also observed between all-cause cancer incidence rates and greenhouse gas emissions, when comparing the fourth quartile to the first quartile (adjusted HR 1·11 [95% CI 1·09-1·14]) and between all-cause cancer incidence rates and land use (1·13 [1·10-1·15]); however, estimates differed by cancer type. Through counterfactual attributable fraction modelling of shifts in levels of adherence to the EAT-Lancet diet, we estimated that up to 19-63% of deaths and up to 10-39% of cancers could be prevented, in a 20-year risk period, by different levels of adherence to the EAT-Lancet reference diet. Additionally, switching from lower adherence to the EAT-Lancet reference diet to higher adherence could potentially reduce food-associated greenhouse gas emissions up to 50% and land use up to 62%.INTERPRETATION: Our results indicate that shifts towards universally sustainable diets could lead to co-benefits, such as minimising diet-related greenhouse gas emissions and land use, reducing the environmental footprint, aiding in climate change mitigation, and improving population health.FUNDING: European Commission (DG-SANCO), the International Agency for Research on Cancer (IARC), MRC Early Career Fellowship (MR/M501669/1).",
author = "Laine, {Jessica E} and Inge Huybrechts and Gunter, {Marc J} and Pietro Ferrari and Elisabete Weiderpass and Kostas Tsilidis and Dagfinn Aune and Schulze, {Matthias B} and Manuela Bergmann and Temme, {Elisabeth H M} and Boer, {Jolanda M A} and Claudia Agnoli and Ulrika Ericson and Anna Stubbendorff and Ibsen, {Daniel B} and Dahm, {Christina Catherine} and M{\'e}lanie Deschasaux and Mathilde Touvier and Emmanuelle Kesse-Guyot and {S{\'a}nchez P{\'e}rez}, Maria-Jose and {Rodr{\'i}guez Barranco}, Miguel and Tong, {Tammy Y N} and Keren Papier and Anika Knuppel and Marie-Christine Boutron-Ruault and Francesca Mancini and Gianluca Severi and Bernard Srour and Tilman K{\"u}hn and Giovanna Masala and Antonio Agudo and Guri Skeie and Charlotta Rylander and Sandanger, {Torkjel M} and Elio Riboli and Paolo Vineis",
note = "{\textcopyright} 2021 International Agency for Research on Cancer; licensee Elsevier. This is an Open Access article published under the CC BY 3.0 IGO license which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. In any use of this article, there should be no suggestion that IARC endorses any specific organisation, products or services. The use of the IARC logo is not permitted. This notice should be preserved along with the article's original URL.",
year = "2021",
month = nov,
doi = "10.1016/S2542-5196(21)00250-3",
language = "English",
volume = "5",
pages = "e786--e796",
journal = "The Lancet. Planetary Health",
issn = "2542-5196",
publisher = " Elsevier B.V.",
number = "11",

}

RIS

TY - JOUR

T1 - Co-benefits from sustainable dietary shifts for population and environmental health

T2 - an assessment from a large European cohort study

AU - Laine, Jessica E

AU - Huybrechts, Inge

AU - Gunter, Marc J

AU - Ferrari, Pietro

AU - Weiderpass, Elisabete

AU - Tsilidis, Kostas

AU - Aune, Dagfinn

AU - Schulze, Matthias B

AU - Bergmann, Manuela

AU - Temme, Elisabeth H M

AU - Boer, Jolanda M A

AU - Agnoli, Claudia

AU - Ericson, Ulrika

AU - Stubbendorff, Anna

AU - Ibsen, Daniel B

AU - Dahm, Christina Catherine

AU - Deschasaux, Mélanie

AU - Touvier, Mathilde

AU - Kesse-Guyot, Emmanuelle

AU - Sánchez Pérez, Maria-Jose

AU - Rodríguez Barranco, Miguel

AU - Tong, Tammy Y N

AU - Papier, Keren

AU - Knuppel, Anika

AU - Boutron-Ruault, Marie-Christine

AU - Mancini, Francesca

AU - Severi, Gianluca

AU - Srour, Bernard

AU - Kühn, Tilman

AU - Masala, Giovanna

AU - Agudo, Antonio

AU - Skeie, Guri

AU - Rylander, Charlotta

AU - Sandanger, Torkjel M

AU - Riboli, Elio

AU - Vineis, Paolo

N1 - © 2021 International Agency for Research on Cancer; licensee Elsevier. This is an Open Access article published under the CC BY 3.0 IGO license which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. In any use of this article, there should be no suggestion that IARC endorses any specific organisation, products or services. The use of the IARC logo is not permitted. This notice should be preserved along with the article's original URL.

PY - 2021/11

Y1 - 2021/11

N2 - BACKGROUND: Unhealthy diets, the rise of non-communicable diseases, and the declining health of the planet are highly intertwined, where food production and consumption are major drivers of increases in greenhouse gas emissions, substantial land use, and adverse health such as cancer and mortality. To assess the potential co-benefits from shifting to more sustainable diets, we aimed to investigate the associations of dietary greenhouse gas emissions and land use with all-cause and cause-specific mortality and cancer incidence rates.METHODS: Using data from 443 991 participants in the European Prospective Investigation into Cancer and Nutrition (EPIC) study, a multicentre prospective cohort, we estimated associations between dietary contributions to greenhouse gas emissions and land use and all-cause and cause-specific mortality and incident cancers using Cox proportional hazards regression models. The main exposures were modelled as quartiles. Co-benefits, encompassing the potential effects of alternative diets on all-cause mortality and cancer and potential reductions in greenhouse gas emissions and land use, were estimated with counterfactual attributable fraction intervention models, simulating potential effects of dietary shifts based on the EAT-Lancet reference diet.FINDINGS: In the pooled analysis, there was an association between levels of dietary greenhouse gas emissions and all-cause mortality (adjusted hazard ratio [HR] 1·13 [95% CI 1·10-1·16]) and between land use and all-cause mortality (1·18 [1·15-1·21]) when comparing the fourth quartile to the first quartile. Similar associations were observed for cause-specific mortality. Associations were also observed between all-cause cancer incidence rates and greenhouse gas emissions, when comparing the fourth quartile to the first quartile (adjusted HR 1·11 [95% CI 1·09-1·14]) and between all-cause cancer incidence rates and land use (1·13 [1·10-1·15]); however, estimates differed by cancer type. Through counterfactual attributable fraction modelling of shifts in levels of adherence to the EAT-Lancet diet, we estimated that up to 19-63% of deaths and up to 10-39% of cancers could be prevented, in a 20-year risk period, by different levels of adherence to the EAT-Lancet reference diet. Additionally, switching from lower adherence to the EAT-Lancet reference diet to higher adherence could potentially reduce food-associated greenhouse gas emissions up to 50% and land use up to 62%.INTERPRETATION: Our results indicate that shifts towards universally sustainable diets could lead to co-benefits, such as minimising diet-related greenhouse gas emissions and land use, reducing the environmental footprint, aiding in climate change mitigation, and improving population health.FUNDING: European Commission (DG-SANCO), the International Agency for Research on Cancer (IARC), MRC Early Career Fellowship (MR/M501669/1).

AB - BACKGROUND: Unhealthy diets, the rise of non-communicable diseases, and the declining health of the planet are highly intertwined, where food production and consumption are major drivers of increases in greenhouse gas emissions, substantial land use, and adverse health such as cancer and mortality. To assess the potential co-benefits from shifting to more sustainable diets, we aimed to investigate the associations of dietary greenhouse gas emissions and land use with all-cause and cause-specific mortality and cancer incidence rates.METHODS: Using data from 443 991 participants in the European Prospective Investigation into Cancer and Nutrition (EPIC) study, a multicentre prospective cohort, we estimated associations between dietary contributions to greenhouse gas emissions and land use and all-cause and cause-specific mortality and incident cancers using Cox proportional hazards regression models. The main exposures were modelled as quartiles. Co-benefits, encompassing the potential effects of alternative diets on all-cause mortality and cancer and potential reductions in greenhouse gas emissions and land use, were estimated with counterfactual attributable fraction intervention models, simulating potential effects of dietary shifts based on the EAT-Lancet reference diet.FINDINGS: In the pooled analysis, there was an association between levels of dietary greenhouse gas emissions and all-cause mortality (adjusted hazard ratio [HR] 1·13 [95% CI 1·10-1·16]) and between land use and all-cause mortality (1·18 [1·15-1·21]) when comparing the fourth quartile to the first quartile. Similar associations were observed for cause-specific mortality. Associations were also observed between all-cause cancer incidence rates and greenhouse gas emissions, when comparing the fourth quartile to the first quartile (adjusted HR 1·11 [95% CI 1·09-1·14]) and between all-cause cancer incidence rates and land use (1·13 [1·10-1·15]); however, estimates differed by cancer type. Through counterfactual attributable fraction modelling of shifts in levels of adherence to the EAT-Lancet diet, we estimated that up to 19-63% of deaths and up to 10-39% of cancers could be prevented, in a 20-year risk period, by different levels of adherence to the EAT-Lancet reference diet. Additionally, switching from lower adherence to the EAT-Lancet reference diet to higher adherence could potentially reduce food-associated greenhouse gas emissions up to 50% and land use up to 62%.INTERPRETATION: Our results indicate that shifts towards universally sustainable diets could lead to co-benefits, such as minimising diet-related greenhouse gas emissions and land use, reducing the environmental footprint, aiding in climate change mitigation, and improving population health.FUNDING: European Commission (DG-SANCO), the International Agency for Research on Cancer (IARC), MRC Early Career Fellowship (MR/M501669/1).

U2 - 10.1016/S2542-5196(21)00250-3

DO - 10.1016/S2542-5196(21)00250-3

M3 - Journal article

C2 - 34688354

VL - 5

SP - e786-e796

JO - The Lancet. Planetary Health

JF - The Lancet. Planetary Health

SN - 2542-5196

IS - 11

ER -