Examining the link between adherence to the planetary health diet pattern and mortality in the us: a prospective cohort study.

IF 4.3 2区医学 Q2 NUTRITION & DIETETICS European Journal of Nutrition Pub Date : 2025-02-01 DOI:10.1007/s00394-025-03595-z

Shaojie Han, Chao Yan, Zenghui Zhang, Yuchen Han, Qianyun Wang, Siyuan Cheng, Panpan Li, Tongxu Wang, Xiaobing Gong, Jun Guo

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Abstract

Background: Though the Planetary Health Diet (PHD) is designed to enhance both human and environmental health, there is limited understanding of how adherence to PHD influences the risk of mortality in the general US adult population. This study aimed to evaluate the relationship between the Planetary Health Diet Index for the United States (PHDI-US) and mortality among adults in the overall population of the United States.

Methods: The PHDI-US comprises 16 components, assigned scores ranging from 0 to 150, with higher scores signifying a greater level of adherence to the PHD. Data were obtained from the National Health and Nutrition Examination Survey spanning 2005 to 2018, with mortality data linked through December 2019.

Results: This study encompassed 30,521 participants (mean [SD] age, 47.02 [17.01] years; 14,817 males [48.0%]). Over an average follow-up period of 8.50 years, there were 3,706 recorded deaths. In the adjusted multivariable model, individuals in the highest quintile of PHDI-US exhibited a reduced risk of all-cause mortality (hazard ratio [HR], 0.64; 95% CI, 0.54-0.75), cardiovascular disease mortality (HR, 0.73; 95% CI, 0.55-0.97), cancer mortality (HR, 0.68; 95% CI, 0.52-0.89), and other-cause mortality (HR, 0.58; 95% CI, 0.46-0.72) compared to those in the lowest quintile.

Conclusion: Adherence to a PHD pattern was associated with lower mortality risk in the general US adult population.

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在美国，检查遵守全球健康饮食模式与死亡率之间的联系：一项前瞻性队列研究。

背景：虽然行星健康饮食（PHD）旨在增强人类和环境健康，但对于遵守PHD如何影响美国普通成年人的死亡风险，人们的理解有限。本研究旨在评估美国行星健康饮食指数（PHDI-US）与美国总人口中成年人死亡率之间的关系。方法：PHDI-US由16个组成部分组成，评分范围从0到150，分数越高表明对博士学位的坚持程度越高。数据来自2005年至2018年的国家健康和营养检查调查，其中死亡率数据与2019年12月有关。结果：本研究纳入30,521名参与者(平均[SD]年龄47.02[17.01]岁；男性14817人[48.0%])。在平均8.50年的随访期间，有3706人死亡。在调整后的多变量模型中，PHDI-US最高五分位数的个体显示出全因死亡风险降低(危险比[HR]， 0.64；95% CI, 0.54-0.75)，心血管疾病死亡率(HR, 0.73；95% CI, 0.55-0.97)，癌症死亡率(HR, 0.68；95% CI, 0.52-0.89)和其他原因死亡率(HR, 0.58；95% CI, 0.46-0.72)与最低五分位数的患者相比。结论：在美国一般成年人中，坚持博士模式与较低的死亡风险相关。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

European Journal of Nutrition 医学-营养学

CiteScore

10.20

自引率

2.00%

发文量

295

审稿时长

6 months

期刊介绍： The European Journal of Nutrition publishes original papers, reviews, and short communications in the nutritional sciences. The manuscripts submitted to the European Journal of Nutrition should have their major focus on the impact of nutrients and non-nutrients on immunology and inflammation, gene expression, metabolism, chronic diseases, or carcinogenesis, or a major focus on epidemiology, including intervention studies with healthy subjects and with patients, biofunctionality of food and food components, or the impact of diet on the environment.