{"title":"前瞻性nutrinet - sant<e:1>队列的8年饮食变化与EAT-Lancet参考饮食一致吗？","authors":"Gabrielle Rochefort , Hafsa Toujgani , Florine Berthy , Justine Berlivet , Elie Perraud , Benjamin Allès , Mathilde Touvier , Benoît Lamarche , Julia Baudry , Emmanuelle Kesse-Guyot","doi":"10.1016/j.ajcnut.2024.12.004","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><div>The transition toward sustainable dietary patterns, such as the planetary diet proposed by the EAT-Lancet Commission, is warranted to optimize health and achieve environmental sustainability.</div></div><div><h3>Objectives</h3><div>To examine the extent to which the evolution of dietary changes over an 8-y period in the French NutriNet-Santé cohort aligned with the EAT-Lancet diet.</div></div><div><h3>Methods</h3><div>A sample of 17,187 participants of the prospective NutriNet-Santé study was used. Dietary intakes were evaluated in 2014, 2018, and 2022 using a food frequency questionnaire. The alignment of dietary patterns with the EAT-Lancet diet was assessed using the EAT-Lancet dietary index (ELD-I). Changes over time in the ELD-I score and component sub-scores were evaluated using linear mixed regression models.</div></div><div><h3>Results</h3><div>The mean ELD-I score in 2014 (35.1 ± 0.4 points) increased by a mean of 5.5 points [95% confidence interval (CI): 5.0, 5.9] in 2018, with no further increase in 2022 (+4.2 points compared with 2014: 95% CI: 3.6, 4.9). The increase in the ELD-I observed in 2018 was mostly explained by increases in the sub-scores of these components: Beef, lamb, and pork (+3.4 points; 95% CI: 3.1, 3.6, i.e., lower consumption), Fruits (+1.6 points; 95% CI: 1.3, 1.9, i.e., greater consumption), and Nuts (+1.1 points; 95% CI: 1.0, 1.2, i.e., greater consumption). Changes of similar magnitudes were observed between 2014 and 2022, except for the Fruits component, which showed a decrease (–1.3 points; 95% CI: –1.7, –0.9). Greater changes in the ELD-I score over time were observed for females, younger adults, and adults with high education levels.</div></div><div><h3>Conclusions</h3><div>Results suggest that the slight shift toward more sustainable dietary patterns within the NutriNet-Santé cohort between 2014 and 2018 has stabilized in 2022. This suggests the need for strong efforts from various actors in the field of nutrition and public health that may facilitate the transition toward sustainable dietary patterns.</div></div>","PeriodicalId":50813,"journal":{"name":"American Journal of Clinical Nutrition","volume":"121 2","pages":"Pages 324-332"},"PeriodicalIF":6.5000,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Are dietary changes over eight years in the prospective NutriNet-Santé cohort consistent with the EAT-Lancet reference diet?\",\"authors\":\"Gabrielle Rochefort , Hafsa Toujgani , Florine Berthy , Justine Berlivet , Elie Perraud , Benjamin Allès , Mathilde Touvier , Benoît Lamarche , Julia Baudry , Emmanuelle Kesse-Guyot\",\"doi\":\"10.1016/j.ajcnut.2024.12.004\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Background</h3><div>The transition toward sustainable dietary patterns, such as the planetary diet proposed by the EAT-Lancet Commission, is warranted to optimize health and achieve environmental sustainability.</div></div><div><h3>Objectives</h3><div>To examine the extent to which the evolution of dietary changes over an 8-y period in the French NutriNet-Santé cohort aligned with the EAT-Lancet diet.</div></div><div><h3>Methods</h3><div>A sample of 17,187 participants of the prospective NutriNet-Santé study was used. Dietary intakes were evaluated in 2014, 2018, and 2022 using a food frequency questionnaire. The alignment of dietary patterns with the EAT-Lancet diet was assessed using the EAT-Lancet dietary index (ELD-I). Changes over time in the ELD-I score and component sub-scores were evaluated using linear mixed regression models.</div></div><div><h3>Results</h3><div>The mean ELD-I score in 2014 (35.1 ± 0.4 points) increased by a mean of 5.5 points [95% confidence interval (CI): 5.0, 5.9] in 2018, with no further increase in 2022 (+4.2 points compared with 2014: 95% CI: 3.6, 4.9). The increase in the ELD-I observed in 2018 was mostly explained by increases in the sub-scores of these components: Beef, lamb, and pork (+3.4 points; 95% CI: 3.1, 3.6, i.e., lower consumption), Fruits (+1.6 points; 95% CI: 1.3, 1.9, i.e., greater consumption), and Nuts (+1.1 points; 95% CI: 1.0, 1.2, i.e., greater consumption). Changes of similar magnitudes were observed between 2014 and 2022, except for the Fruits component, which showed a decrease (–1.3 points; 95% CI: –1.7, –0.9). Greater changes in the ELD-I score over time were observed for females, younger adults, and adults with high education levels.</div></div><div><h3>Conclusions</h3><div>Results suggest that the slight shift toward more sustainable dietary patterns within the NutriNet-Santé cohort between 2014 and 2018 has stabilized in 2022. This suggests the need for strong efforts from various actors in the field of nutrition and public health that may facilitate the transition toward sustainable dietary patterns.</div></div>\",\"PeriodicalId\":50813,\"journal\":{\"name\":\"American Journal of Clinical Nutrition\",\"volume\":\"121 2\",\"pages\":\"Pages 324-332\"},\"PeriodicalIF\":6.5000,\"publicationDate\":\"2025-02-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"American Journal of Clinical Nutrition\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S0002916524014308\",\"RegionNum\":1,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"NUTRITION & DIETETICS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"American Journal of Clinical Nutrition","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0002916524014308","RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"NUTRITION & DIETETICS","Score":null,"Total":0}
Are dietary changes over eight years in the prospective NutriNet-Santé cohort consistent with the EAT-Lancet reference diet?
Background
The transition toward sustainable dietary patterns, such as the planetary diet proposed by the EAT-Lancet Commission, is warranted to optimize health and achieve environmental sustainability.
Objectives
To examine the extent to which the evolution of dietary changes over an 8-y period in the French NutriNet-Santé cohort aligned with the EAT-Lancet diet.
Methods
A sample of 17,187 participants of the prospective NutriNet-Santé study was used. Dietary intakes were evaluated in 2014, 2018, and 2022 using a food frequency questionnaire. The alignment of dietary patterns with the EAT-Lancet diet was assessed using the EAT-Lancet dietary index (ELD-I). Changes over time in the ELD-I score and component sub-scores were evaluated using linear mixed regression models.
Results
The mean ELD-I score in 2014 (35.1 ± 0.4 points) increased by a mean of 5.5 points [95% confidence interval (CI): 5.0, 5.9] in 2018, with no further increase in 2022 (+4.2 points compared with 2014: 95% CI: 3.6, 4.9). The increase in the ELD-I observed in 2018 was mostly explained by increases in the sub-scores of these components: Beef, lamb, and pork (+3.4 points; 95% CI: 3.1, 3.6, i.e., lower consumption), Fruits (+1.6 points; 95% CI: 1.3, 1.9, i.e., greater consumption), and Nuts (+1.1 points; 95% CI: 1.0, 1.2, i.e., greater consumption). Changes of similar magnitudes were observed between 2014 and 2022, except for the Fruits component, which showed a decrease (–1.3 points; 95% CI: –1.7, –0.9). Greater changes in the ELD-I score over time were observed for females, younger adults, and adults with high education levels.
Conclusions
Results suggest that the slight shift toward more sustainable dietary patterns within the NutriNet-Santé cohort between 2014 and 2018 has stabilized in 2022. This suggests the need for strong efforts from various actors in the field of nutrition and public health that may facilitate the transition toward sustainable dietary patterns.
期刊介绍：
American Journal of Clinical Nutrition is recognized as the most highly rated peer-reviewed, primary research journal in nutrition and dietetics.It focuses on publishing the latest research on various topics in nutrition, including but not limited to obesity, vitamins and minerals, nutrition and disease, and energy metabolism.
Purpose:
The purpose of AJCN is to:
Publish original research studies relevant to human and clinical nutrition.
Consider well-controlled clinical studies describing scientific mechanisms, efficacy, and safety of dietary interventions in the context of disease prevention or health benefits.
Encourage public health and epidemiologic studies relevant to human nutrition.
Promote innovative investigations of nutritional questions employing epigenetic, genomic, proteomic, and metabolomic approaches.
Include solicited editorials, book reviews, solicited or unsolicited review articles, invited controversy position papers, and letters to the Editor related to prior AJCN articles.
Peer Review Process:
All submitted material with scientific content undergoes peer review by the Editors or their designees before acceptance for publication.
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