Adherence to the Planetary Health Diet Index and Obesity Indicators in the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil)

The EAT-Lancet Commission has proposed a model diet to improve the health of human beings and that of the planet. Recently, we proposed the Planetary Health Diet Index (PHDI) to assess adherence of the population to this model diet. In this study, we aimed to evaluate adherence to the PHDI and obesi...

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Autores principales:	Leandro Teixeira Cacau, Isabela Martins Benseñor, Alessandra Carvalho Goulart, Leticia Oliveira Cardoso, Paulo Andrade Lotufo, Luis A. Moreno, Dirce Maria Marchioni
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	EAT-Lancet diet sustainable diet diet quality obesity Nutrition. Foods and food supply TX341-641
Acceso en línea:	https://doaj.org/article/8159758a2d8c44688e7d986d8d1a48c3
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spelling	oai:doaj.org-article:8159758a2d8c44688e7d986d8d1a48c32021-11-25T18:33:13ZAdherence to the Planetary Health Diet Index and Obesity Indicators in the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil)10.3390/nu131136912072-6643https://doaj.org/article/8159758a2d8c44688e7d986d8d1a48c32021-10-01T00:00:00Zhttps://www.mdpi.com/2072-6643/13/11/3691https://doaj.org/toc/2072-6643The EAT-Lancet Commission has proposed a model diet to improve the health of human beings and that of the planet. Recently, we proposed the Planetary Health Diet Index (PHDI) to assess adherence of the population to this model diet. In this study, we aimed to evaluate adherence to the PHDI and obesity outcomes using baseline data from 14,515 participants in the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil). The dietary data were assessed using a 114-item FFQ. Body mass index (BMI) and waist circumference (WC) were both used continuously and categorized. Linear and multinomial regression models adjusted for potential confounding factors were performed to assess the relationship between adherence to PHDI and outcomes. An inverse association was observed between adherence to PHDI and obesity indicators. Individuals with high adherence to the PHDI had lower BMI (β−0.50 95% CI−0.73:−0.27) and WC (β−1.70 95% CI−2.28:−1.12) values. They were also 24% less likely to be overweight (OR 0.76 95% CI 0.67:0.85) or obese (OR 0.76 95% CI 0.65:0.88), and they were 14% and 27% less likely to have increased WC (OR 0.86 95% CI 0.75:0.98) or substantially increased WC (OR 0.73 95% CI 0.64:0.83) than those with lower adherence. Our results showed that higher adherence to the PHDI may decrease obesity indicators.Leandro Teixeira CacauIsabela Martins BenseñorAlessandra Carvalho GoulartLeticia Oliveira CardosoPaulo Andrade LotufoLuis A. MorenoDirce Maria MarchioniMDPI AGarticleEAT-Lancet dietsustainable dietdiet qualityobesityNutrition. Foods and food supplyTX341-641ENNutrients, Vol 13, Iss 3691, p 3691 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	EAT-Lancet diet sustainable diet diet quality obesity Nutrition. Foods and food supply TX341-641
spellingShingle	EAT-Lancet diet sustainable diet diet quality obesity Nutrition. Foods and food supply TX341-641 Leandro Teixeira Cacau Isabela Martins Benseñor Alessandra Carvalho Goulart Leticia Oliveira Cardoso Paulo Andrade Lotufo Luis A. Moreno Dirce Maria Marchioni Adherence to the Planetary Health Diet Index and Obesity Indicators in the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil)
description	The EAT-Lancet Commission has proposed a model diet to improve the health of human beings and that of the planet. Recently, we proposed the Planetary Health Diet Index (PHDI) to assess adherence of the population to this model diet. In this study, we aimed to evaluate adherence to the PHDI and obesity outcomes using baseline data from 14,515 participants in the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil). The dietary data were assessed using a 114-item FFQ. Body mass index (BMI) and waist circumference (WC) were both used continuously and categorized. Linear and multinomial regression models adjusted for potential confounding factors were performed to assess the relationship between adherence to PHDI and outcomes. An inverse association was observed between adherence to PHDI and obesity indicators. Individuals with high adherence to the PHDI had lower BMI (β−0.50 95% CI−0.73:−0.27) and WC (β−1.70 95% CI−2.28:−1.12) values. They were also 24% less likely to be overweight (OR 0.76 95% CI 0.67:0.85) or obese (OR 0.76 95% CI 0.65:0.88), and they were 14% and 27% less likely to have increased WC (OR 0.86 95% CI 0.75:0.98) or substantially increased WC (OR 0.73 95% CI 0.64:0.83) than those with lower adherence. Our results showed that higher adherence to the PHDI may decrease obesity indicators.
format	article
author	Leandro Teixeira Cacau Isabela Martins Benseñor Alessandra Carvalho Goulart Leticia Oliveira Cardoso Paulo Andrade Lotufo Luis A. Moreno Dirce Maria Marchioni
author_facet	Leandro Teixeira Cacau Isabela Martins Benseñor Alessandra Carvalho Goulart Leticia Oliveira Cardoso Paulo Andrade Lotufo Luis A. Moreno Dirce Maria Marchioni
author_sort	Leandro Teixeira Cacau
title	Adherence to the Planetary Health Diet Index and Obesity Indicators in the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil)
title_short	Adherence to the Planetary Health Diet Index and Obesity Indicators in the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil)
title_full	Adherence to the Planetary Health Diet Index and Obesity Indicators in the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil)
title_fullStr	Adherence to the Planetary Health Diet Index and Obesity Indicators in the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil)
title_full_unstemmed	Adherence to the Planetary Health Diet Index and Obesity Indicators in the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil)
title_sort	adherence to the planetary health diet index and obesity indicators in the brazilian longitudinal study of adult health (elsa-brasil)
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/8159758a2d8c44688e7d986d8d1a48c3
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Adherence to the Planetary Health Diet Index and Obesity Indicators in the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil)

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