We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Adherence to the Planetary Health Diet Index and Obesity Indicators in the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil).
- Authors
Cacau, Leandro Teixeira; Benseñor, Isabela Martins; Goulart, Alessandra Carvalho; Cardoso, Leticia Oliveira; Lotufo, Paulo Andrade; Moreno, Luis A.; Marchioni, Dirce Maria
- Abstract
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.
- Subjects
BRAZIL; OBESITY; BIOMARKERS; FOOD habits; CONFIDENCE intervals; CROSS-sectional method; DIET; ENVIRONMENTAL health; QUESTIONNAIRES; WAIST circumference; POPULATION health; BODY mass index; ODDS ratio
- Publication
Nutrients, 2021, Vol 13, Issue 11, p3691
- ISSN
2072-6643
- Publication type
Article
- DOI
10.3390/nu13113691