Evidence map›Paper›PMID 34791011›Full record

ArticleThe American journal of clinical nutrition2022

Development of an EAT-Lancet index and its relation to mortality in a Swedish population.

Anna Stubbendorff, Emily Sonestedt, Stina Ramne, Isabel Drake, Elinor Hallström, Ulrika Ericson

Abstract read
In one paragraph

Article in The American journal of clinical nutrition, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 138 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
138citing papers in PubMed, 6 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

138 citing papers in PubMed, 6 syntheses or guidelines pooled it.

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  5. Plant-based and sustainable diet: A systematic review of its impact on obesity.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2025
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78 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors.

Anna StubbendorffDepartment of Clinical Sciences Malmö, Lund University, Malmö, Sweden.ORCID 0000-0001-9851-6213
Emily SonestedtDepartment of Clinical Sciences Malmö, Lund University, Malmö, Sweden.ORCID 0000-0002-0747-4562
Stina RamneDepartment of Clinical Sciences Malmö, Lund University, Malmö, Sweden.ORCID 0000-0003-1291-4494
Isabel DrakeDepartment of Clinical Sciences Malmö, Lund University, Malmö, Sweden.
Elinor HallströmDepartment of Agriculture and Food, Research Institutes of Sweden (RISE), Lund, Sweden.
Ulrika EricsonDepartment of Clinical Sciences Malmö, Lund University, Malmö, Sweden.ORCID 0000-0003-4629-4318

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCurrent global food systems threaten human health and environmental sustainability. In 2019, the EAT-Lancet Commission on healthy diets from sustainable food systems defined the first global reference diet to improve both areas, but there is no consensus on how to quantify the EAT-Lancet reference diet as a diet index, and its relation to mortality has not been widely studied.

objectivesWe sought to develop a new dietary index to quantify adherence to the EAT-Lancet diet and assess its association with mortality in a large, population-based Swedish cohort. We also examined food components included in the index and their individual associations with mortality.

methodsWe used the Malmö Diet and Cancer cohort (n = 22,421; 45-73 years old at baseline). Dietary data were collected using a modified diet history method. The EAT-Lancet index was developed based on intake levels and reference intervals of 14 food components defined in the EAT-Lancet diet (0-3 points per component; 0-42 points in total). Associations with mortality were examined based on registers during a mean of 20 years of follow-up and were adjusted for potential confounders.

resultsDivided into 5 adherence groups, the highest adherence to the EAT-Lancet diet (≥23 points) was associated with lower all-cause mortality (HR, 0.75; 95% CI, 0.67-0.85), cancer mortality (HR, 0.76; 95% CI, 0.63-0.92), and cardiovascular mortality (HR, 0.68; 95% CI, 0.54-0.84) than the lowest adherence (≤13 points). Several food components included in the index contributed to the observed reductions in mortality.

conclusionsWe developed a new dietary index to investigate adherence to the EAT-Lancet diet. The findings indicate a 25% lower risk of mortality among those with the highest adherence to the EAT-Lancet diet, as defined using our index, which adds to the evidence base for the development of sustainable dietary guidelines.

Indexed as

NeoplasmsNutrition PolicyAgedDietDiet, HealthyHumansMiddle AgedSwedendietenvironmenthealthy eatingmortalitynutritionsurvivalsustainable development

Identifiers

PMID34791011
PMCPMC8895215

What Socratic holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.