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@article{Hanley-Cook:2021:10.1371/journal.pmed.1003834,
author = {Hanley-Cook, GT and Huybrechts, I and Biessy, C and Remans, R and Kennedy, G and Deschasaux-Tanguy, M and Murray, KA and Touvier, M and Skeie, G and Kesse-Guyot, E and Argaw, A and Casagrande, C and Nicolas, G and Vineis, P and Millett, CJ and Weiderpass, E and Ferrari, P and Dahm, CC and Bueno-de-Mesquita, HB and Sandanger, TM and Ibsen, DB and Freisling, H and Ramne, S and Jannasch, F and van, der Schouw YT and Schulze, MB and Tsilidis, KK and Tjonneland, A and Ardanaz, E and Boden, S and Cirera, L and Gargano, G and Halkjaer, J and Jakszyn, P and Johansson, I and Katzke, V and Masala, G and Panico, S and Rodriguez-Barranco, M and Sacerdote, C and Srour, B and Tumino, R and Riboli, E and Gunter, MJ and Jones, AD and Lachat, C},
doi = {10.1371/journal.pmed.1003834},
journal = {PLoS Medicine},
title = {Food biodiversity and total and cause-specific mortality in 9 European countries: An analysis of a prospective cohort study},
url = {http://dx.doi.org/10.1371/journal.pmed.1003834},
volume = {18},
year = {2021}
}

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TY  - JOUR
AB  - BackgroundFood biodiversity, encompassing the variety of plants, animals, and other organisms consumed as food and drink, has intrinsic potential to underpin diverse, nutritious diets and improve Earth system resilience. Dietary species richness (DSR), which is recommended as a crosscutting measure of food biodiversity, has been positively associated with the micronutrient adequacy of diets in women and young children in low- and middle-income countries (LMICs). However, the relationships between DSR and major health outcomes have yet to be assessed in any population.Methods and findingsWe examined the associations between DSR and subsequent total and cause-specific mortality among 451,390 adults enrolled in the European Prospective Investigation into Cancer and Nutrition (EPIC) study (1992 to 2014, median follow-up: 17 years), free of cancer, diabetes, heart attack, or stroke at baseline. Usual dietary intakes were assessed at recruitment with country-specific dietary questionnaires (DQs). DSR of an individual’s yearly diet was calculated based on the absolute number of unique biological species in each (composite) food and drink. Associations were assessed by fitting multivariable-adjusted Cox proportional hazards regression models. In the EPIC cohort, 2 crops (common wheat and potato) and 2 animal species (cow and pig) accounted for approximately 45% of self-reported total dietary energy intake [median (P10–P90): 68 (40 to 83) species consumed per year]. Overall, higher DSR was inversely associated with all-cause mortality rate. Hazard ratios (HRs) and 95% confidence intervals (CIs) comparing total mortality in the second, third, fourth, and fifth (highest) quintiles (Qs) of DSR to the first (lowest) Q indicate significant inverse associations, after stratification by sex, age, and study center and adjustment for smoking status, educational level, marital status, physical activity, alcohol intake, and total energy intake, Mediterranean diet score, red
AU  - Hanley-Cook,GT
AU  - Huybrechts,I
AU  - Biessy,C
AU  - Remans,R
AU  - Kennedy,G
AU  - Deschasaux-Tanguy,M
AU  - Murray,KA
AU  - Touvier,M
AU  - Skeie,G
AU  - Kesse-Guyot,E
AU  - Argaw,A
AU  - Casagrande,C
AU  - Nicolas,G
AU  - Vineis,P
AU  - Millett,CJ
AU  - Weiderpass,E
AU  - Ferrari,P
AU  - Dahm,CC
AU  - Bueno-de-Mesquita,HB
AU  - Sandanger,TM
AU  - Ibsen,DB
AU  - Freisling,H
AU  - Ramne,S
AU  - Jannasch,F
AU  - van,der Schouw YT
AU  - Schulze,MB
AU  - Tsilidis,KK
AU  - Tjonneland,A
AU  - Ardanaz,E
AU  - Boden,S
AU  - Cirera,L
AU  - Gargano,G
AU  - Halkjaer,J
AU  - Jakszyn,P
AU  - Johansson,I
AU  - Katzke,V
AU  - Masala,G
AU  - Panico,S
AU  - Rodriguez-Barranco,M
AU  - Sacerdote,C
AU  - Srour,B
AU  - Tumino,R
AU  - Riboli,E
AU  - Gunter,MJ
AU  - Jones,AD
AU  - Lachat,C
DO  - 10.1371/journal.pmed.1003834
PY  - 2021///
SN  - 1549-1277
TI  - Food biodiversity and total and cause-specific mortality in 9 European countries: An analysis of a prospective cohort study
T2  - PLoS Medicine
UR  - http://dx.doi.org/10.1371/journal.pmed.1003834
UR  - http://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000709889300001&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=1ba7043ffcc86c417c072aa74d649202
UR  - https://journals.plos.org/plosmedicine/article?id=10.1371/journal.pmed.1003834
UR  - http://hdl.handle.net/10044/1/93859
VL  - 18
ER  -

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