Please use this identifier to cite or link to this item: https://doi.org/10.21256/zhaw-23842
Publication type: Article in scientific journal
Type of review: Peer review (publication)
Title: Does diet map with mortality? : Ecological association of dietary patterns with chronic disease mortality and its spatial dependence in Switzerland
Authors: Pestoni, Giulia
Karavasiloglou, Nena
Braun, Julia
Krieger, Jean-Philippe
Sych, Janice Marie
Bopp, Matthias
Faeh, David
Gruebner, Oliver
Rohrmann, Sabine
et. al: No
DOI: 10.1017/S0007114521001525
10.21256/zhaw-23842
Published in: British Journal of Nutrition
Page(s): 1
Pages to: 13
Issue Date: 11-May-2021
Publisher / Ed. Institution: Cambridge University Press
ISSN: 0007-1145
1475-2662
Language: English
Subjects: 24-h dietary recalls; AHEI; Chronic disease mortality; Dietary patterns; Spatial analysis
Subject (DDC): 613.2: Dietetics
616: Internal medicine and diseases
Abstract: We investigated the associations between dietary patterns and chronic disease mortality in Switzerland using an ecological design and explored their spatial dependence, i.e. the tendency of near locations to present more similar and distant locations to present more different values than randomly expected. Data of the National Nutrition Survey menuCH (n 2057) were used to compute hypothesis- (Alternate Healthy Eating Index (AHEI)) and data-driven dietary patterns. District-level standardised mortality ratios (SMR) were calculated using the Swiss Federal Statistical Office mortality data and linked to dietary data geographically. Quasipoisson regression models were fitted to investigate the associations between dietary patterns and chronic disease mortality; Moran's I statistics were used to explore spatial dependence. Compared with the first, the fifth AHEI quintile (highest diet quality) was associated with district-level SMR of 0·95 (95 % CI 0·93, 0·97) for CVD, 0·91 (95 % CI 0·88, 0·95) for ischaemic heart disease (IHD), 0·97 (95 % CI 0·95, 0·99) for stroke, 0·99 (95 % CI 0·98, 1·00) for all-cancer, 0·98 (95 % CI 0·96, 0·99) for colorectal cancer and 0·93 (95 % CI 0·89, 0·96) for diabetes. The Swiss traditional and Western-like patterns were associated with significantly higher district-level SMR for CVD, IHD, stroke and diabetes (ranging from 1·02 to 1·08) compared with the Prudent pattern. Significant global and local spatial dependence was identified, with similar results across hypothesis- and data-driven dietary patterns. Our study suggests that dietary patterns partly contribute to the explanation of geographic disparities in chronic disease mortality in Switzerland. Further analyses including spatial components in regression models would allow identifying regions where nutritional interventions are particularly needed.
URI: https://digitalcollection.zhaw.ch/handle/11475/23842
Fulltext version: Published version
License (according to publishing contract): CC BY-NC-ND 4.0: Attribution - Non commercial - No derivatives 4.0 International
Departement: Life Sciences and Facility Management
Organisational Unit: Institute of Food and Beverage Innovation (ILGI)
Published as part of the ZHAW project: Was isst die Schweiz?
Appears in collections:Publikationen Life Sciences und Facility Management



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