Understanding the Impact of Adherence to the EAT-Lancet Diet on Body Weight and Waist Circumference: Insights from a Danish Cohort Study

In a recent investigation published in the journal Dialogues in Health, researchers examined how adherence to the EAT-Lancet diet during midlife influences changes in body weight and waist circumference (WC) over a span of five years.

Background

The global rise in obesity has become a critical concern due to its association with various non-communicable diseases such as cardiovascular issues, cancers, and diabetes. In response to this, the EAT-Lancet diet was proposed by the Lancet Commission on Planetary Health in 2019 as a sustainable dietary approach. It advocates for increased consumption of fruits, vegetables, plant proteins, and unsaturated fats, while reducing red meat intake. While previous studies suggest the potential benefits of vegetarian diets in lowering obesity risks, research on the effectiveness of the EAT-Lancet diet, especially in Denmark where national guidelines echo its principles, remains limited.

About the Study

The Danish Diet, Cancer, and Health Cohort (DCH) study aimed to explore the impact of dietary patterns on health among middle-aged Danes. Over 57,000 participants provided comprehensive diet and lifestyle data. Adherence to the EAT-Lancet diet was assessed through a detailed food frequency questionnaire. Baseline measurements including weight, WC, and height were collected, with self-reported data obtained five years later. Robust statistical methods were employed, including linear regression and Poisson regression models, to analyze the relationship between diet adherence and changes in weight and WC, while adjusting for baseline characteristics and lifestyle factors.

Key Findings

Analysis of data from 44,296 participants revealed that higher adherence to the EAT-Lancet diet was associated with a lower WC at follow-up, although no significant change in weight was observed. However, when not adjusting for baseline weight and WC, the highest adherence group exhibited lower weight and WC at follow-up, suggesting both direct and indirect effects of diet adherence. Stratified analyses indicated variations in the relationship between diet adherence and weight or WC across different groups. Notably, individuals with a baseline BMI under 30 showed a reduced risk of obesity and elevated WC with higher adherence to the EAT-Lancet diet.

Conclusions

While the EAT-Lancet diet may not significantly impact body weight over a five-year period, it appears to lead to a slight reduction in WC and a lower risk of obesity and elevated WC, particularly in individuals with a baseline BMI under 30. Further research is warranted to understand the long-term effectiveness of this dietary approach in diverse populations and its broader implications for health outcomes.

FAQs

  • Can Individuals with Specific Dietary Requirements Follow the EAT-Lancet Diet?
    • While the EAT-Lancet diet emphasizes plant-based foods, individuals with specific dietary needs should consult a healthcare professional before making significant dietary changes.
  • How can I incorporate EAT-Lancet principles into my daily routine?
    • Start by gradually increasing your intake of fruits, vegetables, legumes, and whole grains while reducing processed foods and red meat consumption. Experiment with new recipes and food combinations to find what works best for you.
  • Why didn’t the study observe significant weight changes with higher adherence to the EAT-Lancet diet?
    • Weight management is influenced by various factors beyond diet, including genetics, physical activity levels, and metabolic rate. The study’s findings suggest a complex interplay between these factors.
  • Are there any potential drawbacks to the EAT-Lancet diet?
    • Some individuals may find it challenging to meet their nutrient needs solely through plant-based foods. It’s essential to ensure adequate intake of essential nutrients such as protein, iron, and vitamin B12.
  • What are some alternatives to the EAT-Lancet diet for weight management?
    • Other dietary patterns, such as the Mediterranean diet or the DASH diet, may also offer health benefits and could be worth exploring based on individual preferences and goals.

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