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Modelling the Effect of Compliance with Nordic Nutrition Recommendations on Cardiovascular Disease and Cancer Mortality in the Nordic Countries
Lund Univ, Dept Clin Sci Malmo, Hlth Econ Unit, SE-22381 Lund, Sweden..ORCID iD: 0000-0001-8649-0773
Lund Univ, Agrifood Econ Ctr, Sch Econ & Management, SE-22007 Lund, Sweden.;Univ Copenhagen, Dept Food & Resource Econ, DK-1958 Frederiksberg C, Denmark..ORCID iD: 0000-0001-8608-7976
Natl Food Agcy, SE-75126 Uppsala, Sweden..
Skane Univ Hosp, Dept Internal Med, SE-20502 Malmo, Sweden.;Lund Univ, Dept Clin Sci Malmo, SE-20502 Malmo, Sweden..
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2019 (English)In: Nutrients, E-ISSN 2072-6643, Vol. 11, no 6, article id 1434Article in journal (Refereed) Published
Abstract [en]

The objective of this study is to estimate the number of deaths attributable to cardiovascular diseases and diet-related cancers that could be prevented or delayed in the Nordic countries, i.e., Sweden, Denmark, Finland, Norway, and Iceland, if adults adhere to the Nordic Nutrition Recommendations (NNR). A sex- and age-group specific epidemiological macro-simulation model was used to estimate the preventable deaths due to the differences between country specific actual intake and recommended intake of changes in food components. Data included in the model are a baseline scenario (actual dietary intake), a counterfactual scenario (recommended intake), and age-and sex-specific mortality for cardiovascular and diet-related cancer diseases, together with the total population risk of a specific year. Monte Carlo analyses with 5000 iterations were performed to produce the 95% uncertainty intervals. The model predicts that Iceland would benefit the most by adhering to the NNR, followed by Finland. In all the Nordic countries, the highest benefit would be achieved by adhering to the fruits and vegetable intakes, except Denmark, where a lower recommended intake of salt would provide the highest benefit. For men, fruits and vegetables could have saved more lives compared to other dietary components for all the Nordic countries, while for women, dietary fiber was the most prominent factor, except in Iceland. The Nordic Council should consider policies for promoting healthy eating according to the needs of each country.

Place, publisher, year, edition, pages
2019. Vol. 11, no 6, article id 1434
Keywords [en]
Nordic diet, Nordic countries, dietary guidelines, macro simulation model, cardiovascular diseases, recommended intake, health Benefit
National Category
Health Sciences
Identifiers
URN: urn:nbn:se:du-38481DOI: 10.3390/nu11061434ISI: 000474936700240PubMedID: 31242671OAI: oai:DiVA.org:du-38481DiVA, id: diva2:1602329
Available from: 2021-10-12 Created: 2021-10-12 Last updated: 2023-08-28Bibliographically approved

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Nordström, Jonas

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Saha, SanjibNordström, JonasGerdtham, Ulf-G
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