Cited by 153Nutritional Studies and DietNutrition, Health, and Society StudiesCardiovascular Health and Risk Factors

Adherence to the 2015 Dutch dietary guidelines and risk of non-communicable diseases and mortality in the Rotterdam Study

Open access
Voortman, Trudy, Kiefte-de Jong, Jessica C., Ikram, M. Arfan, Stricker, Bruno H., van Rooij, Frank J. A., Lahousse, Lies, Tiemeier, Henning, Brusselle, Guy G. +2 more·2017·European Journal of Epidemiology

Abstract

We aimed to evaluate the criterion validity of the 2015 food-based Dutch dietary guidelines, which were formulated based on evidence on the relation between diet and major chronic diseases. We studied 9701 participants of the Rotterdam Study, a population-based prospective cohort in individuals aged 45 years and over [median 64.1 years (95%-range 49.0-82.8)]. Dietary intake was assessed at baseline with a food-frequency questionnaire. For all participants, we examined adherence (yes/no) to fourteen items of the guidelines: vegetables (≥200 g/day), fruit (≥200 g/day), whole-grains (≥90 g/day), legumes (≥135 g/week), nuts (≥15 g/day), dairy (≥350 g/day), fish (≥100 g/week), tea (≥450 mL/day), ratio whole-grains:total grains (≥50%), ratio unsaturated fats and oils:total fats (≥50%), red and processed meat (<300 g/week), sugar-containing beverages (≤150 mL/day), alcohol (≤10 g/day) and salt (≤6 g/day). Total adherence was calculated as sum-score of the adherence to the individual items (0-14). Information on disease incidence and all-cause mortality during a median follow-up period of 13.5 years (range 0-27.0) was obtained from data collected at our research center and from medical records. Using Cox proportional-hazards models adjusted for confounders, we observed every additional component adhered to was associated with a 3% lower mortality risk (HR 0.97, 95% CI 0.95; 0.98), lower risk of stroke (HR 0.95, 95% CI 0.92; 0.99), chronic obstructive pulmonary disease (HR 0.94, 95% CI 0.91; 0.98), colorectal cancer (HR 0.90, 95% CI 0.84; 0.96), and depression (HR 0.97, 95% CI 0.95; 0.999), but not with incidence of coronary heart disease, type 2 diabetes, heart failure, lung cancer, breast cancer, or dementia. These associations were not driven by any of the individual dietary components. To conclude, adherence to the Dutch dietary guidelines was associated with a lower mortality risk and a lower risk of developing some but not all of the chronic diseases on which the guidelines were based.

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

A few free checks a day · papers already verified open instantly · results are public

Integrity signals

Registry

Crossref · 10.1007/s10654-017-0295-2

Cites

37 of 37 references verified0 citation errors · 0 not checkable

Statistics

Claims the paper makes

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

A few free checks a day · papers already verified open instantly · results are public

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

The self-check needs the paper’s full text.

Cites

Flagged first, then by citations

Cited by

Sorted by citations

Authors
Voortman, T., Kiefte-de Jong, J. C., Ikram, M. A., Stricker, B. H., van Rooij, F. J. A., Lahousse, L., Tiemeier, H., Brusselle, G. G., Franco, O. H., & Schoufour, J. D.
Affiliations
  • Erasmus MC (NL)
  • Ghent University Hospital (BE)
Corresponding author
Voortman, Trudy
Venue
European Journal of Epidemiology
Published
2017-08-19
Volume
32
Issue
11
Pages
993-1005
ISSN
  • 0393-2990 (ISSN-L)
  • 1573-7284
OpenAlex
W2749030620
Cited by
153
References
37
Citations by year
2026: 8 · 2025: 8 · 2024: 17 · 2023: 21 · 2022: 25 · 2021: 20 · 2020: 23 · 2019: 19 · 2018: 11 · 2017: 1
FWCI
13.84
Type
journal article
Language
en
Open access
Locations
  • European Journal of Epidemiology (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • EUR Research Repository (Erasmus University Rotterdam) (publishedVersion, other-oa)
  • Leiden Repository (Leiden University) (submittedVersion)
  • National University of Singapore (submittedVersion, cc-by)
  • EUR Research Repository (Erasmus University Rotterdam) (submittedVersion, other-oa)
  • RePub (Erasmus University Rotterdam) (submittedVersion, other-oa)
  • Data Archiving and Networked Services (DANS) (submittedVersion, other-oa)
  • Ghent University Academic Bibliography (Ghent University) (submittedVersion, other-oa)
  • RePub (Erasmus University Rotterdam) (submittedVersion)
Funders
  • European Commission
  • Erasmus Universiteit Rotterdam
  • Fonds Wetenschappelijk Onderzoek
  • Vlaamse regering
  • Nestec
  • Erasmus Universitair Medisch Centrum Rotterdam
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Nutritional Studies and Diet
  • Life Sciences › Agricultural and Biological Sciences › Food Science › Nutrition, Health, and Society Studies
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Health and Risk Factors
Keywords
dietary guidelines adherence, non-communicable diseases, all-cause mortality, stroke, chronic obstructive pulmonary disease, colorectal cancer, depression, criterion validity, dietary intake, whole grains, fruit and vegetable intake, red and processed meat, sweetened beverages, alcohol consumption, salt intake, unsaturated fat, Rotterdam Study, older adults, disease incidence
MeSH terms
Noncommunicable Diseases, Aged, Aged, 80 and over, Cause of Death, Chronic Disease, Diet Surveys, Female, Health Status Indicators, Humans, Male, Middle Aged, Mortality, Netherlands, Population Surveillance, Prospective Studies, Risk Factors, Proportional Hazards Models, Guidelines as Topic, Nutrition Policy, Guideline Adherence

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review