The DOI matches its Crossref record; 37 of the 37 references it cites were found in a registry or an index.
Adherence to the 2015 Dutch dietary guidelines and risk of non-communicable diseases and mortality in the Rotterdam Study
Open accessAbstract
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.
Overview
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.
Integrity signals
Registry
Cites
Statistics
Figures
Verification
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.
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?
In the citing paper
“adherence to FBDGs has been associated with desirable outcomes in multiple domains such as a better quality of life [5,6] and mental health [7], healthy weight maintenance, and lower risk of major chronic diseases [for example, CVD, type 2 diabetes (T2D), multiple cancers [2,[8], [9], [10]]] and all-cause mortality [2,9,11].”
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Citations
Cites
Vestbo, J., Hurd, S. S., Agustí, A. G., Jones, P. W., Vogelmeier, C., Anzueto, A., Barnes, P. J., Fabbri, L. M., Martinez, F. J., Nishimura, M., et al. (2013) · American Journal of Respiratory and Critical Care Medicine · doi:10.1164/rccm.201204-0596pp · Cited by 15,983
Sterne, J. A. C., White, I. R., Carlin, J. B., Spratt, M., Royston, P., Kenward, M. G., Wood, A. M., & Carpenter, J. R. (2009) · BMJ · doi:10.1136/bmj.b2393 · Cited by 7,299
2011 Compendium of Physical Activities: A Second Update of Codes and MET Values
AINSWORTH, B. E., HASKELL, W. L., HERRMANN, S. D., MECKES, N., BASSETT, D. R., TUDOR-LOCKE, C., GREER, J. L., VEZINA, J., WHITT-GLOVER, M. C., & LEON, A. S. (2011) · Medicine & Science in Sports & Exercise · doi:10.1249/mss.0b013e31821ece12 · Cited by 6,317
Alternative Dietary Indices Both Strongly Predict Risk of Chronic Disease
Chiuve, S. E., Fung, T. T., Rimm, E. B., Hu, F. B., McCullough, M. L., Wang, M., Stampfer, M. J., & Willett, W. C. (2012) · The Journal of Nutrition · doi:10.3945/jn.111.157222 · Cited by 1,951
Sofi, F., Abbate, R., Gensini, G. F., & Casini, A. (2010) · The American Journal of Clinical Nutrition · doi:10.3945/ajcn.2010.29673 · Cited by 1,605
Reedy, J., Krebs‐Smith, S. M., Miller, P. E., Liese, A. D., Kahle, L., Park, Y., & Subar, A. F. (2014) · Journal of Nutrition · doi:10.3945/jn.113.189407 · Cited by 711
Comparison of the LASA Physical Activity Questionnaire with a 7-day diary and pedometer
Stel, V. S., Smit, J. H., Pluijm, S. M. F., Visser, M., Deeg, D. J. H., & Lips, P. T. A. M. (2004) · Journal of Clinical Epidemiology · doi:10.1016/j.jclinepi.2003.07.008 · Cited by 547
Goldbohm, R. A., van den Brandt, P. A., Brants, H. A. M., Veer, P. V., Al, M. D. M., STURMANS, F., & Hermus, R. J. J. (1994) · PubMed · Cited by 451
The 2015 Dutch food-based dietary guidelines
Kromhout, D., Spaaij, C. J. K., de Goede, J., & Weggemans, R. M. (2016) · European Journal of Clinical Nutrition · doi:10.1038/ejcn.2016.52 · Cited by 416
Feunekes, G. I. J., van Staveren, W., de Vries, J., BUREMA, J., & Hautvast, J. (1993) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/58.4.489 · Cited by 412
Dietary patterns: from nutritional epidemiologic analysis to national guidelines
Feliciano, E. M. C., & Hu, F. B. (2015) · American Journal of Clinical Nutrition · doi:10.3945/ajcn.115.110213 · Cited by 391
Dietary Patterns, Cognitive Decline, and Dementia: A Systematic Review
van de Rest, O., Berendsen, A. A. M., Haveman‐Nies, A., & de Groot, C. P. G. M. (2015) · Advances in Nutrition · doi:10.3945/an.114.007617 · Cited by 360
Romaguera, D., Vergnaud, A., Peeters, P. H. M., van Gils, C. H., Chan, D. S. M., Ferrari, P., Romieu, I., Jenab, M., Slimani, N., Clavel‐Chapelon, F., et al. (2012) · American Journal of Clinical Nutrition · doi:10.3945/ajcn.111.031674 · Cited by 333
Caspersen, C. J., Bloemberg, B. P. M., Saris, W. H. M., Merritt, R. K., & Kromhout, D. (1991) · American Journal of Epidemiology · doi:10.1093/oxfordjournals.aje.a115821 · Cited by 331
Development and evaluation of the Dutch Healthy Diet index 2015
Looman, M., Feskens, E. J. M., de Rijk, M. G., Meijboom, S., Biesbroek, S., Temme, E. H. M., de Vries, J. H. M., & Geelen, A. (2017) · Public Health Nutrition · doi:10.1017/s136898001700091x · Cited by 319
Dietary assessment in the elderly: validation of a semiquantitative food frequency questionnaire
Klipstein‐Grobusch, K., den Breeijen, J. H., Goldbohm, R. A., Geleijnse, J. M., Albert Hofman, D., Grobbee, D. E., & Witteman, J. C. M. (1998) · European Journal of Clinical Nutrition · doi:10.1038/sj.ejcn.1600611 · Cited by 316
de Bruijn, R. F. A. G., Bos, M. J., Portegies, M. L. P., Albert Hofman, D., Franco, O. H., Koudstaal, P. J., & Ikram, M. A. (2015) · BMC Medicine · doi:10.1186/s12916-015-0377-5 · Cited by 288
Self-citationLigthart, S., van Herpt, T. T. W., Leening, M. J. G., Kavousi, M., Hofman, A., Stricker, B. H. C., van Hoek, M., Sijbrands, E. J. G., Franco, O. H., & Dehghan, A. (2016) · The Lancet Diabetes & Endocrinology · doi:10.1016/s2213-8587(15)00362-9 · Cited by 267
Self-citationDietary Guidelines in the 21st Century—A Time for Food
Mozaffarian, D., & Ludwig, D. S. (2010) · JAMA · doi:10.1001/jama.2010.1116 · Cited by 262
Methods of data collection and definitions of cardiac outcomes in the Rotterdam Study
Leening, M. J. G., Kavousi, M., Heeringa, J., van Rooij, F. J. A., Heemst, J. V., Deckers, J. W., Mattace-Raso, F. U. S., Ziere, G. J., Albert Hofman, D., Stricker, B. H. C., et al. (2012) · European Journal of Epidemiology · doi:10.1007/s10654-012-9668-8 · Cited by 245
Self-citationVarraso, R., Chiuve, S. E., Fung, T. T., Barr, R. G., Hu, F. B., Willett, W. C., & Camargo, C. A. (2015) · BMJ · doi:10.1136/bmj.h286 · Cited by 217
Di Marco, L. Y., Marzo, A., Muñoz-Ruiz, M., Ikram, M. A., Kivipelto, M., Ruefenacht, D., Venneri, A., Soininen, H., Wanke, I., Ventikos, Y. A., et al. (2014) · Journal of Alzheimer's Disease · doi:10.3233/jad-132225 · Cited by 215
Self-citationCoffee components and cardiovascular risk: beneficial and detrimental effects
Godos, J., Pluchinotta, F. R., Marventano, S., Buscemi, S., Li Volti, G., Galvano, F., & Grosso, G. (2014) · International Journal of Food Sciences and Nutrition · doi:10.3109/09637486.2014.940287 · Cited by 210
Incidence and Recurrence of Late-Life Depression
Luijendijk, H. J., van den Berg, J. F., Dekker, M. J. H. J., van Tuijl, H. R., Otte, W., Smit, F., Albert Hofman, D., Stricker, B. H. C., & Tiemeier, H. W. (2008) · Archives of General Psychiatry · doi:10.1001/archpsyc.65.12.1394 · Cited by 192
Self-citationDoes reverse causality explain the relationship between diet and depression?
Jacka, F. N., Cherbuin, N., Anstey, K. J., & Butterworth, P. (2015) · Journal of Affective Disorders · doi:10.1016/j.jad.2015.01.007 · Cited by 175
Nutrition and healthy ageing: the key ingredients
Jong, J. C. K.-D., Mathers, J. C., & Franco, O. H. (2014) · Proceedings of The Nutrition Society · doi:10.1017/s0029665113003881 · Cited by 160
Self-citationvan Lee, L., Geelen, A., van Huysduynen, E. J. C. H., de Vries, J. H. M., Veer, P. V., & Feskens, E. J. M. (2012) · Nutrition Journal · doi:10.1186/1475-2891-11-49 · Cited by 151
Chronic obstructive pulmonary disease and sudden cardiac death: the Rotterdam study
Lahousse, L., Niemeijer, M. N., van den Berg, M. E., Rijnbeek, P. R., Joos, G., Albert Hofman, D., Franco, O. H., Deckers, J. W., Eijgelsheim, M., Stricker, B. H. C., et al. (2015) · European Heart Journal · doi:10.1093/eurheartj/ehv121 · Cited by 120
Self-citationBos, M. J., Koudstaal, P. J., Albert Hofman, D., & Ikram, M. A. (2014) · PLoS Medicine · doi:10.1371/journal.pmed.1001634 · Cited by 88
Self-citationJankovic, N., Geelen, A., Winkels, R. M., Mwungura, B., Fedirko, V., Jenab, M., Illner, A., Brenner, H., Ordóñez-Mena, J. M., de Jong, J. C. K., et al. (2016) · Cancer Epidemiology Biomarkers & Prevention · doi:10.1158/1055-9965.epi-16-0428 · Cited by 85
Self-citationAdherence to dietary guidelines and cardiovascular disease risk in the EPIC-NL cohort
Struijk, E. A., May, A. M., Wezenbeek, N. L. W., Fransen, H. P., Soedamah-Muthu, S. S., Geelen, A., Boer, J. M. A., van der Schouw, Y. T., Bueno-de-Mesquita, H. B., & Beulens, J. W. J. (2014) · International Journal of Cardiology · doi:10.1016/j.ijcard.2014.07.017 · Cited by 74
Harris, H. R., Bergkvist, L., & Wolk, A. (2016) · International Journal of Cancer · doi:10.1002/ijc.30015 · Cited by 70
van Lee, L., Geelen, A., Jong, J. C. K., Witteman, J. C. M., Albert Hofman, D., Vonk, N., Jankovic, N., van Huysduynen, E. J. C. H., de Vries, J. H. M., Veer, P. V. ’., et al. (2015) · European Journal of Clinical Nutrition · doi:10.1038/ejcn.2015.163 · Cited by 34
Self-citationHealthy Eating Index and Mortality in a Nationally Representative Elderly Cohort
Rathod, A. D. (2012) · Archives of Internal Medicine · doi:10.1001/archinternmed.2011.1031 · Cited by 33
Fanidi, A., Ferrari, P., Biessy, C., Ortega, C., Ángeles-Llerenas, A., Torres-Mejia, G., & Romieu, I. (2015) · Public Health Nutrition · doi:10.1017/s1368980015000634 · Cited by 24
Adherence to guidelines to prevent cardiovascular diseases: The LifeLines cohort study.
Balder, J.-W., Scholtens, S., de Vries, J. K., van Schie, L. M., Boekholdt, S. M., Hovingh, G. K., Kamphuisen, P. W., & Kuivenhoven, J. A. (2015) · PubMed · Cited by 23
Coffee: A Selected Overview of Beneficial or Harmful Effects on the Cardiovascular System?
Whayne, T. F. (2014) · Current Vascular Pharmacology · doi:10.2174/1570161112666141002121429 · Cited by 18
Research works printed but not linked: 1
- de Bruijn RF, Bos MJ, Portegies ML, Hofman A, Franco OH, Koudstaal PJ, Ikram MA. The potential for prevention of dementia across two decades: the prospective, population-based Rotterdam Study. BMC Med. 2015;13:132. doi: 10.1186/s12916-015-0377-5 . · DOI
Cited by
Sorted by citations
Lassale, C., Batty, G. D., Baghdadli, A., Jacka, F., Sánchez-Villegas, A., Kivimäki, M., & Akbaraly, T. (2019) · Molecular Psychiatry · doi:10.1038/s41380-018-0237-8 · Cited by 931
Objectives, design and main findings until 2020 from the Rotterdam Study
Ikram, M. A., Brusselle, G., Ghanbari, M., Goedegebure, A., Ikram, M. K., Kavousi, M., Kieboom, B. C. T., Klaver, C. C. W., de Knegt, R. J., Luik, A. I., et al. (2020) · European Journal of Epidemiology · doi:10.1007/s10654-020-00640-5 · Cited by 463
Self-citationRole of Diet in Chronic Obstructive Pulmonary Disease Prevention and Treatment
Scoditti, E., Massaro, M., Garbarino, S., & Toraldo, D. M. (2019) · Nutrients · doi:10.3390/nu11061357 · Cited by 299
Sarcopenia and Sarcopenic Obesity and Mortality Among Older People
Benz, E., Pinel, A., Guillet, C., Capel, F., Pereira, B., De Antonio, M., Pouget, M., Cruz-Jentoft, A. J., Eglseer, D., Topinkova, E., et al. (2024) · JAMA Network Open · doi:10.1001/jamanetworkopen.2024.3604 · Cited by 261
Self-citationDietary salt promotes cognitive impairment through tau phosphorylation
Faraco, G., Hochrainer, K., Segarra, S. G., Schaeffer, S., Santisteban, M. M., Menon, A., Jiang, H., Holtzman, D. M., Anrather, J., & Iadecola, C. (2019) · Nature · doi:10.1038/s41586-019-1688-z · Cited by 236
Metadata
- 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
- ORCID
- Venue
- European Journal of Epidemiology
- Published
- 2017-08-19
- Volume
- 32
- Issue
- 11
- Pages
- 993-1005
- ISSN
- 0393-2990 (ISSN-L)
- 1573-7284
- PMC
- PMC5684301
- 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
- hybrid
- doi.org
- 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
