Adherence to the EAT-Lancet Diet is Not Associated With Weight Status in a Latin American Urban Multicentric Study

The overweight/obesity high prevalence and the effects of climate change in Latin America underscores the possible positive outcomes of adopting a healthy and sustainable diet to respond to the region’s burden of nutrition-related noncommunicable diseases (NCDs). However, research on adherence to th...

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Main Authors: Rulamán Vargas-Quesada, Rafael Monge-Rojas, Juan José Romero-Zúñiga, Carolina Araya-Bastias, Irina Kovalskys, Marianella Herrera-Cuenca, Lilia Yadira Cortés, Martha Cecilia Yépez García, Reyna Liria-Domínguez, Attilio Rigotti, Mauro Fisberg, Georgina Gómez
Format: Article
Language:English
Published: Wiley 2025-01-01
Series:Advances in Public Health
Online Access:http://dx.doi.org/10.1155/adph/9615321
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author Rulamán Vargas-Quesada
Rafael Monge-Rojas
Juan José Romero-Zúñiga
Carolina Araya-Bastias
Irina Kovalskys
Marianella Herrera-Cuenca
Lilia Yadira Cortés
Martha Cecilia Yépez García
Reyna Liria-Domínguez
Attilio Rigotti
Mauro Fisberg
Georgina Gómez
author_facet Rulamán Vargas-Quesada
Rafael Monge-Rojas
Juan José Romero-Zúñiga
Carolina Araya-Bastias
Irina Kovalskys
Marianella Herrera-Cuenca
Lilia Yadira Cortés
Martha Cecilia Yépez García
Reyna Liria-Domínguez
Attilio Rigotti
Mauro Fisberg
Georgina Gómez
author_sort Rulamán Vargas-Quesada
collection DOAJ
description The overweight/obesity high prevalence and the effects of climate change in Latin America underscores the possible positive outcomes of adopting a healthy and sustainable diet to respond to the region’s burden of nutrition-related noncommunicable diseases (NCDs). However, research on adherence to the EAT-Lancet diet in Latin America and its association with overweight/obesity is limited. This study explores the relationship between the EAT-Lancet diet adherence and overweight/obesity in a cross-sectional and urban multicentric study involving 6683 participants aged 15–65. Adherence to the EAT-Lancet diet was evaluated using the Planetary Health Diet Index (PHDI). The findings indicate that high adherence to the EAT-Lancet diet (fifth quintile) was not significantly associated with overweight/obesity (reference: first PHDI quintile, PR: 1.057, CI: 0.993–1.125, p-trend = 0.140) after adjusting for key covariates. Equivalent outcomes were found when assessing adherence to the EAT-Lancet diet using the EAT-Lancet Index, the World Index for Sustainability and Health (WISH), and the Healthy and Sustainable Diet Index (HSDI), after adjusting for the same variables. The persistently high prevalence of overweight/obesity among different adherence levels to the dietary pattern and the study’s design, do not appear to be the key factors contributing to the lack of association between these variables. Instead, the considerably low adherence to the EAT-Lancet diet in the sample as well as the low variability in adherence across participants with and without excess weight might help explain the lack of observed association. However, further research is needed to verify this conclusion.
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spelling doaj-art-c12f57a0d6764bef82d6b26e2b95c2ca2025-08-20T02:13:51ZengWileyAdvances in Public Health2314-77842025-01-01202510.1155/adph/9615321Adherence to the EAT-Lancet Diet is Not Associated With Weight Status in a Latin American Urban Multicentric StudyRulamán Vargas-Quesada0Rafael Monge-Rojas1Juan José Romero-Zúñiga2Carolina Araya-Bastias3Irina Kovalskys4Marianella Herrera-Cuenca5Lilia Yadira Cortés6Martha Cecilia Yépez García7Reyna Liria-Domínguez8Attilio Rigotti9Mauro Fisberg10Georgina Gómez11Nutrition and Health UnitNutrition and Health UnitEscuela de Medicina VeterinariaSchool of Cardiovascular and Metabolic HealthCarrera de NutriciónCentro de Estudios para el DesarrolloDepartamento de Nutrición y BioquímicaColegio de Ciencias de la SaludDepartamento de Nutrición y SaludCentro de Nutrición Molecular y Enfermedades CrónicasInstituto PensiDepartamento de BioquímicaThe overweight/obesity high prevalence and the effects of climate change in Latin America underscores the possible positive outcomes of adopting a healthy and sustainable diet to respond to the region’s burden of nutrition-related noncommunicable diseases (NCDs). However, research on adherence to the EAT-Lancet diet in Latin America and its association with overweight/obesity is limited. This study explores the relationship between the EAT-Lancet diet adherence and overweight/obesity in a cross-sectional and urban multicentric study involving 6683 participants aged 15–65. Adherence to the EAT-Lancet diet was evaluated using the Planetary Health Diet Index (PHDI). The findings indicate that high adherence to the EAT-Lancet diet (fifth quintile) was not significantly associated with overweight/obesity (reference: first PHDI quintile, PR: 1.057, CI: 0.993–1.125, p-trend = 0.140) after adjusting for key covariates. Equivalent outcomes were found when assessing adherence to the EAT-Lancet diet using the EAT-Lancet Index, the World Index for Sustainability and Health (WISH), and the Healthy and Sustainable Diet Index (HSDI), after adjusting for the same variables. The persistently high prevalence of overweight/obesity among different adherence levels to the dietary pattern and the study’s design, do not appear to be the key factors contributing to the lack of association between these variables. Instead, the considerably low adherence to the EAT-Lancet diet in the sample as well as the low variability in adherence across participants with and without excess weight might help explain the lack of observed association. However, further research is needed to verify this conclusion.http://dx.doi.org/10.1155/adph/9615321
spellingShingle Rulamán Vargas-Quesada
Rafael Monge-Rojas
Juan José Romero-Zúñiga
Carolina Araya-Bastias
Irina Kovalskys
Marianella Herrera-Cuenca
Lilia Yadira Cortés
Martha Cecilia Yépez García
Reyna Liria-Domínguez
Attilio Rigotti
Mauro Fisberg
Georgina Gómez
Adherence to the EAT-Lancet Diet is Not Associated With Weight Status in a Latin American Urban Multicentric Study
Advances in Public Health
title Adherence to the EAT-Lancet Diet is Not Associated With Weight Status in a Latin American Urban Multicentric Study
title_full Adherence to the EAT-Lancet Diet is Not Associated With Weight Status in a Latin American Urban Multicentric Study
title_fullStr Adherence to the EAT-Lancet Diet is Not Associated With Weight Status in a Latin American Urban Multicentric Study
title_full_unstemmed Adherence to the EAT-Lancet Diet is Not Associated With Weight Status in a Latin American Urban Multicentric Study
title_short Adherence to the EAT-Lancet Diet is Not Associated With Weight Status in a Latin American Urban Multicentric Study
title_sort adherence to the eat lancet diet is not associated with weight status in a latin american urban multicentric study
url http://dx.doi.org/10.1155/adph/9615321
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