Wang Yuanyuan, Pan Da, Zhang Chen, Xu Dengfeng, Lu Yifei, Yin Shiyu, Wang Pei, Xia Jiayue, Yu Junhui, Dong Lirong, Sun Guiju
Key Laboratory of Environmental Medicine and Engineering of Ministry of Education, and Department of Nutrition and Food Hygiene, School of Public Health, Southeast University, Nanjing 210009, China.
Institute of Food and Nutrition Development, Ministry of Agriculture and Rural Affairs, Beijing 100081, China.
Sci Adv. 2025 Sep 5;11(36):eadq5147. doi: 10.1126/sciadv.adq5147.
The health benefits of the Planetary Health Diet (PHD) require further validation. We examined associations between PHD adherence and risks of mortality and chronic diseases using data from two prospective cohorts-the US NHANES (1999-2018, 42,947 participants) and the UKB (125,372 participants)-and a meta-analysis of 37 published cohort studies (3,244,263 participants). Higher adherence to PHD was associated with lower all-cause mortality in both cohorts. In the UKB, it was also associated with reduced the risk of cancer and respiratory disease mortality. In the meta-analysis, higher adherence to the PHD was associated with lower risks of all-cause, cancer, and cardiovascular disease (CVD) mortality and reduced risks of colorectal cancer, lung cancer, CVDs, coronary heart disease, stroke, and diabetes. This analysis suggests that higher adherence to the PHD may offer substantial health benefits.
行星健康饮食（PHD）对健康的益处需要进一步验证。我们使用来自两个前瞻性队列研究的数据——美国国家健康与营养检查调查（NHANES，1999 - 2018年，42947名参与者）和英国生物银行（UKB，125372名参与者）——以及对37项已发表队列研究（3244263名参与者）的荟萃分析，研究了PHD依从性与死亡率和慢性病风险之间的关联。在这两个队列中，更高的PHD依从性与更低的全因死亡率相关。在英国生物银行中，它还与降低癌症和呼吸系统疾病死亡率的风险相关。在荟萃分析中，更高的PHD依从性与全因、癌症和心血管疾病（CVD）死亡率的较低风险相关，以及与结直肠癌、肺癌、CVD、冠心病、中风和糖尿病的风险降低相关。该分析表明，更高的PHD依从性可能带来显著的健康益处。
