Obesity

Adherence to the EAT ‐Lancet Diet, Genetic Susceptibility and Risk of Obesity and Obesity‐Related Morbidities: A Prospective Cohort Study

Diabetes Obes MetabPublished Prospective cohort study

Main finding · Incident ORMs (Stubbendorff index)Result — go to the resultHazard ratio 0.85 95% CI 0.83–0.87

Authors' conclusion

Greater adherence to the EAT-Lancet diet is associated with lower obesity prevalence and reduced risk of ORMs. This dietary pattern may partially attenuate genetic susceptibility to obesity, highlighting its potential as an effective strategy for preventing obesity and its related complications.

Study context

Population
UK Biobank participants; EAT-Lancet diet adherence from 24-h dietary recalls (Stubbendorff and Knuppel indices); genetic risk by polygenic risk scores (PRS) for body mass index (BMI) and waist-to-hip ratio (WHR)
Participants
171,561 participants
Exposure
Higher vs lower adherence to the EAT-Lancet diet
Outcome
Obesity prevalence and incident obesity-related morbidities (ORMs)
Follow-up
median 11.9-years follow-up
Methodological detailsUK Biobank, multivariable logistic and Cox proportional hazards models
  • UK Biobank
  • Multivariable logistic and Cox proportional hazards models

Main finding

Incident ORMs (Stubbendorff index) · median 11.9 years

Hazard ratio

0.85

95% CI 0.83–0.87

Highest quartilevs Lowest quartile
HR 0.85 (95% CI 0.83–0.87)

As reported in the abstract

Incident ORM cases
48 853

Observational data: associations, not effects.

Further findings

Interaction of diet index with BMI-PRS for ORMs

Interaction diet index × BMI-PRS
P for interaction = 0.014
Low BMI-PRS and high diet adherence (lowest risk), HR
0.70; 95% CI 0.66-0.74
Similar interaction for WHR-PRS; lowest risk with low genetic risk and high adherence

Knuppel index, subgroup and sensitivity analyses

Results consistent for Knuppel index and robust across all subgroup and sensitivity analyses

Original publication

Adherence to the EAT ‐Lancet Diet, Genetic Susceptibility and Risk of Obesity and Obesity‐Related Morbidities: A Prospective Cohort Study. Diabetes Obes Metab. Published 7 April 2026. doi:10.1111/dom.70732

Composed by AI from the published abstract and checked against it. How Briefs are made →

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