Obesity

Adherence to the Eatwell Guide and associations with markers of adiposity: a prospective analysis within the UK Biobank cohort

Int J Obes (Lond)Published Prospective cohort study

Authors' conclusion

Higher Eatwell Guide adherence was associated with beneficial changes in multiple markers of adiposity over time. These associations were consistent across key demographic groups

Study context

Population
UK Biobank participants; markers of adiposity (BMI, waist circumference, ABSI, total and trunk body fat percentage)
Participants
156,764 participants
Exposure
Higher vs lower Eatwell Guide adherence
Outcome
BMI
Methodological detailscross-sectional and prospective analyses, UK Biobank
  • Cross-sectional and prospective analyses
  • UK Biobank

Main finding

As reported in the abstract

Higher adherence and lower BMI (cross-sectional), β (SE 0.001), p < 0.001

−0.032

Greater adherence and more favourable BMI trajectories over time (prospective), β (SE 0.001), p < 0.001

−0.008

Observational data: associations, not effects.

Further findings

OutcomeOR (95% CI)P value
Overweight/obesity (cross-sectional)25% lower odds0.75 (0.73–0.77)P < 0.001

Waist circumference, ABSI, total and trunk body fat percentage

Similar, significant associations (all p < 0.05), broadly consistent across key population sub-groups

Original publication

Adherence to the Eatwell Guide and associations with markers of adiposity: a prospective analysis within the UK Biobank cohort. Int J Obes (Lond). Published 13 August 2026. doi:10.1038/s41366-026-02190-4

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