American Journal of Preventive Medicine

Following Canada’s food guide linked to lower modeled death risk

Modeled shifts to optimal adherence were linked to lower estimated mortality, with relative risks of 0.55 over five years and 0.79 over 13 years.

Paper by Saba Jalali, Xiao Hu, Boris Sobolev, Mahsa Jessri · University of British Columbia
Figure 1 from American Journal of Preventive Medicine
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Figure 1. Jalali et al.
Cohort study of 15,835 Canadian adults, 13 yearsPopulations

Limit: Mortality effects of actual dietary improvements were not measured; dietary changes were simulated

Edited by Boris Djordjevic · AgingResearch.News

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In an observational study of 15,835 Canadian adults aged 20 or older, researchers modeled how closer alignment with Canada’s Food Guide might relate to mortality. They used a 2004 nutrition survey linked to death records through 2017 and retrospectively scored diets against the 2019 guide. The analysis statistically emulated a trial; it did not assign people to diets.

The model linked optimal adherence to estimated life-expectancy gains over 13 years of 1.7 years for women and 3.0 years for men. Simulated improvements among adults aged 45–80 with less than secondary education were associated with 28% lower estimated population-level mortality over five years. The authors described this short-term result as comparable to raising adherence to a high level across that age range.

Why it matters

Dietary guidelines aim to prevent chronic disease. This analysis addressed whether population-wide or socially targeted dietary strategies might contribute to longer life.

Caveats

This analysis simulated dietary changes rather than testing them in a randomized trial. Its estimates depended on assumptions about how well people with different diets could be compared.