Eastern healthy dietary patterns in relation to all-cause mortality.
Xiaoxi Wang1,2,3,4, Jiaqi Xuan1,2, Hui Chen5
1China Academy for Rural Development and Department of Agricultural Economics and Management, Zhejiang University, Hangzhou, Zhejiang, People's Republic of China.
European Journal of Nutrition
|September 29, 2025
Summary
Following Eastern healthy dietary patterns (EHDP) is linked to lower mortality risk in Chinese adults. Higher adherence, measured by Dietary Diversity Score (DDS) and Chinese Healthy Eating Index (CHEI), significantly reduces the risk of all-cause mortality.
Area of Science:
- Nutrition Science
- Public Health
- Epidemiology
Background:
- Western dietary patterns dominate healthy eating research.
- Eastern healthy dietary patterns (EHDP), particularly those from Chinese guidelines, are understudied.
- Understanding EHDP's impact on mortality is crucial for public health in Eastern populations.
Purpose of the Study:
- To investigate the association between adherence to Eastern healthy dietary patterns (EHDP) and all-cause mortality.
- To evaluate EHDP using the Dietary Diversity Score (DDS) and Chinese Healthy Eating Index (CHEI).
- To analyze mortality risks in Chinese adults based on EHDP adherence.
Main Methods:
- Utilized cohort data from the China Health and Nutrition Survey (CHNS) from 1997-2015.
- Included 10,436 Chinese adults over 18 years old.
- Employed time-varying Cox regression models to assess the relationship between EHDP (DDS, CHEI) and mortality.
Main Results:
- Higher Dietary Diversity Score (DDS) correlated with reduced mortality risk (38% decrease in highest tertile).
- Increased Chinese Healthy Eating Index (CHEI) was associated with lower mortality (18% reduction per 10-unit increase).
- Combined high DDS and CHEI showed a significantly lower mortality risk compared to low adherence groups.
Conclusions:
- Adherence to Eastern healthy dietary patterns (EHDP) is significantly associated with reduced all-cause mortality in Chinese adults.
- Dietary Diversity Score (DDS) and Chinese Healthy Eating Index (CHEI) are valuable metrics for assessing EHDP.
- Findings support the promotion of EHDP for improving health outcomes and longevity in Chinese populations.
Related Concept Videos
01:20Lifestyle Factors and Health
393
Lifestyle factors play a critical role in maintaining overall health and preventing chronic diseases. Key elements, such as regular physical activity, a nutritious diet, and abstinence from smoking, can significantly enhance physical, mental, and emotional well-being while reducing the risk of several life-threatening conditions.
Benefits of Physical Activity
Physical activity, whether through structured exercise or casual activities like walking, biking, or dancing, is a cornerstone of a...
Benefits of Physical Activity
Physical activity, whether through structured exercise or casual activities like walking, biking, or dancing, is a cornerstone of a...
393
02:59Cancer Prevention
7.6K
Several factors can increase the risk of cancer in an individual. About 50% of cancer cases can be prevented by adopting a healthy lifestyle, regular exercise, eating healthy, and following a modest cancer prevention diet. Epidemiological studies have consistently shown that populations with vegetable and fruit-rich diets have reduced the incidence of cancer. On the other hand, populations who have a diet rich in animal fat, red meat, junk food, or high calories are predisposed to cancer.
Some...
Some...
7.6K
01:29Assessment of the Gastrointestinal System II: Health Perception Pattern
427
Assessing the gastrointestinal (GI) system is a complex process that begins with collecting subjective data. This data, collected through patient interviews, provides crucial insights into the patient's health history, perception patterns, and lifestyle habits, all contributing significantly to GI health.
Health Perception Patterns
Health perception patterns offer valuable insights into a patient's lifestyle habits and how they may impact their GI health. These patterns include:
Health Perception Patterns
Health perception patterns offer valuable insights into a patient's lifestyle habits and how they may impact their GI health. These patterns include:
427
01:29Bias in Epidemiological Studies
1.2K
Biases can arise at various stages of research, from study design and data collection to analysis and interpretation. Recognizing and addressing these biases is essential to ensure the validity and reliability of epidemiological findings.Broadly speaking, biases in epidemiology fall into three main categories: selection bias, information bias, and confounding. A more detailed description of possible biases is:
1.2K
01:26Atherosclerosis III: Management
290
Management of atherosclerosis involves an integrated strategy encompassing pharmacological treatment, surgical interventions, lifestyle changes, and nutrition therapy to address the multifactorial nature of the disease.Pharmacological TherapyA cornerstone of atherosclerosis management is the use of pharmacological agents. Statins, such as atorvastatin, are pivotal in inhibiting HMG-CoA reductase, an enzyme that catalyzes an initial step in cholesterol synthesis in the liver. This reduction in...
290
01:26Stress Prevention and Stress Management Techniques IV
210
Stress often leads to unhealthy habits like smoking, excessive drinking, and overeating, which offer short-term relief but ultimately increase long-term health risks. These behaviors create a cycle that temporarily lowers stress levels but can result in severe long-term health consequences. Breaking these habits is essential to reduce the risk of chronic diseases and improve overall well-being. Three primary changes that support better health include quitting smoking, reducing alcohol intake,...
210