Prevention & lipidsCohort study

Long-term adherence to the new Nordic Nutrition Recommendations in relation to cardiovascular events and cardiometabolic biomarkers

Eur J Prev CardiolPublished

  • Prospective cohort study
  • time-varying multivariable Cox regression

Authors' conclusion

This study provides evidence for a positive impact of adherence to NNR2023 on cardiovascular health.

Study context

Population
Swedish Mammography Cohort and Cohort of Swedish Men; clinical sub-cohort of Swedish Mammography Cohort (SMC) women for biomarkers4,267 women in clinical sub-cohort
Participants
76,028 participants
Exposure
Highest vs lowest quartile of Nordic Nutrition Recommendations (NNR2023) adherence
Outcome
MACE:
  • Acute MI
  • Stroke
  • Cardiovascular disease (CVD) mortality
Follow-up
Mean 18.7 years

Main finding

MACE

Hazard ratio

0.83

95% CI 0.80–0.86

Highest quartile vs Lowest quartile
HR 0.83 (95% CI 0.80–0.86)

As reported in the abstract

Observational data: associations, not effects.

Further findings

Individual major adverse cardiovascular events (MACE) components

Lower risks of the individual MACE components with highest vs lowest quartile

Cardiometabolic biomarkers (clinical sub-cohort)

Higher NNR2023 adherence associated with more favourable blood lipid profile and insulin sensitivity
all p-values < 0.05

Original publication

Long-term adherence to the new Nordic Nutrition Recommendations in relation to cardiovascular events and cardiometabolic biomarkers. Eur J Prev Cardiol. Published 30 January 2026. doi:10.1093/eurjpc/zwag057

Summarised from the published abstract; every number is checked against it