{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T09:26:57Z","timestamp":1786958817185,"version":"build-2736575974"},"reference-count":39,"publisher":"European Respiratory Society (ERS)","issue":"4","license":[{"start":{"date-parts":[[2026,3,26]],"date-time":"2026-03-26T00:00:00Z","timestamp":1774483200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["publications.ersnet.org"],"crossmark-restriction":true},"short-container-title":["ERJ Open Res"],"accepted":{"date-parts":[[2026,2,18]]},"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To investigate whether the association between diet and lung function (LF) differs according to asthma or COPD status in the Lifelines cohort study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      We included adults from Lifelines with valid dietary and spirometry data. Dietary quality was calculated at baseline using the Lifelines diet score (LLDS) (range 0\u201348, where higher scores indicate a healthier diet). LF was assessed\n                      <jats:italic>via<\/jats:italic>\n                      pre-bronchodilator spirometry (forced expiratory volume in 1\u2005s (FEV\n                      <jats:sub>1<\/jats:sub>\n                      ), forced vital capacity (FVC) and FEV\n                      <jats:sub>1<\/jats:sub>\n                      \/FVC) at baseline and two follow-ups (\u223c10\u2005years). Cross-sectional associations between diet and LF were examined using linear regression and longitudinal associations with linear mixed-effects models. Interactions between diet and asthma or COPD were included.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Higher LLDS was associated with higher LF and slower decline. In cross-sectional analyses (n=83\u2009460, 59% female, mean age 44\u00b113\u2005years), higher LLDS was associated with higher FEV\n                      <jats:sub>1<\/jats:sub>\n                      and FEV\n                      <jats:sub>1<\/jats:sub>\n                      \/FVC levels in participants with asthma (FEV\n                      <jats:sub>1<\/jats:sub>\n                      \u03b2\n                      <jats:sub>interaction<\/jats:sub>\n                      (\u03b2\n                      <jats:sub>int<\/jats:sub>\n                      )=2.48\u2005mL, 95% CI 0.68\u20134.27; FEV\n                      <jats:sub>1<\/jats:sub>\n                      \/FVC \u03b2\n                      <jats:sub>int<\/jats:sub>\n                      =0.027%, 0.003\u20130.052) and COPD (FEV\n                      <jats:sub>1<\/jats:sub>\n                      \u03b2\n                      <jats:sub>int<\/jats:sub>\n                      =8.31\u2005mL, 6.93\u20139.69; FEV\n                      <jats:sub>1<\/jats:sub>\n                      \/FVC \u03b2\n                      <jats:sub>int<\/jats:sub>\n                      = 0.094%, 0.079\u20130.109) compared with those without asthma or COPD. In longitudinal analyses (n=37\u2009752, 59% female, age 46\u00b111\u2005years) in COPD-patients higher LLDS was associated with slower FEV\n                      <jats:sub>1<\/jats:sub>\n                      decline (\u03b2\n                      <jats:sub>int<\/jats:sub>\n                      =0.18\u2005mL\u00b7yr\n                      <jats:sup>\u22121<\/jats:sup>\n                      , 0.04\u20130.33), FVC (\u03b2\n                      <jats:sub>int<\/jats:sub>\n                      =0.23\u2005mL\u00b7yr\n                      <jats:sup>\u22121<\/jats:sup>\n                      , 0.04\u20130.41) and FEV\n                      <jats:sub>1<\/jats:sub>\n                      \/FVC (\u03b2\n                      <jats:sub>int<\/jats:sub>\n                      =0.002%\u00b7yr\n                      <jats:sup>\u22121<\/jats:sup>\n                      , 0.000\u20130.005) compared with those without COPD.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Higher diet quality was associated with better LF, particularly in those with asthma or COPD, and with slower decline in participants with COPD. These findings suggest that diet may be a modifiable factor in respiratory health.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1183\/23120541.01559-2025","type":"journal-article","created":{"date-parts":[[2026,3,26]],"date-time":"2026-03-26T18:15:26Z","timestamp":1774548926000},"page":"01559-2025","update-policy":"https:\/\/doi.org\/10.1183\/ers-crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Healthy diet is associated with better lung function, especially in individuals with COPD: findings from the Lifelines cohort study"],"prefix":"10.1183","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-7481-3847","authenticated-orcid":false,"given":"Arturo F.","family":"Martinez-Rodriguez","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cian","family":"Mitchell","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7210-8174","authenticated-orcid":false,"given":"Maaike","family":"de Vries","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eva","family":"Corpeleijn","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7531-4547","authenticated-orcid":false,"given":"Judith M.","family":"Vonk","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"81","published-online":{"date-parts":[[2026,3,26]]},"reference":[{"key":"2026081701451252000_12.4.01559-2025.1","doi-asserted-by":"crossref","first-page":"101936","DOI":"10.1016\/j.eclinm.2023.101936","article-title":"Global burden of chronic respiratory diseases and risk factors, 1990\u20132019: an update from the Global Burden of Disease Study 2019","volume":"59","author":"Momtazmanesh","year":"2023","journal-title":"eClinicalMedicine"},{"key":"2026081701451252000_12.4.01559-2025.2","doi-asserted-by":"crossref","first-page":"e2346598","DOI":"10.1001\/jamanetworkopen.2023.46598","article-title":"Global burden of chronic obstructive pulmonary disease through 2050","volume":"6","author":"Boers","year":"2023","journal-title":"JAMA Network Open"},{"key":"2026081701451252000_12.4.01559-2025.3","unstructured":"World Health Organization Asthma. 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