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Cristina Cleghorn, Department of Public Health

Cristina_Cleghorn_profileBSc, MSc, PhD

Senior Research Fellow, SiHMNet, HePPRU, (formerly) BODE³

Contact details

Tel +64 4 918 6182
Fax +64 4 389 5319
Email cristina.cleghorn@otago.ac.nz

Research interests and activities

Dr Cristina Cleghorn is a Public Health Nutrition researcher with a strong interest in sustainable nutrition and the prevention of chronic disease through diet, physical activity and tobacco control.

In her current role as a Senior Research Fellow in the SiHMNet modelling network, and formerly as part of the Burden of Disease Epidemiology, Equity and Cost-Effectiveness Programme (BODE3), Cristina is working on modelling intervention effectiveness and cost-effectiveness of dietary interventions in the New Zealand population. This work has included the quantification of the greenhouse gas (GHG) emissions associated with dietary consumption in New Zealand which can now be used to measure the impact of various dietary interventions on GHG emissions. She leads a Healthier Lives-funded project on assessing the health and environmental benefits of sustainable NZ diets; A sustainable diet for health and the climate in Aotearoa New Zealand.

Cristina completed her PhD investigating the relationships between agrobiodiversity, dietary diversity and nutritional status in Tanzania at Leeds University (UK).

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Publications

Wilson, N., Cleghorn, C., Nghiem, N., & Blakely, T. (2023). Prioritization of intervention domains to prevent cardiovascular disease: A country-level case study using global burden of disease and local data. Population Health Metrics, 21(1), 1. doi: 10.1186/s12963-023-00301-1

Reynolds, A. N., Ni Mhurchu, C., Kok, Z.-Y., & Cleghorn, C. (2023). The neglected potential of red and processed meat replacement with alternative protein sources: Simulation modelling and systematic review. eClinicalMedicine, 56, 101774. doi: 10.1016/j.eclinm.2022.101774

Cleghorn, C., Nghiem, N., & Ni Mhurchu, C. (2022). Assessing the health and environmental benefits of a New Zealand diet optimised for health and climate protection. Sustainability, 14, 13900. doi: 10.3390/su142113900

Nghiem, N., Teng, A., Cleghorn, C., McKerchar, C., & Wilson, N. (2022). Using household economic survey data to assess food expenditure patterns and trends in a high-income country with notable health inequities. Scientific Reports, 12(1), 21703. doi: 10.1038/s41598-022-26301-z

McDowell, R. W., Herzig, A., van der Weerden, T. J., Cleghorn, C., & Kaye-Blake, W. (2022). Growing for good: Producing a healthy, low greenhouse gas and water quality footprint diet in Aotearoa, New Zealand. Journal of the Royal Society of New Zealand. Advance online publication. doi: 10.1080/03036758.2022.2137532

Reynolds, A. N., Ni Mhurchu, C., Kok, Z.-Y., & Cleghorn, C. (2023). The neglected potential of red and processed meat replacement with alternative protein sources: Simulation modelling and systematic review. eClinicalMedicine, 56, 101774. doi: 10.1016/j.eclinm.2022.101774

Journal - Research Article

Wilson, N., Cleghorn, C., Nghiem, N., & Blakely, T. (2023). Prioritization of intervention domains to prevent cardiovascular disease: A country-level case study using global burden of disease and local data. Population Health Metrics, 21(1), 1. doi: 10.1186/s12963-023-00301-1

Journal - Research Article

Cleghorn, C., Mulder, I., Macmillan, A., Mizdrak, A., Drew, J., Nghiem, N., Blakely, T., & Ni Mhurchu, C. (2022). Can a greenhouse gas emissions tax on food also be healthy and equitable? A systemised review and modelling study from Aotearoa New Zealand. International Journal of Environmental Research & Public Health, 19, 4421. doi: 10.3390/ijerph19084421

Journal - Research Article

Cleghorn, C., Nghiem, N., & Ni Mhurchu, C. (2022). Assessing the health and environmental benefits of a New Zealand diet optimised for health and climate protection. Sustainability, 14, 13900. doi: 10.3390/su142113900

Journal - Research Article

Grout, L., Mizdrak, A., Nghiem, N., Jones, A. C., Blakely, T., Ni Mhurchu, C., & Cleghorn, C. (2022). Potential effect of real-world junk food and sugar-sweetened beverage taxes on population health, health system costs and greenhouse gas emissions in New Zealand: A modelling study. BMJ Nutrition, Prevention & Health, 5(1), 19-35. doi: 10.1136/bmjnph-2021-000376

Journal - Research Article

Jones, A. C., Grout, L., Wilson, N., Nghiem, N., & Cleghorn, C. (2022). The cost-effectiveness of a mass media campaign to promote smartphone apps for weight loss: Updated modeling study. JMIR Formative Research, 6(4), e29291. doi: 10.2196/29291

Journal - Research Article

McDowell, R. W., Herzig, A., van der Weerden, T. J., Cleghorn, C., & Kaye-Blake, W. (2022). Growing for good: Producing a healthy, low greenhouse gas and water quality footprint diet in Aotearoa, New Zealand. Journal of the Royal Society of New Zealand. Advance online publication. doi: 10.1080/03036758.2022.2137532

Journal - Research Article

Nghiem, N., Teng, A., Cleghorn, C., McKerchar, C., & Wilson, N. (2022). Using household economic survey data to assess food expenditure patterns and trends in a high-income country with notable health inequities. Scientific Reports, 12(1), 21703. doi: 10.1038/s41598-022-26301-z

Journal - Research Article

Grout, L., Telfer, K., Wilson, N., Cleghorn, C., & Mizdrak, A. (2021). Prescribing smartphone apps for physical activity promotion in primary care: Modeling study of health gain and cost savings. Journal of Medical Internet Research, 23(12), e31702. doi: 10.2196/31702

Journal - Research Article

Mizdrak, A., Ding, D., Cleghorn, C., Blakely, T., & Richards, J. (2021). Hitting the target but missing the point? Modelling health and economic impacts of different approaches to meeting the global action plan for physical activity target. Sports Medicine, 51, 815-823. doi: 10.1007/s40279-020-01398-2

Journal - Research Article

Blakely, T., Cleghorn, C., Mizdrak, A., Waterlander, W., Nghiem, N., Swinburn, B., Wilson, N., & Ni Mhurchu, C. (2020). The effect of food taxes and subsidies on population health and health costs: A modelling study. Lancet Public Health, 5(7), e404-e413. doi: 10.1016/s2468-2667(20)30116-x

Journal - Research Article

Blakely, T., Cleghorn, C., Petrović-van der Deen, F., Cobiac, L. J., Mizdrak, A., Mackenbach, J. P., … Wilson, N. (2020). Prospective impact of tobacco eradication and overweight and obesity eradication on future morbidity and health-adjusted life expectancy: Simulation study. Journal of Epidemiology & Community Health, 74, 354-361. doi: 10.1136/jech-2019-213091

Journal - Research Article

Blakely, T., Nghiem, N., Genc, M., Mizdrak, A., Cobiac, L., Ni Mhurchu, C., … Cleghorn, C. (2020). Modelling the health impact of food taxes and subsidies with price elasticities: The case for additional scaling of food consumption using the total food expenditure elasticity. PLoS ONE, 15(3), e0230506. doi: 10.1371/journal.pone.0230506

Journal - Research Article

Drew, J., Cleghorn, C., Macmillan, A., & Mizdrak, A. (2020). Healthy and climate-friendly eating patterns in the New Zealand context. Environmental Health Perspectives, 128(1), 017007. doi: 10.1289/ehp5996

Journal - Research Article

Mizdrak, A., Cobiac, L. J., Cleghorn, C. L., Woodward, A., & Blakely, T. (2020). Fuelling walking and cycling: Human powered locomotion is associated with non-negligible greenhouse gas emissions. Scientific Reports, 10(1), 9196. doi: 10.1038/s41598-020-66170-y

Journal - Research Article

Mizdrak, A., Telfer, K., Direito, A., Cobiac, L. J., Blakely, T., Cleghorn, C. L., & Wilson, N. (2020). Health gain, cost impacts, and cost-effectiveness of a mass media campaign to promote smartphone apps for physical activity: Modeling study. JMIR mHealth & uHealth, 8(6), e18014. doi: 10.2196/18014

Journal - Research Article

Steele, C., Eyles, H., Te Morenga, L., Ni Mhurchu, C., & Cleghorn, C. (2020). Dietary patterns associated with meeting the WHO free sugars intake guidelines. Public Health Nutrition, 23(9), 1495-1506. doi: 10.1017/s1368980019004543

Journal - Research Article

Cleghorn, C. L., Wilson, N., Nair, N., Kvizhinadze, G., Nghiem, N., McLeod, M., & Blakely, T. (2019). Health benefits and costs of weight-loss dietary counselling by nurses in primary care: A cost-effectiveness analysis. Public Health Nutrition, 23(1), 83-93. doi: 10.1017/s1368980019002945

Journal - Research Article

Cleghorn, C., Blakely, T., Ni Mhurchu, C., Wilson, N., Neal, B., & Eyles, H. (2019). Estimating the health benefits and cost-savings of a cap on the size of single serve sugar-sweetened beverages. Preventive Medicine, 120, 150-156. doi: 10.1016/j.ypmed.2019.01.009

Journal - Research Article

Cleghorn, C., Wilson, N., Nair, N., Kvizhinadze, G., Nghiem, N., McLeod, M., & Blakely, T. (2019). Health benefits and cost-effectiveness from promoting smartphone apps for weight loss: Multistate life table modeling. JMIR mHealth & uHealth, 7(1), e11118. doi: 10.2196/11118

Journal - Research Article

Mizdrak, A., Blakely, T., Cleghorn, C. L., & Cobiac, L. J. (2019). Potential of active transport to improve health, reduce healthcare costs, and reduce greenhouse gas emissions: A modelling study. PLoS ONE, 14(7), e0129316. doi: 10.1371/journal.pone.0219316

Journal - Research Article

Nghiem, N., Leung, W., Cleghorn, C., Blakely, T., & Wilson, N. (2019). Mass media promotion of a smartphone smoking cessation app: Modelled health and cost-saving impacts. BMC Public Health, 19(1), 283. doi: 10.1186/s12889-019-6605-8

Journal - Research Article

Petrović-van der Deen, F. S., Blakely, T., Kvizhinadze, G., Cleghorn, C. L., Cobiac, L. J., & Wilson, N. (2019). Restricting tobacco sales to only pharmacies combined with cessation advice: A modelling study of the future smoking prevalence, health and cost impacts. Tobacco Control, 28, 643-650. doi: 10.1136/tobaccocontrol-2018-054600

Journal - Research Article

Petrović-van der Deen, F. S., Wilson, N., Crothers, A., Cleghorn, C. L., Gartner, C., & Blakely, T. (2019). Potential country-level health and cost impacts of legalizing domestic sale of vaporized nicotine products. Epidemiology, 30(3), 396-404. doi: 10.1097/ede.0000000000000975

Journal - Research Article

Waterlander, W. E., Jiang, Y., Nghiem, N., Eyles, H., Wilson, N., Cleghorn, C., Genç, M., … Blakely, T. (2019). The effect of food price changes on consumer purchases: A randomised experiment. Lancet Public Health, 4(8), e394-e405. doi: 10.1016/S2468-2667(19)30105-7

Journal - Research Article

Wilson, N., Cleghorn, C. L., Cobiac, L. J., Mizdrak, A., & Nghiem, N. (2019). Achieving healthy and sustainable diets: A review of the results of recent mathematical optimization studies. Advances in Nutrition, 10(Suppl. 4), S389-S403. doi: 10.1093/advances/nmz037

Journal - Research Article

Cleghorn, C. L., Blakely, T., Kvizhinadze, G., van der Deen, F. S., Nghiem, N., Cobiac, L. J., & Wilson, N. (2018). Impact of increasing tobacco taxes on working-age adults: Short-term health gain, health equity and cost savings. Tobacco Control, 27(e2), e167-e170. doi: 10.1136/tobaccocontrol-2017-053914

Journal - Research Article

Eyles, H., Jiang, Y., Blakely, T., Neal, B., Crowley, J., Cleghorn, C., & Ni Mhurchu, C. (2018). Five year trends in the serve size, energy, and sodium contents of New Zealand fast foods: 2012 to 2016. Nutrition Journal, 17, 65. doi: 10.1186/s12937-018-0373-7

Journal - Research Article

Kasawara, K. T., Paulino, D. S. M., Bgeginski, R., Cleghorn, C. L., Mottola, M. F., & Surita, F. G. (2018). Translation and cultural adaptation of the short-form Food Frequency Questionnaire for pregnancy into Brazilian Portuguese. Revista Brasileira de Ginecologia e Obstetríca, 40(6), 313-321. doi: 10.1055/s-0038-1655750

Journal - Research Article

Mittal, T. K., Cleghorn, C. L., Cade, J. E., Barr, S., Grove, T., Bassett, P., … Kotseva, K. (2018). A cross-sectional survey of cardiovascular health and lifestyle habits of hospital staff in the UK: Do we look after ourselves? European Journal of Preventive Cardiology, 25(5), 543-550. doi: 10.1177/2047487317746320

Journal - Research Article

Nghiem, N., Cleghorn, C. L., Leung, W., Nair, N., van der Deen, F. S., Blakely, T., & Wilson, N. (2018). A national quitline service and its promotion in the mass media: Modelling the health gain, health equity and cost-utility. Tobacco Control, 27(4), 434-441. doi: 10.1136/tobaccocontrol-2017-053660

Journal - Research Article

van der Deen, F. S., Wilson, N., Cleghorn, C. L., Kvizhinadze, G., Cobiac, L. J., Nghiem, N., & Blakely, T. (2018). Impact of five tobacco endgame strategies on future smoking prevalence, population health and health system costs: Two modelling studies to inform the tobacco endgame. Tobacco Control, 27(3), 278-286. doi: 10.1136/tobaccocontrol-2016-053585

Journal - Research Article

Waterlander, W. E., Ni Mhurchu, C., Eyles, H., Vandevijvere, S., Cleghorn, C., Scarborough, P., … Seidell, J. (2018). Food futures: Developing effective food systems interventions to improve public health nutrition. Agricultural Systems, 160, 124-131. doi: 10.1016/j.agsy.2017.01.006

Journal - Research Article

Evans, C. E. L., Greenwood, D. C., Threapleton, D. E., Gale, C. P., Cleghorn, C. L., & Burley, V. J. (2017). Glycemic index, glycemic load, and blood pressure: A systematic review and meta-analysis of randomized controlled trials. American Journal of Clinical Nutrition, 105, 1176-1190. doi: 10.3945/ajcn.116.143685

Journal - Research Article

Pearson, A. L., Cleghorn, C. L., van der Deen, F. S., Cobiac, L. J., Kvizhinadze, G., Nghiem, N., Blakely, T., & Wilson, N. (2017). Tobacco retail outlet restrictions: Health and cost impacts from multistate life-table modelling in a national population. Tobacco Control, 26(5), 579-585. doi: 10.1136/tobaccocontrol-2015-052846

Journal - Research Article

Cleghorn, C. L., Harrison, R. A., Ransley, J. K., Wilkinson, S., Thomas, J., & Cade, J. E. (2016). Can a dietary quality score derived from a short-form FFQ assess dietary quality in UK adult population surveys? Public Health Nutrition, 19(16), 2915-2923. doi: 10.1017/S1368980016001099

Journal - Research Article

Nghiem, N., Blakely, T., Cobiac, L. J., Cleghorn, C. L., & Wilson, N. (2016). The health gains and cost savings of dietary salt reduction interventions, with equity and age distributional aspects. BMC Public Health, 16(1), 423. doi: 10.1186/s12889-016-3102-1

Journal - Research Article

Wilson, N., Nghiem, N., Eyles, H., Ni Mhurchu, C., Shields, E., Cobiac, L. J., Cleghorn, C. L., & Blakely, T. (2016). Modeling health gains and cost savings for ten dietary salt reduction targets. Nutrition Journal, 15, 44. doi: 10.1186/s12937-016-0161-1

Journal - Research Article

Wilson, N., Nghiem, N., Ryan, S., Cleghorn, C., Nair, N., & Blakely, T. (2016). Desiging low-cost "heart healthy bread": Optimization using linear programming and 15-country comparison. BMC Nutrition, 2, 23. doi: 10.1186/s40795-016-0062-x

Journal - Research Article

Blakely, T., Cobiac, L. J., Cleghorn, C. L., Pearson, A. L., van der Deen, F. S., Kvizhinadze, G., Nghiem, N., McLeod, M., & Wilson, N. (2015). Health, health inequality, and cost impacts of annual increases in tobacco tax: Multistate life table modeling in New Zealand. PLoS Medicine, 12(7), e1001856. doi: 10.1371/journal.pmed.1001856

Journal - Research Article

Evans, C. E. L., Greenwood, D. C., Threapleton, D. E., Cleghorn, C. L., Nykjaer, C., Woodhead, C. E., … Burley, V. J. (2015). Effects of dietary fibre type on blood pressure: A systematic review and meta-analysis of randomized controlled trials of healthy individuals. Journal of Hypertension, 33(5), 897-911. doi: 10.1097/HJH.0000000000000515

Journal - Research Article

Goodall, M., Barton, G. R., Bower, P., Byrne, P., Cade, J. E., Capewell, S., Cleghorn, C. L., … Gabbay, M. B. (2014). Food for thought: Pilot randomized controlled trial of lay health trainers supporting dietary change to reduce cardiovascular disease in deprived communities. Journal of Public Health, 36(4), 635-643. doi: 10.1093/pubmed/fdt112

Journal - Research Article

Greenwood, D. C., Threapleton, D. E., Evans, C. E. L., Cleghorn, C. L., Nykjaer, C., Woodhead, C., & Burley, V. J. (2014). Association between sugar-sweetened and artificially sweetened soft drinks and type 2 diabetes: Systematic review and dose-response meta-analysis of prospective studies. British Journal of Nutrition, 112(5), 725-734. doi: 10.1017/S0007114514001329

Journal - Research Article

Greenwood, D. C., Threapleton, D. E., Evans, C. E. L., Cleghorn, C. L., Nykjaer, C., Woodhead, C., & Burley, V. J. (2013). Glycemic index, glycemic load, carbohydrates, and type 2 diabetes: Systematic review and dose-response meta-analysis of prospective studies. Diabetes Care, 36(12), 4166-4171. doi: 10.2337/dc13-0325

Journal - Research Article

Threapleton, D. E., Greenwood, D. C., Evans, C. E. L., Cleghorn, C. L., Nykjaer, C., Woodhead, C., … Burley, V. J. (2013). Dietary fiber intake and risk of first stroke: A systematic review and meta-analysis. Stroke, 44(5), 1360-1368. doi: 10.1161/STROKEAHA.111.000151

Journal - Research Article

Threapleton, D. E., Greenwood, D. C., Evans, C. E. L., Cleghorn, C. L., Nykjaer, C., Woodhead, C., … Burley, V. J. (2013). Dietary fibre intake and risk of cardiovascular disease: Systematic review and meta-analysis. BMJ, 347, f6879. doi: 10.1136/bmj.f6879

Journal - Research Article

Evans, C. E. L., Christian, M. S., Cleghorn, C. L., Greenwood, D. C., & Cade, J. E. (2012). Systematic review and meta-analysis of school-based interventions to improve daily fruit and vegetable intake in children aged 5 to 12 y. American Journal of Clinical Nutrition, 96(4), 889-901. doi: 10.3945/ajcn.111.030270

Journal - Research Article

Hutchinson, J., Lentjes, M. A. H., Greenwood, D. C., Burley, V. J., Cleghorn, C. L., Threapleton, D. E., … Khaw, K. T. (2012). Vitamin C intake from diary recordings and risk of breast cancer in the UK Dietary Cohort Consortium. European Journal of Clinical Nutrition, 66(5), 561-568. doi: 10.1038/ejcn.2011.197

Journal - Research Article

Cleghorn, C. L., Evans, C. E. L., Kitchen, M. S., & Cade, J. E. (2010). Details and acceptability of a nutrition intervention programme designed to improve the contents of childrens packed lunches. Public Health Nutrition, 13(8), 1254-1261. doi: 10.1017/S1368980009991509

Journal - Research Article

Evans, C. E. L., Cleghorn, C. L., Greenwood, D. C., & Cade, J. E. (2010). A comparison of British school meals and packed lunches from 1990 to 2007: Meta-analysis by lunch type. British Journal of Nutrition, 104(4), 474-487. doi: 10.1017/S0007114510001601

Journal - Research Article

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