McKeever et al26The Netherlands  Cross-sectional: n=12,648; 41.5±11.2 years; 52% female; cohort: n=2,911; 45.0±9.5 years; 50% female  Cross-sectional: FEV1, prevalence of asthma and wheeze; cohort: FEV1 decline  PCA: 3 dietary patterns: (“cosmopolitan”; “traditional”; “refined foods”); 178-item FFQ  “Traditional diet” (high intake of meat and potatoes and lower intake of soy and cereal) was negatively associated with FEV1 (5th versus 1st quintile −94.4 mL; 95% CI −123.4, −65.5 mL). “Cosmopolitan” was positively associated with wheeze (OR 1.3, 95% CI 1–1.5) and asthma (OR 1.4, 95% CI 1–1.9). No dietary patterns were associated with lung function decline.  Age, sex, smoking status, pack-years of smoking, education level, location  8 (positive)