Dietary patterns and survival of older Europeans: The EPIC-Elderly study (European Prospective Investigation into Cancer and Nutrition)
(2007) In Public Health Nutrition 10(6). p.590-598- Abstract
- Objective: To investigate the association of a posteriori dietary patterns with overall survival of older Europeans. Design and setting: This is a multi-centre cohort study. Cox regression analysis was used to investigate the association of the prevailing, a posteriori-derived, plant-based dietary pattern with all-cause mortality in a population of subjects who were 60 years or older at recruitment to the European Prospective Investigation into Cancer and Nutrition (EPIC-Elderly cohort). Analyses controlled for all known potential risk factors. Subjects: in total, 74 607 men and women, 60 years or older at enrolment and without previous coronary heart disease, stroke or cancer, with complete information about dietary intakes and... (More)
- Objective: To investigate the association of a posteriori dietary patterns with overall survival of older Europeans. Design and setting: This is a multi-centre cohort study. Cox regression analysis was used to investigate the association of the prevailing, a posteriori-derived, plant-based dietary pattern with all-cause mortality in a population of subjects who were 60 years or older at recruitment to the European Prospective Investigation into Cancer and Nutrition (EPIC-Elderly cohort). Analyses controlled for all known potential risk factors. Subjects: in total, 74 607 men and women, 60 years or older at enrolment and without previous coronary heart disease, stroke or cancer, with complete information about dietary intakes and potentially confounding variables, and with known survival status as of December 2003, were included in the analysis. Results: An increase in the score which measures the adherence to the plant-based diet was associated with a lower overall mortality, a one standard deviation increment corresponding to a statistically significant reduction of 14% (95% confidence interval 5-23%). In country-specific analyses the apparent association was stronger in Greece, Spain, Denmark and The Netherlands, and absent in the UK and Germany. Conclusions: Greater adherence to the plant-based diet that was defined a posteriori in this population of European elders is associated with lower all-cause mortality. This dietary score is moderately positively correlated with the Modified Mediterranean Diet Score that has been constructed a priori and was also shown to be beneficial for the Survival of the same EPIC-Elderly cohort. (Less)
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https://lup.lub.lu.se/record/659782
- author
- organization
- publishing date
- 2007
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- survival, elderly, dietary patterns, cohort study
- in
- Public Health Nutrition
- volume
- 10
- issue
- 6
- pages
- 590 - 598
- publisher
- Cambridge University Press
- external identifiers
-
- wos:000247006600010
- scopus:34248368016
- ISSN
- 1475-2727
- DOI
- 10.1017/S1368980007382487
- language
- English
- LU publication?
- yes
- id
- 1fe4b9e6-f0e5-4ae5-a11c-02d27a7d8122 (old id 659782)
- date added to LUP
- 2016-04-01 15:51:39
- date last changed
- 2022-04-30 17:11:14
@article{1fe4b9e6-f0e5-4ae5-a11c-02d27a7d8122, abstract = {{Objective: To investigate the association of a posteriori dietary patterns with overall survival of older Europeans. Design and setting: This is a multi-centre cohort study. Cox regression analysis was used to investigate the association of the prevailing, a posteriori-derived, plant-based dietary pattern with all-cause mortality in a population of subjects who were 60 years or older at recruitment to the European Prospective Investigation into Cancer and Nutrition (EPIC-Elderly cohort). Analyses controlled for all known potential risk factors. Subjects: in total, 74 607 men and women, 60 years or older at enrolment and without previous coronary heart disease, stroke or cancer, with complete information about dietary intakes and potentially confounding variables, and with known survival status as of December 2003, were included in the analysis. Results: An increase in the score which measures the adherence to the plant-based diet was associated with a lower overall mortality, a one standard deviation increment corresponding to a statistically significant reduction of 14% (95% confidence interval 5-23%). In country-specific analyses the apparent association was stronger in Greece, Spain, Denmark and The Netherlands, and absent in the UK and Germany. Conclusions: Greater adherence to the plant-based diet that was defined a posteriori in this population of European elders is associated with lower all-cause mortality. This dietary score is moderately positively correlated with the Modified Mediterranean Diet Score that has been constructed a priori and was also shown to be beneficial for the Survival of the same EPIC-Elderly cohort.}}, author = {{Bamia, Christina and Trichopoulos, Dimitrios and Ferrari, Pietro and Overvad, Kim and Bjerregaard, Lone and Tjonneland, Anne and Halkjaer, Jytte and Clavel-Chapelon, Francoise and Kesse, Emmanuelle and Boutron-Ruault, Marie-Christine and Boffetta, Paolo and Nagel, Gabriele and Linseisen, Jacob and Boeing, Heiner and Hoffmann, Kurt and Kasapa, Christina and Orfanou, Anastasia and Travezea, Chrysoula and Slimani, Nadia and Norat, Teresa and Palli, Domenico and Pala, Valeria and Panico, Salvatore and Tumino, Rosario and Sacerdote, Carlotta and Bueno-de-Mesquita, H. Bas and Waijers, Patricia M. C. M. and Peeters, Petra H. M. and van der Schouw, Yvonne T. and Berenguer, Antonio and Martinez-Garcia, Carmen and Navarro, Carmen and Barricarte, Aurelio and Dorronsoro, Miren and Berglund, Göran and Wirfält, Elisabet and Johansson, Ingegerd and Johansson, Gerd and Bingham, Sheila and Khaw, Kay-Tee and Spencer, Elizabeth A. and Key, Tim and Riboli, Elio and Trichopoulou, Antonia}}, issn = {{1475-2727}}, keywords = {{survival; elderly; dietary patterns; cohort study}}, language = {{eng}}, number = {{6}}, pages = {{590--598}}, publisher = {{Cambridge University Press}}, series = {{Public Health Nutrition}}, title = {{Dietary patterns and survival of older Europeans: The EPIC-Elderly study (European Prospective Investigation into Cancer and Nutrition)}}, url = {{http://dx.doi.org/10.1017/S1368980007382487}}, doi = {{10.1017/S1368980007382487}}, volume = {{10}}, year = {{2007}}, }