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Dietary patterns and survival of older Europeans: The EPIC-Elderly study (European Prospective Investigation into Cancer and Nutrition)

Bamia, Christina; Trichopoulos, Dimitrios; Ferrari, Pietro; Overvad, Kim; Bjerregaard, Lone; Tjonneland, Anne; Halkjaer, Jytte; Clavel-Chapelon, Francoise; Kesse, Emmanuelle and Boutron-Ruault, Marie-Christine, et al. (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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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
2007-12-05 09:34:45
date last changed
2017-09-24 04:21:03
@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},
  keyword      = {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},
  volume       = {10},
  year         = {2007},
}