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

Public Health Nutrition

Antonia Trichopoulou¹  Ingegerd Johansson¹  Kay-Tee Khaw¹  Carlotta Sacerdote¹  Françoise Clavel-Chapelon¹  Anastasia Orfanou¹  Yvonne T van der Schouw¹  H Bas Bueno-de-Mesquita¹  Kurt Hoffmann¹  Elio Riboli¹  Rosario Tumino¹  Domenico Palli¹  Elizabeth A Spencer¹  Gerd Johansson¹  Jacob Linseisen¹  Tim Key¹  Paolo Boffetta¹  Gabriele Nagel¹  Göran Berglund¹  Valeria Pala¹  Dimitrios Trichopoulos¹  Jytte Halkjær¹  Antonio Berenguer¹  Heiner Boeing¹  Marie-Christine Boutron-Ruault¹  Teresa Norat¹  Kim Overvad¹  Petra HM Peeters¹  Miren Dorronsoro¹  Aurelio Barricarte¹  Nadia Slimani¹  Emmanuelle Kesse¹  Lone Bjerregaard¹  Pietro Ferrari¹  Patricia MCM Waijers¹  Elisabet Wirfält¹  Carmen Martinez-Garcia¹  Salvatore Panico¹  Chrysoula Travezea¹  Anne Tjønneland¹  Christina Kasapa¹  Sheila Bingham¹  Carmen Navarro¹  Christina Bamia¹ 

关键词: Dietary patterns;    Elderly;    Cohort study;    Survival;   

DOI  :  10.1017/S1368980007382487

学科分类：卫生学

来源: Cambridge University Press

【 摘 要 】

ObjectiveTo investigate the association of a posteriori dietary patterns with overall survival of older Europeans.Design and settingThis 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.SubjectsIn 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.ResultsAn 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.ConclusionsGreater 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.

【 授权许可】

Unknown