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assessed using the MedDietScore (range 0-55). During 2011-2012, 2583 out of the 3042 baseline participants attended the 10-year follow-up of the Attica study (15% lost-to-follow-up). The individual CVD risk was estimated with the use of HellenicSCORE, the dietary assessment through the MedDietScore. The observed risk was used in order to investigate the risk estimation of the nested models. Results: The МedDietScore and the HellenicSCORE were significant predictors of the 10-year CVD risk, even after adjusting for several confounders (p<0.05). The misclassification bias of the HellenicSCORE was 13.8%. The MedDietScore was associated with reduced misclassification rates (p<0.001), by explaining 6.1% of the bias. Conclusions: Inclusion of dietary assessment, as well as other lifestyle parameters, could increase the correct classification rates and thus reduce the CVD burden.

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