Dietary patterns among older Europeans: the EPIC-Elderly study

Bamia, Christina; Orfanos, Philippos; Ferrari, Pietro; Overvad, Kim; Hundborg, Heidi Holmager; Tjønneland, Anne; Olsen, Anja; Kesse, Emmanuelle; Boutron‐Ruault, Marie‐Christine; Clavel‐Chapelon, Françoise; Nagel, Gabriële; Boffetta, Paolo; Boeing, Heiner; Hoffmann, Kurt; Trichopoulos, Dimitrios; Baibas, Nikos; Ψαλτοπούλου, Θεοδώρα; Norat, Teresa; Slimani, Nadia; Palli, Domenico; Krogh, Vittorio; Panico, Salvatore; Tumino, Rosario; Sacerdote, Carlotta; Bueno-de-Mesquita, H. Bas; Ocké, Marga C.; Peeters, Petra H.M.; Rossum, Caroline van; Quirós, J. Ramón; Sánchez, María‐José; Navarro, Carmen; Barricarte, Aurelio; Dorronsoro, Miren; Berglund, Göran; Wirfält, Elisabet; Hallmans, Göran; Johansson, Ingegerd; Bingham, Sheila; Khaw, Kay‐Tee; Spencer, Elizabeth A.; Roddam, Andrew; Riboli, Elio; Trichopoulou, Antonia

doi:10.1079/bjn20051456

Cited by 137 publications

(177 citation statements)

References 38 publications

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“…The three dietary patterns identified in the present study were similar to the dietary patterns found by previous studies conducted among Asian and Western populations using factor analysis (10,14,15,22) .…”

Section: Discussionsupporting

confidence: 89%

“…The EPIC-Potsdam study found that physical activity level was positively associated with the 'fruit and vegetable' dietary pattern in men (b 5 0?182) and was negatively associated with the 'bread and sausage' pattern in women (b 5 0?099) (10) . The Multiethnic Cohort Study found that physical activity ($3 times/week) was positively asso- (14) .…”

Section: Discussionmentioning

confidence: 99%

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Dietary patterns and their associations with health behaviours in Korea

Cho

Shin

Lim

et al. 2010

Public Health Nutr.

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Objective: Dietary habits, including dietary patterns, have been associated with the risk of chronic diseases, including cancer. The objective of the present study was to evaluate Korean dietary patterns as assessed by using an FFQ and associations of dietary patterns with lifestyle risk factors. Design: Dietary patterns were analysed by factor analysis using a sixteen-group FFQ. The associations between dietary patterns and lifestyle risk factors were investigated by logistic regression analysis. Setting: The National Cancer Center in South Korea. Subjects: The study population included 11 440 participants aged $30 years who were recruited between 2002 and 2007. Results: Compared with the lowest quartile intake of each dietary pattern, current smoking was positively associated with the Western pattern (OR 5 1?55 for the highest quartile, 95 % CI 1?27, 1?88; P , 0?001) and the traditional pattern (OR 5 1?34, 95 % CI 1?11, 1?62; P 5 0?002) in men, but was inversely associated with the healthy pattern in both genders (P , 0?001) and the traditional pattern (OR 5 0?52, 95 % CI 0?36, 0?75; P 5 0?001) in women. Alcohol consumption was positively associated with all patterns in both genders, while no association was observed with the healthy pattern in women. Physical activity and dietary supplement use were positively associated with all patterns in both genders, with the exception of physical activity in women, which showed an inverse association with the traditional pattern. Conclusions: Dietary patterns are strongly associated with health behaviours. The possible confounding effect of other risk behaviours should be appropriately considered when conducting nutritional epidemiological studies.

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Section: Discussionsupporting

confidence: 89%

Section: Discussionmentioning

confidence: 99%

Dietary patterns and their associations with health behaviours in Korea

Cho

Shin

Lim

et al. 2010

Public Health Nutr.

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“…In contrast with previous studies, we did not find a relation between 'convenience foods' pattern and smoking. In agreement with previous findings, we observed a positive relation between the 'prudent diet' pattern and a high level of physical activity and no smoking (Pryer et al, 2001;Schulze et al, 2001;Tseng and DeVellis, 2001;Costacou et al, 2003;Sanchez-Villegas et al, 2003;Villegas et al, 2004;Bamia et al, 2005;Engeset et al, 2005;Perrin et al, 2005). Although a 'prudent' or 'healthy' pattern has been positively associated with a better health status Schulze and Hoffmann, 2006), unexpected associations were observed between the 'prudent diet' pattern and overweight in women and hyperlipidaemia medication use in men.…”

Section: Discussionsupporting

confidence: 80%

“…Numerous studies have investigated relationships between sociodemographic characteristics, lifestyle and dietary patterns (Whichelow and Prevost, 1996;Greenwood et al, 2000;Pryer et al, 2001;Schulze et al, 2001;Tseng and DeVellis, 2001;Costacou et al, 2003;Sanchez-Villegas et al, 2003;Villegas et al, 2004;Bamia et al, 2005;Engeset et al, 2005;Park et al, 2005;Perrin et al, 2005;Yang et al, 2005;Pala et al, 2006). To our knowledge, only one study investigating the relationship between dietary patterns and their determinants was conducted in France, but among men only (Perrin et al, 2005), and there are no studies that have been carried out among French women and men.…”

Section: Introductionmentioning

confidence: 92%

Dietary patterns and their sociodemographic and behavioural correlates in French middle-aged adults from the SU.VI.MAX cohort

et al. 2008

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Background/Objectives: Few studies have investigated dietary patterns among French adults. We aimed to identify dietary patterns and their relation with nutrient intakes, sociodemographic, lifestyle and other health indicators in a large population of middle-aged subjects living in France. Subjects/Methods: Dietary patterns were identified using factor analysis in 5194 women and men aged 45-60 years enrolled in the SU.VI.MAX (Supplémentation en Vitamines et Minéraux Antioxydants) study. Dietary data were based on repeated 24-h dietary records (at least six records during 2 years). Results: Four patterns were identified: (1) 'alcohol and meat products'; (2) 'prudent diet'; (3) 'convenience foods'; and (4) 'starch, sauces, and vegetables'. The first pattern was positively associated with low education, smoking and overweight in both genders, as well as with abdominal obesity in women and treated hyperlipidaemia and/or hypertension in men. The second pattern was positively correlated with high education and being older than 55 years and negatively correlated with current smoking. This pattern was also associated with overweight and low waist circumference in women and with hyperlipidaemia treatment in men. The third pattern was inversely related to age and positively related to higher education in both genders. In men, higher scores were related to living alone and an urban residence. The fourth pattern was associated with high education and an urban residence in men only. Conclusions: Our study identified four dietary patterns in this population of French middle-aged adults. Associations with sociodemographic, behavioural and health-related factors were found to differ according to dietary patterns. Sex-specific relationships were also found.

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“…Meat intake has been associated with obesity (27,(32)(33)(34)(35)(36)(37) . However, the present study failed to establish a significant relationship at the 95 % confidence level.…”

Section: Discussionmentioning

confidence: 99%

Healthy Eating Index and abdominal obesity

Tande

Magel

Strand

2009

Public Health Nutr.

106

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Objective: Although diet is a modifiable lifestyle factor to reduce abdominal obesity risk, the relationship between the Health Eating Index (HEI) and waist circumference (WC) has not been studied. The present study aimed to describe relationships between the HEI and abdominal obesity among adults. Design: Secondary data analysis of a cross-sectional national survey, the Third National Health and Nutrition Examination Survey (NHANES III). The HEI data, including the total HEI score and HEI component scores, were collected with a 24 h recall. WC measures were taken during a physical examination. Abdominal obesity was defined as WC $ 102 cm for men and WC $ 88 cm for women. Other covariates were collected during an interview. Subjects: In total 15 658 US adults, men (n 7470) and non-pregnant women (n 8188). Results: The odds of abdominal obesity was 8?3 % (95 % CI 1?8, 14?9 %, P 5 0?014) lower for women and 14?5 % (95 % CI 6?8, 21?9 %, P # 0?001) lower for men with each 10-unit increase in total HEI score (HEI scale, 0-100). For each point increase for the fruit score, abdominal obesity risk decreased by 2?6 % (95 % CI 0?8, 4?4 %, P 5 0?007) for women. Abdominal obesity risk decreased for men with each point increase in saturated fat and variety scores, by 3?1 % (95 % CI 0?1, 6?0 %, P 5 0?042) and 4?0 % (95 % CI 0?1, 7?7 %, P 5 0?043) respectively. Conclusions: Dietary consumption that follows the HEI is associated with a lower risk for abdominal obesity.

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Dietary patterns among older Europeans: the EPIC-Elderly study

Cited by 137 publications

References 38 publications

Dietary patterns and their associations with health behaviours in Korea

Dietary patterns and their associations with health behaviours in Korea

Dietary patterns and their sociodemographic and behavioural correlates in French middle-aged adults from the SU.VI.MAX cohort

Healthy Eating Index and abdominal obesity

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