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 Jeppesen; Tjønneland, Anne; Halkjær, Jytte; Clavel‐Chapelon, Françoise; Kesse, Emmanuelle; Boutron-Ruault, Marie Christine; Boffetta, Paolo; Nagel, Gabriële; Linseisen, Jakob; Boeing, Heiner; Hoffmann, Kurt; Kasapa, Christina; Orfanou, Anastasia; Travezea, Chrysoula; Slimani, Nadia; Norat, Teresa; Palli, Domenico; Pala, Valeria; Panico, Salvatore; Tumino, Rosario; Sacerdote, Carlotta; Bueno-de-Mesquita, H. Bas; Waijers, Patricia M C M; Peeters, Petra H.M.; Schouw, Yvonne T. van der; Berenguer, Antonio; Martínez‐García, Carmen; Navarro, Carmen; Barricarte, Aurelio; Dorronsoro, Miren; Berglund, Göran; Wirfält, Elisabet; Johansson, Ingegerd; Johansson, Gerd; Bingham, Sheila; Khaw, Kay Tee; Spencer, Elizabeth A.; Key, Tim; Riboli, Elio; Trichopoulou, Antonia

doi:10.1017/s1368980007382487

Cited by 118 publications

(92 citation statements)

References 55 publications

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“…The prudent pattern detected by PCR was associated with lower all-cause mortality, whereas the PCR-derived western pattern yielded discrepant results (Osler et al, 2001;Heidemann et al, 2008). Bamia et al (2007) found that a plant-based diet is not associated with mortality in Germany, but in several other countries such as Greece and Denmark. This study has several strengths.…”

Section: Discussionmentioning

confidence: 95%

Dietary patterns, subclinical inflammation, incident coronary heart disease and mortality in middle-aged men from the MONICA/KORA Augsburg cohort study

et al. 2011

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Background/Objectives: We aimed to identify dietary patterns associated with inflammatory markers and to examine their impact on the incidence of coronary heart disease (CHD) and all-cause mortality, as subclinical inflammation is a risk factor for these outcomes. Subjects/Methods: The study population comprised 981 middle-aged men participating in the first or third 'MONItoring of Trends and Determinants in CArdiovascular Diseases' (MONICA) Augsburg surveys who completed 7-day dietary records. Subjects were followed up until 2002 for CHD and until 2007 for mortality. Dietary patterns were derived using reduced rank regression (RRR) with C-reactive protein, interleukin (IL)-6 and IL-18 as responses. Alternatively, partial least squares and principal components regression were used. Results: A high score of the RRR-derived pattern was characterised by high intakes of meat, soft drinks and beer and low intakes of vegetables, fresh fruit, chocolates, cake, pastries, wholemeal bread, cereals, muesli, curd, condensed milk, cream, butter, nuts, sweet bread spread and tea. This score was associated with a higher risk for CHD (hazard ratio ¼ 1.33, 95% confidence interval: 1.06-1.67, P ¼ 0.013) and mortality (hazard ratio ¼ 1.34, 1.17-1.53, Po0.001) after multivariable adjustment. However, for CHD and CHD mortality the significant association disappeared after further adjustment for smoking status; for all-cause mortality it was attenuated but remained significant (hazard ratio ¼ 1.16, 1.00-1.33, P ¼ 0.046). Patterns derived from the other methods resembled the RRR pattern showing similar results regarding disease outcomes. Conclusions: Participants exhibiting higher dietary pattern scores had higher levels of inflammatory markers and higher risk for CHD and all-cause mortality, however, smoking was an important confounder, especially for CHD outcomes.

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Section: Discussionmentioning

confidence: 95%

Dietary patterns, subclinical inflammation, incident coronary heart disease and mortality in middle-aged men from the MONICA/KORA Augsburg cohort study

et al. 2011

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“…Results from the European Prospective Investigation into Cancer and Nutrition suggested that the relationship between a plant-based diet and mortality in those aged 60+ years may be country-specific since there were relatively strong associations in Greece, Spain, Denmark and the Netherlands, but no associations in the UK and Germany (29) . The consequences of dietary patterns rich in dairy products for mortality seem to be inconsistent.…”

Section: Mortality and Life Expectancymentioning

confidence: 99%

Nutrition and healthy ageing: the key ingredients

2014

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Healthy longevity is a tangible possibility for many individuals and populations, with nutritional and other lifestyle factors playing a key role in modulating the likelihood of healthy ageing. Nevertheless, studies of effects of nutrients or single foods on ageing often show inconsistent results and ignore the overall framework of dietary habits. Therefore, the use of dietary patterns (e.g. a Mediterranean dietary pattern) and the specific dietary recommendations (e.g. dietary approaches to stop hypertension, Polymeal and the American Healthy Eating Index) are becoming more widespread in promoting lifelong health. A posteriori defined dietary patterns are described frequently in relation to age-related diseases but their generalisability is often a challenge since these are developed specifically for the population under study. Conversely, the dietary guidelines are often developed based on prevention of disease or nutrient deficiency, but often less attention is paid to how well these dietary guidelines promote health outcomes. In the present paper, we provide an overview of the state of the art of dietary patterns and dietary recommendations in relation to life expectancy and the risk of age-related disorders (with emphasis on cardiometabolic diseases and cognitive outcomes). According to both a posteriori and a priori dietary patterns, some key 'ingredients' can be identified that are associated consistently with longevity and better cardiometabolic and cognitive health. These include high intake of fruit, vegetables, fish, (whole) grains and legumes/pulses and potatoes, whereas dietary patterns rich in red meat and sugar-rich foods have been associated with an increased risk of mortality and cardiometabolic outcomes.

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“…The Epidemiological Prospective Study in Cancer (EPIC) has reported dietary patterns in adults and elderly individuals in 10 European countries (Bamia et al, 2007;Masala et al, 2007;Touvier et al, 2009) using locally designed FFQs. Comparisons of dietary patterns were usually studied with a single 24-h recall questionnaire, standardised for all participant countries.…”

Section: Introductionmentioning

confidence: 99%

Use of a common food frequency questionnaire (FFQ) to assess dietary patterns and their relation to allergy and asthma in Europe: pilot study of the GA2LEN FFQ

et al. 2011

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Background/Objectives: Comparable international data on food and nutrient intake is often hindered by the lack of a common instrument to assess food intake. The objective of this study was within the Global Allergy and Asthma European Network of Excellence (GA 2 LEN), we developed and piloted a food frequency questionnaire (FFQ) to assess its validity in Europe. Subjects/Methods: Five countries participating in GA 2 LEN took part in the pilot study. A total of 200 adults aged 31-75 years were invited to complete a FFQ in two occasions and to give a blood sample. The intra-class correlation coefficient (ICC) was used to assess repeatability of the FFQ. Plasma phospholipid fatty acids (FAs) were analysed by gas chromatography. Pearson correlation was used to analyse the correlation between estimated dietary FA intake and plasma phospholipid FA levels. Results: A total of 177 participants (89%) had complete data on FFQ 1 and plasma phospholipid FAs. In all, 152 participants (76%) completed both FFQs. ICCs between macronutrients ranged from 0.70 (saturated FAs) to 0.78 (proteins) and between 0.70 (retinol) and 0.81 (vitamin D) for micronutrients. Dietary n-3 FAs showed a good correlation with total plasma phospholipid n-3 FAs and with docosahexaenoic acid in the whole sample (0.40) and in individual countries. Poor correlations were observed for other FAs. Conclusions: The GA 2 LEN FFQ is an appropriate tool to estimate dietary intake for a range of nutrients across Europe regardless of cultural and linguistic differences. The FFQ seems to be useful to estimate the intake of n-3 FAs but not other FAs.

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

Cited by 118 publications

References 55 publications

Dietary patterns, subclinical inflammation, incident coronary heart disease and mortality in middle-aged men from the MONICA/KORA Augsburg cohort study

Dietary patterns, subclinical inflammation, incident coronary heart disease and mortality in middle-aged men from the MONICA/KORA Augsburg cohort study

Nutrition and healthy ageing: the key ingredients

Use of a common food frequency questionnaire (FFQ) to assess dietary patterns and their relation to allergy and asthma in Europe: pilot study of the GA2LEN FFQ

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