Greater adherence to the Healthy Nordic Food Index is associated with lower all-cause mortality in a population-based sample from northern Germany.
| Autor: | Stürmer, Paula, Ratjen, Ilka, Weber, Katharina Susanne, Övermöhle, Cara, Liedtke, Tatjana Patricia, Waniek, Sabina, Strathmann, Eike Andreas, Lieb, Wolfgang |
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| Předmět: |
MORTALITY risk factors
MEDITERRANEAN diet FUNCTIONAL foods CAUSES of death FOOD habits AGE distribution FOOD consumption DIET REGRESSION analysis RISK assessment SEX distribution WAIST-hip ratio PHYSICAL activity QUESTIONNAIRES RESEARCH funding POPULATION health BODY mass index SMOKING DIETARY patterns PROPORTIONAL hazards models EDUCATIONAL attainment LONGITUDINAL method MIDDLE age OLD age |
| Zdroj: | European Journal of Nutrition; Mar2024, Vol. 63 Issue 2, p365-375, 11p |
| Abstrakt: | Purpose: Dietary pattern scores reflecting a high intake of beneficial food groups were associated with reduced mortality risk. Data on associations of such dietary pattern scores in population-based samples from northern Germany are lacking. Therefore, we examined the association of three dietary pattern scores with all-cause mortality in a moderate-sized prospective sample from northern Germany. Methods: The study sample comprised 836 participants (43.8% females, median age 62.4 years). Based on a validated, self-administered Food Frequency Questionnaire, the dietary scores Dietary Approaches to Stop Hypertension (DASH), Modified Mediterranean Diet Score (MMDS), and Healthy Nordic Food Index (HNFI) were calculated. Cox proportional hazard regression models, adjusted for age, sex, body mass index, waist to hip ratio, education, smoking status, total energy intake, and physical activity, were used to separately relate DASH, MMDS, and HNFI to all-cause mortality. Results: During a median follow-up period of 11 years, 93 individuals died. While DASH and MMDS scores were not associated with all-cause mortality, greater adherence to HNFI was associated with lower mortality hazards (HR: 0.47 [95% CI 0.25–0.89] when comparing the highest score quartile to the lowest; HR: 0.79 [95% CI 0.64–0.98] for HNFI modeled as a 1-Standard Deviation increment). Among different HNFI components, higher intake of oats and cereals displayed the most conclusive association with all-cause mortality (HR: 0.59 [95% CI 0.38–0.91] when comparing high and low intake). Conclusion: In an elderly general population sample from northern Germany, we observed greater adherence to HNFI to be associated with lower all-cause mortality. [ABSTRACT FROM AUTHOR] |
| Databáze: | Complementary Index |
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