Adherence to a Healthy Diet According to the World Health Organization Guidelines and All-Cause Mortality in Elderly Adults From Europe and the United States
| Autor: | Martinette T Streppel, Hynek Pikhart, Oscar H. Franco, Frank Kee, Edith J. M. Feskens, Nicole Jankovic, Růžena Kubínová, Ellen Kampman, Sofia Malyutina, Yikyung Park, Lisette C. P. G. M. de Groot, Pilar Amiano, Anouk Geelen, Anne Tjønneland, Martin Bobak, Antonia Trichopoulou, Göran Hallmans, Edith H. van den Hooven, Anne M. May, Philippos Orfanos, H. B. Bueno-De-Mesquita, Andrzej Pajak, Paolo Boffetta |
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| Přispěvatelé: | Epidemiology, Jankovic, N., Geelen, A., Streppel, M.T., De Groot, L.C.P.G.M., Orfanos, P., Van Den Hooven, E.H., Pikhart, H., Boffetta, P., Trichopoulou, A., Bobak, M., Bueno-De-Mesquita, H.B., Kee, F., Franco, O.H., Park, Y., Hallmans, G., Tjønneland, A., May, A.M., Pajak, A., Malyutina, S., Kubinova, R., Amiano, P., Kampman, E., Feskens, E.J. |
| Rok vydání: | 2014 |
| Předmět: |
Male
Gerontology Mediterranean diet Nutrition and Disease Epidemiology epic project Original Contributions design cardiovascular-disease Diet Mediterranean Body Mass Index Food group Tumours of the digestive tract Radboud Institute for Health Sciences [Radboudumc 14] scores prevention Risk Factors Neoplasms Surveys and Questionnaires Voeding en Ziekte Medicine Prospective Studies Prospective cohort study risk Hazard ratio determinants cohort Middle Aged Europe Cardiovascular Diseases quality Cohort Female Guideline Adherence rationale Longevity Guidelines as Topic World Health Organization Life Expectancy Meta-Analysis as Topic SDG 3 - Good Health and Well-being Humans Life Style Aged VLAG Global Nutrition Wereldvoeding business.industry United States Confidence interval Diet Nutrition Assessment aging cohort Consortium on Health and Ageing: Network of Cohorts in Europe and the United States diet longevity meta-analysis Life expectancy business Body mass index Follow-Up Studies Demography |
| Zdroj: | American Journal of Epidemiology, 180(10), 978-988 American Journal of Epidemiology, 180(10), 978-988. Oxford University Press American Journal of Epidemiology 180 (2014) 10 American Journal of Epidemiology, 180, 10, pp. 978-88 American Journal of Epidemiology, 180, 978-88 |
| ISSN: | 0002-9262 |
| Popis: | Item does not contain fulltext The World Health Organization (WHO) has formulated guidelines for a healthy diet to prevent chronic diseases and postpone death worldwide. Our objective was to investigate the association between the WHO guidelines, measured using the Healthy Diet Indicator (HDI), and all-cause mortality in elderly men and women from Europe and the United States. We analyzed data from 396,391 participants (42% women) in 11 prospective cohort studies who were 60 years of age or older at enrollment (in 1988-2005). HDI scores were based on 6 nutrients and 1 food group and ranged from 0 (least healthy diet) to 70 (healthiest diet). Adjusted cohort-specific hazard ratios were derived by using Cox proportional hazards regression and subsequently pooled using random-effects meta-analysis. During 4,497,957 person-years of follow-up, 84,978 deaths occurred. Median HDI scores ranged from 40 to 54 points across cohorts. For a 10-point increase in HDI score (representing adherence to an additional WHO guideline), the pooled adjusted hazard ratios were 0.90 (95% confidence interval (CI): 0.87, 0.93) for men and women combined, 0.89 (95% CI: 0.85, 0.92) for men, and 0.90 (95% CI: 0.85, 0.95) for women. These estimates translate to an increased life expectancy of 2 years at the age of 60 years. Greater adherence to the WHO guidelines is associated with greater longevity in elderly men and women in Europe and the United States. |
| Databáze: | OpenAIRE |
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