| Mediterranean and carbohydrate-restricted diets and mortality among elderly men: a cohort study in Sweden. | |
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MedLine Citation:
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PMID: 20826627 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Comparative studies on dietary patterns and long-term mortality are sparse. OBJECTIVE: The objective was to examine the relations between 10-y mortality and adherence to the World Health Organization dietary guidelines [Healthy Diet Indicator (HDI)], a Mediterranean-like diet, and a carbohydrate-restricted (CR) diet in elderly Swedish men. DESIGN: Dietary habits were determined by 7-d dietary records in a population-based longitudinal study of 924 Swedish men (age: 71 ± 1 y). The HDI score (-1 to 8 points), the Mediterranean Diet Score (MDS; 0-8 points), and the CR score (2-20 points) were calculated for each participant. Nonadequate reporters of energy intake were identified (n = 413). Mortality was registered during a median follow-up of 10.2 y. Cox proportional hazards regression, with multivariable adjustments, was used to determine the effects of adherence to each dietary pattern. RESULTS: Two hundred fifteen and 88 subjects died of all-cause and cardiovascular disease, respectively. In all individuals, risk relations to mortality for each SD increment in the scores were observed for only MDS, with an adjusted hazard ratio (HR) of 0.83 (95% CI: 0.70, 0.99). Among adequate dietary reporters (n = 511), adjusted HRs for each SD increment in scores were enhanced for MDS (ie, 0.71; 95% CI: 0.55, 0.92) for all-cause mortality and 0.63 (95% CI: 0.42, 0.96) for cardiovascular mortality. Corresponding HRs for CR diet score were 1.19 (95% CI: 0.97, 1.45) for all-cause mortality and 1.44 (95% CI: 1.03, 2.02) for cardiovascular mortality. CONCLUSION: Adherence to a Mediterranean-like dietary pattern reduced mortality, whereas adherence to a CR dietary pattern appeared to increase mortality in elderly Swedish men, especially when only adequate dietary reporters were considered. |
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Authors:
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Per Sjögren; Wulf Becker; Eva Warensjö; Erika Olsson; Liisa Byberg; Inga-Britt Gustafsson; Brita Karlström; Tommy Cederholm |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't Date: 2010-09-08 |
Journal Detail:
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Title: The American journal of clinical nutrition Volume: 92 ISSN: 1938-3207 ISO Abbreviation: Am. J. Clin. Nutr. Publication Date: 2010 Oct |
Date Detail:
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Created Date: 2010-09-21 Completed Date: 2010-10-27 Revised Date: 2011-06-07 |
Medline Journal Info:
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Nlm Unique ID: 0376027 Medline TA: Am J Clin Nutr Country: United States |
Other Details:
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Languages: eng Pagination: 967-74 Citation Subset: AIM; IM |
Affiliation:
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Department of Public Health and Caring Sciences, Section of Clinical Nutrition and Metabolism, Uppsala University, Uppsala, Sweden. per.sjogren@pubcare.uu.se |
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Animals Blood Pressure Cardiovascular Diseases / mortality Cohort Studies Diabetes Mellitus, Type 2 / epidemiology Diet / standards Diet, Carbohydrate-Restricted / mortality* Diet, Mediterranean* Dietary Carbohydrates / adverse effects* Dietary Proteins Energy Intake Fishes Fruit Humans Longitudinal Studies Male Patient Selection Proportional Hazards Models Survival Analysis Sweden / epidemiology Vegetables |
| Chemical | |
Reg. No./Substance:
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0/Dietary Carbohydrates; 0/Dietary Proteins |
| Comments/Corrections | |
Comment In:
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Am J Clin Nutr. 2011 May;93(5):1152; author reply 1153
[PMID:
21367949
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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