Dietary patterns, assessed from a weighed food record, and survival among elderly participants from the United Kingdom

Hamer, M, McNaughton, S. A., Bates, C. J. and Mishra, G. D. 2010, Dietary patterns, assessed from a weighed food record, and survival among elderly participants from the United Kingdom, European journal of clinical nutrition, vol. 64, no. 8, pp. 853-861, doi: 10.1038/ejcn.2010.93.

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Title Dietary patterns, assessed from a weighed food record, and survival among elderly participants from the United Kingdom
Author(s) Hamer, M
McNaughton, S. A.ORCID iD for McNaughton, S. A.
Bates, C. J.
Mishra, G. D.
Journal name European journal of clinical nutrition
Volume number 64
Issue number 8
Start page 853
End page 861
Total pages 9
Publisher Nature Publishing Group
Place of publication London, England
Publication date 2010-08
ISSN 0954-3007
Keyword(s) ageing
dietary pattern
nutritional epidemiology
Summary Background/Objectives: There is variability in the association between dietary intake and health outcomes across different countries, especially among the elderly. We used the gold standard dietary assessment method, a weighed food record, to examine the association between dietary pattern and mortality in a representative sample of community dwelling participants from Great Britain aged 65 years and older.

Subjects/Methods: Dietary intake was recorded at baseline in 1017 elderly participants (520 men, 497 women, mean age 76.3±7.4 years). Exploratory factor analysis was performed to examine dietary patterns and participants were followed up over an average of 9.2 years for mortality.

Results: The factor analysis revealed four interpretable principal components accounting for approximately 9.8% of the total variance, with similar patterns across sex. A ‘Mediterranean-style’ dietary pattern explained the greatest proportion of the variance (3.7%), followed by ‘health-aware’ (2.2%), ‘traditional’ (2.0%) and ‘sweet and fat’ (1.9%) factors. There were a total of 683 deaths through follow-up. After adjustment for potential confounders, only the Mediterranean-style dietary pattern remained associated with mortality (highest vs lowest tertile; hazard ratio¼0.82, 95% CI, 0.68–1.00). The benefits of the Mediterranean-style diet were only observed among women (hazard ratio¼0.71, 95% CI 0.52–0.96) although in men the traditional diet was a risk factor for mortality (hazard ratio¼1.30, 95% CI 1.00–1.71).

Conclusions: Using a gold standard approach, our results confirm previous evidence that dietary patterns are important in longevity among the elderly.
Notes published online 2 June 2010
Language eng
DOI 10.1038/ejcn.2010.93
Field of Research 111199 Nutrition and Dietetics not elsewhere classified
Socio Economic Objective 920411 Nutrition
HERDC Research category C1 Refereed article in a scholarly journal
Copyright notice ©2010, Nature Publishing Group
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