Adherence to a Mediterranean diet and onset of disability in older persons

Féart, Catherine; Pérès, Karine; Samieri, Cécilia; Letenneur, Luc; Dartigues, Jean‐François; Barberger‐Gateau, Pascale

doi:10.1007/s10654-011-9611-4

Cited by 49 publications

(38 citation statements)

References 54 publications

(50 reference statements)

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“…We firstly did analyses for the dichotomised hierarchical indicator of disability and then repeated them for each domain separately; because few participants were disabled in basic activities of daily living, we combined those disabled in basic activities of daily living or instrumental activities of daily living. 23 People disabled for the corresponding domain at baseline were excluded from the analyses.…”

Section: Discussionmentioning

confidence: 99%

“…Previous research has shown an increased risk of disability in physically inactive people, [19][20][21][22] those with an unhealthy diet, [23][24][25] current smokers, 19 21 26 27 alcohol abstainers, 19 21 22 28 and heavy alcohol drinkers. 21 However, not all studies took into account multiple behaviours simultaneously.…”

Section: What This Study Addsmentioning

confidence: 99%

“…7-18 Unhealthy behaviours such as lack of physical activity, poor diet, smoking, alcohol abstinence, and heavy alcohol consumption have also been shown to be associated with an increased risk of disability in older people. [19][20][21][22][23][24][25][26][27][28] However, few studies have examined the combined effect of unhealthy behaviours on disability. 21 29 30 Furthermore, pathways involved in the association between unhealthy behaviours and disability are poorly understood.…”

Section: Introductionmentioning

confidence: 99%

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Unhealthy behaviours and disability in older adults: Three-City Dijon cohort study

Artaud

Dugravot

Sabia

et al. 2013

BMJ

114

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Objectives To examine the individual and combined associations of unhealthy behaviours (low/intermediate physical activity, consuming fruit and vegetables less than once a day, current smoking/short term ex-smoking, never/former/heavy alcohol drinking), assessed at start of follow-up, with hazard of disability among older French adults and to assess the role of potential mediators, assessed repeatedly, of these associations.Design Population based cohort study.Setting Dijon centre of Three-City study.Participants 3982 (2410 (60.5%) women) French community dwellers aged 65 or over included during 1999-2001; participants were disability-free at baseline when health behaviours were assessed.Main outcome measure Hierarchical indicator of disability (no, light, moderate, severe) combining data from three disability scales (mobility, instrumental activities of daily living, basic activities of daily living) assessed five times between 2001 and 2012.Results During the 12 year follow-up, 1236 participants (861 (69.7%) women) developed moderate or severe disability. Interval censored survival analyses (adjusted for age, sex, marital status, and education) showed low/intermediate physical activity (hazard ratio 1.72, 95% confidence interval 1.48 to 2.00), consuming fruit and vegetables less than once a day (1.24, 1.10 to 1.41), and current smoking/short term ex-smoking (1.26, 1.05 to 1.50) to be independently associated with an increased hazard of disability, whereas no robust association with alcohol consumption was found. The hazard of disability increased progressively with the number of unhealthy behaviours independently associated with disability (P<0.001); participants with three unhealthy behaviours had a 2.53 (1.86 to 3.43)-fold increased hazard of disability compared with those with none. Reverse causation bias was verified by excluding participants who developed disability in the first four years of follow-up; these analyses on 890 disability events yielded results similar to those in the main analysis. 30.5% of the association between the unhealthy behaviours score and disability was explained by body mass index, cognitive function, depressive symptoms, trauma, chronic conditions, and cardiovascular disease and its risk factors; the main contributors were chronic conditions and, to a lesser extent, depressive symptoms, trauma, and body mass index.Conclusions An unhealthy lifestyle is associated with greater hazard of incident disability, and the hazard increases progressively with the number of unhealthy behaviours. Chronic conditions, depressive symptoms, trauma, and body mass index partially explained this association.

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Section: Discussionmentioning

confidence: 99%

Section: What This Study Addsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Unhealthy behaviours and disability in older adults: Three-City Dijon cohort study

Artaud

Dugravot

Sabia

et al. 2013

BMJ

114

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“…[7][8][9] Table 2 summarizes the multiple health benefits of MD and the respective types of supportive evidence. [10][11][12][13][14][15][16] …”

Section: Essential Elements and Health Benefits Of The Mediterranean mentioning

confidence: 99%

“…The pyramid and ''Healthy Plate'' guidelines are posted around the area of the cafeteria. An extensive salad bar with a wide variety of fruits, vegetables, leafy greens, legumes, nuts, lean proteins, and healthy oils (eg, olive, avocado, and walnut) accompanies the Cross-sectional and prospective cohort studies [14][15][16] Reduction of all-cause mortality 17-25% # in risk Observational-longitudinal 7 CVD, cardiovascular disease. overall colorful and healthy scene of Sebastian's Café.…”

Section: Mediterranean Diet and Workplace Health Promotionmentioning

confidence: 99%

What Is the Mediterranean Diet and How Can It Be Used to Promote Workplace Health?

2016

Journal of Occupational &Amp; Environmental Medicine

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Public Health. As a result of the worldwide epidemics of obesity and diabetes, there is strong and renewed interest in the traditional Mediterranean Diet (MD). The appeal of the MD extends beyond its many proven health benefits. By combining diverse flavors, colors, and aromas fresh from the land and sea and its liberal use of olive oil, herbs, and lean proteins, the MD provides delicious meals capable of transporting us to Mediterranean locales through our senses. Moreover, because of its emphasis on limited consumption, rather than abstention from red meat and sweets, as well as permitting the moderate use of alcohol, the MD represents a healthy, yet indulgent and appealing lifestyle that can be sustained over long periods of time.

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Mediterranean Diet and Neurodegenerative Diseases

Selmin

Romagnolo

2016

Mediterranean Diet

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Adherence to a Mediterranean diet and onset of disability in older persons

Cited by 49 publications

References 54 publications

Unhealthy behaviours and disability in older adults: Three-City Dijon cohort study

Unhealthy behaviours and disability in older adults: Three-City Dijon cohort study

What Is the Mediterranean Diet and How Can It Be Used to Promote Workplace Health?

Mediterranean Diet and Neurodegenerative Diseases

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