Dietary patterns and survival in older Dutch women

Waijers, Patricia M C M; Ocké, Marga C.; Rossum, Caroline van; Peeters, Petra H.M.; Bamia, Christina; Chloptsios, Yannis; Schouw, Yvonne T. van der; Slimani, Nadia; Bueno-De-Mesquita, H. Bas

doi:10.1093/ajcn/83.5.1170

Cited by 80 publications

(59 citation statements)

References 23 publications

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“…Our results suggest that a decrease in saturated fat should be recommended in the Catalan population. However, the 12% of energy derived from SFA found in the present study is still lower than the percentage found in other European populations (Slimani et al, 2002;Capita and Alonso-Calleja, 2003;Waijers et al, 2006) even in the Mediterranean region (FerroLuzzi et al, 2002).…”

Section: Discussioncontrasting

confidence: 80%

Compliance with the European and national nutritional objectives in a Mediterranean population

et al. 2007

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Objective: To analyze compliance with the current European and Spanish nutritional objectives in a representative sample from Catalonia, a Spanish Mediterranean region; and to examine relationships between diet and plasma fatty acid composition. Design: Cross-sectional nutritional survey. Setting: Population based random sample derived from the Catalan Nutrition Survey. Subjects: A total of 516 healthy adult men (n ¼ 203) and women (n ¼ 313). Methods: Dietary habits were assessed by means of a quantitative food frequency questionnaire. A physical exam included height, weight, waist and hip circumferences, and a fasting blood draw. Results: Gender differences were observed in nutrient and energy intakes. Women showed a better compliance with the nutritional recommendations for monounsaturated fatty acid (MUFA) and polyunsaturated fatty acid (PUFA) than did men. Men showed a better compliance for saturated fatty acid (SFA) and carbohydrate than did women. However, the SFA:MUFA:PUFA ratio was similar in both gender (1.6:2.3:1.0 for men; 1.7:2.5:1.0 for women). The highest compliance was observed for nutritional goals of sodium, calcium and fruit and vegetable intakes for both genders. In addition, the present study showed that levels of certain fatty acids in plasma are clearly associated with dietary intake of foods rich in these components. The highest correlations were found for n-3 long chain polyunsaturated fatty acids with blue fish intake in both men and women (r men ¼ 0.36 and r women ¼ 0.42; Po0.001). Conclusions: The diet followed in Catalonia seems to ensure compliance with most of the intermediate nutritional objectives for the Spanish population. However, a reduction in the SFA intake and an increase in the carbohydrate intake could be recommended in order to reduce the current prevalence of overweight and obesity in this Mediterranean region.

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Section: Discussioncontrasting

confidence: 80%

Compliance with the European and national nutritional objectives in a Mediterranean population

et al. 2007

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“…There is other evidence that higher socioeconomic position is associated with both higher alcohol consumption and healthier eating habits Hart et al, 2009;Mashta, 2009). In addition, this dietary pattern was similar to the Mediterranean-like patterns identified for Dutch women, which were also correlated with higher alcohol intake, particularly of wine (Waijers et al, 2006).…”

Section: Discussionsupporting

confidence: 79%

Major dietary patterns of young and middle aged women: results from a prospective Australian cohort study

et al. 2010

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Objective: The aim of this study was to assess the major dietary patterns of two age cohorts of women, to determine to the extent to which the dietary patterns differ between the cohorts and to assess whether they vary according to sociodemographic and behavioural characteristics and patterns of nutrient intake. Method: Dietary intake was assessed using an 80-item food frequency questionnaire for women aged 50-55 years (n ¼ 10 150; 'middle age') in 2001 and aged 25-30 years (n ¼ 7371; 'young') in 2003, from the Australian Longitudinal Study on Women's Health. Factor analysis using principal component extraction was used to identify dietary patterns, and a pattern score was calculated from the consumption of the food items identified with each dietary pattern. Associations between the dietary pattern scores and sociodemographic and behavioural characteristics and nutrient intakes were investigated using regression analysis. Results: Six dietary patterns were identified and were labelled: cooked vegetables; fruit; Mediterranean-style; processed meat, meat and takeaway; reduced fat dairy; and high-fat and sugar foods. Regression analysis revealed that healthier dietary patterns were significantly associated with other favourable health-related behaviours, higher socioeconomic status and living in urban areas (P-values o0.05). Conclusions: In spite of differences in the level of consumption of individual food items, the similarity in dietary patterns across two generations of women suggests that policies and interventions to improve diet should focus on social and economic factors and general health-related behaviour rather than different age groups.

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“…A pattern derived from RRR characterised by high intakes of meat, butter, sauces and eggs and low intakes of bread and fruits was found to increase the risk of all-cause mortality. The Mediterranean diet characterised by high intakes of vegetables, legumes, fruits, nuts, whole grains, fish and low intakes of red meat was found to be protective against all-cause mortality by one study using a nine-point score (Mitrou et al, 2007), whereas this association was not present in two other analyses which used cluster analysis and PCR to detect the Mediterranean pattern (Waijers et al, 2006;Brunner et al, 2008). The prudent pattern detected by PCR was associated with lower all-cause mortality, whereas the PCR-derived western pattern yielded discrepant results (Osler et al, 2001;Heidemann et al, 2008).…”

Section: Discussionmentioning

confidence: 92%

Dietary patterns, subclinical inflammation, incident coronary heart disease and mortality in middle-aged men from the MONICA/KORA Augsburg cohort study

et al. 2011

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Background/Objectives: We aimed to identify dietary patterns associated with inflammatory markers and to examine their impact on the incidence of coronary heart disease (CHD) and all-cause mortality, as subclinical inflammation is a risk factor for these outcomes. Subjects/Methods: The study population comprised 981 middle-aged men participating in the first or third 'MONItoring of Trends and Determinants in CArdiovascular Diseases' (MONICA) Augsburg surveys who completed 7-day dietary records. Subjects were followed up until 2002 for CHD and until 2007 for mortality. Dietary patterns were derived using reduced rank regression (RRR) with C-reactive protein, interleukin (IL)-6 and IL-18 as responses. Alternatively, partial least squares and principal components regression were used. Results: A high score of the RRR-derived pattern was characterised by high intakes of meat, soft drinks and beer and low intakes of vegetables, fresh fruit, chocolates, cake, pastries, wholemeal bread, cereals, muesli, curd, condensed milk, cream, butter, nuts, sweet bread spread and tea. This score was associated with a higher risk for CHD (hazard ratio ¼ 1.33, 95% confidence interval: 1.06-1.67, P ¼ 0.013) and mortality (hazard ratio ¼ 1.34, 1.17-1.53, Po0.001) after multivariable adjustment. However, for CHD and CHD mortality the significant association disappeared after further adjustment for smoking status; for all-cause mortality it was attenuated but remained significant (hazard ratio ¼ 1.16, 1.00-1.33, P ¼ 0.046). Patterns derived from the other methods resembled the RRR pattern showing similar results regarding disease outcomes. Conclusions: Participants exhibiting higher dietary pattern scores had higher levels of inflammatory markers and higher risk for CHD and all-cause mortality, however, smoking was an important confounder, especially for CHD outcomes.

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Dietary patterns and survival in older Dutch women

Cited by 80 publications

References 23 publications

Compliance with the European and national nutritional objectives in a Mediterranean population

Compliance with the European and national nutritional objectives in a Mediterranean population

Major dietary patterns of young and middle aged women: results from a prospective Australian cohort study

Dietary patterns, subclinical inflammation, incident coronary heart disease and mortality in middle-aged men from the MONICA/KORA Augsburg cohort study

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