Tags

Type your tag names separated by a space and hit enter

Diet quality and mortality: a population-based prospective study of men.
Eur J Clin Nutr. 2009 Apr; 63(4):451-7.EJ

Abstract

BACKGROUND/OBJECTIVES

To study quality of diet in relation to all-cause mortality, cardiovascular disease (CVD) and cancer mortality.

SUBJECTS/METHODS

The population-based prospective Cohort of Swedish Men (COSM) included 40 837 men, 45-79 years of age, who filled in a FFQ (96 food items) and were CVD- and cancer-free at baseline. Quality of diet was assessed by Recommended Food Score (RFS) based on 36 items and Non-Recommended Food Score (Non-RFS) based on 16 items. Cox's proportional hazards regression models were used to estimate the hazard ratios (HRs) of mortality and 95% confidence intervals (CIs). Multivariate HRs for RFS and Non-RFS were adjusted for age, education, physical activity, martial status, self-perceived health status, smoking status, dietary supplements use, WHR, alcohol use, intake of energy and mutually adjusted.

RESULTS

Between 1998 and 2005, 4501 deaths from all-causes were registered. Between 1998 and 2003, there were 1394 CVD and 759 cancer deaths. High RFS (> or =28) compared with low (< or =20) was associated with lower risk of all-cause mortality (HR: 0.81; 95% CI: 0.71-0.91; P-value for trend<0.0001) and CVD mortality (HR: 0.71; 95% CI: 0.54-0.93; P-value for trend=0.003). In contrast, men with high Non-RFS (> or =5) had higher risk of all-cause (HR: 1.21; 95% CI: 1.09-1.34; P-value for trend=0.001) and CVD mortality (HR: 1.27; 95% CI: 1.05-1.54; P-value for trend=0.07) compared to those with low Non-RFS (< or =2 items). No significant associations with cancer mortality were observed.

CONCLUSIONS

Both measures of diet quality, RFS and Non-RFS, showed statistically significant associations with all-cause and CVD mortality (recommended foods inversely while nonrecommended foods positively), but not with cancer mortality.

Authors+Show Affiliations

Division of Nutritional Epidemiology, Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

18059415

Citation

Kaluza, J, et al. "Diet Quality and Mortality: a Population-based Prospective Study of Men." European Journal of Clinical Nutrition, vol. 63, no. 4, 2009, pp. 451-7.
Kaluza J, Håkansson N, Brzozowska A, et al. Diet quality and mortality: a population-based prospective study of men. Eur J Clin Nutr. 2009;63(4):451-7.
Kaluza, J., Håkansson, N., Brzozowska, A., & Wolk, A. (2009). Diet quality and mortality: a population-based prospective study of men. European Journal of Clinical Nutrition, 63(4), 451-7.
Kaluza J, et al. Diet Quality and Mortality: a Population-based Prospective Study of Men. Eur J Clin Nutr. 2009;63(4):451-7. PubMed PMID: 18059415.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Diet quality and mortality: a population-based prospective study of men. AU - Kaluza,J, AU - Håkansson,N, AU - Brzozowska,A, AU - Wolk,A, Y1 - 2007/12/05/ PY - 2007/12/7/pubmed PY - 2009/5/30/medline PY - 2007/12/7/entrez SP - 451 EP - 7 JF - European journal of clinical nutrition JO - Eur J Clin Nutr VL - 63 IS - 4 N2 - BACKGROUND/OBJECTIVES: To study quality of diet in relation to all-cause mortality, cardiovascular disease (CVD) and cancer mortality. SUBJECTS/METHODS: The population-based prospective Cohort of Swedish Men (COSM) included 40 837 men, 45-79 years of age, who filled in a FFQ (96 food items) and were CVD- and cancer-free at baseline. Quality of diet was assessed by Recommended Food Score (RFS) based on 36 items and Non-Recommended Food Score (Non-RFS) based on 16 items. Cox's proportional hazards regression models were used to estimate the hazard ratios (HRs) of mortality and 95% confidence intervals (CIs). Multivariate HRs for RFS and Non-RFS were adjusted for age, education, physical activity, martial status, self-perceived health status, smoking status, dietary supplements use, WHR, alcohol use, intake of energy and mutually adjusted. RESULTS: Between 1998 and 2005, 4501 deaths from all-causes were registered. Between 1998 and 2003, there were 1394 CVD and 759 cancer deaths. High RFS (> or =28) compared with low (< or =20) was associated with lower risk of all-cause mortality (HR: 0.81; 95% CI: 0.71-0.91; P-value for trend<0.0001) and CVD mortality (HR: 0.71; 95% CI: 0.54-0.93; P-value for trend=0.003). In contrast, men with high Non-RFS (> or =5) had higher risk of all-cause (HR: 1.21; 95% CI: 1.09-1.34; P-value for trend=0.001) and CVD mortality (HR: 1.27; 95% CI: 1.05-1.54; P-value for trend=0.07) compared to those with low Non-RFS (< or =2 items). No significant associations with cancer mortality were observed. CONCLUSIONS: Both measures of diet quality, RFS and Non-RFS, showed statistically significant associations with all-cause and CVD mortality (recommended foods inversely while nonrecommended foods positively), but not with cancer mortality. SN - 1476-5640 UR - https://www.unboundmedicine.com/medline/citation/18059415/Diet_quality_and_mortality:_a_population_based_prospective_study_of_men_ L2 - http://dx.doi.org/10.1038/sj.ejcn.1602968 DB - PRIME DP - Unbound Medicine ER -