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Healthy eating and survival among elderly men with and without cardiovascular-metabolic diseases.
Nutr Metab Cardiovasc Dis. 2015 Dec; 25(12):1117-24.NM

Abstract

BACKGROUND AND AIMS

The strength of the associations of dietary scores with cardiovascular disease (CVD) and all-cause mortality in elderly vary considerably between a priori scores. To assess whether healthy eating lowers the risk of CVD and all-cause mortality among elderly men.

METHODS AND RESULTS

The Zutphen Elderly Study (age 65-84 years) was divided into men with (n = 210) and without (n = 616) cardiovascular-metabolic diseases at baseline in 1985. Diet was assessed with the cross-check dietary history method. We created the "Dutch Healthy Nutrient and Food Score" (DHNaFS) and the "Dutch Undesirable Nutrient and Food Score" (DUNaFS). Associations of the scores with CVD and all-cause mortality were assessed using multivariable Cox regression models. Associations of scores with life years gained used general linear models. During a median follow-up of 10.6 years (IQR 5.8-15.9) 806 participants died, of whom 359 from CVD. In all men, diet scores did not predict death. Among men with cardiovascular-metabolic diseases, DHNaFS was associated with lower CVD (HR: 0.57; 95% CI: 0.35-0.93) and all-cause mortality risk (HR: 0.64; 95% CI: 0.44-0.94) comparing the highest vs. the lowest score tertiles. Men with cardiovascular-metabolic diseases in the highest vs. the lowest tertile of the DHNaFS lived approximately 2.5 years longer. The DHNaFS was not associated with CVD and all-cause mortality in men without cardiovascular-metabolic diseases. The DUNaFS was not associated with any of the outcomes.

CONCLUSION

A high quality diet was associated with a 40% lower mortality risk and 2.5 years longer life expectancy in elderly men with, but not without, cardiovascular-metabolic diseases.

Authors+Show Affiliations

Division of Human Nutrition, Wageningen University, Wageningen, The Netherlands.Division of Human Nutrition, Wageningen University, Wageningen, The Netherlands. Electronic address: sabita.soedamah-muthu@wur.nl.Division of Human Nutrition, Wageningen University, Wageningen, The Netherlands.Division of Epidemiology and Community Health, School of Public Health, University of Minnesota, Minneapolis, MN, USA; The Department of Nutrition, University of Oslo, Oslo, Norway.Division of Human Nutrition, Wageningen University, Wageningen, The Netherlands; Division of Epidemiology and Community Health, School of Public Health, University of Minnesota, Minneapolis, MN, USA.

Pub Type(s)

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

Language

eng

PubMed ID

26610653

Citation

Sijtsma, F P C., et al. "Healthy Eating and Survival Among Elderly Men With and Without Cardiovascular-metabolic Diseases." Nutrition, Metabolism, and Cardiovascular Diseases : NMCD, vol. 25, no. 12, 2015, pp. 1117-24.
Sijtsma FP, Soedamah-Muthu SS, de Hoon SE, et al. Healthy eating and survival among elderly men with and without cardiovascular-metabolic diseases. Nutr Metab Cardiovasc Dis. 2015;25(12):1117-24.
Sijtsma, F. P., Soedamah-Muthu, S. S., de Hoon, S. E., Jacobs, D. R., & Kromhout, D. (2015). Healthy eating and survival among elderly men with and without cardiovascular-metabolic diseases. Nutrition, Metabolism, and Cardiovascular Diseases : NMCD, 25(12), 1117-24. https://doi.org/10.1016/j.numecd.2015.08.008
Sijtsma FP, et al. Healthy Eating and Survival Among Elderly Men With and Without Cardiovascular-metabolic Diseases. Nutr Metab Cardiovasc Dis. 2015;25(12):1117-24. PubMed PMID: 26610653.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Healthy eating and survival among elderly men with and without cardiovascular-metabolic diseases. AU - Sijtsma,F P C, AU - Soedamah-Muthu,S S, AU - de Hoon,S E M, AU - Jacobs,D R,Jr AU - Kromhout,D, Y1 - 2015/09/21/ PY - 2015/06/03/received PY - 2015/08/25/revised PY - 2015/08/31/accepted PY - 2015/11/28/entrez PY - 2015/11/28/pubmed PY - 2016/9/23/medline KW - Cardiovascular-metabolic disease KW - Epidemiology KW - Food-based dietary scores KW - Life years gained KW - Mortality SP - 1117 EP - 24 JF - Nutrition, metabolism, and cardiovascular diseases : NMCD JO - Nutr Metab Cardiovasc Dis VL - 25 IS - 12 N2 - BACKGROUND AND AIMS: The strength of the associations of dietary scores with cardiovascular disease (CVD) and all-cause mortality in elderly vary considerably between a priori scores. To assess whether healthy eating lowers the risk of CVD and all-cause mortality among elderly men. METHODS AND RESULTS: The Zutphen Elderly Study (age 65-84 years) was divided into men with (n = 210) and without (n = 616) cardiovascular-metabolic diseases at baseline in 1985. Diet was assessed with the cross-check dietary history method. We created the "Dutch Healthy Nutrient and Food Score" (DHNaFS) and the "Dutch Undesirable Nutrient and Food Score" (DUNaFS). Associations of the scores with CVD and all-cause mortality were assessed using multivariable Cox regression models. Associations of scores with life years gained used general linear models. During a median follow-up of 10.6 years (IQR 5.8-15.9) 806 participants died, of whom 359 from CVD. In all men, diet scores did not predict death. Among men with cardiovascular-metabolic diseases, DHNaFS was associated with lower CVD (HR: 0.57; 95% CI: 0.35-0.93) and all-cause mortality risk (HR: 0.64; 95% CI: 0.44-0.94) comparing the highest vs. the lowest score tertiles. Men with cardiovascular-metabolic diseases in the highest vs. the lowest tertile of the DHNaFS lived approximately 2.5 years longer. The DHNaFS was not associated with CVD and all-cause mortality in men without cardiovascular-metabolic diseases. The DUNaFS was not associated with any of the outcomes. CONCLUSION: A high quality diet was associated with a 40% lower mortality risk and 2.5 years longer life expectancy in elderly men with, but not without, cardiovascular-metabolic diseases. SN - 1590-3729 UR - https://www.unboundmedicine.com/medline/citation/26610653/Healthy_eating_and_survival_among_elderly_men_with_and_without_cardiovascular_metabolic_diseases_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0939-4753(15)30032-6 DB - PRIME DP - Unbound Medicine ER -