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How Dietary Patterns are Related to Inflammaging and Mortality in Community-Dwelling Older Chinese Adults in Hong Kong - A Prospective Analysis.
J Nutr Health Aging 2019; 23(2):181-194JN

Abstract

INTRODUCTION

Studies examining dietary patterns and inflammageing in relation to mortality are limited.

OBJECTIVE

We examined the influence of various dietary patterns on all-cause and cardiovascular disease (CVD) mortality, taking into account demographics, lifestyle factors, and serum inflammatory markers.

METHODS

We conducted multivariate Cox regression analyses using data from a cohort of community-dwelling older Chinese adults (1,406 men, 1,396 women) in Hong Kong. Baseline interviewer administered questionnaires covered dietary intake estimation and dietary pattern generation from the food frequency questionnaire, demographic and lifestyle factors, cognitive function and depressive symptoms. Serum high-sensitivity C-reactive protein (hsCRP) and 25-hydroxyvitamin D (25OHD) were measured. All-cause and CVD mortality data at 14-year follow up were retrieved from an official database.

RESULTS

In men, higher hsCRP level was associated with lower Diet Quality Index-International (DQI-I) score, Mediterranean-DASH Intervention for Neurodegenerative Delay Diet (MIND) score, Okinawan diet score, "vegetables-fruits" pattern score and "snacks-drinks-milk" pattern score. Higher serum 25OHD level was associated with higher Mediterranean Diet Score (MDS) but lower "snacks-drinks-milk" pattern score. None of the dietary pattern scores was associated with all-cause or CVD mortality after adjusting for all covariates. In women, hsCRP level and serum 25OHD level were not associated with any dietary patterns. Higher DQI-I score (HR=0.77 (95% CIs: 0.59, 0.99) highest vs. lowest tertile, p-trend=0.038) and Okinawan diet score (HR=0.78 (95% CIs: 0.61, 1.00) highest vs lowest tertile, p-trend=0.046) was associated with a lower risk of all-cause mortality, whereas higher MIND score (HR=0.63 (95% CI: 0.36, 1.09) highest vs. lowest tertile, p-trend=0.045) was associated with a reduced risk of CVD morality in the multivariate adjusted model.

CONCLUSION

Higher DQI-I score and Okinawan diet score were associated with a lower risk of all-cause mortality, and higher adherence to the MIND diet was related to a reduced risk of CVD mortality in community-dwelling Chinese older women.

Authors+Show Affiliations

Dr Ruth Chan, Department of Medicine and Therapeutics, Prince of Wales Hospital, Shatin, N.T., Hong Kong, Tel: 852-3505-2190, Fax: 852-2637-9215, Email: ruthchansm@cuhk.edu.hk.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

30697629

Citation

Chan, R S M., et al. "How Dietary Patterns Are Related to Inflammaging and Mortality in Community-Dwelling Older Chinese Adults in Hong Kong - a Prospective Analysis." The Journal of Nutrition, Health & Aging, vol. 23, no. 2, 2019, pp. 181-194.
Chan RSM, Yu BWM, Leung J, et al. How Dietary Patterns are Related to Inflammaging and Mortality in Community-Dwelling Older Chinese Adults in Hong Kong - A Prospective Analysis. J Nutr Health Aging. 2019;23(2):181-194.
Chan, R. S. M., Yu, B. W. M., Leung, J., Lee, J. S. W., Auyeung, T. W., Kwok, T., & Woo, J. (2019). How Dietary Patterns are Related to Inflammaging and Mortality in Community-Dwelling Older Chinese Adults in Hong Kong - A Prospective Analysis. The Journal of Nutrition, Health & Aging, 23(2), pp. 181-194. doi:10.1007/s12603-018-1143-0.
Chan RSM, et al. How Dietary Patterns Are Related to Inflammaging and Mortality in Community-Dwelling Older Chinese Adults in Hong Kong - a Prospective Analysis. J Nutr Health Aging. 2019;23(2):181-194. PubMed PMID: 30697629.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - How Dietary Patterns are Related to Inflammaging and Mortality in Community-Dwelling Older Chinese Adults in Hong Kong - A Prospective Analysis. AU - Chan,R S M, AU - Yu,B W M, AU - Leung,J, AU - Lee,J S W, AU - Auyeung,T W, AU - Kwok,T, AU - Woo,J, PY - 2019/1/31/entrez PY - 2019/1/31/pubmed PY - 2019/1/31/medline KW - Chinese KW - Dietary pattern KW - cardiovascular disease KW - diet quality KW - mortality SP - 181 EP - 194 JF - The journal of nutrition, health & aging JO - J Nutr Health Aging VL - 23 IS - 2 N2 - INTRODUCTION: Studies examining dietary patterns and inflammageing in relation to mortality are limited. OBJECTIVE: We examined the influence of various dietary patterns on all-cause and cardiovascular disease (CVD) mortality, taking into account demographics, lifestyle factors, and serum inflammatory markers. METHODS: We conducted multivariate Cox regression analyses using data from a cohort of community-dwelling older Chinese adults (1,406 men, 1,396 women) in Hong Kong. Baseline interviewer administered questionnaires covered dietary intake estimation and dietary pattern generation from the food frequency questionnaire, demographic and lifestyle factors, cognitive function and depressive symptoms. Serum high-sensitivity C-reactive protein (hsCRP) and 25-hydroxyvitamin D (25OHD) were measured. All-cause and CVD mortality data at 14-year follow up were retrieved from an official database. RESULTS: In men, higher hsCRP level was associated with lower Diet Quality Index-International (DQI-I) score, Mediterranean-DASH Intervention for Neurodegenerative Delay Diet (MIND) score, Okinawan diet score, "vegetables-fruits" pattern score and "snacks-drinks-milk" pattern score. Higher serum 25OHD level was associated with higher Mediterranean Diet Score (MDS) but lower "snacks-drinks-milk" pattern score. None of the dietary pattern scores was associated with all-cause or CVD mortality after adjusting for all covariates. In women, hsCRP level and serum 25OHD level were not associated with any dietary patterns. Higher DQI-I score (HR=0.77 (95% CIs: 0.59, 0.99) highest vs. lowest tertile, p-trend=0.038) and Okinawan diet score (HR=0.78 (95% CIs: 0.61, 1.00) highest vs lowest tertile, p-trend=0.046) was associated with a lower risk of all-cause mortality, whereas higher MIND score (HR=0.63 (95% CI: 0.36, 1.09) highest vs. lowest tertile, p-trend=0.045) was associated with a reduced risk of CVD morality in the multivariate adjusted model. CONCLUSION: Higher DQI-I score and Okinawan diet score were associated with a lower risk of all-cause mortality, and higher adherence to the MIND diet was related to a reduced risk of CVD mortality in community-dwelling Chinese older women. SN - 1760-4788 UR - https://www.unboundmedicine.com/medline/citation/30697629/How_Dietary_Patterns_are_Related_to_Inflammaging_and_Mortality_in_Community_Dwelling_Older_Chinese_Adults_in_Hong_Kong___A_Prospective_Analysis_ DB - PRIME DP - Unbound Medicine ER -