Details

Autor(en) / Beteiligte

• JANKOVIC, Nicole
• GEELEN, Anouk
• BUENO-DE-MESQUITA, H. B
• KEE, Frank
• FRANCO, Oscar H
• YIKYUNG PARK
• HALLMANS, Göran
• TJØNNELAND, Anne
• MAY, Anne M
• PAJAK, Andrzej
• MALYUTINA, Sofia
• KUBINOVA, Ružena
• STREPPEL, Martinette T
• AMIANO, Pilar
• KAMPMAN, Ellen
• FESKENS, Edith J
• DE GROOT, Lisette C. P. G. M
• ORFANOS, Philippos
• VAN DEN HOOVEN, Edith H
• PIKHART, Hynek
• BOFFETTA, Paolo
• TRICHOPOULOU, Antonia
• BOBAK, Martin

Titel

Adherence to a Healthy Diet According to the World Health Organization Guidelines and All-Cause Mortality in Elderly Adults From Europe and the United States

Ist Teil von

• American journal of epidemiology, 2014-11, Vol.180 (10), p.978-988

Ort / Verlag

Cary, NC: Oxford University Press

Erscheinungsjahr

2014

Link zum Volltext

Quelle

Oxford Journals 2020 Medicine

Beschreibungen/Notizen

• The World Health Organization (WHO) has formulated guidelines for a healthy diet to prevent chronic diseases and postpone death worldwide. Our objective was to investigate the association between the WHO guidelines, measured using the Healthy Diet Indicator (HDI), and all-cause mortality in elderly men and women from Europe and the United States. We analyzed data from 396,391 participants (42% women) in 11 prospective cohort studies who were 60 years of age or older at enrollment (in 1988-2005). HDI scores were based on 6 nutrients and 1 food group and ranged from 0 (least healthy diet) to 70 (healthiest diet). Adjusted cohort-specific hazard ratios were derived by using Cox proportional hazards regression and subsequently pooled using random-effects meta-analysis. During 4,497,957 person-years of follow-up, 84,978 deaths occurred. Median HDI scores ranged from 40 to 54 points across cohorts. For a 10-point increase in HDI score (representing adherence to an additional WHO guideline), the pooled adjusted hazard ratios were 0.90 (95% confidence interval (CI): 0.87, 0.93) for men and women combined, 0.89 (95% CI: 0.85, 0.92) for men, and 0.90 (95% CI: 0.85, 0.95) for women. These estimates translate to an increased life expectancy of 2 years at the age of 60 years. Greater adherence to the WHO guidelines is associated with greater longevity in elderly men and women in Europe and the United States.