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WHO guidelines for a healthy diet and mortality from cardiovascular disease in European and American elderly: the CHANCES project

N. Jankovic, A. Geelen, MT. Streppel, LC. de Groot, JC. Kiefte-de Jong, P. Orfanos, C. Bamia, A. Trichopoulou, P. Boffetta, M. Bobak, H. Pikhart, F. Kee, MG. O'Doherty, G. Buckland, J. Woodside, OH. Franco, MA. Ikram, EA. Struijk, A. Pajak, S....

The American journal of clinical nutrition. 2015 ; 102 (4) : 745-56. [pub] 20150909

Am J Clin Nutr
ISSN 1938-3207
Medvik
Zdroj

Jazyk angličtina Země Spojené státy americké

Typ dokumentu časopisecké články, Research Support, N.I.H., Extramural, práce podpořená grantem

Perzistentní odkaz https://www.medvik.cz/link/bmc16009969

Online Plný text

NLK Free Medical Journals od 1999 do Před 1 rokem
Freely Accessible Science Journals od 1999 do Před 1 rokem
Open Access Digital Library od 1999-01-01

PubMed 26354545
DOI 10.3945/ajcn.114.095117
Knihovny.cz E-zdroje

MeSH
adherence pacienta MeSH
cholesterol dietní aplikace a dávkování MeSH
chronická nemoc MeSH
dieta normy MeSH
dietní proteiny aplikace a dávkování MeSH
dietní sacharidy aplikace a dávkování MeSH
etnicita MeSH
hodnocení stavu výživy MeSH
kardiovaskulární nemoci mortalita prevence a kontrola MeSH
lidé středního věku MeSH
lidé MeSH
mastné kyseliny aplikace a dávkování MeSH
metaanalýza jako téma MeSH
nenasycené mastné kyseliny MeSH
ovoce MeSH
potravní vláknina aplikace a dávkování MeSH
prospektivní studie MeSH
senioři MeSH
Světová zdravotnická organizace MeSH
výživová politika * MeSH
zelenina MeSH
Check Tag
lidé středního věku MeSH
lidé MeSH
mužské pohlaví MeSH
senioři MeSH
ženské pohlaví MeSH
Publikační typ
časopisecké články MeSH
práce podpořená grantem MeSH
Research Support, N.I.H., Extramural MeSH
Geografické názvy
Evropa MeSH
Spojené státy americké MeSH

BACKGROUND: Cardiovascular disease (CVD) represents a leading cause of mortality worldwide, especially in the elderly. Lowering the number of CVD deaths requires preventive strategies targeted on the elderly. OBJECTIVE: The objective was to generate evidence on the association between WHO dietary recommendations and mortality from CVD, coronary artery disease (CAD), and stroke in the elderly aged ≥60 y. DESIGN: We analyzed data from 10 prospective cohort studies from Europe and the United States comprising a total sample of 281,874 men and women free from chronic diseases at baseline. Components of the Healthy Diet Indicator (HDI) included saturated fatty acids, polyunsaturated fatty acids, mono- and disaccharides, protein, cholesterol, dietary fiber, and fruit and vegetables. Cohort-specific HRs adjusted for sex, education, smoking, physical activity, and energy and alcohol intakes were pooled by using a random-effects model. RESULTS: During 3,322,768 person-years of follow-up, 12,492 people died of CVD. An increase of 10 HDI points (complete adherence to an additional WHO guideline) was, on average, not associated with CVD mortality (HR: 0.94; 95% CI: 0.86, 1.03), CAD mortality (HR: 0.99; 95% CI: 0.85, 1.14), or stroke mortality (HR: 0.95; 95% CI: 0.88, 1.03). However, after stratification of the data by geographic region, adherence to the HDI was associated with reduced CVD mortality in the southern European cohorts (HR: 0.87; 95% CI: 0.79, 0.96; I(2) = 0%) and in the US cohort (HR: 0.85; 95% CI: 0.83, 0.87; I(2) = not applicable). CONCLUSION: Overall, greater adherence to the WHO dietary guidelines was not significantly associated with CVD mortality, but the results varied across regions. Clear inverse associations were observed in elderly populations in southern Europe and the United States.

Centre of Clinical Epidemiology Institute for Medical Informatics Biometry and Epidemiology University Hospital University Duisburg Essen Essen Germany

Department for Determinants of Chronic Diseases National Institute for Public Health and the Environment Bilthoven Netherlands

Department of Epidemiology and Biostatistics The School of Public Health Imperial College London London United Kingdom

Department of Epidemiology and Population Studies Jagiellonian University Krakow Poland

Department of Epidemiology and Public Health University College London London United Kingdom

Department of Epidemiology Erasmus MC University Medical Centre Rotterdam Netherlands

Department of Epidemiology Julius Centre Utrecht Netherlands

Department of Gastroenterology and Hepatology University Medical Centre Utrecht Netherlands

Department of Hygiene Epidemiology and Medical Statistics University of Athens Medical School Athens Greece

Department of Public Health and Clinical Medicine Nutritional Research Umeå University Umeå Sweden

Department of Social and Preventive Medicine Faculty of Medicine University of Malaya Kuala Lumpur Malaysia

Division of Cancer Epidemiology and Genetics National Cancer Institute Bethesda MD

Division of Human Nutrition Wageningen University Wageningen Netherlands

Global Public Health Leiden University College the Hague Netherlands

Hellenic Health Foundation Athens Greece

Institute of Internal and Preventive Medicine Siberian Branch of the Russian Academy of Medical Sciences Novosibirsk Russia

National Institute of Public Health Prague Czech Republic

Novosibirsk State Medical University Novosibirsk Russia

The Tisch Cancer Institute Mount Sinai School of Medicine New York NY

UKCRC Centre of Excellence for Public Health School of Medicine Dentistry and Biomedical Sciences Queens University Belfast Belfast United Kingdom

Unit of Nutrition Environment and Cancer Cancer Epidemiology Research Programme Catalan Institute of Oncology Barcelona Spain

Citace poskytuje Crossref.org

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700 1_: $a Geelen, Anouk $u Division of Human Nutrition, Wageningen University, Wageningen, Netherlands;

700 1_: $a Streppel, Martinette T $u Division of Human Nutrition, Wageningen University, Wageningen, Netherlands;

700 1_: $a de Groot, Lisette Cpgm $u Division of Human Nutrition, Wageningen University, Wageningen, Netherlands;

700 1_: $a Kiefte-de Jong, Jessica C $u Department of Epidemiology, Erasmus MC, University Medical Centre, Rotterdam, Netherlands; Global Public Health, Leiden University College, the Hague, Netherlands;

700 1_: $a Orfanos, Philippos $u Department of Hygiene, Epidemiology and Medical Statistics, University of Athens, Medical School, Athens, Greece; Hellenic Health Foundation, Athens, Greece;

700 1_: $a Bamia, Christina $u Department of Hygiene, Epidemiology and Medical Statistics, University of Athens, Medical School, Athens, Greece; Hellenic Health Foundation, Athens, Greece;

700 1_: $a Trichopoulou, Antonia $u Department of Hygiene, Epidemiology and Medical Statistics, University of Athens, Medical School, Athens, Greece; Hellenic Health Foundation, Athens, Greece;

700 1_: $a Boffetta, Paolo $u Department of Hygiene, Epidemiology and Medical Statistics, University of Athens, Medical School, Athens, Greece; The Tisch Cancer Institute, Mount Sinai School of Medicine, New York, NY;

700 1_: $a Bobak, Martin $u Department of Epidemiology and Public Health, University College London, London, United Kingdom;

700 1_: $a Pikhart, Hynek $u Department of Epidemiology and Public Health, University College London, London, United Kingdom;

700 1_: $a Kee, Frank $u UKCRC Centre of Excellence for Public Health, School of Medicine, Dentistry and Biomedical Sciences, Queens University Belfast, Belfast, United Kingdom;

700 1_: $a O'Doherty, Mark G $u UKCRC Centre of Excellence for Public Health, School of Medicine, Dentistry and Biomedical Sciences, Queens University Belfast, Belfast, United Kingdom;

700 1_: $a Buckland, Genevieve $u Unit of Nutrition, Environment and Cancer, Cancer Epidemiology Research Programme, Catalan Institute of Oncology, Barcelona, Spain;

700 1_: $a Woodside, Jayne $u UKCRC Centre of Excellence for Public Health, School of Medicine, Dentistry and Biomedical Sciences, Queens University Belfast, Belfast, United Kingdom;

700 1_: $a Franco, Oscar H $u Department of Epidemiology, Erasmus MC, University Medical Centre, Rotterdam, Netherlands;

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700 1_: $a Struijk, Ellen A $u Department of Epidemiology, Julius Centre, Utrecht, Netherlands;

700 1_: $a Pajak, Andrzej $u Department of Epidemiology and Population Studies, Jagiellonian University, Krakow, Poland;

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700 1_: $a Kubinova, Růžena $u National Institute of Public Health, Prague, Czech Republic;

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700 1_: $a Bueno-de-Mesquita, H Bas $u Department for Determinants of Chronic Diseases, National Institute for Public Health and the Environment, Bilthoven, Netherlands; Department of Gastroenterology and Hepatology, University Medical Centre, Utrecht, Netherlands; Department of Epidemiology and Biostatistics, The School of Public Health, Imperial College London, London, United Kingdom; and Department of Social & Preventive Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia.

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700 1_: $a Feskens, Edith J $u Division of Human Nutrition, Wageningen University, Wageningen, Netherlands; edith.feskens@wur.nl.

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