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Mediterranean diet score and total and cardiovascular mortality in Eastern Europe: the HAPIEE study
D. Stefler, S. Malyutina, R. Kubinova, A. Pajak, A. Peasey, H. Pikhart, EJ. Brunner, M. Bobak,
Jazyk angličtina Země Německo
Typ dokumentu časopisecké články
NLK
ProQuest Central
od 1999-01-01 do Před 1 rokem
CINAHL Plus with Full Text (EBSCOhost)
od 2006-02-01 do Před 1 rokem
Medline Complete (EBSCOhost)
od 1999-02-01 do Před 1 rokem
Nursing & Allied Health Database (ProQuest)
od 1999-01-01 do Před 1 rokem
Health & Medicine (ProQuest)
od 1999-01-01 do Před 1 rokem
Family Health Database (ProQuest)
od 1999-01-01 do Před 1 rokem
Public Health Database (ProQuest)
od 1999-01-01 do Před 1 rokem
- MeSH
- adherence pacienta MeSH
- chronická nemoc MeSH
- hodnocení stavu výživy MeSH
- kardiovaskulární nemoci mortalita MeSH
- lidé středního věku MeSH
- lidé MeSH
- následné studie MeSH
- proporcionální rizikové modely MeSH
- prospektivní studie MeSH
- průzkumy a dotazníky MeSH
- rizikové faktory MeSH
- socioekonomické faktory MeSH
- strava středomořská * MeSH
- Check Tag
- lidé středního věku MeSH
- lidé MeSH
- mužské pohlaví MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- Geografické názvy
- Česká republika epidemiologie MeSH
- Polsko epidemiologie MeSH
- Rusko epidemiologie MeSH
PURPOSE: Mediterranean-type dietary pattern has been associated with lower risk of cardiovascular (CVD) and other chronic diseases, primarily in Southern European populations. We examined whether Mediterranean diet score (MDS) is associated with total, CVD, coronary heart disease (CHD) and stroke mortality in a prospective cohort study in three Eastern European populations. METHODS: A total of 19,333 male and female participants of the Health Alcohol and Psychosocial factors in Eastern Europe (HAPIEE) study in the Czech Republic, Poland and the Russian Federation were included in the analysis. Diet was assessed by food frequency questionnaire, and MDS was derived from consumption of nine groups of food using absolute cut-offs. Mortality was ascertained by linkage with death registers. RESULTS: Over the median follow-up time of 7 years, 1314 participants died. The proportion of participants with high adherence to Mediterranean diet was low (25 %). One standard deviation (SD) increase in the MDS (equivalent to 2.2 point increase in the score) was found to be inversely associated with death from all causes (HR, 95 % CI 0.93, 0.88-0.98) and CVD (0.90, 0.81-0.99) even after multivariable adjustment. Inverse but statistically not significant link was found for CHD (0.90, 0.78-1.03) and stroke (0.87, 0.71-1.07). The MDS effects were similar in each country cohort. CONCLUSION: Higher adherence to the Mediterranean diet was associated with reduced risk of total and CVD deaths in these large Eastern European urban populations. The application of MDS with absolute cut-offs appears suitable for non-Mediterranean populations.
Citace poskytuje Crossref.org
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- $a PURPOSE: Mediterranean-type dietary pattern has been associated with lower risk of cardiovascular (CVD) and other chronic diseases, primarily in Southern European populations. We examined whether Mediterranean diet score (MDS) is associated with total, CVD, coronary heart disease (CHD) and stroke mortality in a prospective cohort study in three Eastern European populations. METHODS: A total of 19,333 male and female participants of the Health Alcohol and Psychosocial factors in Eastern Europe (HAPIEE) study in the Czech Republic, Poland and the Russian Federation were included in the analysis. Diet was assessed by food frequency questionnaire, and MDS was derived from consumption of nine groups of food using absolute cut-offs. Mortality was ascertained by linkage with death registers. RESULTS: Over the median follow-up time of 7 years, 1314 participants died. The proportion of participants with high adherence to Mediterranean diet was low (25 %). One standard deviation (SD) increase in the MDS (equivalent to 2.2 point increase in the score) was found to be inversely associated with death from all causes (HR, 95 % CI 0.93, 0.88-0.98) and CVD (0.90, 0.81-0.99) even after multivariable adjustment. Inverse but statistically not significant link was found for CHD (0.90, 0.78-1.03) and stroke (0.87, 0.71-1.07). The MDS effects were similar in each country cohort. CONCLUSION: Higher adherence to the Mediterranean diet was associated with reduced risk of total and CVD deaths in these large Eastern European urban populations. The application of MDS with absolute cut-offs appears suitable for non-Mediterranean populations.
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- $a Malyutina, Sofia $u Institute of Internal and Preventive Medicine, Siberian Branch of the Russian Academy of Medical Sciences, Novosibirsk State Medical University, B. Bogatkova 175/1, Novosibirsk, Russia, 630089.
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- $a Kubinova, Ruzena $u National Institute of Public Health, Šrobárova 48, 100 42, Prague, Czech Republic.
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- $a Pajak, Andrzej $u Department of Epidemiology and Population Sciences, Jagiellonian University, Grzegorzcka 20, 31-531, Kraków, Poland.
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