title: Mediterranean dietary pattern and mortality among young women: a cohort study in Sweden.
abstract: Studies of diet and health focus increasingly on dietary patterns. Although the traditional Mediterranean diet is perceived as being healthy, there is little information on its possible benefit to young people. We studied whether closer adherence to the traditional Mediterranean dietary pattern was associated with overall and cancer mortality in a cohort of 42,237 young women, aged 30-49 years at enrollment, who were recruited in 1991-2 from the general population in the Uppsala Health Care Region, Sweden, and followed up, almost completely, for about 12 years. Adherence to the Mediterranean diet was assessed by a 10-point score incorporating the characteristics of this diet. Among women less than 40 years old at enrollment--whose causes of death are mainly cancer with probable genetic influences, injuries or suicide--there was no association of the Mediterranean diet score with total or cancer mortality. Among women 40-49 years old at enrollment, a 2-point increase in the score was associated with considerable reductions in overall mortality (13%; 95% CI 1%, 23%; P approximately 0.05) and cancer mortality (16%; 95% CI -1%, 29%; P approximately 0.06). Few cardiovascular deaths occurred in this cohort of young women. The findings of the present study in a northern European population of young women indicate that closer adherence to a Mediterranean dietary pattern reduces mortality even among young persons.
authors.affiliation: Department of Hygiene and Epidemiology, University of Athens Medical School, Greece. pdlagiou@med.uoa.gr
authors.forename: Pagona
authors.initials: P
authors.lastname: Lagiou
authors.forename: Dimitrios
authors.initials: D
authors.lastname: Trichopoulos
authors.forename: Sven
authors.initials: S
authors.lastname: Sandin
authors.forename: Areti
authors.initials: A
authors.lastname: Lagiou
authors.forename: Lorelei
authors.initials: L
authors.lastname: Mucci
authors.forename: Alicja
authors.initials: A
authors.lastname: Wolk
authors.forename: Elisabete
authors.initials: E
authors.lastname: Weiderpass
authors.forename: Hans-Olov
authors.initials: HO
authors.lastname: Adami
mesh_terms: D000328:Adult; D017677:Age Distribution; D004032:Diet / Q000706:statistics & numerical data; D004034:Diet Surveys; D038441:Diet, Mediterranean / Q000706:statistics & numerical data*; D004812:Epidemiologic Methods; D005247:Feeding Behavior; D005260:Female; D006801:Humans; D008019:Life Style; D008875:Middle Aged; D009026:Mortality; D009369:Neoplasms / Q000401:mortality / Q000517:prevention & control; D013548:Sweden / Q000453:epidemiology