title: Dietary patterns and survival of older Europeans: the EPIC-Elderly Study (European Prospective Investigation into Cancer and Nutrition).
abstract: OBJECTIVE
  To investigate the association of a posteriori dietary patterns with overall survival of older Europeans.
  
  
  METHODS
  This is a multi-centre cohort study. Cox regression analysis was used to investigate the association of the prevailing, a posteriori-derived, plant-based dietary pattern with all-cause mortality in a population of subjects who were 60 years or older at recruitment to the European Prospective Investigation into Cancer and Nutrition (EPIC-Elderly cohort). Analyses controlled for all known potential risk factors.
  
  
  METHODS
  In total, 74,607 men and women, 60 years or older at enrolment and without previous coronary heart disease, stroke or cancer, with complete information about dietary intakes and potentially confounding variables, and with known survival status as of December 2003, were included in the analysis.
  
  
  RESULTS
  An increase in the score which measures the adherence to the plant-based diet was associated with a lower overall mortality, a one standard deviation increment corresponding to a statistically significant reduction of 14% (95% confidence interval 5-23%). In country-specific analyses the apparent association was stronger in Greece, Spain, Denmark and The Netherlands, and absent in the UK and Germany.
  
  
  CONCLUSIONS
  Greater adherence to the plant-based diet that was defined a posteriori in this population of European elders is associated with lower all-cause mortality. This dietary score is moderately positively correlated with the Modified Mediterranean Diet Score that has been constructed a priori and was also shown to be beneficial for the survival of the same EPIC-Elderly cohort.
authors: Department of Hygiene and Epidemiology, University of Athens, Medical School, 75 Mikras Asias Street, 115 27 Athens, Greece.
authors: Christina
authors: C
authors: Bamia
authors: Dimitrios
authors: D
authors: Trichopoulos
authors: Pietro
authors: P
authors: Ferrari
authors: Kim
authors: K
authors: Overvad
authors: Lone
authors: L
authors: Bjerregaard
authors: Anne
authors: A
authors: Tjønneland
authors: Jytte
authors: J
authors: Halkjaer
authors: Françoise
authors: F
authors: Clavel-Chapelon
authors: Emmanuelle
authors: E
authors: Kesse
authors: Marie-Christine
authors: MC
authors: Boutron-Ruault
authors: Paolo
authors: P
authors: Boffetta
authors: Gabriele
authors: G
authors: Nagel
authors: Jacob
authors: J
authors: Linseisen
authors: Heiner
authors: H
authors: Boeing
authors: Kurt
authors: K
authors: Hoffmann
authors: Christina
authors: C
authors: Kasapa
authors: Anastasia
authors: A
authors: Orfanou
authors: Chrysoula
authors: C
authors: Travezea
authors: Nadia
authors: N
authors: Slimani
authors: Teresa
authors: T
authors: Norat
authors: Domenico
authors: D
authors: Palli
authors: Valeria
authors: V
authors: Pala
authors: Salvatore
authors: S
authors: Panico
authors: Rosario
authors: R
authors: Tumino
authors: Carlotta
authors: C
authors: Sacerdote
authors: H Bas
authors: HB
authors: Bueno-de-Mesquita
authors: Patricia M C M
authors: PM
authors: Waijers
authors: Petra H M
authors: PH
authors: Peeters
authors: Yvonne T
authors: YT
authors: van der Schouw
authors: Antonio
authors: A
authors: Berenguer
authors: Carmen
authors: C
authors: Martinez-Garcia
authors: Carmen
authors: C
authors: Navarro
authors: Aurelio
authors: A
authors: Barricarte
authors: Miren
authors: M
authors: Dorronsoro
authors: Göran
authors: G
authors: Berglund
authors: Elisabet
authors: E
authors: Wirfält
authors: Ingegerd
authors: I
authors: Johansson
authors: Gerd
authors: G
authors: Johansson
authors: Sheila
authors: S
authors: Bingham
authors: Kay-Tee
authors: KT
authors: Khaw
authors: Elizabeth A
authors: EA
authors: Spencer
authors: Tim
authors: T
authors: Key
authors: Elio
authors: E
authors: Riboli
authors: Antonia
authors: A
authors: Trichopoulou
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D002423:Cause of Death; D015331:Cohort Studies; D004032:Diet / Q000592:standards*; D038441:Diet, Mediterranean; D005060:Europe; D005260:Female; D006801:Humans; D008136:Longevity; D008297:Male; D008875:Middle Aged; D016016:Proportional Hazards Models; D011446:Prospective Studies; D016019:Survival Analysis; D014675:Vegetables