提示: 手机请竖屏浏览!

饮食质量改变与总死亡率和死因别死亡率之间的关系
Association of Changes in Diet Quality with Total and Cause-Specific Mortality


Mercedes Sotos-Prieto ... 肿瘤 其他 • 2017.07.13
相关阅读
• 针对饮食的减肥干预措施可能降低全因早死率 • 全谷类饮食与精制谷物饮食相比能降低全身性炎症反应和体重 • 高脂膳食与7年死亡率较低相关 • 地中海饮食对心血管疾病的一级预防 • 新鲜水果摄入与中国主要心血管疾病的关系

摘要


背景

评估饮食质量随时间改变与死亡风险之间关系的研究很少。

 

方法

我们对1998~2010年护士健康研究(Nurse’s Health Study)中的47,994名女性和医疗专业人员随访研究(Health Professionals Follow-up Study)中的25,745名男性采用Cox比例风险模型计算了总死亡率和死因别死亡率的校正风险比。采用以下三种方法评估了既往12年内(1986~1998年)饮食质量的改变:替代健康饮食指数2010评分(Alternate Healthy Eating Index-2010 score),替代地中海饮食评分(Alternate Mediterranean Diet score),防治高血压饮食疗法(Dietary Approaches to Stop Hypertension,DASH)饮食评分。

 

结果

在12年期间饮食质量改善最大的人群(提高13%~33%)相比饮食质量相对稳定的人群(提高0%~3%)的总死亡率汇总风险比如下:根据替代健康饮食指数评分的改变,风险比为0.91(95%置信区间[CI],0.85~0.97),根据替代地中海饮食评分的改变,风险比为0.84(95% CI,0.84~0.95),根据DASH评分的改变,风险比为0.89(95% CI,0.84~0.95)。采用这三种饮食指标均观察到饮食评分升高20百分位数(提示饮食质量改善)与总死亡率下降8%~17%显著相关,且采用替代健康饮食指数评分和替代地中海饮食评分还观察到与心血管疾病死亡风险下降7%~15%显著相关。12年期间一直维持高质量饮食的人群相比饮食评分持续较低的人群,前者的任何原因所致死亡的风险显著较低——采用替代健康饮食指数评分评估时低14%(95% CI,8%~19%),采用替代地中海饮食评分评估时低11%(95% CI,5%~18%),采用DASH评分评估时低9%(95% CI,2%~15%)。

 

结论

12年期间饮食质量改善与死亡风险降低相关(由美国国立卫生研究院[National Institutes of Health]资助)。





作者信息

Mercedes Sotos-Prieto, Ph.D., Shilpa N. Bhupathiraju, Ph.D., Josiemer Mattei, Ph.D., M.P.H., Teresa T. Fung, Sc.D., Yanping Li, Ph.D., An Pan, Ph.D., Walter C. Willett, M.D., Dr.P.H., Eric B. Rimm, Sc.D., and Frank B. Hu, M.D., Ph.D.
From the Departments of Nutrition (M.S.-P., S.N.B., J.M., T.T.F., Y.L., W.C.W., E.B.R., F.B.H.) and Epidemiology (W.C.W., E.B.R., F.B.H.), Harvard T.H. Chan School of Public Health, Channing Division of Network Medicine, Department of Medicine, Brigham and Women’s Hospital and Harvard Medical School (S.N.B., W.C.W., E.B.R., F.B.H.), and Simmons College (T.T.F.) — all in Boston; the Division of Food and Nutrition Sciences, School of Applied Health Sciences and Wellness, Ohio University, Athens (M.S.-P.); and the Department of Epidemiology and Biostatistics and Ministry of Education Key Laboratory of Environment and Health, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China (A.P.). Address reprint requests to Dr. Hu at the Department of Nutrition, Harvard T.H. Chan School of Public Health, 665 Huntington Ave., Boston, MA 02115, or at nhbfh@channing.harvard.edu, or to Dr. Sotos-Prieto at the Division of Food and Nutrition Sciences, College of Health Sciences and Professions, School of Applied Health Sciences and Wellness, Grover Center, Ohio University, Athens, OH 45701, or at msotosp@hsph.harvard.edu.

 

参考文献

1. Cespedes EM, Hu FB. Dietary patterns: from nutritional epidemiologic analysis to national guidelines. Am J Clin Nutr 2015;101:899-900

2. George SM, Ballard-Barbash R, Manson JE, et al. Comparing indices of diet quality with chronic disease mortality risk in postmenopausal women in the Women’s Health Initiative Observational Study: evidence to inform national dietary guidance. Am J Epidemiol 2014;180:616-625

3. Harmon BE, Boushey CJ, Shvetsov YB, et al. Associations of key diet-quality indexes with mortality in the Multiethnic Cohort: the Dietary Patterns Methods Project. Am J Clin Nutr 2015;101:587-597

4. Reedy J, Krebs-Smith SM, Miller PE, et al. Higher diet quality is associated with decreased risk of all-cause, cardiovascular disease, and cancer mortality among older adults. J Nutr 2014;144:881-889

5. Yu D, Sonderman J, Buchowski MS, et al. Healthy eating and risks of total and cause-specific death among low-income populations of African-Americans and other adults in the southeastern United States: a prospective cohort study. PLoS Med 2015;12:e1001830-e1001830

6. Mursu J, Steffen LM, Meyer KA, Duprez D, Jacobs DR Jr. Diet quality indexes and mortality in postmenopausal women: the Iowa Women’s Health Study. Am J Clin Nutr 2013;98:444-453

7. Boggs DA, Ban Y, Palmer JR, Rosenberg L. Higher diet quality is inversely associated with mortality in African-American women. J Nutr 2015;145:547-554

8. Akbaraly TN, Ferrie JE, Berr C, et al. Alternative Healthy Eating Index and mortality over 18 y of follow-up: results from the Whitehall II cohort. Am J Clin Nutr 2011;94:247-253

9. Atkins JL, Whincup PH, Morris RW, Lennon LT, Papacosta O, Wannamethee SG. High diet quality is associated with a lower risk of cardiovascular disease and all-cause mortality in older men. J Nutr 2014;144:673-680

10. Fung TT, Rexrode KM, Mantzoros CS, Manson JE, Willett WC, Hu FB. Mediterranean diet and incidence of and mortality from coronary heart disease and stroke in women. Circulation 2009;119:1093-1100

11. Estruch R, Ros E, Salas-Salvadó J, et al. Primary prevention of cardiovascular disease with a Mediterranean diet. N Engl J Med 2013;368:1279-1290

12. Chiuve SE, Fung TT, Rimm EB, et al. Alternative dietary indices both strongly predict risk of chronic disease. J Nutr 2012;142:1009-1018

13. Trichopoulou A, Costacou T, Bamia C, Trichopoulos D. Adherence to a Mediterranean diet and survival in a Greek population. N Engl J Med 2003;348:2599-2608

14. Fung TT, Chiuve SE, McCullough ML, Rexrode KM, Logroscino G, Hu FB. Adherence to a DASH-style diet and risk of coronary heart disease and stroke in women. Arch Intern Med 2008;168:713-720

15. Sofi F, Macchi C, Abbate R, Gensini GF, Casini A. Mediterranean diet and health status: an updated meta-analysis and a proposal for a literature-based adherence score. Public Health Nutr 2014;17:2769-2782

16. Schwingshackl L, Hoffmann G. Diet quality as assessed by the Healthy Eating Index, the Alternate Healthy Eating Index, the Dietary Approaches to Stop Hypertension score, and health outcomes: a systematic review and meta-analysis of cohort studies. J Acad Nutr Diet 2015;115:780-800.e5

17. Liese AD, Krebs-Smith SM, Subar AF, et al. The Dietary Patterns Methods Project: synthesis of findings across cohorts and relevance to dietary guidance. J Nutr 2015;145:393-402

18. Scientific report of the 2015 Dietary Guidelines Advisory Committee. Washington, DC: Department of Agriculture, February 2015 (https://health.gov/dietaryguidelines/2015-scientific-report/PDFs/Scientific-Report-of-the-2015-Dietary-Guidelines-Advisory-Committee.pdf).

19. Mozaffarian D, Benjamin EJ, Go AS, et al. Heart disease and stroke statistics — 2015 update: a report from the American Heart Association. Circulation 2015;131:e29-e322

20. Colditz GA, Manson JE, Hankinson SE. The Nurses’ Health Study: 20-year contribution to the understanding of health among women. J Womens Health 1997;6:49-62

21. Rimm EB, Giovannucci EL, Willett WC, et al. Prospective study of alcohol consumption and risk of coronary disease in men. Lancet 1991;338:464-468

22. Mozaffarian D, Hao T, Rimm EB, Willett WC, Hu FB. Changes in diet and lifestyle and long-term weight gain in women and men. N Engl J Med 2011;364:2392-2404

23. Willett WC, Sampson L, Stampfer MJ, et al. Reproducibility and validity of a semiquantitative food frequency questionnaire. Am J Epidemiol 1985;122:51-65

24. Salvini S, Hunter DJ, Sampson L, et al. Food-based validation of a dietary questionnaire: the effects of week-to-week variation in food consumption. Int J Epidemiol 1989;18:858-867

25. Sotos-Prieto M, Bhupathiraju SN, Mattei J, et al. Changes in diet quality scores and risk of cardiovascular disease among US men and women. Circulation 2015;132:2212-2219

26. Rich-Edwards JW, Corsano KA, Stampfer MJ. Test of the National Death Index and Equifax Nationwide Death Search. Am J Epidemiol 1994;140:1016-1019

27. Rimm EB, Stampfer MJ, Colditz GA, Chute CG, Litin LB, Willett WC. Validity of self-reported waist and hip circumferences in men and women. Epidemiology 1990;1:466-473

28. Giovannucci E, Colditz G, Stampfer MJ, et al. The assessment of alcohol consumption by a simple self-administered questionnaire. Am J Epidemiol 1991;133:810-817

29. Chasan-Taber S, Rimm EB, Stampfer MJ, et al. Reproducibility and validity of a self-administered physical activity questionnaire for male health professionals. Epidemiology 1996;7:81-86

30. Aune D, Keum N, Giovannucci E, et al. Nut consumption and risk of cardiovascular disease, total cancer, all-cause and cause-specific mortality: a systematic review and dose-response meta-analysis of prospective studies. BMC Med 2016;14:207-207

31. Larsson SC, Orsini N. Red meat and processed meat consumption and all-cause mortality: a meta-analysis. Am J Epidemiol 2014;179:282-289

32. Buckland G, Agudo A, Travier N, et al. Adherence to the Mediterranean diet reduces mortality in the Spanish cohort of the European Prospective Investigation into Cancer and Nutrition (EPIC-Spain). Br J Nutr 2011;106:1581-1591

33. Knoops KTB, Groot de LC, Fidanza F, Alberti-Fidanza A, Kromhout D, van Staveren WA. Comparison of three different dietary scores in relation to 10-year mortality in elderly European subjects: the HALE project. Eur J Clin Nutr 2006;60:746-755

34. Martinez-Gonzalez MA, Bes-Rastrollo M. Dietary patterns, Mediterranean diet, and cardiovascular disease. Curr Opin Lipidol 2014;25:20-26

35. Stampfer MJ, Hu FB, Manson JE, Rimm EB, Willett WC. Primary prevention of coronary heart disease in women through diet and lifestyle. N Engl J Med 2000;343:16-22

服务条款 | 隐私政策 | 联系我们