@article{2989182, title = "Dietary patterns and survival of older Europeans: The EPIC-Elderly Study (European Prospective Investigation into Cancer and Nutrition)", author = "Bamia, C. and Trichopoulos, D. and Ferrari, P. and Overvad, K. and Bjerregaard, L. and Tjønneland, A. and Halkjær, J. and Clavel-Chapelon, F. and Kesse, E. and Boutron-Ruault, M.C. and Boffetta, P. and Nagel, G. and Linseisen, J. and Boeing, H. and Hoffmann, K. and Kasapa, C. and Orfanou, A. and Travezea, C. and Slimani, N. and Norat, T. and Palli, D. and Pala, V. and Panico, S. and Tumino, R. and Sacerdote, C. and Bueno-de-Mesquita, H.B. and Waijers, P.M.C.M. and Peeters, P.H.M. and Van Der Schouw, Y.T. and Berenguer, A. and Martinez-Garcia, C. and Navarro, C. and Barricarte, A. and Dorronsoro, M. and Berglund, G. and Wirfält, E. and Johansson, I. and Johansson, G. and Bingham, S. and Khaw, K.-T. and Spencer, E.A. and Key, T. and Riboli, E. and Trichopoulou, A.", journal = "Public Health Nutrition", year = "2007", volume = "10", number = "6", pages = "590-598", issn = "1368-9800, 1475-2727", doi = "10.1017/S1368980007382487", keywords = "article; cancer; cohort analysis; confidence interval; dietary intake; geriatric patient; human; ischemic heart disease; Mediterranean diet; mortality; nutrition; plant; priority journal; proportional hazards model; risk factor; statistical significance; stroke; survival, Aged; Aged, 80 and over; Cause of Death; Cohort Studies; Diet; Diet, Mediterranean; Europe; Female; Humans; Longevity; Male; Middle Aged; Proportional Hazards Models; Prospective Studies; Survival Analysis; Vegetables, Sambucus nigra", abstract = "Objective: To investigate the association of a posteriori dietary patterns with overall survival of older Europeans. Design and setting: 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. Subjects: 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. © 2007 The Authors." }