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Healthy diet indicator and mortality in Eastern European populations: prospective evidence from the HAPIEE cohort

STEFLER, D ; PIKHART, H ; JANKOVIC, N ; KUBINOVA, R ; PAJAK, A ; MALYUTINA, S ; SIMONOVA, G ; FESKENS, E. J. M ; PEASEY, A ; BOBAK, M

European journal of clinical nutrition, 2014-12, Vol.68 (12), p.1346-1352 [Periódico revisado por pares]

Basingstoke: Nature Publishing Group

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Título:
Healthy diet indicator and mortality in Eastern European populations: prospective evidence from the HAPIEE cohort
Autor: STEFLER, D ; PIKHART, H ; JANKOVIC, N ; KUBINOVA, R ; PAJAK, A ; MALYUTINA, S ; SIMONOVA, G ; FESKENS, E. J. M ; PEASEY, A ; BOBAK, M
Assuntos: Aged ; biomarkers ; Cardiovascular disease ; Cardiovascular diseases ; Cardiovascular Diseases - epidemiology ; Cardiovascular Diseases - mortality ; carotenoids ; Cohort Studies ; Confidence intervals ; Coronary artery disease ; coronary-heart-disease ; Demographic aspects ; Diet ; East Europeans ; Eastern Europe ; elderly-men ; Europe, Eastern - epidemiology ; Feeding Behavior - physiology ; Female ; Food and nutrition ; Food intake ; food-frequency questionnaire ; Health aspects ; Heart diseases ; Humans ; Logistic Models ; Male ; Middle Aged ; Mortality ; Nutrients ; nutrition ; physical-activity ; Populations ; Proportional Hazards Models ; Prospective Studies ; quality ; Risk factors ; Statistical analysis ; Surveys and Questionnaires ; validity
É parte de: European journal of clinical nutrition, 2014-12, Vol.68 (12), p.1346-1352
Notas: ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
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Descrição: Unhealthy diet has been proposed as one of the main reasons for the high mortality in Central and Eastern Europe (CEE) and the former Soviet Union (FSU) but individual-level effects of dietary habits on health in the region are sparse. We examined the associations between the healthy diet indicator (HDI) and all-cause and cause-specific mortality in three CEE/FSU populations. Dietary intakes of foods and nutrients, assessed by food frequency questionnaire in the Health, Alcohol and Psychosocial Factors in Eastern Europe (HAPIEE) cohort study, were used to construct the HDI, which follows the WHO 2003 dietary recommendations. Among 18 559 eligible adult participants (age range: 45-69 years) without a history of major chronic diseases at baseline, 1209 deaths occurred over a mean follow-up of 7 years. The association between HDI and mortality was estimated by Cox regression. After adjusting for covariates, HDI was inversely and statistically significantly associated with cardiovascular disease (CVD) and coronary heart disease (CHD) mortality, but not with other cause-specific and all-cause mortality in the pooled sample. Hazard ratios per one standard deviation (s.d.) increase in HDI score were 0.95 (95% confidence interval=0.89-1.00, P=0.068), 0.90 (0.81-0.99, P=0.030) and 0.85 (0.74-0.97, P=0.018) for all-cause, CVD and CHD mortality, respectively. Population attributable risk fractions for low HDI were 2.9% for all-cause, 14.2% for CVD and 10.7% for CHD mortality. These findings support the hypothesis that unhealthy diet has had a role in the high CVD mortality in Eastern Europe.
Editor: Basingstoke: Nature Publishing Group
Idioma: Russo;Inglês

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Healthy diet indicator and mortality in Eastern European populations: prospective evidence from the HAPIEE cohort

STEFLER, D ; PIKHART, H ; JANKOVIC, N ; KUBINOVA, R ; PAJAK, A ; MALYUTINA, S ; SIMONOVA, G ; FESKENS, E. J. M ; PEASEY, A ; BOBAK, M

Basingstoke: Nature Publishing Group

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