International Journal of Epidemiology, Vol 26, 155-159, Copyright © 1997 by International Epidemiological Association
M Osler and M Schroll
BACKGROUND: In studies from Italy and Greece a Mediterranean dietary
pattern predicts overall survival. Despite an increase in the movement of
food around the world, there is still a wide spectrum of dietary patterns
and the aim of the present study was to examine the association between a
Mediterranean dietary pattern and mortality in a cohort of elderly people
living in a North European Community. METHODS: Diet and nutritional status
was studied among 202 men and women born 1914-1918 and living in a Danish
Municipality (Roskilde) in 1988. They were followed for 6 years. RESULTS: A
diet score, with seven dietary characteristics of the Mediterranean diet,
was associated with a significant reduction in overall mortality. A one
unit increase in the diet score predicted a 21% (95% confidence interval
2-36%) reduction in mortality. Subjects with high diet scores (> or = 4)
had significantly higher plasma carotene levels than those with a low score
and plasma carotene was negatively associated with mortality. CONCLUSION: A
Mediterranean diet score predicts survival in a North European population.
Plasma carotene may serve as an intermediate factor in this association.
ARTICLES
Diet and mortality in a cohort of elderly people in a north European community
Department of Social Medicine, University of Copenhagen, Panum Institute, Denmark.
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