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Traditional Dietary Patterns and Risk of Mortality in a Longitudinal Cohort of the Salus in Apulia Study

There is still room for further studies analyzing the long-term health impact of specific dietary patterns observable in regions belonging to the Mediterranean area. The aim of the study is to evaluate how much a diet practiced in southern Italy is associated to a risk of mortality. The study popula...

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Autores principales: Zupo, Roberta, Sardone, Rodolfo, Donghia, Rossella, Castellana, Fabio, Lampignano, Luisa, Bortone, Ilaria, Misciagna, Giovanni, De Pergola, Giovanni, Panza, Francesco, Lozupone, Madia, Passantino, Andrea, Veronese, Nicola, Guerra, Vito, Boeing, Heiner, Giannelli, Gianluigi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7230634/
https://www.ncbi.nlm.nih.gov/pubmed/32290631
http://dx.doi.org/10.3390/nu12041070
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author Zupo, Roberta
Sardone, Rodolfo
Donghia, Rossella
Castellana, Fabio
Lampignano, Luisa
Bortone, Ilaria
Misciagna, Giovanni
De Pergola, Giovanni
Panza, Francesco
Lozupone, Madia
Passantino, Andrea
Veronese, Nicola
Guerra, Vito
Boeing, Heiner
Giannelli, Gianluigi
author_facet Zupo, Roberta
Sardone, Rodolfo
Donghia, Rossella
Castellana, Fabio
Lampignano, Luisa
Bortone, Ilaria
Misciagna, Giovanni
De Pergola, Giovanni
Panza, Francesco
Lozupone, Madia
Passantino, Andrea
Veronese, Nicola
Guerra, Vito
Boeing, Heiner
Giannelli, Gianluigi
author_sort Zupo, Roberta
collection PubMed
description There is still room for further studies analyzing the long-term health impact of specific dietary patterns observable in regions belonging to the Mediterranean area. The aim of the study is to evaluate how much a diet practiced in southern Italy is associated to a risk of mortality. The study population included 2472 participants first investigated in 1985, inquiring about their frequencies of intake of 29 foods using a self-administered questionnaire covering the previous year. The population was followed up for mortality until 31 December 2017. Cox-based risk modeling referred to single foods, food groups, the results of principal component analysis (PCA), and a priori indexes. Single food analysis revealed eggs, fatty meat, and fatty/baked ham to be inversely associated with mortality. Furthermore, one of the 5 PCA derived dietary patterns, the “Farmhouse” pattern, showed a higher hazard ratio (HR), mostly driven by dairy products. In subsequent analyses, the increased risk of mortality for fresh cheese and decreased risk for fatty ham and eggs were confirmed. The a priori diet indexes (Italian Meddiet, Meddietscore, Dietary Approaches to Stop Hypertension (DASH), and Mediterranean–DASH Intervention for Neurodegenerative Delay diet (MIND) indexes) showed borderline inverse relationships. In a Mediterranean population with an overall healthy diet, foods such as eggs and fatty meat, reflecting dietary energy and wealth, played a role in prolonging the life of individuals. Our study confirms that some dairy products might have a detrimental role in mortality in the Mediterranean setting.
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spelling pubmed-72306342020-05-22 Traditional Dietary Patterns and Risk of Mortality in a Longitudinal Cohort of the Salus in Apulia Study Zupo, Roberta Sardone, Rodolfo Donghia, Rossella Castellana, Fabio Lampignano, Luisa Bortone, Ilaria Misciagna, Giovanni De Pergola, Giovanni Panza, Francesco Lozupone, Madia Passantino, Andrea Veronese, Nicola Guerra, Vito Boeing, Heiner Giannelli, Gianluigi Nutrients Article There is still room for further studies analyzing the long-term health impact of specific dietary patterns observable in regions belonging to the Mediterranean area. The aim of the study is to evaluate how much a diet practiced in southern Italy is associated to a risk of mortality. The study population included 2472 participants first investigated in 1985, inquiring about their frequencies of intake of 29 foods using a self-administered questionnaire covering the previous year. The population was followed up for mortality until 31 December 2017. Cox-based risk modeling referred to single foods, food groups, the results of principal component analysis (PCA), and a priori indexes. Single food analysis revealed eggs, fatty meat, and fatty/baked ham to be inversely associated with mortality. Furthermore, one of the 5 PCA derived dietary patterns, the “Farmhouse” pattern, showed a higher hazard ratio (HR), mostly driven by dairy products. In subsequent analyses, the increased risk of mortality for fresh cheese and decreased risk for fatty ham and eggs were confirmed. The a priori diet indexes (Italian Meddiet, Meddietscore, Dietary Approaches to Stop Hypertension (DASH), and Mediterranean–DASH Intervention for Neurodegenerative Delay diet (MIND) indexes) showed borderline inverse relationships. In a Mediterranean population with an overall healthy diet, foods such as eggs and fatty meat, reflecting dietary energy and wealth, played a role in prolonging the life of individuals. Our study confirms that some dairy products might have a detrimental role in mortality in the Mediterranean setting. MDPI 2020-04-12 /pmc/articles/PMC7230634/ /pubmed/32290631 http://dx.doi.org/10.3390/nu12041070 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Zupo, Roberta
Sardone, Rodolfo
Donghia, Rossella
Castellana, Fabio
Lampignano, Luisa
Bortone, Ilaria
Misciagna, Giovanni
De Pergola, Giovanni
Panza, Francesco
Lozupone, Madia
Passantino, Andrea
Veronese, Nicola
Guerra, Vito
Boeing, Heiner
Giannelli, Gianluigi
Traditional Dietary Patterns and Risk of Mortality in a Longitudinal Cohort of the Salus in Apulia Study
title Traditional Dietary Patterns and Risk of Mortality in a Longitudinal Cohort of the Salus in Apulia Study
title_full Traditional Dietary Patterns and Risk of Mortality in a Longitudinal Cohort of the Salus in Apulia Study
title_fullStr Traditional Dietary Patterns and Risk of Mortality in a Longitudinal Cohort of the Salus in Apulia Study
title_full_unstemmed Traditional Dietary Patterns and Risk of Mortality in a Longitudinal Cohort of the Salus in Apulia Study
title_short Traditional Dietary Patterns and Risk of Mortality in a Longitudinal Cohort of the Salus in Apulia Study
title_sort traditional dietary patterns and risk of mortality in a longitudinal cohort of the salus in apulia study
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7230634/
https://www.ncbi.nlm.nih.gov/pubmed/32290631
http://dx.doi.org/10.3390/nu12041070
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