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Empirically-derived food patterns and the risk of total mortality and cardiovascular events in the PREDIMED study

There is little evidence on -derived dietary patterns (DP) and all-cause mortality in Southern-European populations. Furthermore, the potential effect modification of a DP by a nutritional intervention has not been sufficiently assessed. We assessed the association between defined baseline major DP... Full description

Journal Title: Clinical Nutrition October 2015, Vol.34(5), pp.859-867
Main Author: Martínez-González, Miguel A
Other Authors: Zazpe, Itziar , Razquin, Cristina , Sánchez-Tainta, Ana , Corella, Dolores , Salas-Salvadó, Jordi , Toledo, Estefanía , Ros, Emilio , Muñoz, Miguel Ángel , Recondo, Javier , Gómez-Gracia, Enrique , Fiol, Miquel , Lapetra, José , Buil-Cosiales, Pilar , Serra-Majem, Lluis , Pinto, Xavier , Schröder, Helmut , Tur, Josep A , Sorli, José V , Lamuela-Raventós, Rosa M , Estruch, Ramón
Format: Electronic Article Electronic Article
Language: English
Subjects:
ID: ISSN: 0261-5614 ; E-ISSN: 1532-1983 ; DOI: 10.1016/j.clnu.2014.09.006
Link: https://www.sciencedirect.com/science/article/pii/S0261561414002337
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recordid: elsevier_sdoi_10_1016_j_clnu_2014_09_006
title: Empirically-derived food patterns and the risk of total mortality and cardiovascular events in the PREDIMED study
format: Article
creator:
  • Martínez-González, Miguel A
  • Zazpe, Itziar
  • Razquin, Cristina
  • Sánchez-Tainta, Ana
  • Corella, Dolores
  • Salas-Salvadó, Jordi
  • Toledo, Estefanía
  • Ros, Emilio
  • Muñoz, Miguel Ángel
  • Recondo, Javier
  • Gómez-Gracia, Enrique
  • Fiol, Miquel
  • Lapetra, José
  • Buil-Cosiales, Pilar
  • Serra-Majem, Lluis
  • Pinto, Xavier
  • Schröder, Helmut
  • Tur, Josep A
  • Sorli, José V
  • Lamuela-Raventós, Rosa M
  • Estruch, Ramón
subjects:
  • Mediterranean Diet
  • Dietary Pattern
  • Mortality
  • Cardiovascular Risk
  • Predimed
  • Medicine
  • Diet & Clinical Nutrition
ispartof: Clinical Nutrition, October 2015, Vol.34(5), pp.859-867
description: There is little evidence on -derived dietary patterns (DP) and all-cause mortality in Southern-European populations. Furthermore, the potential effect modification of a DP by a nutritional intervention has not been sufficiently assessed. We assessed the association between defined baseline major DP and total mortality or cardiovascular events within each of the three arms of a large primary prevention trial (PREDIMED) where participants were randomized to two active interventions with Mediterranean-type diets or to a control group (allocated to a low-fat diet). We followed-up 7216 participants for a median of 4.3 years. A validated 137-item food-frequency questionnaire was administered. Baseline DP were ascertained through factor analysis based on 34 predefined groups. Cox regression models were used to estimate multivariable-adjusted hazard ratios (HR) for cardiovascular disease (CVD) or mortality across quartiles of DP within each of the three arms of the trial. We identified two major baseline DP: the first DP was rich in red and processed meats, alcohol, refined grains and whole dairy products and was labeled Western dietary pattern (WDP). The second DP corresponded to a “Mediterranean-type” dietary pattern (MDP). During follow-up, 328 participants died. After controlling for potential confounders, higher baseline adherence to the MDP was associated with lower risk of CVD (adjusted HR for fourth vs. first quartile: 0.52; 95% CI (Confidence Interval): 0.36, 0.74; -trend
language: eng
source:
identifier: ISSN: 0261-5614 ; E-ISSN: 1532-1983 ; DOI: 10.1016/j.clnu.2014.09.006
fulltext: fulltext
issn:
  • 0261-5614
  • 02615614
  • 1532-1983
  • 15321983
url: Link


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titleEmpirically-derived food patterns and the risk of total mortality and cardiovascular events in the PREDIMED study
creatorMartínez-González, Miguel A ; Zazpe, Itziar ; Razquin, Cristina ; Sánchez-Tainta, Ana ; Corella, Dolores ; Salas-Salvadó, Jordi ; Toledo, Estefanía ; Ros, Emilio ; Muñoz, Miguel Ángel ; Recondo, Javier ; Gómez-Gracia, Enrique ; Fiol, Miquel ; Lapetra, José ; Buil-Cosiales, Pilar ; Serra-Majem, Lluis ; Pinto, Xavier ; Schröder, Helmut ; Tur, Josep A ; Sorli, José V ; Lamuela-Raventós, Rosa M ; Estruch, Ramón
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subjectMediterranean Diet ; Dietary Pattern ; Mortality ; Cardiovascular Risk ; Predimed ; Medicine ; Diet & Clinical Nutrition
descriptionThere is little evidence on -derived dietary patterns (DP) and all-cause mortality in Southern-European populations. Furthermore, the potential effect modification of a DP by a nutritional intervention has not been sufficiently assessed. We assessed the association between defined baseline major DP and total mortality or cardiovascular events within each of the three arms of a large primary prevention trial (PREDIMED) where participants were randomized to two active interventions with Mediterranean-type diets or to a control group (allocated to a low-fat diet). We followed-up 7216 participants for a median of 4.3 years. A validated 137-item food-frequency questionnaire was administered. Baseline DP were ascertained through factor analysis based on 34 predefined groups. Cox regression models were used to estimate multivariable-adjusted hazard ratios (HR) for cardiovascular disease (CVD) or mortality across quartiles of DP within each of the three arms of the trial. We identified two major baseline DP: the first DP was rich in red and processed meats, alcohol, refined grains and whole dairy products and was labeled Western dietary pattern (WDP). The second DP corresponded to a “Mediterranean-type” dietary pattern (MDP). During follow-up, 328 participants died. After controlling for potential confounders, higher baseline adherence to the MDP was associated with lower risk of CVD (adjusted HR for fourth vs. first quartile: 0.52; 95% CI (Confidence Interval): 0.36, 0.74; -trend <0.001) and all-cause mortality (adjusted HR: 0.53; 95% CI: 0.38, 0.75; -trend <0.001), regardless of the allocated arm of the trial. An increasing mortality rate was found across increasing quartiles of the WDP in the control group (allocated to a low-fat diet), though the linear trend was not statistically significant (  = 0.098). Higher adherence to an empirically-derived MDP at baseline was associated with a reduced risk of CVD and mortality in the PREDIMED trial regardless of the allocated arm. The WDP was not associated with higher risk of mortality or cardiovascular events.
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