BMJ 1995;311:1457-1460 (2 December)
Papers
Diet and overall survival in elderly people
Antonia Trichopoulou,
professor,a
Antigone Kouris-Blazos,
lecturer,b
Mark L Wahlqvist,
professor,b
Charalambos Gnardellis,
research fellow,a
Pagona Lagiou,
research fellow,a
Evangelos Polychronopoulos,
lecturer,a
Tonia Vassilakou,
research fellow,a
Loren Lipworth,
doctoral candidate,c
Dimitrios Trichopoulos,
professor ca National Centre for Nutrition, National School of Public Health, Leoforos Alexandras 196, Athens 115-21, Greece,
b Department of Medicine, Monash Medical Centre, Clayton, Melbourne, Victoria 3168, Australia,
c Department of Epidemiology and Harvard Center for Cancer Prevention, Harvard School of Public Health, Boston, MA 02115, United States
Correspondence to: Professor Trichopoulos.
Abstract
Objective: To assess the influence of a specific dietary pattern on overall survival.
Design: Cohort study.
Setting: Three rural Greek villages, the data from which were collected as part of an international cross cultural study of food habits in later life.
Subjects: 182 elderly residents of the three villages.
Main outcome measure: Overall mortality.
Results: Diet was assessed with a validated extensive semiquantitative questionnaire on food intake. A one unit increase in diet score, devised a priori on the basis of eight component characteristics of the traditional common diet in the Mediterranean region, was associated with a significant 17% reduction in overall mortality (95% confidence interval 1% to 31%).
Conclusion: A diet meeting currently understood health criteria does predict survival among people.
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Key messages
- Key messages
- The longevity of Mediterraneans can be explained by their diet
- The overall dietary pattern is more important for health and longevity than individual nutritional components
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