The associations of dietary patterns with all-cause mortality and other lifestyle factors in the elderly : An age-specific prospective cohort study

Zhao, Wenjing; Ukawa, Shigekazu; Okada, Emiko; Wakai, Kenji; Kawamura, Takashi; Ando, Masahiko; Tamakoshi, Akiko

The associations of dietary patterns with all-cause mortality and other lifestyle factors in the elderly : An age-specific prospective cohort study

Zhao, Wenjing; Ukawa, Shigekazu; Okada, Emiko et al.

Clinical nutrition, 2019, 38(1), 288-296

Permalink : https://hdl.handle.net/2115/76649

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論文情報

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アクセス権	open access
URI	https://hdl.handle.net/2115/76649
タイトル	The associations of dietary patterns with all-cause mortality and other lifestyle factors in the elderly : An age-specific prospective cohort study
著者	Zhao, Wenjing ; Ukawa, Shigekazu ; Okada, Emiko ; Wakai, Kenji ; Kawamura, Takashi ; Ando, Masahiko ; Tamakoshi, Akiko
著者名 Zhao, Wenjing
e-Rad_Researcher 40706751 著者名 Ukawa, Shigekazu
e-Rad_Researcher 00766537 著者名 Okada, Emiko
e-Rad_Researcher 50270989 著者名 Wakai, Kenji
e-Rad_Researcher 10252230 著者名 Kawamura, Takashi
e-Rad_Researcher 10322736 著者名 Ando, Masahiko
e-Rad_Researcher 90236737 著者名 Tamakoshi, Akiko
言語	英語
キーワード	Dietary pattern
	All-cause mortality
	Lifestyle factors
	Elderly population
発行日	2019-02
出版者	Elsevier
収録物名	Clinical nutrition
巻(号)	38(1)
ページ	288-296
抄録	Background & aims: The association between dietary pattern and mortality has been well studied in the general population; however, few studies have focused on the elderly. We aimed to examine the association of dietary pattern with subsequent overall mortality in elderly Japanese, and demonstrate the modifiable effect of lifestyle factors on this association. Methods: Totally 2949 Japanese community-dwelling residents aged 64 or 65 years were included in the NISSIN Project in 1996-2005. A validated food frequency questionnaire was adopted to collect dietary information and factor analysis was used to extract dietary patterns. Unadjusted and adjusted hazard ratios (HRs) with 95% confidence intervals (CIs) were calculated through the Cox proportional hazard regression model. Results: Over 31,233 person-years, 253 persons died. Three different dietary patterns were identified: meat-fat, healthy, and dairy-bread pattern. Increased risk for all-cause mortality for meat-fat pattern was observed among those who never smoked (HR, 2.81; 95% Cl, 1.37-5.79); this association for dairy-bread pattern was observed among the never smokers (HR. 2.21; 95% CI, 1.20-4.06) and occasional drinkers (HR, 1.62; 95% CI, 1.09-2.39). For healthy pattern, decreased overall mortality risk was observed among never smokers (HR, 0.44; 95% CI, 0.24-0.80), occasional drinkers (HR, 0.63; 95% CI, 0.42-0.93), and those who walked >= 1 h/day (HR, 0.47; 95% CI, 0.28-0.77). Conclusions: We found that tobacco use, alcohol consumption, and daily walking duration could modify the associations of three patterns with overall mortality. Healthy eating along with other healthy lifestyle factor among elderly populations can decrease the overall mortality risk.
資源タイプ	学術雑誌論文
出版タイプ	Accepted Manuscript
権利情報	Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International
権利情報	©2018. This manuscript version is made available under the CC-BY-NC-ND 4.0 license https://creativecommons.org/licenses/by-nc-nd/4.0/
PISSN	0261-5614
関連情報	PMID 29428786
関連情報 (isVersionOf)	出版社版DOI https://doi.org/10.1016/j.clnu.2018.01.018