The Association Between the Mediterranean Lifestyle Index and All-Cause Mortality in the Seguimiento Universidad de Navarra Cohort.

American Journal of Preventive Medicine
Maria S HersheyMiguel Ruiz-Canela

Abstract

Overall lifestyle patterns rather than individual factors may exert greater reductions on chronic disease risk and mortality. The objective is to study the association between a Mediterranean lifestyle index and all-cause and cause-specific mortality. Investigators analyzed data from 20,494 participants in the Seguimiento Universidad de Navarra cohort in 2019. The Mediterranean lifestyle index is composed of 28 items on food consumption, dietary habits, physical activity, rest, and social interactions that score 0 or 1 point; scores theoretically could range from 0 to 28 points. After a median follow-up of 12.1 years, 407 deaths were observed. In the multivariable-adjusted model, high adherence (>14 points) to the Mediterranean lifestyle was associated with a 41% relative reduction in all-cause mortality (hazard ratio=0.59, 95% CI=0.42, 0.83) compared with low adherence (3-10 points, p<0.001 for trend). For each additional point, the multivariable hazard ratios for all-cause mortality were 0.95 (95% CI=0.89, 1.02) for food consumption; 1.00 (95% CI=0.92, 1.08) for dietary habits; and 0.73 (95% CI=0.66, 0.80) for physical activity, rest, social habits, and conviviality. Significant interaction with age at last contact (p<0.001) ...Continue Reading

Citations

Apr 26, 2021·Nutrition, Metabolism, and Cardiovascular Diseases : NMCD·Arancha Mata-FernándezAlejandro Fernandez-Montero
May 2, 2021·Clinical Nutrition : Official Journal of the European Society of Parenteral and Enteral Nutrition·Maria S HersheyStefanos N Kales
Sep 1, 2021·The British Journal of Nutrition·Maria Soledad HersheyMiguel Ruiz-Canela
Sep 23, 2021·The Journal of Nutrition·Maria S HersheyMiguel Ruiz-Canela

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