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The Mediterranean diet score and mortality are inversely associated in adults living in the subarctic region.

https://arctichealth.org/en/permalink/ahliterature123045
Source
J Nutr. 2012 Aug;142(8):1547-53
Publication Type
Article
Date
Aug-2012
Author
Gianluca Tognon
Lena Maria Nilsson
Lauren Lissner
Ingegerd Johansson
Göran Hallmans
Bernt Lindahl
Anna Winkvist
Author Affiliation
Public Health Epidemiology Unit, Department of Public Health and Community Medicine, University of Gothenburg, Gothenburg, Sweden. gianluca.tognon@gu.se
Source
J Nutr. 2012 Aug;142(8):1547-53
Date
Aug-2012
Language
English
Publication Type
Article
Keywords
Adult
Arctic Regions - epidemiology
Cardiovascular Diseases - epidemiology - mortality
Diet Surveys
Diet, Mediterranean - statistics & numerical data
Female
Humans
Male
Middle Aged
Neoplasms - classification - epidemiology - mortality
Nutrition Surveys
Sweden - epidemiology
Abstract
The Mediterranean diet has been widely promoted and may be associated with chronic disease prevention and a better overall health status. The aim of this study was to evaluate whether the Mediterranean diet score inversely predicted total or cause-specific mortality in a prospective population study in Northern Sweden (Västerbotten Intervention Program). The analyses were performed in 77,151 participants (whose diet was measured by means of a validated FFQ) by Cox proportional hazard models adjusted for several potential confounders. The Mediterranean diet score was inversely associated with all-cause mortality in men [HR = 0.96 (95% CI = 0.93, 0.99)] and women [HR = 0.95 (95% CI = 0.91, 0.99)], although not in obese men. In men, but not in women, the score was inversely associated with total cancer mortality [HR = 0.92 (95% CI = 0.87, 0.98)], particularly for pancreas cancer [HR = 0.82 (95% CI = 0.68, 0.99)]. Cardiovascular mortality was inversely associated with diet only in women [HR = 0.90 (95% CI = 0.82, 0.99)]. Except for alcohol [HR = 0.83 (95% CI = 0.76, 0.90)] and fruit intake [HR = 0.90 (95% CI = 0.83, 0.98)], no food item of the Mediterranean diet score independently predicted mortality. Higher scores were associated with increasing age, education, and physical activity. Moreover, healthful dietary and lifestyle-related factors additively decreased the mortality likelihood. Even in a subarctic region, increasing Mediterranean diet scores were associated with a longer life, although the protective effect of diet was of small magnitude compared with other healthful dietary and lifestyle-related factors examined.
PubMed ID
22739377 View in PubMed
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Low-carbohydrate, high-protein diet score and risk of incident cancer; a prospective cohort study.

https://arctichealth.org/en/permalink/ahliterature261486
Source
Nutr J. 2013;12:58
Publication Type
Article
Date
2013
Author
Lena Maria Nilsson
Anna Winkvist
Ingegerd Johansson
Bernt Lindahl
Göran Hallmans
Per Lenner
Bethany Van Guelpen
Source
Nutr J. 2013;12:58
Date
2013
Language
English
Publication Type
Article
Keywords
Adult
Diet, Carbohydrate-Restricted
Dietary Fats - administration & dosage
Dietary Proteins - administration & dosage
Energy intake
Fatty Acids - administration & dosage - adverse effects
Female
Follow-Up Studies
Food Habits
Humans
Incidence
Male
Middle Aged
Neoplasms - epidemiology
Proportional Hazards Models
Prospective Studies
Questionnaires
Risk factors
Sweden - epidemiology
Abstract
Although carbohydrate reduction of varying degrees is a popular and controversial dietary trend, potential long-term effects for health, and cancer in specific, are largely unknown.
We studied a previously established low-carbohydrate, high-protein (LCHP) score in relation to the incidence of cancer and specific cancer types in a population-based cohort in northern Sweden. Participants were 62,582 men and women with up to 17.8 years of follow-up (median 9.7), including 3,059 prospective cancer cases. Cox regression analyses were performed for a LCHP score based on the sum of energy-adjusted deciles of carbohydrate (descending) and protein (ascending) intake labeled 1 to 10, with higher scores representing a diet lower in carbohydrates and higher in protein. Important potential confounders were accounted for, and the role of metabolic risk profile, macronutrient quality including saturated fat intake, and adequacy of energy intake reporting was explored.
For the lowest to highest LCHP scores, 2 to 20, carbohydrate intakes ranged from median 60.9 to 38.9% of total energy intake. Both protein (primarily animal sources) and particularly fat (both saturated and unsaturated) intakes increased with increasing LCHP scores. LCHP score was not related to cancer risk, except for a non-dose-dependent, positive association for respiratory tract cancer that was statistically significant in men. The multivariate hazard ratio for medium (9-13) versus low (2-8) LCHP scores was 1.84 (95% confidence interval: 1.05-3.23; p-trend?=?0.38). Other analyses were largely consistent with the main results, although LCHP score was associated with colorectal cancer risk inversely in women with high saturated fat intakes, and positively in men with higher LCHP scores based on vegetable protein.
These largely null results provide important information concerning the long-term safety of moderate carbohydrate reduction and consequent increases in protein and, in this cohort, especially fat intakes. In order to determine the effects of stricter carbohydrate restriction, further studies encompassing a wider range of macronutrient intakes are warranted.
Notes
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PubMed ID
23651548 View in PubMed
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Longitudinal 10-year changes in dietary intake and associations with cardio-metabolic risk factors in the Northern Sweden Health and Disease Study.

https://arctichealth.org/en/permalink/ahliterature286527
Source
Nutr J. 2017 Mar 28;16(1):20
Publication Type
Article
Date
Mar-28-2017
Author
Anna Winkvist
Sofia Klingberg
Lena Maria Nilsson
Maria Wennberg
Frida Renström
Göran Hallmans
Kurt Boman
Ingegerd Johansson
Source
Nutr J. 2017 Mar 28;16(1):20
Date
Mar-28-2017
Language
English
Publication Type
Article
Keywords
Adult
Blood pressure
Body mass index
Cardiovascular Diseases - epidemiology - prevention & control
Cholesterol - blood
Exercise
Female
Follow-Up Studies
Healthy Diet
Humans
Life Style
Longitudinal Studies
Male
Metabolic Syndrome X - epidemiology - prevention & control
Middle Aged
Risk factors
Socioeconomic Factors
Surveys and Questionnaires
Sweden - epidemiology
Triglycerides - blood
Abstract
Dietary risks today constitute the largest proportion of disability-adjusted life years (DALYs) globally and in Sweden. An increasing number of people today consume highly processed foods high in saturated fat, refined sugar and salt and low in dietary fiber, vitamins and minerals. It is important that dietary trends over time are monitored to predict changes in disease risk.
In total, 15,995 individuals with two visits 10 (±1) years apart in the population-based Västerbotten Intervention Programme 1996-2014 were included. Dietary intake was captured with a 64-item food frequency questionnaire. Percent changes in intake of dietary components, Healthy Diet Score and Dietary Inflammatory Index were calculated and related to body mass index (BMI), serum cholesterol and triglyceride levels and blood pressure at the second visit in multivariable regression analyses.
For both sexes, on group level, proportion of energy intake (E%) from carbohydrates and sucrose decreased (largest carbohydrate decrease among 40 year-olds) and E% protein and total fat as well as saturated and poly-unsaturated fatty acids (PUFA) increased (highest protein increase among 30 year-olds and highest fat increase among 60 year-olds) over the 10-year period. Also, E% trans-fatty acids decreased. On individual basis, for both sexes decreases in intake of cholesterol and trans-fatty acids were associated with lower BMI and serum cholesterol at second visit (all P?
Notes
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PubMed ID
28351404 View in PubMed
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