| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
|
|
|
|||||||
|
|||||||||
ORIGINAL RESEARCH COMMUNICATION |
1 From the Department of Epidemiology and Public Health, University College London, London, United Kingdom (EJB, AM, DRW, MS, MJS, and MGM), and the Helsinki Collegium for Advanced Studies, University of Helsinki, Finland (PM)
Background: Few studies have examined the long-term effect of habitual diet on risks of incident diabetes, coronary heart disease, and mortality.
Objective: We analyzed the prospective relation of dietary patterns with incident chronic disease and mortality during 15 y of follow-up in the Whitehall II study.
Design: We conducted a prospective analysis (106 633 person-years at risk) among men and women (n = 7731) with a mean age of 50 y at the time of dietary assessment (127-item food-frequency questionnaire). Coronary death or nonfatal myocardial infarction and incident diabetes were verified by record tracing and oral-glucose-tolerance tests.
Results: Cluster analysis identified 4 dietary patterns at baseline. The patterns were termed unhealthy (white bread, processed meat, fries, and full-cream milk; n = 2665), sweet (white bread, biscuits, cakes, processed meat, and high-fat dairy products; n = 1042), Mediterranean-like (fruit, vegetables, rice, pasta, and wine; n = 1361), and healthy (fruit, vegetables, whole-meal bread, low-fat dairy, and little alcohol; n = 2663). Compared with the unhealthy pattern, the healthy pattern reduced the risk of coronary death or nonfatal myocardial infarction and diabetes; hazard ratios (95% CI) were 0.71 (0.51, 0.98) and 0.74 (0.58, 0.94), respectively, after adjustment for age, sex, ethnicity, dietary energy misreporting, social position, smoking status, and leisure-time physical activity. Dietary pattern was not associated with all-cause mortality. Residual confounding by socioeconomic factors was unlikely to account for the observed dietary effects.
Conclusions: The healthy eating pattern reduced risks of diabetes and major coronary events. Such dietary patterns offer considerable health benefits to individuals and contribute to public health.
This article has been cited by other articles:
|
|
 |
|
  S. Eilat-Adar, M. Mete, E. D. Nobmann, J. Xu, R. R. Fabsitz, S. O. E. Ebbesson, and B. V. Howard Dietary Patterns are Linked to Cardiovascular Risk Factors but Not to Inflammatory Markers in Alaska Eskimos J. Nutr., December 1, 2009; 139(12): 2322 - 2328. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
W. You, G. Zhang, B. M. Davy, A. Carlson, and B.-H. Lin Food Consumed Away from Home Can Be a Part of a Healthy and Affordable Diet J. Nutr., October 1, 2009; 139(10): 1994 - 1999. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 S. M. Nilsen, S. Krokstad, T. L. Holmen, and S. Westin Adolescents' health-related dietary patterns by parental socio-economic position, The Nord-Trondelag Health Study (HUNT) Eur J Public Health, September 18, 2009; (2009) ckp137v1. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 J. L. Kuk, C. I. Ardern, T. S. Church, J. R. Hebert, X. Sui, and S. N. Blair Ideal Weight and Weight Satisfaction: Association With Health Practices Am. J. Epidemiol., August 15, 2009; 170(4): 456 - 463. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 D. S. Lee, M. Chiu, D. G. Manuel, K. Tu, X. Wang, P. C. Austin, M. Y. Mattern, T. F. Mitiku, L. W. Svenson, W. Putnam, et al. Trends in risk factors for cardiovascular disease in Canada: temporal, socio-demographic and geographic factors Can. Med. Assoc. J., August 4, 2009; 181(3-4): E55 - E66. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 M. L. Kwan, E. Weltzien, L. H. Kushi, A. Castillo, M. L. Slattery, and B. J. Caan Dietary Patterns and Breast Cancer Recurrence and Survival Among Women With Early-Stage Breast Cancer J. Clin. Oncol., February 20, 2009; 27(6): 919 - 926. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 A. Tremblay and J.-A. Gilbert Milk Products, Insulin Resistance Syndrome and Type 2 Diabetes J. Am. Coll. Nutr., February 1, 2009; 28(Supplement_1): 91S - 102S. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 WRITING GROUP MEMBERS, D. Lloyd-Jones, R. Adams, M. Carnethon, G. De Simone, T. B. Ferguson, K. Flegal, E. Ford, K. Furie, A. Go, et al. Heart Disease and Stroke Statistics--2009 Update: A Report From the American Heart Association Statistics Committee and Stroke Statistics Subcommittee Circulation, January 27, 2009; 119(3): e21 - e181. [Full Text] [PDF]
|
|
|
|
 |
|
 W. K Al-Delaimy Commentary: Lactose and ischaemic heart disease: a weak 28-year-old hypothesis Int. J. Epidemiol., December 1, 2008; 37(6): 1214 - 1216. [Full Text] [PDF]
|
|
|
|
 |
|
 K. Esposito and D. Giugliano Mediterranean dietary patterns and chronic diseases Am. J. Clinical Nutrition, October 1, 2008; 88(4): 1179 - 1180. [Full Text] [PDF]
|
|
|
|
|
|
E. Brunner, D. Witte, M. Shipley, M. Marmot, A. Mosdol, and P. Martikainen Reply to K Esposito and D Giugliano Am. J. Clinical Nutrition, October 1, 2008; 88(4): 1180 - 1181. [Full Text] [PDF]
|
|
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
