Associations between dietary pattern and lifestyle, anthropometry and other health indicators in the elderly participants of the EPIC-Italy cohort

Valeria Pala, Sabina Sieri, Giovanna Masala, Domenico Palli, Salvatore Panico, Paolo Vineis, Carlotta Sacerdote, Amalia Mattiello, Rocco Galasso, Simonetta Salvini, Marco Ceroti, Franco Berrino, Elisabetta Fusconi, Rosario Tumino, Graziella Frasca, Elio Riboli, Antonia Trichopoulou, Nikolaos Baibas, Vittorio Krogh

Research output: Contribution to journalArticle

55 Citations (Scopus)

Abstract

Introduction: Epidemiological studies have shown that dietary behaviour is an important aetiological factor in various chronic diseases. We used principal component factor analysis to identify dietary patterns and to examine the associations of these patterns with health-related variables in a sample of elderly (≥60 years) Italians participating in the European Prospective Investigation into Cancer and Nutrition (EPIC). Methods and results: Exploratory factor analysis was applied to the intake of food groups as estimated by semi-quantitative food questionnaires. Individual participants were assigned factor scores, indicating the extent to which their diet conformed to each of the four dietary patterns identified: prudent (cooked vegetables, pulses, cabbage, seed oil and fish); pasta & meat (pasta, tomato sauce, red meat, processed meat, bread and wine); olive oil & salad (raw vegetables, olive oil, soup and chicken); and sweet & dairy (sugar, cakes, ice cream, coffee and dairy). Highly educated people had high scores on prudent and low scores on pasta & meat. The pasta & meat and prudent patterns were strongly positively associated with body mass index (BMI) and waist-to-hip ratio (WHR) in men and women. Hyperlipidaemic men and women consumed more of the prudent and olive oil & salad patterns and less of the sweet & dairy pattern than those with normal lipids. The olive oil & salad was significantly higher and the pasta & meat and sweet & dairy patterns significantly lower in men and women who had dieted over the previous year, suggesting awareness of the health consequences of these patterns. Conclusions: Dietary pattern analysis provides a characterization of recurrent dietary behaviour in elderly people, and can be used to provide tangible dietary advice to elderly people.

Original languageEnglish
Pages (from-to)186-201
Number of pages16
JournalNutrition, Metabolism and Cardiovascular Diseases
Volume16
Issue number3
DOIs
Publication statusPublished - Apr 2006

Fingerprint

Anthropometry
pasta
anthropometric measurements
eating habits
Meat
Italy
lifestyle
Life Style
olive oil
salads
nutrition
dairies
neoplasms
meat
Health
Neoplasms
Statistical Factor Analysis
tomato sauce
Ice Cream
waist-to-hip ratio

Keywords

  • Cross-sectional study
  • Dietary patterns
  • Dietary recommendations
  • Elderly
  • Exploratory factor analysis

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Medicine (miscellaneous)
  • Food Science
  • Endocrinology, Diabetes and Metabolism

Cite this

Associations between dietary pattern and lifestyle, anthropometry and other health indicators in the elderly participants of the EPIC-Italy cohort. / Pala, Valeria; Sieri, Sabina; Masala, Giovanna; Palli, Domenico; Panico, Salvatore; Vineis, Paolo; Sacerdote, Carlotta; Mattiello, Amalia; Galasso, Rocco; Salvini, Simonetta; Ceroti, Marco; Berrino, Franco; Fusconi, Elisabetta; Tumino, Rosario; Frasca, Graziella; Riboli, Elio; Trichopoulou, Antonia; Baibas, Nikolaos; Krogh, Vittorio.

In: Nutrition, Metabolism and Cardiovascular Diseases, Vol. 16, No. 3, 04.2006, p. 186-201.

Research output: Contribution to journalArticle

Pala, V, Sieri, S, Masala, G, Palli, D, Panico, S, Vineis, P, Sacerdote, C, Mattiello, A, Galasso, R, Salvini, S, Ceroti, M, Berrino, F, Fusconi, E, Tumino, R, Frasca, G, Riboli, E, Trichopoulou, A, Baibas, N & Krogh, V 2006, 'Associations between dietary pattern and lifestyle, anthropometry and other health indicators in the elderly participants of the EPIC-Italy cohort', Nutrition, Metabolism and Cardiovascular Diseases, vol. 16, no. 3, pp. 186-201. https://doi.org/10.1016/j.numecd.2005.05.009
Pala, Valeria ; Sieri, Sabina ; Masala, Giovanna ; Palli, Domenico ; Panico, Salvatore ; Vineis, Paolo ; Sacerdote, Carlotta ; Mattiello, Amalia ; Galasso, Rocco ; Salvini, Simonetta ; Ceroti, Marco ; Berrino, Franco ; Fusconi, Elisabetta ; Tumino, Rosario ; Frasca, Graziella ; Riboli, Elio ; Trichopoulou, Antonia ; Baibas, Nikolaos ; Krogh, Vittorio. / Associations between dietary pattern and lifestyle, anthropometry and other health indicators in the elderly participants of the EPIC-Italy cohort. In: Nutrition, Metabolism and Cardiovascular Diseases. 2006 ; Vol. 16, No. 3. pp. 186-201.
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T1 - Associations between dietary pattern and lifestyle, anthropometry and other health indicators in the elderly participants of the EPIC-Italy cohort

AU - Pala, Valeria

AU - Sieri, Sabina

AU - Masala, Giovanna

AU - Palli, Domenico

AU - Panico, Salvatore

AU - Vineis, Paolo

AU - Sacerdote, Carlotta

AU - Mattiello, Amalia

AU - Galasso, Rocco

AU - Salvini, Simonetta

AU - Ceroti, Marco

AU - Berrino, Franco

AU - Fusconi, Elisabetta

AU - Tumino, Rosario

AU - Frasca, Graziella

AU - Riboli, Elio

AU - Trichopoulou, Antonia

AU - Baibas, Nikolaos

AU - Krogh, Vittorio

PY - 2006/4

Y1 - 2006/4

N2 - Introduction: Epidemiological studies have shown that dietary behaviour is an important aetiological factor in various chronic diseases. We used principal component factor analysis to identify dietary patterns and to examine the associations of these patterns with health-related variables in a sample of elderly (≥60 years) Italians participating in the European Prospective Investigation into Cancer and Nutrition (EPIC). Methods and results: Exploratory factor analysis was applied to the intake of food groups as estimated by semi-quantitative food questionnaires. Individual participants were assigned factor scores, indicating the extent to which their diet conformed to each of the four dietary patterns identified: prudent (cooked vegetables, pulses, cabbage, seed oil and fish); pasta & meat (pasta, tomato sauce, red meat, processed meat, bread and wine); olive oil & salad (raw vegetables, olive oil, soup and chicken); and sweet & dairy (sugar, cakes, ice cream, coffee and dairy). Highly educated people had high scores on prudent and low scores on pasta & meat. The pasta & meat and prudent patterns were strongly positively associated with body mass index (BMI) and waist-to-hip ratio (WHR) in men and women. Hyperlipidaemic men and women consumed more of the prudent and olive oil & salad patterns and less of the sweet & dairy pattern than those with normal lipids. The olive oil & salad was significantly higher and the pasta & meat and sweet & dairy patterns significantly lower in men and women who had dieted over the previous year, suggesting awareness of the health consequences of these patterns. Conclusions: Dietary pattern analysis provides a characterization of recurrent dietary behaviour in elderly people, and can be used to provide tangible dietary advice to elderly people.

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KW - Cross-sectional study

KW - Dietary patterns

KW - Dietary recommendations

KW - Elderly

KW - Exploratory factor analysis

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