TY - JOUR
T1 - Dietary patterns among older Europeans
T2 - The EPIC-Elderly study
AU - Bamia, Christina
AU - Orfanos, Philippos
AU - Ferrari, Pietro
AU - Overvad, Kim
AU - Hundborg, Heidi H.
AU - Tjøonneland, Anne
AU - Olsen, Anja
AU - Kesse, Emmanuelle
AU - Boutron-Ruault, Marie Christine
AU - Clavel-Chapelon, Françoise
AU - Nagel, Gabriele
AU - Boffetta, Paolo
AU - Boeing, Heiner
AU - Hoffmann, Kurt
AU - Trichopoulos, Dimitrios
AU - Baibas, Nikos
AU - Psaltopoulou, Theodora
AU - Norat, Teresa
AU - Slimani, Nadia
AU - Palli, Domenico
AU - Krogh, Vittorio
AU - Panico, Salvatore
AU - Tumino, Rosario
AU - Sacerdote, Carlotta
AU - Bueno-de-Mesquita, H. B.
AU - Ocké, Marga C.
AU - Peeters, Petra H.
AU - van Rossum, Caroline T.
AU - Quirós, José Ramón
AU - Sánchez, Maria José
AU - Navarro, Carmen
AU - Barricarte, Aurelio
AU - Dorronsoro, Miren
AU - Berglund, Göran
AU - Wirfält, Elisabet
AU - Hallmans, Göran
AU - Johansson, Ingegerd
AU - Bingham, Sheila
AU - Khaw, Kay Tee
AU - Spencer, Elizabeth A.
AU - Roddam, Andrew W.
AU - Riboli, Elio
AU - Trichopoulou, Antonia
PY - 2005/7
Y1 - 2005/7
N2 - Overall dietary patterns have been associated with health and longevity. We used principal component (PC) and cluster analyses to identify the prevailing dietary patterns of 99 744 participants, aged 60 years or older, living in nine European countries and participating in the European Prospective Investigation into Cancer and Nutrition (EPIC-Elderly cohort) and to examine their socio-demographic and lifestyle correlates. Two PC were identified: PC1 reflects a 'vegetable-based' diet with an emphasis on foods of plant origin, rice, pasta and other grain rather than on margarine, potatoes and non-alcoholic beverages. PC2 indicates a 'sweet- and fat-dominated' diet with a preference for sweets, added fat and dairy products but not meat, alcohol, bread and eggs. PC1 was associated with a younger age, a higher level of education, physical activity, a higher BMI, a lower waist:hip ratio and never and past smoking. PC2 was associated with older age, less education, never having smoked, a lower BMI and waist:hip ratio and lower levels of physical activity. Elderly individuals in southern Europe scored positively on PC1 and about zero on PC2, whereas the elderly in northern Europe scored negatively on PC1 and variably on PC2. The results of cluster analysis were compatible with the indicated dietary patterns. 'Vegetable-based' and a 'sweet- and fat-dominated' diets are prevalent among the elderly across Europe, and there is a north - south gradient regarding their dietary choices. Our study contributes to the identification of groups of elderly who are likely to have different prospects for long-term disease occurrence and survival.
AB - Overall dietary patterns have been associated with health and longevity. We used principal component (PC) and cluster analyses to identify the prevailing dietary patterns of 99 744 participants, aged 60 years or older, living in nine European countries and participating in the European Prospective Investigation into Cancer and Nutrition (EPIC-Elderly cohort) and to examine their socio-demographic and lifestyle correlates. Two PC were identified: PC1 reflects a 'vegetable-based' diet with an emphasis on foods of plant origin, rice, pasta and other grain rather than on margarine, potatoes and non-alcoholic beverages. PC2 indicates a 'sweet- and fat-dominated' diet with a preference for sweets, added fat and dairy products but not meat, alcohol, bread and eggs. PC1 was associated with a younger age, a higher level of education, physical activity, a higher BMI, a lower waist:hip ratio and never and past smoking. PC2 was associated with older age, less education, never having smoked, a lower BMI and waist:hip ratio and lower levels of physical activity. Elderly individuals in southern Europe scored positively on PC1 and about zero on PC2, whereas the elderly in northern Europe scored negatively on PC1 and variably on PC2. The results of cluster analysis were compatible with the indicated dietary patterns. 'Vegetable-based' and a 'sweet- and fat-dominated' diets are prevalent among the elderly across Europe, and there is a north - south gradient regarding their dietary choices. Our study contributes to the identification of groups of elderly who are likely to have different prospects for long-term disease occurrence and survival.
KW - Cohort study
KW - Dietary patterns
KW - Elderly
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UR - http://www.scopus.com/inward/citedby.url?scp=25444528254&partnerID=8YFLogxK
U2 - 10.1079/BJN20051456
DO - 10.1079/BJN20051456
M3 - Article
C2 - 16115339
AN - SCOPUS:25444528254
VL - 94
SP - 100
EP - 113
JO - British Journal of Nutrition
JF - British Journal of Nutrition
SN - 0007-1145
IS - 1
ER -