BACKGROUND/ OBJECTIVES: The Dutch guidelines for a healthy diet aim to reduce major chronic diseases. However, supporting evidence on their overall association with all-cause and cause-specific mortality is limited. Recently, the Dutch Healthy Diet-index (DHD-index) has been developed to assess adherence to these guidelines. The aim was to examine the association between the DHD-index and all-cause mortality and deaths from cardiovascular disease (CVD), coronary heart disease (CHD), stroke and cancer. SUBJECTS/ METHODS: We followed 3593 men and women aged 55 years and older enrolled in the Rotterdam Study, a population-based prospective cohort study, from baseline in 1990-1993 to 2011. A validated 170-item food frequency questionnaire at baseline was used to calculate the DHD-index score (maximum 90 points). Cox proportional hazard models were used to estimate hazard ratios (HRs) adjusting for age, sex, total energy intake, smoking and educational level. RESULTS: During the 20-year follow-up, 1831 (51%) deaths were reported. Mean DHD-index score was 60.6 (s.d. 10.6). The score was inversely associated with all-cause mortality (highest vs lowest quartile HR 0.77; 95% confidence interval (CI) 0.67, 0.89). Inverse but non-significant associations were observed for mortality due to CVD (HR 0.74; 95% CI 0.55, 1.01), CHD (HR 0.60; 95% CI 0.34, 1.06) and stroke (HR 0.67; 95% CI 0.36, 1.22), whereas no association was observed with cancer mortality (HR 0.99; 95% CI 0.90, 1.11). CONCLUSIONS: A higher level of adherence to the Dutch dietary guidelines, as assessed with the DHD-index, was associated with a lower risk of all-cause mortality, probably due to an inverse association with cardiovascular causes of death.
BACKGROUND/ OBJECTIVES: The Dutch guidelines for a healthy diet aim to reduce major chronic diseases. However, supporting evidence on their overall association with all-cause and cause-specific mortality is limited. Recently, the Dutch Healthy Diet-index (DHD-index) has been developed to assess adherence to these guidelines. The aim was to examine the association between the DHD-index and all-cause mortality and deaths from cardiovascular disease (CVD), coronary heart disease (CHD), stroke and cancer. SUBJECTS/ METHODS: We followed 3593 men and women aged 55 years and older enrolled in the Rotterdam Study, a population-based prospective cohort study, from baseline in 1990-1993 to 2011. A validated 170-item food frequency questionnaire at baseline was used to calculate the DHD-index score (maximum 90 points). Cox proportional hazard models were used to estimate hazard ratios (HRs) adjusting for age, sex, total energy intake, smoking and educational level. RESULTS: During the 20-year follow-up, 1831 (51%) deaths were reported. Mean DHD-index score was 60.6 (s.d. 10.6). The score was inversely associated with all-cause mortality (highest vs lowest quartile HR 0.77; 95% confidence interval (CI) 0.67, 0.89). Inverse but non-significant associations were observed for mortality due to CVD (HR 0.74; 95% CI 0.55, 1.01), CHD (HR 0.60; 95% CI 0.34, 1.06) and stroke (HR 0.67; 95% CI 0.36, 1.22), whereas no association was observed with cancer mortality (HR 0.99; 95% CI 0.90, 1.11). CONCLUSIONS: A higher level of adherence to the Dutch dietary guidelines, as assessed with the DHD-index, was associated with a lower risk of all-cause mortality, probably due to an inverse association with cardiovascular causes of death.
Authors: Nicole Jankovic; Anouk Geelen; Martinette T Streppel; Lisette C P G M de Groot; Philippos Orfanos; Edith H van den Hooven; Hynek Pikhart; Paolo Boffetta; Antonia Trichopoulou; Martin Bobak; H B Bueno-de-Mesquita; Frank Kee; Oscar H Franco; Yikyung Park; Göran Hallmans; Anne Tjønneland; Anne M May; Andrzej Pajak; Sofia Malyutina; Růžena Kubinova; Pilar Amiano; Ellen Kampman; Edith J Feskens Journal: Am J Epidemiol Date: 2014-10-15 Impact factor: 4.897
Authors: M L McCullough; D Feskanich; M J Stampfer; B A Rosner; F B Hu; D J Hunter; J N Variyam; G A Colditz; W C Willett Journal: Am J Clin Nutr Date: 2000-11 Impact factor: 7.045
Authors: Teresa T Fung; Kathryn M Rexrode; Christos S Mantzoros; JoAnn E Manson; Walter C Willett; Frank B Hu Journal: Circulation Date: 2009-02-16 Impact factor: 29.690
Authors: Ellen A Struijk; Anne M May; Nick L W Wezenbeek; Heidi P Fransen; Sabita S Soedamah-Muthu; Anouk Geelen; Jolanda M A Boer; Yvonne T van der Schouw; H Bas Bueno-de-Mesquita; Joline W J Beulens Journal: Int J Cardiol Date: 2014-07-12 Impact factor: 4.164
Authors: L van Lee; A Geelen; E J C Hooft van Huysduynen; J H M de Vries; P van 't Veer; E J M Feskens Journal: Eur J Clin Nutr Date: 2016-07-13 Impact factor: 4.016
Authors: M Arfan Ikram; Guy G O Brusselle; Sarwa Darwish Murad; Cornelia M van Duijn; Oscar H Franco; André Goedegebure; Caroline C W Klaver; Tamar E C Nijsten; Robin P Peeters; Bruno H Stricker; Henning Tiemeier; André G Uitterlinden; Meike W Vernooij; Albert Hofman Journal: Eur J Epidemiol Date: 2017-10-24 Impact factor: 8.082
Authors: Armand Ma Linkens; Simone Jmp Eussen; Alfons Jhm Houben; Abraham A Kroon; Miranda T Schram; Koen D Reesink; Pieter C Dagnelie; Ronald Ma Henry; Marleen van Greevenbroek; Anke Wesselius; Coen Da Stehouwer; Casper G Schalkwijk Journal: J Nutr Date: 2021-07-01 Impact factor: 4.798
Authors: Karla Santo; Karice Hyun; Laura de Keizer; Aravinda Thiagalingam; Graham S Hillis; John Chalmers; Julie Redfern; Clara K Chow Journal: Int J Behav Nutr Phys Act Date: 2018-05-23 Impact factor: 6.457
Authors: Trudy Voortman; Jessica C Kiefte-de Jong; M Arfan Ikram; Bruno H Stricker; Frank J A van Rooij; Lies Lahousse; Henning Tiemeier; Guy G Brusselle; Oscar H Franco; Josje D Schoufour Journal: Eur J Epidemiol Date: 2017-08-19 Impact factor: 8.082
Authors: Sandra C M de Haas; Ester A L de Jonge; Trudy Voortman; Jolien Steenweg-de Graaff; Oscar H Franco; M Arfan Ikram; Fernando Rivadeneira; Jessica C Kiefte-de Jong; Josje D Schoufour Journal: Eur J Nutr Date: 2017-07-25 Impact factor: 5.614
Authors: Sander Biesbroek; W M Monique Verschuren; Jolanda M A Boer; Mirjam E van de Kamp; Yvonne T van der Schouw; Anouk Geelen; Moniek Looman; Elisabeth H M Temme Journal: Br J Nutr Date: 2017-08-03 Impact factor: 3.718