TABLE 4.
All-cause mortality |
CVD mortality |
CVD events |
CHD events |
|||||||
n2 | % | Model 1 | Model 2 | Model 1 | Model 2 | Model 1 | Model 2 | Model 1 | Model 2 | |
HDI components3 | ||||||||||
Did not meet guideline (score = 0) | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 | ||
Met guideline (score = 1) | ||||||||||
SFAs | 790 | 25.2 | 1.05 (0.90, 1.23) | 1.14 (0.96, 1.36) | 1.10 (0.83, 1.44) | 1.28 (0.94, 1.72) | 1.06 (0.87, 1.30) | 1.15 (0.92, 1.43) | 1.09 (0.84, 1.43) | 1.14 (0.85, 1.53) |
PUFAs | 458 | 14.6 | 1.14 (0.95, 1.37) | 1.15 (0.95, 1.39) | 1.29 (0.95, 1.73) | 1.30 (0.95, 1.78) | 1.13 (0.90, 1.43) | 1.09 (0.86, 1.39) | 1.28 (0.95, 1.74) | 1.27 (0.93, 1.75) |
Protein | 1298 | 41.4 | 1.19 (1.04, 1.36)* | 1.11 (0.95, 1.29) | 1.18 (0.93, 1.48) | 1.06 (0.82, 1.37) | 1.17 (0.99, 1.39) | 1.07 (0.89, 1.30) | 1.28 (1.01, 1.61)* | 1.15 (0.89, 1.48) |
Carbohydrates | 2024 | 64.6 | 0.94 (0.82, 1.08) | 0.93 (0.79, 1.09) | 0.98 (0.77, 1.25) | 0.90 (0.69, 1.19) | 1.12 (0.93, 1.34) | 1.01 (0.83, 1.24) | 1.23 (0.96, 1.58) | 1.05 (0.79, 1.38) |
Sugar | 39 | 1.2 | 1.25 (0.69, 2.27) | 1.10 (0.58, 2.06) | 0.73 (0.18, 2.92) | 0.79 (0.20, 3.22) | 0.51 (0.16, 1.59) | 0.56 (0.18, 1.77) | 0.64 (0.16, 2.58) | 0.73 (0.18, 2.95) |
Fiber | 1920 | 61.3 | 1.00 (0.87, 1.14) | 1.04 (0.90, 1.20) | 0.92 (0.73, 1.16) | 1.02 (0.80, 1.31) | 0.95 (0.80, 1.13) | 1.06 (0.88, 1.27) | 1.20 (0.94, 1.53) | 1.32 (1.02, 1.70) |
Cholesterol | 2017 | 64.4 | 0.91 (0.79, 1.04) | 0.88 (0.74, 1.04) | 0.73 (0.58, 0.92)* | 0.67 (0.50, 0.90)* | 0.90 (0.76, 1.08) | 0.90 (0.72, 1.12) | 0.87 (0.68, 1.10) | 0.78 (0.58, 1.05) |
Fruit and vegetables | 568 | 18.1 | 0.80 (0.67, 0.97)* | 0.92 (0.75, 1.11) | 0.83 (0.61, 1.14) | 0.92 (0.66, 1.28) | 0.91 (0.73, 1.13) | 1.01 (0.80, 1.28) | 0.90 (0.66, 1.22) | 1.01 (0.74, 1.39) |
EDI components4 | ||||||||||
Lowest compliance with guideline (score = 1) | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 | 1.00 | ||
Highest compliance with guideline (score = 4) | ||||||||||
Meat | 159 | 4.9 | 0.90 (0.65, 1.23) | 1.11 (0.79, 1.55) | 0.64 (0.34, 1.21) | 0.92 (0.49, 1.75) | 0.63 (0.40, 1.01) | 0.75 (0.46, 1.22) | 0.59 (0.30, 1.14) | 0.73 (0.38, 1.44) |
Fish/seafood | 1832 | 56.0 | 0.76 (0.53, 1.09) | 0.91 (0.62, 1.34) | 0.53 (0.31, 0.91)* | 0.66 (0.36, 1.21) | 0.75 (0.48, 1.16) | 0.85 (0.52, 1.37) | 0.54 (0.32, 0.94)* | 0.67 (0.37, 1.21) |
Legumes | 1653 | 50.6 | 0.85 (0.69, 1.03) | 0.91 (0.74, 1.13) | 0.81 (0.58, 1.13) | 0.83 (0.58, 1.19) | 0.92 (0.71, 1.21) | 0.94 (0.71, 1.24) | 0.83 (0.59, 1.18) | 0.89 (0.61, 1.30) |
Fruit | 1298 | 39.7 | 0.61 (0.48, 0.76)* | 0.86 (0.66,1.11) | 0.67 (0.45, 1.02) | 0.95 (0.59, 1.53) | 0.75 (0.55, 1.01) | 0.90 (0.64, 1.28) | 0.68 (0.45, 1.03) | 0.86 (0.54, 1.35) |
Vegetables | 930 | 28.5 | 0.67 (0.47, 0.96)* | 1.05 (0.70, 1.58) | 0.63 (0.36, 1.12) | 0.88 (0.47, 1.65) | 0.84 (0.52, 1.35) | 1.17 (0.69, 2.01) | 0.89 (0.46, 1.72) | 1.29 (0.65, 2.56) |
Cereals | 2151 | 65.8 | 0.86 (0.67, 1.10) | 1.15 (0.87, 1.52) | 1.10 (0.70, 1.72) | 1.37 (0.83, 2.25) | 1.08 (0.77, 1.51) | 1.13 (0.79, 1.62) | 0.99 (0.64, 1.53) | 1.19 (0.73, 1.93) |
Bread | 934 | 28.6 | 0.67 (0.27, 1.62) | 0.77 (0.32, 1.90) | 0.55 (0.14, 2.24) | 0.57 (0.14, 2.40) | 0.57 (0.21, 1.54) | 0.60 (0.22, 1.65) | 0.62 (0.15, 2.52) | 0.76 (0.18, 3.15) |
Olive oil | 302 | 9.2 | 0.59 (0.45, 0.77)* | 0.68 (0.51, 0.91)* | 0.42 (0.24, 0.72)* | 0.43 (0.24, 0.80)* | 0.54 (0.37, 0.77)* | 0.58 (0.40, 0.86)* | 0.47 (0.28, 0.79)* | 0.55 (0.32, 0.95)* |
Dairy | 424 | 13.0 | 1.07 (0.86, 1.32) | 1.14 (0.90, 1.44) | 1.00 (0.70, 1.45) | 1.09 (0.73, 1.62) | 1.04 (0.78, 1.37) | 1.12 (0.83, 1.52) | 0.95 (0.65, 1.39) | 0.90 (0.59, 1.36) |
Model 1 adjusted for age; model 2 adjusted as in model 1 plus energy intake, smoking, alcohol, physical activity, social class, BMI, and a modified version of the HDI/EDI score not containing the individual component of interest. *P < 0.05. CHD, coronary heart disease; CVD, cardiovascular disease; EDI, Elderly Dietary Index; HDI, Healthy Diet Indicator.
Number of participants who met the guideline (score = 1) for HDI or those who had the highest compliance with the guideline (score = 4) for EDI.
HDI components: score 1 vs. score 0 (n = 3133).
EDI components: score 4 vs. score 1 (n = 3269).