Table 4.
Associations of Dietary Patterns With All-Cause and Cause-Specific Mortality From a Cox Proportional Hazards Regression Model Among Participants in the Adventist Health Study 2, 2002–2009
| Characteristic | Deaths, Hazard Ratio (95% CI)
|
||||
|---|---|---|---|---|---|
| All-Cause | Ischemic Heart Disease | Cardiovascular Disease | Cancer | Other | |
| All (N = 73 308), No. of deathsa,b | 2560 | 372 | 987 | 706 | 867 |
| Vegetarian | |||||
| Vegan | 0.85 (0.73–1.01) | 0.90 (0.60–1.33) | 0.91 (0.71–1.16) | 0.92 (0.68–1.24) | 0.74 (0.56–0.99) |
| Lacto-ovo | 0.91 (0.82–1.00) | 0.82 (0.62–1.06) | 0.90 (0.76–1.06) | 0.90 (0.75–1.09) | 0.91 (0.77–1.07) |
| Pesco | 0.81 (0.69–0.94) | 0.65 (0.43–0.97) | 0.80 (0.62–1.03) | 0.94 (0.72–1.22) | 0.71 (0.54–0.94) |
| Semi | 0.92 (0.75–1.13) | 0.92 (0.57–1.51) | 0.85 (0.63–1.16) | 0.94 (0.66–1.35) | 0.99 (0.72–1.36) |
| Nonvegetarian | 1 [Reference] | 1 [Reference] | 1 [Reference] | 1 [Reference] | 1 [Reference] |
| Men (n = 25 105), No. of deathsa | 1031 | 169 | 390 | 273 | 368 |
| Vegetarian | |||||
| Vegan | 0.72 (0.56–0.92) | 0.45 (0.21–0.94) | 0.58 (0.38–0.89) | 0.81 (0.48–1.36) | 0.81 (0.53–1.22) |
| Lacto-ovo | 0.86 (0.74–1.01) | 0.76 (0.52–1.12) | 0.77 (0.59–0.99) | 1.01 (0.75–1.37) | 0.89 (0.69–1.15) |
| Pesco | 0.73 (0.57–0.93) | 0.77 (0.45–1.30) | 0.66 (0.44–0.98) | 1.10 (0.73–1.67) | 0.60 (0.39–0.93) |
| Semi | 0.93 (0.68–1.26) | 0.73 (0.33–1.60) | 0.75 (0.43–1.32) | 1.15 (0.65–2.03) | 1.03 (0.62–1.71) |
| Nonvegetarian | 1 [Reference] | 1 [Reference] | 1 [Reference] | 1 [Reference] | 1 [Reference] |
| Women (n = 48 203), No. of deathsa,c | 1529 | 203 | 597 | 433 | 499 |
| Vegetarian | |||||
| Vegan | 0.97 (0.78–1.20) | 1.39 (0.87–2.24) | 1.18 (0.88–1.60) | 0.99 (0.69–1.44) | 0.70 (0.47–1.05) |
| Lacto-ovo | 0.94 (0.83–1.07) | 0.85 (0.59–1.22) | 0.99 (0.81–1.22) | 0.85 (0.67–1.09) | 0.93 (0.75–1.17) |
| Pesco | 0.88 (0.72–1.07) | 0.51 (0.26–0.99) | 0.90 (0.66–1.23) | 0.86 (0.61–1.21) | 0.81 (0.58–1.15) |
| Semi | 0.92 (0.70–1.22) | 1.09 (0.60–1.98) | 0.93 (0.64–1.34) | 0.85 (0.56–1.30) | 0.97 (0.64–1.47) |
| Nonvegetarian | 1 [Reference] | 1 [Reference] | 1 [Reference] | 1 [Reference] | 1 [Reference] |
Adjusted by age (ie, attained age as time variable), race (black, nonblack), smoking (current smoker, quit <1 year, quit 1–4 years, quit 5–9 years, quit 10–19 years, quit 20–29 years, quit ≥30 years, and never smoked), exercise (none, ≤20 min/week, 21–60 min/week, 61–150 min/week, and ≥151 min/week), personal income (≤$20 000/y, >$20 000–$50 000/y, >$50 000–$100 000/y, and >$100 000/y), educational level (up to high school graduate, trade school/some college/associate degree, bachelor degree, and graduate degree), marital status (married/common-law and single/widowed/divorced/separated), alcohol (nondrinker, rare drinker [<1.5 servings/mo], monthly drinker [1.5 to <4 servings/mo], weekly drinker [4 to <28 servings/mo], and daily drinker [≥28 servings/mo]), region (West, Northwest, Mountain, Midwest, East, and South), and sleep (≤4 h/night, 5–8 h/night, and ≥9 h/night).
Also adjusted by sex (male and female), menopause (in women) (premenopausal [including perimenopausal], postmenopausal), and hormone therapy (in postmenopausal women) (not taking hormone therapy, taking hormone therapy);
Also adjusted by menopause (premenopausal [including perimenopausal], postmenopausal) and hormone therapy (postmenopausal women) (not taking hormone therapy, taking hormone therapy).