ArticleEuropean journal of nutrition2014
Effect of using repeated measurements of a Mediterranean style diet on the strength of the association with cardiovascular disease during 12 years: the Doetinchem Cohort Study.
Article in European journal of nutrition, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.
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Who cites it
15 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Mediterranean diet and cardiovascular disease: a systematic review and meta-analysis of observational studies.European journal of nutrition · 2019Pooled it
- Evaluating Mediterranean diet and risk of chronic disease in cohort studies: an umbrella review of meta-analyses.European journal of epidemiology · 2018Pooled it
- Scoping Review of Dietary Quality Indices: Heterogeneity of Definitions and Health Associations among Adults.Nutrition reviews · 2026Article
- Adherence to the Mediterranean and Mediterranean-Dietary Approaches to Stop Hypertension Intervention for Neurodegenerative Delay (MIND) Diets and Parkinson's Disease Incidence in Women: Results from the Prospective E3N Cohort.Annals of neurology · 2026Article
- Role of nutrition and healthy lifestyle, for individuals in primary prevention: recent data, gaps in evidence and future directions.Archives of medical science : AMS · 2024Article
- Fruit and vegetable intake and risk of prediabetes and type 2 diabetes: results from a 20-year long prospective cohort study in Swedish men and women.European journal of nutrition · 2022Article
- Dietary Regulation of Oxidative Stress in Chronic Metabolic Diseases.Foods (Basel, Switzerland) · 2021Review
- Article
- Cohort Profile Update: The Doetinchem Cohort Study 1987-2017: lifestyle, health and chronic diseases in a life course and ageing perspective.International journal of epidemiology · 2017Article
- The influence of energy standardisation on the alternate Mediterranean diet score and its association with mortality in the Multiethnic Cohort.The British journal of nutrition · 2016Article
- Article
- Food quality score and the risk of coronary artery disease: a prospective analysis in 3 cohorts.The American journal of clinical nutrition · 2016Article
- Predictive role of the Mediterranean diet on mortality in individuals at low cardiovascular risk: a 12-year follow-up population-based cohort study.Journal of translational medicine · 2016Article
- WHO guidelines for a healthy diet and mortality from cardiovascular disease in European and American elderly: the CHANCES project.The American journal of clinical nutrition · 2015Article
- Mediterranean Diet and Cardiovascular Disease: A Critical Evaluation of A Priori Dietary Indexes.Nutrients · 2015Review
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIn cohort studies, often only one baseline measurement of dietary intake is available. This may underestimate the strength of the association with cardiovascular diseases (CVD).
objectiveThe main objective is to compare the strength of the association of a Mediterranean style diet with CVD using one baseline measurement of diet versus three repeated measurements over a 10-year period.
designWe used dietary and lifestyle data of three rounds of the Doetinchem Cohort Study. At baseline, 7,769 persons aged 20-65 years were examined. Diet was assessed with a 178 item validated food-frequency questionnaire and operationalized with the Mediterranean Diet Score (MDS) ranging from 0 to 9. Cox proportional hazards models were used to estimate hazard ratios (HRs) and 95% confidence intervals (CI). Analyses were adjusted for age, sex, and repeated measurements of smoking, sports, total energy intake, and educational level.
resultsComparing an MDS of ≥5.5-9 to an MDS of 0-<3.5, baseline MDS was associated with a 23% lower risk [HR 0.77 (95% CI 0.53-1.11)] and the updated mean with a 35% lower risk [HR 0.65 (0.43-0.97)] of a composite of fatal CVD, nonfatal myocardial infarction, and stroke (composite CVD). For fatal CVD, baseline MDS was associated with a 13% lower risk [HR 0.87 (0.36-2.07)] and the updated mean with a 56% lower risk [HR 0.44 (0.19-1.05)].
conclusionThe strength of the association between a Mediterranean style diet and CVD is likely underestimated because most studies so far used only one baseline measurement.
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