The influence of energy standardisation on the alternate Mediterranean diet score and its association with mortality in the Multiethnic Cohort
MetadataShow full item record
The alternate Mediterranean diet (aMED) score is an adaptation of the original Mediterranean diet score. Raw (aMED) and energy-standardised (aMED-e) versions have been used. How the diet scores and their association with health outcomes differ between the two versions is unclear. We examined differences in participants' total and component scores and compared the association of aMED and aMED-e with all-cause, CVD and cancer mortality. As part of the Multiethnic Cohort, 193 527 men and women aged 45-75 years from Hawaii and Los Angeles completed a baseline FFQ and were followed up for 13-18 years. The association of aMED and aMED-e with mortality was examined using Cox's regression, with adjustment for total energy intake. The correlation between aMED and aMED-e total scores was lower among people with higher BMI. Participants who were older, leaner, more educated and consumed less energy scored higher on aMED-e components compared with aMED, except for the red and processed meat and alcohol components. Men reporting more physical activity scored lower on most aMED-e components compared with aMED, whereas the opposite was observed for the meat component. Higher scores of both aMED and aMED-e were associated with lower risk of all-cause, CVD and cancer mortality. Although individuals may score differently with aMED and aMED-e, both scores show similar reductions in mortality risk for persons scoring high on the index scale. Either version can be used in studies of diet and mortality. Comparisons can be performed across studies using different versions of the score.
Showing items related by title, author, creator and subject.
The dietary patterns methods project: Synthesis of findings across cohorts and relevance to dietary guidanceLiese, A.; Krebs-Smith, S.; Subar, A.; George, S.; Harmon, B.; Neuhouser, M.; Boushey, Carol; Schap, T.; Reedy, J. (2015)Patterns Methods Project (DPMP) was initiated in 2012 to strengthen research evidence on dietary indices, dietary patterns, and health for upcoming revisions of the Dietary Guidelines for Americans, given that the lack ...
Temporal Dietary Patterns Derived among the Adult Participants of the National Health and Nutrition Examination Survey 1999-2004 Are Associated with Diet QualityEicher-Miller, H.; Khanna, N.; Boushey, Carol; Gelfand, S.; Delp, E. (2016)Temporal dietary patterns, the distribution of energy or nutrient intakes observed over a period of time, is an emerging area of dietary patterns research that incorporates time of dietary intake with frequency and amount ...
Associations of key diet-quality indexes with mortality in the Multiethnic Cohort: The dietary patterns methods projectHarmon, B.; Boushey, Carol; Shvetsov, Y.; Ettienne, R.; Reedy, J.; Wilkens, L.; Le Marchand, L.; Henderson, B.; Kolonel, L. (2015)Background: Healthy dietary patterns have been linked positively with health and longevity. However, prospective studies in diverse populations in the United States addressing dietary patterns and mortality are limited. ...