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Traditional Mediterranean diet and longevity in the elderly: a review

Published online by Cambridge University Press:  02 January 2007

Antonia Trichopoulou
Antonia Trichopoulou*
Affiliation:
Department of Hygiene and Epidemiology, School of Medicine, University of Athens, 75 M. Asias Street, GR-115 27, Athens, Greece
*
*Corresponding author: Email [email protected]
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Abstract

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Objective:

To review the evidence that the traditional Mediterranean diet is associated with longevity.

Setting:

Elderly persons of both genders in Greece, Spain, Denmark and Australia studied by different groups of investigators.

Methods:

Adherence to the principles of the Mediterranean diet was operationalised through a score devised a priori, and study participants were followed up until death or the end of the study. Proportional hazard models were used.

Results:

Closer adherence to the Mediterranean diet was associated with a significant decrease in general mortality among the elderly persons studied.

Conclusion:

The Mediterranean diet is positively associated with longevity among the elderly. If the assumption holds that there is no interaction between age and diet with respect to general mortality, it can be inferred that the traditional Mediterranean diet represents a healthy nutritional pattern.

Keywords

Mediterranean dietScoreLongevity
Type
Research Article
Information
Public Health Nutrition , Volume 7 , Issue 7 , October 2004 , pp. 943 - 947
Copyright
Copyright © The Authors 2004

References

1Trichopoulou, A, Kouris-Blazos, A, Wahlqvist, ML, Gnardellis, C, Lagiou, P, Polychronopoulos, E, et al. Diet and overall survival in elderly people. British Medical Journal 1995; 311: 1457–60.CrossRefGoogle ScholarPubMed
2Osler, M, Schroll, M. Diet and mortality in a cohort of elderly people in a north European community. International Journal of Epidemiology 1997; 26: 155–9.CrossRefGoogle Scholar
3Kouris-Blazos, A, Gnardellis, C, Wahlqvist, ML, Trichopoulos, D, Lukito, W, Trichopoulou, A. Are the advantages of the Mediterranean diet transferable to other populations? A cohort study in Melbourne, Australia. British Journal of Nutrition 1999; 82: 57–61.CrossRefGoogle ScholarPubMed
4Lasheras, C, Fernandez, S, Patterson, AM. Mediterranean diet and age with respect to overall survival in institutionalized, nonsmoking elderly people. American Journal of Clinical Nutrition 2000; 71: 987–92.CrossRefGoogle ScholarPubMed
5Trichopoulos, D, Lagiou, P, Trichopoulou, A. Evidence-based nutrition. Asia Pacific Journal of Clinical Nutrition 2000; 9(Suppl.): S4–9.CrossRefGoogle ScholarPubMed
6Trichopoulou, A, Naska, A, Vasilopoulou, E. Guidelines for the intake of vegetables and fruit: the Mediterranean approach. International Journal for Vitamin and Nutrition Research 2001; 71(3): 149–53.CrossRefGoogle ScholarPubMed
7Hertog, MGL, Krombout, D, Aravanis, C, Blackburn, H, Buzina, R, Fidanza, F, et al. Flanovoid intake and long-term risk of coronary heart disease and cancer in the Seven Countries Study. Archives of Internal Medicine 1995; 155: 381–6.CrossRefGoogle ScholarPubMed
8Rimm, EB, Klatsky, A, Grobbee, D, Stampfer, MJ. Review of moderate alcohol consumption and reduced risk of coronary heart disease: is the effect due to beer, wine, or spirits? British Medical Journal 1996; 312: 731–6.CrossRefGoogle ScholarPubMed
9Gaziano, JM, Buring, JE, Breslow, JL, Goldhaber, SZ, Rosner, B, VanDenburgh, M, et al. Moderate alcohol intake, increased levels of high-density lipoprotein and its subfractions and decreased risk of myocardial infarction. New England Journal of Medicine 1993; 329: 1829–34.CrossRefGoogle ScholarPubMed
10Ridker, PM, Vaughan, DE, Stampfer, MJ, Glynn, RJ, Hennekens, CH. Association of moderate alcohol consumption and plasma concentration of endogenous tissue-type plasminogen activator. Journal of the American Medical Association 1994; 272: 929–33.CrossRefGoogle ScholarPubMed
11Mensink, RP, Katan, MB. Effect of dietary fatty acids on serum lipids and lipoproteins: a meta-analysis of 27 trials. Arteriosclerosis and Thrombosis 1992; 12: 911–9.CrossRefGoogle ScholarPubMed
12World Cancer Research Fund (WCRF)/American Institute for Cancer Research (AICR). Food, Nutrition and the Prevention of Cancer: A Global Perspective. Washington, DC: WCRF/AICR, 1997.Google Scholar
13Kromhout, D, de Lezenne, C. Diet, prevalence and 10-year mortality from coronary heart disease in 871 middle-aged men: The Zutphen Study. American Journal of Epidemiology 1984; 119: 733–41.CrossRefGoogle ScholarPubMed
14Rimm, EB, Ascherio, A, Giovannucci, E, Spiegelman, D, Stampfer, MJ, Willett, WC. Vegetable, fruit, and cereal fiber intake and risk of coronary heart disease among men. Journal of the American Medical Association 1996; 275: 447–51.CrossRefGoogle ScholarPubMed
15Farchi, G, Fidanza, F, Mariotti, S, Menotti, A. Is diet an independent risk factor for mortality? 20 year mortality in the Italian rural cohorts of the Seven Countries Study. European Journal of Clinical Nutrition 1994; 48: 19–29.Google ScholarPubMed
16Stampfer, MJ, Malinow, MR, Willett, WC, Newcomer, LM, Upson, B, Ullmann, D, et al. A prospective study of plasma homocyst(e)ine and risk of myocardial infarction in US physicians. Journal of the American Medical Association 1992; 268: 877–81.CrossRefGoogle ScholarPubMed
17Arnesen, E, Refsum, H, Bonaa, KH, Ueland, PM, Forde, OH, Nordrehaug, JE. Serum total homocysteine and coronary heart disease. International Journal of Epidemiology 1995; 24: 704–9.CrossRefGoogle ScholarPubMed
18Trichopoulou, A. Olive oil and breast cancer. Cancer Causes &Control 1995; 6(6): 475–6.CrossRefGoogle ScholarPubMed
19Solfrizzi, V, Panza, F, Torres, F, Mastroianni, F, Del Parigi, A, Venezia, A, et al. High monounsaturated fatty acids intake protects against age-related cognitive decline. Neurology 1999; 52(8): 1563–9.CrossRefGoogle ScholarPubMed
20Kushi, LH, Lenart, EB, Willett, WC. Health implications of Mediterranean diets in light of contemporary knowledge. 2. Meat, wine, fats and oils. American Journal of Clinical Nutrition 1995 61(Suppl.) 1416S–27S.CrossRefGoogle ScholarPubMed
21Berry, EM, Eisenberg, S, Friedlander, Y, Harats, D, Kaufmann, NA, Norman, Y, et al. Effects of diets rich in monounsaturated fatty acids on plasma lipoproteins – the Jerusalem Nutrition Study: monounsaturated vs saturated fatty acids. Nutrition, Metabolism, and Cardiovascular Diseases 1995; 5: 55–62.Google Scholar
22Bautista, D, Obrador, A, Moreno, V, Cabeza, E, Canet, R, Benito, E, et al. Ki-ras mutation modifies the protective effect of dietary monounsaturated fat and calcium on sporadic colorectal cancer. Cancer Epidemiology, Biomarkers & Prevention 1997; 6: 57–61.Google ScholarPubMed
23Jeppesen, J, Chen, YD, Zhou, MY, Wang, T, Reaven, GM. Effect of variations in oral fat and carbohydrate load on postprandial lipemia. American Journal of Clinical Nutrition 1995; 62: 1201–5.CrossRefGoogle ScholarPubMed
24Jeppesen, J, Schaaf, P, Jones, G, Zhou, MY, Chen, YDI, Reaven, GM. Effects of low-fat, high-carbohydrate diets on risk factors for ischemic heart disease in postmenopausal women. American Journal of Clinical Nutrition 1997; 65(4): 1027–33.CrossRefGoogle ScholarPubMed
25Trichopoulou, A, Georgiou, E, Bassiakos, Y, Lipworth, L, Lagiou, P, Proukakis, C, et al. Energy intake and monounsaturated fat in relation to bone mineral density among women and men in Greece. Preventive Medicine 1997; 26: 395–400.CrossRefGoogle ScholarPubMed
26Supreme Scientific Health Council, Ministry of Health and Welfare of Greece. Dietary guidelines for adults in Greece. Archives of Hellenic Medicine 1999; 16: 516–24.Google Scholar