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  • Lassale, CamilleImperial College London (author)

Diet Quality Scores and Prediction of All-Cause, Cardiovascular and Cancer Mortality in a Pan-European Cohort Study

  • Article/chapterEnglish2016

Publisher, publication year, extent ...

  • 2016-07-13
  • Public Library of Science (PLoS),2016
  • electronicrdacarrier

Numbers

  • LIBRIS-ID:oai:DiVA.org:umu-124326
  • https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-124326URI
  • https://doi.org/10.1371/journal.pone.0159025DOI
  • https://lup.lub.lu.se/record/6fb9c74d-01ec-42a3-a965-a658b6513d6eURI
  • http://kipublications.ki.se/Default.aspx?queryparsed=id:133917229URI

Supplementary language notes

  • Language:English
  • Summary in:English

Part of subdatabase

Classification

  • Subject category:ref swepub-contenttype
  • Subject category:art swepub-publicationtype

Notes

  • Scores of overall diet quality have received increasing attention in relation to disease aetiology; however, their value in risk prediction has been little examined. The objective was to assess and compare the association and predictive performance of 10 diet quality scores on 10-year risk of all-cause, CVD and cancer mortality in 451,256 healthy participants to the European Prospective Investigation into Cancer and Nutrition, followed-up for a median of 12.8y. All dietary scores studied showed significant inverse associations with all outcomes. The range of HRs (95% CI) in the top vs. lowest quartile of dietary scores in a composite model including non-invasive factors (age, sex, smoking, body mass index, education, physical activity and study centre) was 0.75 (0.72-0.79) to 0.88 (0.84-0.92) for all-cause, 0.76 (0.69-0.83) to 0.84 (0.76-0.92) for CVD and 0.78 (0.73-0.83) to 0.91 (0.85-0.97) for cancer mortality. Models with dietary scores alone showed low discrimination, but composite models also including age, sex and other non-invasive factors showed good discrimination and calibration, which varied little between different diet scores examined. Mean C-statistic of full models was 0.73, 0.80 and 0.71 for all-cause, CVD and cancer mortality. Dietary scores have poor predictive performance for 10-year mortality risk when used in isolation but display good predictive ability in combination with other non-invasive common risk factors.

Subject headings and genre

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  • Gunter, Marc J.Imperial College London (author)
  • Romaguera, DoraCarlos III Health Institute (author)
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  • Bueno-de-Mesquita, H. BasNational Institute for Public Health and the Environment (RIVM) (author)
  • Boer, Jolanda M. A. (author)
  • Sonestedt, EmilyLund University,Lunds universitet,Nutritionsepidemiologi,Forskargrupper vid Lunds universitet,Nutrition Epidemiology,Lund University Research Groups(Swepub:lu)medf-eso (author)
  • Nilsson, Lena MariaUmeå University,Umeå universitet,Näringsforskning(Swepub:lu)chem-lni (author)
  • Renström, FridaLund University,Lunds universitet,Umeå universitet,Näringsforskning,Genetisk och molekylär epidemiologi,Forskargrupper vid Lunds universitet,Genetic and Molecular Epidemiology,Lund University Research Groups(Swepub:lu)med-frm (author)
  • Weiderpass, ElisabeteKarolinska Institutet (author)
  • Skeie, GuriUiT The Arctic University of Norway, Tromsø (author)
  • Lund, EilivUiT The Arctic University of Norway, Tromsø (author)
  • Moons, Karel G. M.University Medical Center Utrecht (author)
  • Riboli, ElioImperial College London (author)
  • Tzoulaki, IoannaImperial College London (author)
  • Imperial College LondonCarlos III Health Institute (creator_code:org_t)

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  • In:PLOS ONE: Public Library of Science (PLoS)11:71932-6203

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