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Article: Diet synergies and mortality - A population-based case-control study of 32 462 Hong Kong Chinese older adults

TitleDiet synergies and mortality - A population-based case-control study of 32 462 Hong Kong Chinese older adults
Authors
Issue Date2006
PublisherOxford University Press. The Journal's web site is located at http://ije.oxfordjournals.org/
Citation
International Journal Of Epidemiology, 2006, v. 35 n. 2, p. 418-426 How to Cite?
AbstractBackground: Food and drink are not consumed in isolation and can have complimentary effects enhancing or blocking the overall uptake of nutrients. We investigated how combinations of foods, drinks, and smoking affected mortality. Method: Adjusted logistic regression was used to assess the joint effect of healthy foods, less healthy foods, smoking, and alcohol use on mortality in a case-control study of all Chinese adults aged 60 or over who died in 1998; 21 494 dead cases (81% of all registered deaths) and 10 968 live controls were included. Results: There was a significant trend of increasing all-cause mortality risk with decreasing healthy food consumption (P < 0.001), and the increase in risk was significantly steeper for people with high intakes of less healthy food (P for interaction <0.001). There was a steeper risk from increasing less healthy food intake in ever-smokers and people not drinking tea regularly (P < 0.001), while the J-shaped relationship between alcohol and mortality differed in shape with level of less healthy food intake. Conclusion: Intake of some dietary items may modify the effect of others. An analysis framework explicitly recognizing complementary and potentially synergistic effects of food, drinks, and smoking could enhance our understanding of dietary epidemiology. © 2006 Oxford University Press.
Persistent Identifierhttp://hdl.handle.net/10722/151624
ISSN
2015 Impact Factor: 7.522
2015 SCImago Journal Rankings: 4.381
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorSchooling, CMen_US
dc.contributor.authorHo, SYen_US
dc.contributor.authorLeung, GMen_US
dc.contributor.authorThomas, GNen_US
dc.contributor.authorMcghee, SMen_US
dc.contributor.authorMak, KHen_US
dc.contributor.authorLam, THen_US
dc.date.accessioned2012-06-26T06:25:38Z-
dc.date.available2012-06-26T06:25:38Z-
dc.date.issued2006en_US
dc.identifier.citationInternational Journal Of Epidemiology, 2006, v. 35 n. 2, p. 418-426en_US
dc.identifier.issn0300-5771en_US
dc.identifier.urihttp://hdl.handle.net/10722/151624-
dc.description.abstractBackground: Food and drink are not consumed in isolation and can have complimentary effects enhancing or blocking the overall uptake of nutrients. We investigated how combinations of foods, drinks, and smoking affected mortality. Method: Adjusted logistic regression was used to assess the joint effect of healthy foods, less healthy foods, smoking, and alcohol use on mortality in a case-control study of all Chinese adults aged 60 or over who died in 1998; 21 494 dead cases (81% of all registered deaths) and 10 968 live controls were included. Results: There was a significant trend of increasing all-cause mortality risk with decreasing healthy food consumption (P < 0.001), and the increase in risk was significantly steeper for people with high intakes of less healthy food (P for interaction <0.001). There was a steeper risk from increasing less healthy food intake in ever-smokers and people not drinking tea regularly (P < 0.001), while the J-shaped relationship between alcohol and mortality differed in shape with level of less healthy food intake. Conclusion: Intake of some dietary items may modify the effect of others. An analysis framework explicitly recognizing complementary and potentially synergistic effects of food, drinks, and smoking could enhance our understanding of dietary epidemiology. © 2006 Oxford University Press.en_US
dc.languageengen_US
dc.publisherOxford University Press. The Journal's web site is located at http://ije.oxfordjournals.org/en_US
dc.relation.ispartofInternational Journal of Epidemiologyen_US
dc.subject.meshAgeden_US
dc.subject.meshAlcohol Drinking - Adverse Effects - Mortalityen_US
dc.subject.meshCase-Control Studiesen_US
dc.subject.meshDiet - Adverse Effects - Statistics & Numerical Dataen_US
dc.subject.meshEpidemiologic Methodsen_US
dc.subject.meshFemaleen_US
dc.subject.meshFood Habitsen_US
dc.subject.meshFruiten_US
dc.subject.meshHong Kong - Epidemiologyen_US
dc.subject.meshHumansen_US
dc.subject.meshMaleen_US
dc.subject.meshMiddle Ageden_US
dc.subject.meshSeafooden_US
dc.subject.meshSmoking - Adverse Effects - Mortalityen_US
dc.subject.meshSoy Foodsen_US
dc.subject.meshTeaen_US
dc.subject.meshVegetablesen_US
dc.titleDiet synergies and mortality - A population-based case-control study of 32 462 Hong Kong Chinese older adultsen_US
dc.typeArticleen_US
dc.identifier.emailSchooling, CM:cms1@hkucc.hku.hken_US
dc.identifier.emailHo, SY:syho@hku.hken_US
dc.identifier.emailLeung, GM:gmleung@hku.hken_US
dc.identifier.emailMcGhee, SM:smmcghee@hkucc.hku.hken_US
dc.identifier.emailLam, TH:hrmrlth@hkucc.hku.hken_US
dc.identifier.authoritySchooling, CM=rp00504en_US
dc.identifier.authorityHo, SY=rp00427en_US
dc.identifier.authorityLeung, GM=rp00460en_US
dc.identifier.authorityMcGhee, SM=rp00393en_US
dc.identifier.authorityLam, TH=rp00326en_US
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.doi10.1093/ije/dyi296en_US
dc.identifier.pmid16394118-
dc.identifier.scopuseid_2-s2.0-33645822095en_US
dc.identifier.hkuros115652-
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-33645822095&selection=ref&src=s&origin=recordpageen_US
dc.identifier.volume35en_US
dc.identifier.issue2en_US
dc.identifier.spage418en_US
dc.identifier.epage426en_US
dc.identifier.isiWOS:000236817900040-
dc.publisher.placeUnited Kingdomen_US
dc.identifier.scopusauthoridSchooling, CM=12808565000en_US
dc.identifier.scopusauthoridHo, SY=7403716884en_US
dc.identifier.scopusauthoridLeung, GM=7007159841en_US
dc.identifier.scopusauthoridThomas, GN=35465269900en_US
dc.identifier.scopusauthoridMcGhee, SM=7003288588en_US
dc.identifier.scopusauthoridMak, KH=8623141300en_US
dc.identifier.scopusauthoridLam, TH=7202522876en_US
dc.identifier.citeulike591642-

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