Factor analysis in the identification of dietary patterns and their predictive role in morbid and fatal events.

Abstract:

OBJECTIVE:The purpose was to examine the role of dietary patterns derived from factor analysis and their association with health and disease. DESIGN:Longitudinal population study, with measurement of diet (dietary history method), cardiovascular risk factors and a follow-up of 20 years for CHD incidence and 40 years for mortality. SETTING:Two population samples in rural villages in northern and central Italy. SUBJECTS:Men (n 1221) aged 45-64 years were examined and followed up. RESULTS:One of the factors identified with factor analysis, run on seventeen food groups, was converted into a factor score (Factor 2 score) and used as a possible predictor of morbid and fatal events. High values of Factor 2 score were characterized by higher consumption of bread, cereals (pasta), potatoes, vegetables, fish and oil and by lower consumption of milk, sugar, fruit and alcoholic beverages. In multivariate analysis, Factor 2 score (mean 0·0061; sd 1·3750) was inversely and significantly associated (hazard ratio for a 1 sd increase; 95% CI) with 20-year CHD incidence (0·88; 0·73, 0·96) and 40-year mortality from CHD (0·79; 0·66, 0·95), CVD (0·87; 0·78, 0·96), cancer (0·84; 0·74, 0·96) and all causes (0·89; 0·83, 0·96), after adjustment for five other risk factors. Men in quintile 5 of Factor 2 score had a 4·1 years longer life expectancy compared with men in quintile 1. CONCLUSIONS:A dietary pattern derived from factor analysis, and resembling the characteristics of the Mediterranean diet, was protective for the occurrence of various morbid and fatal events during 40 years of follow-up.

journal_name

Public Health Nutr

journal_title

Public health nutrition

authors

Menotti A,Alberti-Fidanza A,Fidanza F,Lanti M,Fruttini D

doi

10.1017/S1368980011003235

subject

Has Abstract

pub_date

2012-07-01 00:00:00

pages

1232-9

issue

7

eissn

1368-9800

issn

1475-2727

pii

S1368980011003235

journal_volume

15

pub_type

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