The influence of energy standardisation on the alternate Mediterranean diet score and its association with mortality in the Multiethnic Cohort
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 differe...
| Main Authors: | , , , , , , |
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| Format: | Journal Article |
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Cambridge University Press
2016
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| Online Access: | http://hdl.handle.net/20.500.11937/50884 |
| _version_ | 1848758559494373376 |
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| author | Shvetsov, Y. Harmon, B. Ettienne, R. Wilkens, L. Le Marchand, L. Kolonel, L. Boushey, Carol |
| author_facet | Shvetsov, Y. Harmon, B. Ettienne, R. Wilkens, L. Le Marchand, L. Kolonel, L. Boushey, Carol |
| author_sort | Shvetsov, Y. |
| building | Curtin Institutional Repository |
| collection | Online Access |
| description | 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. |
| first_indexed | 2025-11-14T09:45:55Z |
| format | Journal Article |
| id | curtin-20.500.11937-50884 |
| institution | Curtin University Malaysia |
| institution_category | Local University |
| last_indexed | 2025-11-14T09:45:55Z |
| publishDate | 2016 |
| publisher | Cambridge University Press |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | curtin-20.500.11937-508842018-03-29T09:09:27Z The influence of energy standardisation on the alternate Mediterranean diet score and its association with mortality in the Multiethnic Cohort Shvetsov, Y. Harmon, B. Ettienne, R. Wilkens, L. Le Marchand, L. Kolonel, L. Boushey, Carol 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. 2016 Journal Article http://hdl.handle.net/20.500.11937/50884 10.1017/S0007114516003482 Cambridge University Press restricted |
| spellingShingle | Shvetsov, Y. Harmon, B. Ettienne, R. Wilkens, L. Le Marchand, L. Kolonel, L. Boushey, Carol The influence of energy standardisation on the alternate Mediterranean diet score and its association with mortality in the Multiethnic Cohort |
| title | The influence of energy standardisation on the alternate Mediterranean diet score and its association with mortality in the Multiethnic Cohort |
| title_full | The influence of energy standardisation on the alternate Mediterranean diet score and its association with mortality in the Multiethnic Cohort |
| title_fullStr | The influence of energy standardisation on the alternate Mediterranean diet score and its association with mortality in the Multiethnic Cohort |
| title_full_unstemmed | The influence of energy standardisation on the alternate Mediterranean diet score and its association with mortality in the Multiethnic Cohort |
| title_short | The influence of energy standardisation on the alternate Mediterranean diet score and its association with mortality in the Multiethnic Cohort |
| title_sort | influence of energy standardisation on the alternate mediterranean diet score and its association with mortality in the multiethnic cohort |
| url | http://hdl.handle.net/20.500.11937/50884 |