@misc{10481/74790,
year = {2022},
month = {4},
url = {http://hdl.handle.net/10481/74790},
abstract = {We evaluated the relationship between the dietary diversity score (DDS) and all-cause, CVD
and cancer mortality in an adult Mediterranean population. We analyzed the data of 1540 participants
from the Valencia Nutrition Survey. The DDS was estimated using a validated food frequency
questionnaire and was categorized into quartiles (Q), where the first quartile indicates the lowest
dietary diversity. Deaths were ascertained during an 18-year follow-up period. Cox regression models
were used to estimate hazard ratios (HR) and 95% confidence intervals (CI). There were 403 deaths
during the follow-up period (40% due to CVD). An inverse association was observed between the
DDS and all-cause and CVD mortality. Compared with participants in the lowest DDS quartile (Q1),
participants in the highest DDS quartile (Q4) showed 32% and 45% less risk of death for all-cause and
CVD mortality, in sex- and age-adjusted models, respectively. Regarding the food groups in the DDS,
an inverse association was identified between total vegetable consumption diversity and all-cause
and CVD mortality in the highest quartiles, (Q3 vs. Q1, HR: 0.70; 95% CI: 0.50, 0.99) and (Q4 vs. Q1,
HR: 0.52; 95% CI: 0.30, 0.91), respectively. This study suggests that a higher diversity in food intake,
particularly in vegetables, may be associated with a lower risk of all-cause and CVD mortality. This
association should be further investigated in other wider populations.},
organization = {Direccion General de Salud Publica		
Generalitat Valenciana},
organization = {European Commission},
organization = {General Electric	AICO/2021/347},
organization = {Instituto de Salud Carlos III	FIS 00/0985	
Instituto de Salud Carlos III
European Commission		
European Commission	FIS PI13/00654},
publisher = {MDPI},
keywords = {Dietary diversity score},
keywords = {Mortality},
keywords = {Cardiovascular disease},
keywords = {Cancer},
title = {Association between Dietary Diversity and All-Cause Mortality: A Multivariable Model in a Mediterranean Population with 18 Years of Follow-Up},
doi = {10.3390/nu14081583},
author = {Torres Collado, Laura and Cano Ibáñez, Naomi and Bueno Cavanillas, Aurora},
}