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DC Field | Value | Language |
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dc.contributor.author | Lassale, Camille | - |
dc.contributor.author | Hernáez Camba, Álvaro | - |
dc.contributor.author | Toledo Atucha, Estefanía | - |
dc.contributor.author | Castañer, Olga | - |
dc.contributor.author | Sorlí, José V. | - |
dc.contributor.author | Salas Salvadó, Jordi | - |
dc.contributor.author | Estruch Riba, Ramon | - |
dc.contributor.author | Ros Rahola, Emilio | - |
dc.contributor.author | Alonso Gómez, Ángel M. | - |
dc.contributor.author | Lapetra, José | - |
dc.contributor.author | Cueto, Raquel | - |
dc.contributor.author | Fiol Sala, Miguel | - |
dc.contributor.author | Serra Majem, Lluís | - |
dc.contributor.author | Pintó Sala, Xavier | - |
dc.contributor.author | Gea, Alfredo | - |
dc.contributor.author | Corella Piquer, Dolores | - |
dc.contributor.author | Babio, Nancy | - |
dc.contributor.author | Fitó Colomer, Montserrat | - |
dc.contributor.author | Schröder, Helmut, 1958- | - |
dc.date.accessioned | 2021-07-12T09:52:07Z | - |
dc.date.available | 2021-07-12T09:52:07Z | - |
dc.date.issued | 2021-05-04 | - |
dc.identifier.uri | http://hdl.handle.net/2445/179013 | - |
dc.description.abstract | Clinical data on the direct health effects of energy deficit or surplus beyond its impact on body weight are scarce. We aimed to assess the association with all-cause, cardiovascular and cancer mortality of (1) sustained energy deficit or surplus, calculated according to each individual's en-ergy intake (EI) and theoretical energy expenditure (TEE), and (2) mid-term change in total EI in a prospective study. In 7119 participants in the PREDIMED Study (PREvención con DIeta MEDi-terránea) with a mean age of 67 years, energy intake was derived from a 137-item food frequency questionnaire. TEE was calculated as a function of age, sex, height, body weight and physical ac-tivity. The main exposure was the proportion of energy requirement covered by energy intake, cumulative throughout the follow-up. The secondary exposure was the change in energy intake from baseline. Cox proportional hazard models were used to estimate hazard ratios and 95% con-fidence intervals for all-cause, cardiovascular and cancer mortality. Over a median follow-up of 4.8 years, there were 239 deaths (excluding the first 2 years). An energy intake exceeding energy needs was associated with an increase in mortality risk (continuous HR10% over energy needs = 1.10; 95% CI 1.02, 1.18), driven by cardiovascular death (HR = 1.26; 95% CI 1.11, 1.43). However, consum-ing energy below estimated needs was not associated with a lower risk. Increments over time in energy intake were associated with greater all-cause mortality (HR10% increase = 1.09; 95% CI 1.02, 1.17). However, there was no evidence that a substantial negative change in energy intake would reduce mortality risk. To conclude, in an older Mediterranean cohort, energy surplus or increase over a 5-year period was associated with greater risk of mortality, particularly cardiovascular mortality. Energy deficit, or reduction in energy intake over time were not associated with mortal-ity risk. | - |
dc.format.extent | 12 p. | - |
dc.format.mimetype | application/pdf | - |
dc.language.iso | eng | - |
dc.publisher | MDPI AG | - |
dc.relation.isformatof | Reproducció del document publicat a: https://doi.org/10.3390/nu13051545 | - |
dc.relation.ispartof | Nutrients, 2021, vol. 13, num. 5, p. 1545 | - |
dc.relation.uri | https://doi.org/10.3390/nu13051545 | - |
dc.rights | cc by (c) Lassale, Camille et al., 2021 | - |
dc.rights.uri | http://creativecommons.org/licenses/by/3.0/es/ | * |
dc.source | Articles publicats en revistes (Ciències Clíniques) | - |
dc.subject.classification | Persones grans | - |
dc.subject.classification | Epidemiologia | - |
dc.subject.classification | Mortalitat | - |
dc.subject.other | Older people | - |
dc.subject.other | Epidemiology | - |
dc.subject.other | Mortality | - |
dc.title | Energy Balance and Risk of Mortality in Spanish Older Adults | - |
dc.type | info:eu-repo/semantics/article | - |
dc.identifier.idgrec | 714462 | - |
dc.date.updated | 2021-07-09T08:27:03Z | - |
dc.rights.accessRights | info:eu-repo/semantics/openAccess | - |
dc.identifier.pmid | 34064328 | - |
Appears in Collections: | Articles publicats en revistes (Medicina) Articles publicats en revistes (IDIBAPS: Institut d'investigacions Biomèdiques August Pi i Sunyer) Articles publicats en revistes (Ciències Clíniques) Articles publicats en revistes (Institut d'lnvestigació Biomèdica de Bellvitge (IDIBELL)) |
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File | Description | Size | Format | |
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nutrients-13-01545.pdf | 1.36 MB | Adobe PDF | View/Open |
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