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000275919 0247_ $$2doi$$a10.1038/s43587-022-00180-5
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000275919 037__ $$aDKFZ-2023-00907
000275919 041__ $$aEnglish
000275919 082__ $$a610
000275919 1001_ $$aChen, Hui$$b0
000275919 245__ $$aPlant-based dietary patterns in relation to mortality among older adults in China.
000275919 260__ $$aLondon$$bNature Research$$c2022
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000275919 520__ $$aA plant-based dietary pattern has been recommended for its potential health and environmental benefits, but its relation to mortality warrants further exploration1. We examined this association among 13,154 adults aged 65 years and older (57.4% female) in the Chinese Longitudinal Healthy Longevity Survey (CLHLS). The overall plant-based diet index (PDI), healthful plant-based diet index (hPDI) and unhealthful plant-based diet index (uPDI) were calculated using dietary data collected by a simplified food frequency questionnaire (FFQ). Compared with the lowest quintile, participants in the highest quintile of PDI and hPDI had a decreased risk of all-cause mortality (hazard ratio (HR) = 0.92; 95% confidence interval (CI) 0.86, 0.98 for PDI; HR = 0.81, 95% CI, 0.76, 0.87 for hPDI), whereas participants with the highest uPDI scores had a 17% (95% CI, 9%, 26%) increased risk. Among plant foods, fresh fruits, fresh vegetables, legumes, garlic, nuts and tea were the main protective contributors, whereas preserved vegetables and sugar were associated with a higher risk of mortality. These findings support the beneficial roles of overall and healthful plant-based dietary patterns. The quality, and not only quantity, of plant foods should be emphasized in relevant public health recommendations.
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000275919 650_2 $$2MeSH$$aHumans
000275919 650_2 $$2MeSH$$aAged
000275919 650_2 $$2MeSH$$aDiet, Vegetarian
000275919 650_2 $$2MeSH$$aDiet
000275919 650_2 $$2MeSH$$aVegetables
000275919 650_2 $$2MeSH$$aPlants
000275919 650_2 $$2MeSH$$aDiet, Healthy
000275919 7001_ $$aShen, Jie$$b1
000275919 7001_ $$00000-0002-8497-9054$$aXuan, Jiaqi$$b2
000275919 7001_ $$0P:(DE-He78)e71d98af5fac4f81eb58e74b7b3095c2$$aZhu, Anna$$b3$$udkfz
000275919 7001_ $$aJi, John S$$b4
000275919 7001_ $$00000-0001-7356-645X$$aLiu, Xiaoran$$b5
000275919 7001_ $$00000-0002-5024-2652$$aCao, Yaying$$b6
000275919 7001_ $$00000-0002-0372-8262$$aZong, Geng$$b7
000275919 7001_ $$aZeng, Yi$$b8
000275919 7001_ $$00000-0003-2678-9217$$aWang, Xiaoxi$$b9
000275919 7001_ $$00000-0002-2389-8752$$aYuan, Changzheng$$b10
000275919 773__ $$0PERI:(DE-600)3029419-8$$a10.1038/s43587-022-00180-5$$gVol. 2, no. 3, p. 224 - 230$$n3$$p224 - 230$$tNature aging$$v2$$x2662-8465$$y2022
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