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@ARTICLE{Chen:275919,
author = {H. Chen and J. Shen and J. Xuan and A. Zhu$^*$ and J. S. Ji
and X. Liu and Y. Cao and G. Zong and Y. Zeng and X. Wang
and C. Yuan},
title = {{P}lant-based dietary patterns in relation to mortality
among older adults in {C}hina.},
journal = {Nature aging},
volume = {2},
number = {3},
issn = {2662-8465},
address = {London},
publisher = {Nature Research},
reportid = {DKFZ-2023-00907},
pages = {224 - 230},
year = {2022},
abstract = {A 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.},
keywords = {Humans / Aged / Diet, Vegetarian / Diet / Vegetables /
Plants / Diet, Healthy},
cin = {C070},
ddc = {610},
cid = {I:(DE-He78)C070-20160331},
pnm = {313 - Krebsrisikofaktoren und Prävention (POF4-313)},
pid = {G:(DE-HGF)POF4-313},
typ = {PUB:(DE-HGF)16},
pubmed = {pmid:37118372},
doi = {10.1038/s43587-022-00180-5},
url = {https://inrepo02.dkfz.de/record/275919},
}