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The SENECA study: potentials and problems in relating diet to survival over 10 years

Published online by Cambridge University Press:  22 December 2006

Wija A Van Staveren*
Affiliation:
Wageningen University, Department of Agrotechnology and Food Sciences, Division of Human Nutrition and Epidemiology, PO Box 8129, 6700 EV Wageningen, The Netherlands
Lisette CPMG de Groot
Affiliation:
Wageningen University, Department of Agrotechnology and Food Sciences, Division of Human Nutrition and Epidemiology, PO Box 8129, 6700 EV Wageningen, The Netherlands
Annemien Haveman-Nies
Affiliation:
Wageningen University, Department of Agrotechnology and Food Sciences, Division of Human Nutrition and Epidemiology, PO Box 8129, 6700 EV Wageningen, The Netherlands
*
*Corresponding author: Email wya.vanstaveren@staff.nutepi.wau.nl.
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Abstract

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Objective:

To give an overview of the evaluation of the modified diet history applied in the SENECA study (Survey in Europe on Nutrition and the Elderly; a Concerted Action).

Design:

Nineteen centres in 12 countries participated at baseline. Nine of these SENECA centres conducted a repeat measurement scheme in elderly people born between 1913 and 1918. These longitudinal centres included 100 subjects per sex per site.

Methods:

The relative validity of the method was tested by comparing results of the modified diet history with results obtained from a weighed record in 82 subjects. In the follow-up we compared changes in energy intake with changes in body weight and calculated the physical activity ratio in all longitudinal centres. In SENECA's finale we examined the predictive value of dietary patterns observed at baseline for survival 10 years later, making use of the original and an adapted Mediterranean Diet Score.

Results:

The modified diet history overestimated intake, compared with the weighed record. However, the physical activity ratio and an in-depth study in a metabolic room indicated that the diet history rather underestimated energy intake. We did not find a relationship between changes in energy intake and changes in body weight, but this could be explained by the fact that most likely we did not measure intake in the dynamic phase of body weight change. Based on the adapted Mediterranean Diet Score, the study results showed a positive relation between a healthy diet and survival.

Conclusion:

We conclude that the modified diet history has given sufficiently reliable results for the purposes of the study

Type
Research Article
Copyright
Copyright © CAB International 2002

References

1Burr, Ml. Cohort studies. In: Margetts, BM, Nelson, M, eds. Design Concepts in Nutritional Epidemiology. Oxford: Oxford University Press, 1991.Google Scholar
2Van Staveren, WA, de Groot, CPGM, Blauw, YH, van der Wielen, RPJ. Assessing diets of elderly people: problems and approaches. Am. J. Clin. Nutr. 1994; 59(Suppl.): 221S–3S.CrossRefGoogle ScholarPubMed
3Weinsier, RL, Heimburger, DC. Distinguishing malnutrition from disease: the search goes on. Am. J. Clin. Nutr. 1997; 66: 1063–4.CrossRefGoogle Scholar
4De Groot, LCPGM, van Staveren, WA, eds. Nutrition and the Elderly: Manual of Operations, November 1988. EURO-NUT Report 11, Wageningen: EURO-NUT, 1988.Google Scholar
5Moreiras-Varela, O, van Staveren, WA, Amorim Cruz, JA, Carbajal, A, De Henauw, S, Grunenberger, F, et al. Longitudinal changes in intake of energy and macronutrients of elderly Europeans. Eur. J. Clin. Nutr. 1996; 50(Suppl. 2): S67–76.Google Scholar
6Van Staveren, WA, Burema, J, Livingstone, MBE, van den Broek, T, Kaaks, R. Evaluation of the dietary history method used in the SENECA study. Eur. J. Clin. Nutr. 1996; 50(Suppl. 2): S47–55.Google ScholarPubMed
7Kohlmeier, L, Poortvliet, EJ. Eurocode 2 Food Coding System, version 92/1. Berlin: Institute for Social Medicine and Epidemiology, 1992.Google Scholar
8Trichopoulou, A, Kouris-Blazos, A, Wahlqvist, ML, Gnardellis, C, Lagiou, P, Polychronopoulos, E, et al. Diet and overall survival in elderly people. Br. Med. J. 1995; 11: 1457–60.CrossRefGoogle Scholar
9Haveman-Nies, A, Tucker, KL, de Groot, LCPGM, Wilson, PW, Van Staveren, WA. Evaluation of dietary quality in relationship to nutritional and lifestyle factors in elderly people of the US Framingham Heart Study and the European SENECA study. Eur. J. Clin. Nutr. 2001; 55: 870–80.CrossRefGoogle ScholarPubMed
10Nes, M, van Staveren, WA, Zajkas, G, Inelmen, EM, Moreiras-Varela, O. Validity of the dietary history method in elderly subjects. Eur. J. Clin. Nutr. 1991; 45(Suppl. 3): S97–104.Google ScholarPubMed
11Visser, M, de Groot, LCPGM, Deurenberg, P, van Staveren, WA. Validation of the dietary history method in a group of elderly women using measurements of total energy expenditure. Br. J. Nutr. 1995; 74: 775–85.Google Scholar
12Van Staveren, WA, Burema, J, de Groot, CPGM. The SENECA study: potentials and problems in assessing dietary changes over time. Int. J. Sports Med. 1997; 18(Suppl. 3): S195–9.CrossRefGoogle ScholarPubMed
13Kleinbaum, DG. Survival Analysis: A Self-Learning Text. New York: Springer-Verlag, 1996.CrossRefGoogle Scholar
14Van't Hof, MA, Burema, J. Assessment of bias in the SENECA study. Eur. J. Clin. Nutr. 1996; 50(Suppl. 2): S4–8.Google ScholarPubMed
15World Health Organization (WHO). Energy and Protein Requirements: Report of a Joint FAO/WHO/UNU Expert Consultation on Energy and Protein Requirements. Technical Report Series No. 724, Geneva: WHO, 1985.Google Scholar
16Beaton, GH, Milner, J, Corey, P, McGuire, V, Cousins, M, Stewart, E, et al. Sources of variance in 24-hour dietary recall data: implications for nutrition study design and interpretation. Am. J. Clin. Nutr. 1979; 32: 2546–9.CrossRefGoogle ScholarPubMed