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BMJ 2005;330:1329 (4 June), doi:10.1136/bmj.330.7503.1329
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EDITORThe EPIC-elderly cohort study was designed to investigate the association between a modified Mediterranean diet and longer life expectancy among an elderly subpopulation (older than 60) that is part of the larger EPIC (European Prospective Investigation into Cancer and Nutrition) cohort.1 2
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Focusing the attention on a sample with a more restricted age range seems to reinforce previous findings on diet linked longevity, but important risk factors were not taken into account in collecting the data.
Total cholesterol, low density lipoprotein cholesterol, high density lipoprotein cholesterol, and blood pressure are well known determinants of cardiovascular disease. The study's outcomes are expressed in term of mortality, and cardiovascular disease remains the most important of all causes of death. The benefits of a healthy eating pattern with respect to these variables have been shown.3
The same might not be sustained if the total EPIC cohort were considered (aged 20-85).2 Have the
Emanuele Cereda, clinical nutritionist
emanuele.cereda@virgilio.it
School of Clinical Nutrition, Faculty of Medicine, University of Milan, 20133 Milan, Italy
Alexis E Malavazos, clinical nutritionist, Carla Favaro, professor, Anna M Pagani, senior researcher
School of Clinical Nutrition, Faculty of Medicine, University of Milan, 20133 Milan, Italy