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Higher adherence to the SEAD has been associated with lower levels of some cardiovascular risk factors and reduced risk for myocardial infarction, but whether this translates into lower all-cause mortality is uncertain. We hence examined the association between adherence to the SEAD and all-cause mortality in older adults.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>Data were taken from the Seniors-ENRICA-1 cohort, which included 3165 individuals representative of the non-institutionalized population aged \u2265\u200960\u2009years in Spain. Food consumption was assessed with a validated diet history, and adherence to the SEAD was measured with an index comprising 9 food components: fresh fish, cod, red meat and pork products, dairy products, legumes and vegetables, vegetable soup, potatoes, whole-grain bread, and wine. Vital status was ascertained with the National Death Index of Spain. Statistical analyses were performed with Cox regression models and adjusted for the main confounders.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>During a median follow-up of 10.9\u2009years, 646 deaths occurred. Higher adherence to the SEAD was associated with lower all-cause mortality (fully adjusted hazard ratio [95% confidence interval] per 1-SD increment in the SEAD score 0.86 [0.79, 0.94]; <jats:italic>p<\/jats:italic>-trend &lt;\u20090.001). Most food components of the SEAD showed some tendency to lower all-cause mortality, especially moderate wine consumption (hazard ratio [95% confidence interval] 0.71 [0.59, 0.86]). The results were robust in several sensitivity analyses. The protective association between SEAD and all-cause death was of similar magnitude to that found for the Mediterranean Diet Adherence Screener (hazard ratio [95% confidence interval] per 1-SD increment 0.89 [0.80, 0.98]) and the Alternate Healthy Eating Index (0.83 [0.76, 0.92]).<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>Adherence to the SEAD is associated with a lower risk of all-cause death among older adults in Spain.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s12916-021-01911-y","type":"journal-article","created":{"date-parts":[[2021,2,9]],"date-time":"2021-02-09T03:21:50Z","timestamp":1612840910000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":32,"title":["The Southern European Atlantic Diet and all-cause mortality in older adults"],"prefix":"10.1186","volume":"19","author":[{"given":"Adri\u00e1n","family":"Carballo-Casla","sequence":"first","affiliation":[]},{"given":"Rosario","family":"Ortol\u00e1","sequence":"additional","affiliation":[]},{"given":"Esther","family":"Garc\u00eda-Esquinas","sequence":"additional","affiliation":[]},{"given":"Andreia","family":"Oliveira","sequence":"additional","affiliation":[]},{"given":"Mercedes","family":"Sotos-Prieto","sequence":"additional","affiliation":[]},{"given":"Carla","family":"Lopes","sequence":"additional","affiliation":[]},{"given":"Esther","family":"Lopez-Garcia","sequence":"additional","affiliation":[]},{"given":"Fernando","family":"Rodr\u00edguez-Artalejo","sequence":"additional","affiliation":[]}],"member":"297","published-online":{"date-parts":[[2021,2,9]]},"reference":[{"key":"1911_CR1","unstructured":"Varela G, Moreiras O, Ans\u00f3n R, \u00c1vila JM, Cuadrado C, Estalrich P, et al. 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