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               <mods:identifier type="citation">Lassale C, Hernáez Á, Toledo E, Castañer O, Sorlí JV, Salas-Salvadó J, Estruch R, Ros E, Alonso-Gómez ÁM, Lapetra J, Cueto R, Fiol M, Serra-Majem L, Pinto X, Gea A, Corella D, Babio N, Fitó M, Schröder H. Energy Balance and Risk of Mortality in Spanish Older Adults. Nutrients. 2021 May 4;13(5):1545. doi: 10.3390/nu13051545. PMID: 34064328; PMCID: PMC8147789</mods:identifier>
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               <mods:abstract>This study from the PREDIMED trial examined the relationship between energy balance (deficit or surplus) and mortality risks, including all-cause, cardiovascular, and cancer mortality. It followed 7,119 older participants (mean age 67 years) for a median of 4.8 years. Energy intake was assessed using a food frequency questionnaire, and theoretical energy expenditure (TEE) was estimated based on demographic and physical activity data.&#xd;
&#xd;
Results showed that an energy surplus (intake exceeding estimated needs) was linked to an increased risk of mortality, particularly cardiovascular death. For every 10% surplus, the hazard ratio (HR) for mortality increased by 1.10, and for cardiovascular mortality, by 1.26. Conversely, an energy deficit did not show a protective effect on mortality. Additionally, increments in energy intake over time correlated with a higher risk of all-cause mortality, but reductions in intake did not decrease mortality risk.&#xd;
&#xd;
The study concludes that in older adults following a Mediterranean diet, an energy surplus or increases in energy intake are associated with higher mortality risks, especially cardiovascular. Conversely, energy deficits or reduced intake do not lower mortality risks.</mods:abstract>
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