Objective-To assess the influence of a specific dietary pattern on ove
rall survival. Design-Cohort study. Setting-Three rural Greek villages
, the data from which were collected as part of an international cross
cultural study of food habits in later life. Subjects-182 elderly res
idents of the three villages. Main outcome measure-Overall mortality.
Results-Diet was assessed with a validated extensive semiquantitative
questionnaire on food intake. A one unit increase in diet score, devis
ed a priori on the basis of eight component characteristics of the tra
ditional common diet in the Mediterranean region, was associated with
a significant 17% reduction in overall mortality (95% confidence inter
val 1% to 31%). Conclusion-A diet meeting currently understood health
criteria does predict survival among people.