Alcoholic Beverage Preference and Dietary Habits in Elderly across Europe: Analyses within the Consortium on Health and Ageing: Network of Cohorts in Europe and the United States (CHANCES) Project

INTRODUCTION: The differential associations of beer, wine, and spirit consumption on cardiovascular risk found in observational studies may be confounded by diet. We described and compared dietary intake and diet quality according to alcoholic beverage preference in European elderly.

METHODS: From the Consortium on Health and Ageing: Network of Cohorts in Europe and the United States (CHANCES), seven European cohorts were included, i.e. four sub-cohorts from EPIC-Elderly, the SENECA Study, the Zutphen Elderly Study, and the Rotterdam Study. Harmonized data of 29,423 elderly participants from 14 European countries were analyzed. Baseline data on consumption of beer, wine, and spirits, and dietary intake were collected with questionnaires. Diet quality was assessed using the Healthy Diet Indicator (HDI). Intakes and scores across categories of alcoholic beverage preference (beer, wine, spirit, no preference, non-consumers) were adjusted for age, sex, socio-economic status, self-reported prevalent diseases, and lifestyle factors. Cohort-specific mean intakes and scores were calculated as well as weighted means combining all cohorts.

RESULTS: In 5 of 7 cohorts, persons with a wine preference formed the largest group. After multivariate adjustment, persons with a wine preference tended to have a higher HDI score and intake of healthy foods in most cohorts, but differences were small. The weighted estimates of all cohorts combined revealed that non-consumers had the highest fruit and vegetable intake, followed by wine consumers. Non-consumers and persons with no specific preference had a higher HDI score, spirit consumers the lowest. However, overall diet quality as measured by HDI did not differ greatly across alcoholic beverage preference categories.

DISCUSSION: This study using harmonized data from ~30,000 elderly from 14 European countries showed that, after multivariate adjustment, dietary habits and diet quality did not differ greatly according to alcoholic beverage preference.

The Last Minutes of Oxygen Shell Burning in a Massive Star

We present the first 3D simulation of the last minutes of oxygen shell burning in an 18 solar mass supernova progenitor up to the onset of core collapse. A moving inner boundary is used to accurately model the contraction of the silicon and iron core according to a 1D stellar evolution model with a self-consistent treatment of core deleptonization and nuclear quasi-equilibrium. The simulation covers the full solid angle to allow the emergence of large-scale convective modes. Due to core contraction and the concomitant acceleration of nuclear burning, the convective Mach number increases to ~0.1 at collapse, and an l=2 mode emerges shortly before the end of the simulation. Aside from a growth of the oxygen shell from 0.51 to 0.56 solar masses due to entrainment from the carbon shell, the convective flow is reasonably well described by mixing length theory, and the dominant scales are compatible with estimates from linear stability analysis. We deduce that artificial changes in the physics, such as accelerated core contraction, can have precarious consequences for the state of convection at collapse. We argue that scaling laws for the convective velocities and eddy sizes furnish good estimates for the state of shell convection at collapse and develop a simple analytic theory for the impact of convective seed perturbations on shock revival in the ensuing supernova. We predict a reduction of the critical luminosity for explosion by 12--24% due to seed asphericities for our 3D progenitor model relative to the case without large seed perturbations.