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M M Bergmann,
M Schütze,
A Steffen,
H Boeing,
J Halkjaer,
A Tjonneland,
N Travier,
A Agudo,
N Slimani,
S Rinaldi, [......],
D Palli,
S Grioni,
P Vineis,
S Panico,
R Tumino,
E Riboli,
N J Wareham,
B Bueno-de-Mesquita,
A May,
P H M Peeters
[show abstract]
[hide abstract]
ABSTRACT: The relation between lifetime use of alcohol and measures of abdominal and general adiposity is unknown.
Among 99,381 men and 158,796 women of the European Prospective Investigation into Cancer and Nutrition (EPIC) study, means of waist circumference (WC), waist-to-hip-ratio (WHR) and body mass index (BMI), and odds ratios (OR) for a larger WC than predicted for a given BMI (WClp=positive residuals of gender specific linear regression of BMI on WC) across categories of average lifetime use of alcohol (total, from wine and from beer) were calculated, all adjusted for socio-demographic, lifestyle and health factors.
WC, WHR and BMI in men using lifetime ≤6 g/d alcohol were 95.1 cm, 0.942 and 27.3 kg/m(2), and 96.2 cm, 0.961 and 28.3 kg/m(2) when using >96 g/d. WC and WHR in women was 83.2 cm and 0.813 for ≤6 g/d, and 84.6 cm and 0.830 for >60 g/d, whereas BMI deviated only slightly with the lowest BMI (26.7 kg/m(2)) observed for >6-24 g/d. Compared with ≤6 g/d, OR for a WClp in both genders increased steadily across categories of alcohol use (up to 1.40 (95% confidence interval 1.32, 1.49) in men using >60 g/d and 1.63 (1.54, 1.73) in women using >24 g/d), though increase was higher for alcohol from beer than from wine (P for difference between beer and wine<0.001 (men) and=0.002 (women)).
Lifetime alcohol use is positively related to abdominal and general adiposity in men, possibly following the male weight gain pattern; in women, it is positively related only to abdominal adiposity. In this context, beer may contribute additionally to abdominal adiposity.
European journal of clinical nutrition 05/2011; 65(10):1079-87. · 3.07 Impact Factor
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M M Bergmann,
M Sch|[uuml]|tze,
A Steffen,
H Boeing,
J Halkjaer,
A Tjonneland,
N Travier,
A Agudo,
N Slimani,
S Rinaldi, [......],
D Palli,
S Grioni,
P Vineis,
S Panico,
R Tumino,
E Riboli,
N J Wareham,
B Bueno-de-Mesquita,
A May,
P H M Peeters
[show abstract]
[hide abstract]
ABSTRACT: Background/Objectives: The relation between lifetime use of alcohol and measures of abdominal and general adiposity is unknown.
European Journal of Clinical Nutrition 05/2011; 65(10):1079-1087. · 2.46 Impact Factor
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A Naska,
P Orfanos,
A Trichopoulou,
A M May,
K Overvad,
M U Jakobsen,
A Tjønneland,
J Halkjær,
G Fagherazzi,
F Clavel-Chapelon, [......],
K-T Khaw,
N J Wareham, E A Spencer,
H Freisling,
N Slimani,
A-C Vergnaud,
T Mouw,
D Romaguera,
A Odysseos,
P H M Peeters
[show abstract]
[hide abstract]
ABSTRACT: The aim of this study was to examine the association of body mass index (BMI) and weight gain with eating at restaurants and similar establishments or eating at work among 10 European countries of the European Prospective Investigation into Cancer and Nutrition (EPIC) study.
This study included a representative sample of 24,310 randomly selected EPIC participants.
Single 24-h dietary recalls with information on the place of consumption were collected using standardized procedures between 1995 and 2000. Eating at restaurants was defined to include all eating and drinking occasions at restaurants, cafeterias, bars and fast food outlets. Eating at work included all eating and drinking occasions at the workplace. Associations between eating at restaurants or eating at work and BMI or annual weight changes were assessed using sex-specific linear mixed-effects models, controlling for potential confounders.
In southern Europe energy intake at restaurants was higher than intake at work, whereas in northern Europe eating at work appeared to contribute more to the mean daily intake than eating at restaurants. Cross-sectionally, eating at restaurants was found to be positively associated with BMI only among men (β=+0.24, P=0.003). Essentially no association was found between BMI and eating at work among both genders. In a prospective analysis among men, eating at restaurants was found to be positively, albeit nonsignificantly, associated with weight gain (β=+0.05, P=0.368). No association was detected between energy intake at restaurants and weight changes, controlling for total energy intake.
Among men, eating at restaurants and similar establishments was associated with higher BMI and possibly weight gain.
International journal of obesity (2005) 03/2011; 35(3):416-26. · 4.34 Impact Factor
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J Y Park,
C C Dahm,
R H Keogh,
P N Mitrou,
B J Cairns,
D C Greenwood, E A Spencer,
I S Fentiman,
M J Shipley,
E J Brunner,
J E Cade,
V J Burley,
G D Mishra,
D Kuh,
A M Stephen,
I R White,
R N Luben,
A A Mulligan,
K-T Khaw,
S A Rodwell
[show abstract]
[hide abstract]
ABSTRACT: Epidemiological studies have suggested that excessive alcohol intake increases colorectal cancer (CRC) risk. However, findings regarding tumour subsites and sex differences have been inconsistent.
We investigated the prospective associations between alcohol intake on overall and site- and sex-specific CRC risk. Analyses were conducted on 579 CRC cases and 1996 matched controls nested within the UK Dietary Cohort Consortium using standardised data obtained from food diaries as a main nutritional method and repeated using data from food frequency questionnaire (FFQ).
Compared with individuals in the lightest category of drinkers (>0-<5 g per day), the multivariable odds ratios of CRC were 1.16 (95% confidence interval (95% CI): 0.88, 1.53) for non-drinkers, 0.91 (95% CI: 0.67, 1.24) for drinkers with 5-<15 g per day, 0.90 (95% CI: 0.65, 1.25) for drinkers with 15-<30 g per day, 1.02 (95% CI: 0.66, 1.58) for drinkers with 30-<45 g per day and 1.19 (95% CI: 0.75, 1.91) for drinkers with >or=45 g per day. No clear associations were observed between site-specific CRC risk and alcohol intake in either sex. Analyses using FFQ showed similar results.
We found no significantly increased risk of CRC up to 30 g per day of alcohol intake within the UK Dietary Cohort Consortium.
British Journal of Cancer 08/2010; 103(5):747-56. · 5.04 Impact Factor
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J Y Park,
C C Dahm,
R H Keogh,
P N Mitrou,
B J Cairns,
D C Greenwood, E A Spencer,
I S Fentiman,
M J Shipley,
E J Brunner,
J E Cade,
V J Burley,
G D Mishra,
D Kuh,
A M Stephen,
I R White,
R N Luben,
A A Mulligan,
K-T Khaw,
S A Rodwell
[show abstract]
[hide abstract]
ABSTRACT: Background: Epidemiological studies have suggested that excessive alcohol intake increases colorectal cancer (CRC) risk. However, findings regarding tumour subsites and sex differences have been inconsistent.
British Journal of Cancer 07/2010; 103(5):747-756. · 5.04 Impact Factor
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M C Ocké,
N Larrañaga,
S Grioni,
S W van den Berg,
P Ferrari,
S Salvini,
V Benetou,
J Linseisen,
E Wirfält,
S Rinaldi, [......],
C L Parr,
M J Tormo,
M J Sanchez,
J Manjer,
V Hellstrom,
A Mulligan, E A Spencer,
E Riboli,
S Bingham,
N Slimani
[show abstract]
[hide abstract]
ABSTRACT: To describe energy intake and its macronutrient and food sources among 27 regions in 10 countries participating in the European Prospective Investigation into Cancer and Nutrition (EPIC) study.
Between 1995 and 2000, 36 034 subjects aged 35-74 years were administered a standardized 24-h dietary recall. Intakes of macronutrients (g/day) and energy (kcal/day) were estimated using standardized national nutrient databases. Mean intakes were weighted by season and day of the week and were adjusted for age, height and weight, after stratification by gender. Extreme low- and high-energy reporters were identified using Goldberg's cutoff points (ratio of energy intake and estimated basal metabolic rate <0.88 or >2.72), and their effects on macronutrient and energy intakes were studied.
Low-energy reporting was more prevalent in women than in men. The exclusion of extreme-energy reporters substantially lowered the EPIC-wide range in mean energy intake from 2196-2877 to 2309-2866 kcal among men. For women, these ranges were 1659-2070 and 1873-2108 kcal. There was no north-south gradient in energy intake or in the prevalence of low-energy reporting. In most centres, cereals and cereal products were the largest contributors to energy intake. The food groups meat, dairy products and fats and oils were also important energy sources. In many centres, the highest mean energy intakes were observed on Saturdays.
These data highlight and quantify the variations and similarities in energy intake and sources of energy intake among 10 European countries. The prevalence of low-energy reporting indicates that the study of energy intake is hampered by the problem of underreporting.
European journal of clinical nutrition 11/2009; 63 Suppl 4:S3-15. · 3.07 Impact Factor
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M M E van Bakel,
R Kaaks,
E J M Feskens,
S Rohrmann,
A A Welch,
V Pala,
K Avloniti,
Y T van der Schouw,
D L van der A,
H Du, [......],
E Sonestedt,
I Johansson,
M Schulze,
E Ardanaz,
G Buckland,
A Tjønneland,
K Overvad,
S Bingham,
E Riboli,
N Slimani
[show abstract]
[hide abstract]
ABSTRACT: To describe dietary glycaemic index (GI) and glycaemic load (GL) values in the population participating in the European Prospective Investigation into Cancer and Nutrition (EPIC) study according to food groups, nutrients and lifestyle characteristics.
Single 24-h dietary recalls (24-HDRs) from 33 566 subjects were used to calculate dietary GI and GL, and an ad hoc database was created as the main reference source. Mean GI and GL intakes were adjusted for age, total energy intake, height and weight, and were weighted by season and day of recall.
GI was the lowest in Spain and Germany, and highest in the Netherlands, United Kingdom and Denmark for both genders. In men, GL was the lowest in Spain and Germany and highest in Italy, whereas in women, it was the lowest in Spain and Greece and highest in the UK health-conscious cohort. Bread was the largest contributor to GL in all centres (15-45%), but it also showed the largest inter-individual variation. GL, but not GI, tended to be lower in the highest body mass index category in both genders. GI was positively correlated with starch and intakes of bread and potatoes, whereas it was correlated negatively with intakes of sugar, fruit and dairy products. GL was positively correlated with all carbohydrate components and intakes of cereals, whereas it was negatively correlated with fat and alcohol and with intakes of wine, with large variations across countries.
GI means varied modestly across countries and genders, whereas GL means varied more, but it may possibly act as a surrogate of carbohydrate intake.
European journal of clinical nutrition 11/2009; 63 Suppl 4:S188-205. · 3.07 Impact Factor
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G Skeie,
T Braaten,
A Hjartåker,
M Lentjes,
P Amiano,
P Jakszyn,
V Pala,
A Palanca,
E M Niekerk,
H Verhagen, [......],
J Linseisen,
A Schienkiewitz,
A A Welch,
J Manjer,
P Ferrari,
E Riboli,
S Bingham,
D Engeset,
E Lund,
N Slimani
[show abstract]
[hide abstract]
ABSTRACT: Dietary supplement use is increasing, but there are few comparable data on supplement intakes and how they affect the nutrition and health of European consumers. The aim of this study was to describe the use of dietary supplements in subsamples of the 10 countries participating in the European Prospective Investigation into Cancer and Nutrition (EPIC).
Specific questions on dietary supplement use were asked as a part of single 24-h recalls performed on 36,034 men and women aged 35-74 years from 1995 to 2000.
Between countries, the mean percentage of dietary supplement use varied almost 10-fold among women and even more among men. There was a clear north-south gradient in use, with a higher consumption in northern countries. The lowest crude mean percentage of use was found in Greece (2.0% among men, 6.7% among women), and the highest was in Denmark (51.0% among men, 65.8% among women). Use was higher in women than in men. Vitamins, minerals or combinations of them were the predominant types of supplements reported, but there were striking differences between countries.
This study indicates that there are wide variations in supplement use in Europe, which may affect individual and population nutrient intakes. The results underline the need to monitor consumption of dietary supplements in Europe, as well as to evaluate the risks and benefits.
European journal of clinical nutrition 11/2009; 63 Suppl 4:S226-38. · 3.07 Impact Factor
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[show abstract]
[hide abstract]
ABSTRACT: Few prospective studies have examined cancer incidence among vegetarians.
We studied 61,566 British men and women, comprising 32,403 meat eaters, 8562 non-meat eaters who did eat fish ('fish eaters') and 20,601 vegetarians. After an average follow-up of 12.2 years, there were 3350 incident cancers of which 2204 were among meat eaters, 317 among fish eaters and 829 among vegetarians. Relative risks (RRs) were estimated by Cox regression, stratified by sex and recruitment protocol and adjusted for age, smoking, alcohol, body mass index, physical activity level and, for women only, parity and oral contraceptive use.
There was significant heterogeneity in cancer risk between groups for the following four cancer sites: stomach cancer, RRs (compared with meat eaters) of 0.29 (95% CI: 0.07-1.20) in fish eaters and 0.36 (0.16-0.78) in vegetarians, P for heterogeneity=0.007; ovarian cancer, RRs of 0.37 (0.18-0.77) in fish eaters and 0.69 (0.45-1.07) in vegetarians, P for heterogeneity=0.007; bladder cancer, RRs of 0.81 (0.36-1.81) in fish eaters and 0.47 (0.25-0.89) in vegetarians, P for heterogeneity=0.05; and cancers of the lymphatic and haematopoietic tissues, RRs of 0.85 (0.56-1.29) in fish eaters and 0.55 (0.39-0.78) in vegetarians, P for heterogeneity=0.002. The RRs for all malignant neoplasms were 0.82 (0.73-0.93) in fish eaters and 0.88 (0.81-0.96) in vegetarians (P for heterogeneity=0.001).
The incidence of some cancers may be lower in fish eaters and vegetarians than in meat eaters.
British Journal of Cancer 07/2009; 101(1):192-7. · 5.04 Impact Factor
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R C Travis, E A Spencer,
N E Allen,
P N Appleby,
A W Roddam,
K Overvad,
N F Johnsen,
A Olsen,
R Kaaks,
J Linseisen, [......],
M-J S|[aacute]|nchez,
S Bingham,
K-T Khaw,
G Hallmans,
P Stattin,
S Rinaldi,
N Slimani,
M Jenab,
E Riboli,
T J Key
[show abstract]
[hide abstract]
ABSTRACT: We examined plasma concentrations of phyto-oestrogens in relation to risk for subsequent prostate cancer in a case–control study nested in the European Prospective Investigation into Cancer and Nutrition. Concentrations of isoflavones genistein, daidzein and equol, and that of lignans enterolactone and enterodiol, were measured in plasma samples for 950 prostate cancer cases and 1042 matched control participants. Relative risks (RRs) for prostate cancer in relation to plasma concentrations of these phyto-oestrogens were estimated by conditional logistic regression. Higher plasma concentrations of genistein were associated with lower risk of prostate cancer: RR among men in the highest vs the lowest fifth, 0.71 (95% confidence interval (CI) 0.53–0.96, P trend=0.03). After adjustment for potential confounders this RR was 0.74 (95% CI 0.54–1.00, P trend=0.05). No statistically significant associations were observed for circulating concentrations of daidzein, equol, enterolactone or enterodiol in relation to overall risk for prostate cancer. There was no evidence of heterogeneity in these results by age at blood collection or country of recruitment, nor by cancer stage or grade. These results suggest that higher concentrations of circulating genistein may reduce the risk of prostate cancer but do not support an association with plasma lignans.Keywords: prospective, prostate cancer, plasma, isoflavone, lignan, genistein
British Journal of Cancer 05/2009; 100(11):1817-1823. · 5.04 Impact Factor
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H Besson,
U Ekelund,
J Luan,
A M May,
S Sharp,
N Travier,
A Agudo,
N Slimani,
S Rinaldi,
M Jenab, [......],
C Agnoli,
P Vineis,
S Panico,
R Tumino,
H B Bueno-de-Mesquita,
S W van den Berg,
A D Odysseos,
E Riboli,
N J Wareham,
P H Peeters
[show abstract]
[hide abstract]
ABSTRACT: Cross-sectional data suggest a strong association between low levels of physical activity and obesity. The EPIC-PANACEA (European Prospective Investigation into Cancer-Physical Activity, Nutrition, Alcohol, Cessation of Smoking, Eating out of home And obesity) project was designed to investigate the associations between physical activity and body mass index (BMI) and waist circumference based on individual data collected across nine European countries.
In the European Prospective Investigation into Cancer and Nutrition (EPIC), 519 931 volunteers were recruited between 1992 and 2000, of whom 405 819 had data on main variables of interest. Height, body weight and waist circumference were measured using standardized procedures. Physical activity was assessed using a validated four-category index reflecting a self-reported usual activity during work and leisure time. The associations between physical activity and BMI and waist circumference were estimated using multilevel mixed effects linear regression models, adjusted for age, total energy intake, smoking status, alcohol consumption and educational level.
A total of 125 629 men and 280 190 women with a mean age of 52.9 (s.d. 9.7) and 51.5 (s.d. 10.0) years, respectively were included. The mean BMI was 26.6 kg/m(2) (s.d. 3.6) in men and 25.0 kg/m(2) (s.d. 4.5) in women. Fifty percent of men and 30% of women were categorized as being active or moderately active. A one-category difference in the physical activity index was inversely associated with a difference of 0.18 kg/m(2) in the mean BMI (95% confidence interval, CI, 0.11, 0.24) and 1.04-cm (95% CI 0.82, 1.26) difference in waist circumference in men. The equivalent figures for women were 0.31 kg/m(2) (95% CI 0.23, 0.38) and 0.90 cm (95% CI 0.71, 1.08), respectively.
Physical activity is inversely associated with both BMI and waist circumference across nine European countries. Although we cannot interpret the association causally, our results were observed in a large and diverse cohort independently from many potential confounders.
International journal of obesity (2005) 03/2009; 33(4):497-506. · 4.34 Impact Factor
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H Besson,
U Ekelund,
J Luan,
A M May,
S Sharp,
N Travier,
A Agudo,
N Slimani,
S Rinaldi,
M Jenab, [......],
C Agnoli,
P Vineis,
S Panico,
R Tumino,
H B Bueno-de-Mesquita,
S W van den Berg,
A D Odysseos,
E Riboli,
N J Wareham,
P H Peeters
[show abstract]
[hide abstract]
ABSTRACT: Objectives: Cross-sectional data suggest a strong association between low levels of physical activity and obesity. The EPIC-PANACEA (European Prospective Investigation into Cancer-Physical Activity, Nutrition, Alcohol, Cessation of Smoking, Eating out of home And obesity) project was designed to investigate the associations between physical activity and body mass index (BMI) and waist circumference based on individual data collected across nine European countries.
International Journal of Obesity 02/2009; 33(4):497-506. · 4.69 Impact Factor
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[show abstract]
[hide abstract]
ABSTRACT: To assess the epidemiological evidence on dietary carbohydrates and the risk of developing cancer.
Review of published studies, concentrating on recent systematic reviews, meta-analyses and large prospective studies.
Carbohydrates have not been intensively investigated in epidemiological studies of diet and cancer. There is a moderately large amount of data on the possible association between dietary fibre and the risk for colorectal cancer; the results of studies have varied and no firm conclusion can be drawn, but the available data suggest that high intakes of dietary fibre possibly reduce the risk for colorectal cancer. There are also limited data which suggest that high intakes of sucrose might increase the risk for colorectal cancer and that high intakes of lactose might increase the risk for ovarian cancer. For other components of carbohydrates and other types of cancer, the available data are too sparse to draw even tentative conclusions. Further research is needed on the possible associations of carbohydrates with cancer risk.
European Journal of Clinical Nutrition 01/2008; 61 Suppl 1:S112-21. · 2.46 Impact Factor
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A Trichopoulou,
C Bamia,
T Norat,
K Overvad,
E B Schmidt,
A Tjønneland,
J Halkjaer,
F Clavel-Chapelon,
M-N Vercambre,
M-C Boutron-Ruault, [......],
C Moreno,
N Larrañaga,
B Van Guelpen,
J-H Jansson,
S Bingham,
K-T Khaw, E A Spencer,
T Key,
E Riboli,
D Trichopoulos
[show abstract]
[hide abstract]
ABSTRACT: Mediterranean diet is associated with lower incidence of coronary heart disease, and two randomised trials indicated that it improves prognosis of coronary patients. These trials, however, relied on a total of 100 deaths and evaluated designer diets in the clinical context. We have evaluated the association of adherence to the modified Mediterranean diet, in which unsaturates were substituted for monounsaturates, with survival among elderly with previous myocardial infarction within the European Prospective Investigation into Cancer and nutrition (EPIC) study. As of December 2003, after a median follow-up of 6.7 years, 2671 EPIC participants from nine countries were 60 years or older and had prevalent myocardial infarction but no stroke or cancer at enrolment, complete information on dietary intakes and important covariates and known survival status. Adherence to the modified Mediterranean diet was assessed through a 10-unit-scale. Mortality ratio in relation to modified Mediterranean diet was estimated through Cox regression controlling for possible confounding. Increased adherence to modified Mediterranean diet by two units was associated with 18% lower overall mortality rate (95% confidence interval 7-27%, fixed effects model). There was no significant heterogeneity by sex, age at enrolment, or country, although the association tended to be less evident among northern Europeans. Associations between food groups contributing to the modified Mediterranean diet and mortality were generally weak. A diet inspired by the Mediterranean pattern that can be easily adopted by Western populations is associated with substantial reduction of total mortality of coronary patients in the community.
European Journal of Epidemiology 02/2007; 22(12):871-81. · 4.71 Impact Factor
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[show abstract]
[hide abstract]
ABSTRACT: To compare body mass index (BMI) in four diet groups (meat-eaters, fish-eaters, vegetarians and vegans) in the Oxford cohort of the European Prospective Investigation into Cancer and Nutrition (EPIC-Oxford) and to investigate lifestyle and dietary factors associated with any observed differences.
Cross-sectional analysis of self-reported dietary, anthropometric and lifestyle data.
A total of 37875 healthy men and women aged 20-97 y participating in EPIC-Oxford.
Age-adjusted mean BMI was significantly different between the four diet groups, being highest in the meat-eaters (24.41 kg/m(2) in men, 23.52 kg/m(2) in women) and lowest in the vegans (22.49 kg/m(2) in men, 21.98 kg/m(2) in women). Fish-eaters and vegetarians had similar, intermediate mean BMI. Differences in lifestyle factors including smoking, physical activity and education level accounted for less than 5% of the difference in mean age-adjusted BMI between meat-eaters and vegans, whereas differences in macronutrient intake accounted for about half of the difference. High protein (as percent energy) and low fibre intakes were the dietary factors most strongly and consistently associated with increasing BMI both between and within the diet groups.
Fish-eaters, vegetarians and especially vegans had lower BMI than meat-eaters. Differences in macronutrient intakes accounted for about half the difference in mean BMI between vegans and meat-eaters. High protein and low fibre intakes were the factors most strongly associated with increasing BMI.
International Journal of Obesity 07/2003; 27(6):728-34. · 4.69 Impact Factor
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A A Welch,
E Lund,
P Amiano,
M Dorronsoro,
M Brustad,
M Kumle,
M Rodriguez,
C Lasheras,
L Janzon,
J Jansson, [......],
J Linseisen,
K Klipstein-Grobusch,
V Benetou,
X Zavitsanos,
R Tumino,
R Galasso,
H B Bueno-De-Mesquita,
M C Ocké,
U R Charrondière,
N Slimani
[show abstract]
[hide abstract]
ABSTRACT: To describe and compare the consumption of total fish (marine foods) and the fish sub-groups - white fish, fatty fish, very fatty fish, fish products and crustacea, in participants from the European Investigation into Cancer and Nutrition (EPIC) study.
Cross-sectional analysis of dietary intake using a computerised standardised 24-hour recall interview. Crude means, means and standard errors adjusted by age, season and day of the week were calculated, stratified by centre and gender.
Twenty-seven redefined centres in the 10 European countries participating in the EPIC study.
In total, 35 955 subjects (13 031 men and 22 924 women), aged 35-74 years, selected from the main EPIC cohort.
A six- to sevenfold variation in total fish consumption exists in women and men, between the lowest consumption in Germany and the highest in Spain. Overall, white fish represented 49% and 45% of the intake of total fish in women and men, respectively, with the greatest consumption in centres in Spain and Greece and the least in the German and Dutch centres. Consumption of fatty fish reflected that of total fish. However, the greatest intake of very fatty fish was in the coastal areas of northern Europe (Denmark, Sweden and Norway) and in Germany. Consumption of fish products was greater in northern than in southern Europe, with white fish products predominating in centres in France, Italy, Spain, The Netherlands and Norway. Intake of roe and roe products was low. The highest consumption of crustacea was found in the French, Spanish and Italian centres. The number of fish types consumed was greater in southern than in northern Europe. The greatest variability in consumption by day of the week was found in the countries with the lowest fish intake.
Throughout Europe, substantial geographic variation exists in total fish intake, fish sub-groups and the number of types consumed. Day-to-day variability in consumption is also high.
Public Health Nutrition 01/2003; 5(6B):1273-85. · 2.17 Impact Factor
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J Linseisen,
E Kesse,
N Slimani,
H B Bueno-De-Mesquita,
M C Ocké,
G Skeie,
M Kumle,
M Dorronsoro Iraeta,
P Morote Gómez,
L Janzon, [......],
A Tjønneland,
F Clavel-Chapelon,
A B Miller,
K Klipstein-Grobusch,
P Lagiou,
V Kalapothaki,
G Masala,
M C Giurdanella,
T Norat,
E Riboli
[show abstract]
[hide abstract]
ABSTRACT: To evaluate meat intake patterns in the European Prospective Investigation into Cancer and Nutrition (EPIC) cohorts.
24-Hour dietary recalls were assessed within the framework of a prospective cohort study in 27 centres across 10 European countries by means of standardised computer-assisted interviews.
In total, 22 924 women and 13 031 men aged 35-74 years.
Mean total meat intake was lowest in the 'health-conscious' cohort in the UK (15 and 21 g day-1 in women and men, respectively) and highest in the north of Spain, especially in San Sebastian (124 and 234 g day-1, respectively). In the southern Spanish centres and in Naples (Italy), meat consumption was distinctly lower than in the north of these countries. Central and northern European centres/countries showed rather similar meat consumption patterns, except for the British and French cohorts. Differences in the intake of meat sub-groups (e.g. red meat, processed meat) across EPIC were even higher than found for total meat intake. With a few exceptions, the Mediterranean EPIC centres revealed a higher proportion of beef/veal and poultry and less pork or processed meat than observed in central or northern European centres. The highest sausage consumption was observed for the German EPIC participants, followed by the Norwegians, Swedish, Danish and Dutch.
The results demonstrate distinct differences in meat consumption patterns between EPIC centres across Europe. This is an important prerequisite for obtaining further insight into the relationship between meat intake and the development of chronic diseases.
Public Health Nutrition 01/2003; 5(6B):1243-58. · 2.17 Impact Factor
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A Hjartåker,
A Lagiou,
N Slimani,
E Lund,
M D Chirlaque,
E Vasilopoulou,
X Zavitsanos,
F Berrino,
C Sacerdote,
M C Ocké, [......],
S Nilsson,
A McTaggart, E A Spencer,
K Overvad,
A Tjønneland,
F Clavel-Chapelon,
J Linseisen,
M Schulz,
B Hemon,
E Riboli
[show abstract]
[hide abstract]
ABSTRACT: To describe and compare the consumption of dairy products in cohorts included in the European Prospective Investigation into Cancer and Nutrition (EPIC).
Data from single 24-hour dietary recall interviews collected through a highly standardised computer-based program (EPIC-SOFT) in 27 redefined centres in 10 European countries between 1995 and 2000. From a total random sample of 36 900, 22 924 women and 13 031 men were selected after exclusion of subjects under 35 and over 74 years of age.
A high total consumption of dairy products was reported in most of the centres in Spain and in the UK cohort sampled from the general population, as well as in the Dutch, Swedish and Danish centres. A somewhat low consumption was reported in the Greek centre and in some of the Italian centres (Ragusa and Turin). In all centres and for both sexes, milk constituted the dairy sub-group with the largest proportion (in grams) of total dairy consumption, followed by yoghurt and other fermented milk products, and cheese. Still, there was a wide range in the contributions of the different dairy sub-groups between centres. The Spanish and Nordic centres generally reported a high consumption of milk, the Swedish and Dutch centres reported a high consumption of yoghurt and other fermented milk products, whereas the highest consumption of cheese was reported in the French centres.
The results demonstrate both quantitative and qualitative disparities in dairy product consumption among the EPIC centres. This offers a sound starting point for analyses of associations between dairy intake and chronic diseases such as cancer.
Public Health Nutrition 01/2003; 5(6B):1259-71. · 2.17 Impact Factor
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E Wirfält,
A McTaggart,
V Pala,
B Gullberg,
G Frasca,
S Panico,
H B Bueno-de-Mesquita,
P H M Peeters,
D Engeset,
G Skeie, [......], E A Spencer,
K Overvad,
A Tjønneland,
F Clavel-Chapelon,
J Linseisen,
U Nöthlings,
E Polychronopoulos,
K Georga,
U R Charrondière,
N Slimani
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ABSTRACT: To describe the average consumption of carbohydrate-providing food groups among study centres of the European Prospective Investigation into Cancer and Nutrition (EPIC).
Of the 27 redefined EPIC study centres, 19 contributed subjects of both genders and eight centres female participants only (men, women, after exclusion of subjects under 35 and over 74 years of age from the original 36 900 total). Dietary data were obtained using the 24-hour recall methodology using the EPIC-SOFT software. The major sources of dietary carbohydrate were identified, and 16 food groups were examined.
The 10 food groups contributing most carbohydrate were bread; fruit; milk and milk products; sweet buns, cakes and pies; potato; sugar and jam; pasta and rice; vegetables and legumes; crispbread; and fruit and vegetable juices. Consumption of fruits as well as vegetables and legumes was higher in southern compared with northern centres, while soft drinks consumption was higher in the north. Italian centres had high pasta and rice consumption, but breakfast cereal, potato, and sweet buns, cakes and pies were higher in northern centres. In Sweden, lower bread consumption was balanced with a higher consumption of crispbread, and with sweet buns, cakes and pies. Overall, men consumed higher amounts of vegetables and legumes, bread, soft drinks, potatoes, pasta and rice, breakfast cereal and sugar and jam than women, but fruit consumption appeared more frequent in women.
The study supports the established idea that carbohydrate-rich foods chosen in northern Europe are different from those in the Mediterranean region. When comparing and interpreting diet-disease relationships across populations, researchers need to consider all types of foods.
Public Health Nutrition 01/2003; 5(6B):1197-215. · 2.17 Impact Factor
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J Linseisen,
E Bergström,
L Gafá,
C A González,
A Thiébaut,
A Trichopoulou,
R Tumino,
C Navarro Sánchez,
C Martínez Garcia,
I Mattisson, [......],
K Botsi,
A Naska,
S Sieri,
C Sacerdote,
M C Ocké,
P H M Peeters,
G Skeie,
D Engeset,
U R Charrondière,
N Slimani
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ABSTRACT: To evaluate the consumption of added fats and oils across the European centres and countries participating in the European Prospective Investigation into Cancer and Nutrition (EPIC).
24-Hour dietary recalls were collected by means of standardised computer-guided interviews in 27 redefined EPIC centres across 10 European countries.
From an initial number of 36 900 subjects, single dietary recalls from 22 924 women and 13 031 men in the age range of 35-74 years were included.
Mean daily intake of added fats and oils varied between 16.2 g (Varese, Italy) and 41.1 g (Malmö, Sweden) in women and between 24.7 g (Ragusa, Italy) and 66.0 g (Potsdam, Germany) in men. Total mean lipid intake by consumption of added fats and oils, including those used for sauce preparation, ranged between 18.3 (Norway) and 37.2 g day-1 (Greece) in women and 28.4 (Heidelberg, Germany) and 51.2 g day-1 (Greece) in men. The Mediterranean EPIC centres with high olive oil consumption combined with low animal fat intake contrasted with the central and northern European centres where fewer vegetable oils, more animal fats and a high proportion of margarine were consumed. The consumption of added fats and oils of animal origin was highest in the German EPIC centres, followed by the French. The contribution of added fats and oils to total energy intake ranged from 8% in Norway to 22% in Greece.
The results demonstrate a high variation in dietary intake of added fats and oils in EPIC, providing a good opportunity to elucidate the role of dietary fats in cancer aetiology.
Public Health Nutrition 01/2003; 5(6B):1227-42. · 2.17 Impact Factor
