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Cigar and pipe smoking and cancer risk in the european prospective investigation into cancer and nutrition.

https://arctichealth.org/en/permalink/ahliterature98017
Source
Int J Cancer. 2010 Feb 16;
Publication Type
Article
Date
Feb-16-2010
Author
Va McCormack
A. Agudo
Cc Dahm
K. Overvad
A. Olsen
A. Tjonneland
R. Kaaks
H. Boeing
J. Manjer
M. Almquist
G. Hallmans
I. Johansson
Md Chirlaque
A. Barricarte
M. Dorronsoro
L. Rodriguez
Ml Redondo
Kt Khaw
N. Wareham
N. Allen
T. Key
E. Riboli
P. Boffetta
Author Affiliation
International Agency for Research on Cancer, Lyon, France.
Source
Int J Cancer. 2010 Feb 16;
Date
Feb-16-2010
Language
English
Publication Type
Article
Abstract
The carcinogenicity of cigar and pipe smoking is established but the effect of detailed smoking characteristics is less well defined. We examined the effects on cancer incidence of exclusive cigar and pipe smoking, and in combination with cigarettes, among 102395 men from Denmark, Germany, Spain, Sweden and UK in the EPIC cohort. Hazard ratios (HR) and their 95% confidence intervals (CI) for cancer during a median 9 year follow-up from ages 35-70 years were estimated using proportional hazards models. Compared to never smokers, HR of cancers of lung, upper aero-digestive tract and bladder combined was 2.2 (95% CI: 1.3, 3.8) for exclusive cigar smokers (16 cases), 3.0 (2.1, 4.5) for exclusive pipe smokers (33 cases) and 5.3 (4.4, 6.4) for exclusive cigarette smokers (1069 cases). For each smoking type, effects were stronger in current than in ex-smokers, and in inhalers than in non-inhalers. Ever smokers of both cigarettes and cigars (HR 5.7 (4.4, 7.3), 120 cases) and cigarettes and pipes (5.1 (4.1, 6.4), 247 cases) had as high a raised risk as had exclusive cigarette smokers. In these smokers, the magnitude of the raised risk was smaller if they had switched to cigars or pipes only (i.e. quit cigarettes) and had not compensated with greater smoking intensity. Cigar and pipe smoking is not a safe alternative to cigarette smoking. The lower cancer risk of cigar and pipe smokers as compared to cigarette smokers is explained by lesser degree of inhalation and lower smoking intensity. (c) 2010 UICC.
PubMed ID
20162568 View in PubMed
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Patterns of alcohol consumption in 10 European countries participating in the European Prospective Investigation into Cancer and Nutrition (EPIC) project.

https://arctichealth.org/en/permalink/ahliterature186257
Source
Public Health Nutr. 2002 Dec;5(6B):1287-96
Publication Type
Article
Date
Dec-2002
Author
S. Sieri
A. Agudo
E. Kesse
K. Klipstein-Grobusch
B. San-José
A A Welch
V. Krogh
R. Luben
N. Allen
K. Overvad
A. Tjønneland
F. Clavel-Chapelon
A. Thiébaut
A B Miller
H. Boeing
M. Kolyva
C. Saieva
E. Celentano
M C Ocké
P H M Peeters
M. Brustad
M. Kumle
M. Dorronsoro
A. Fernandez Feito
I. Mattisson
L. Weinehall
E. Riboli
N. Slimani
Author Affiliation
Epidemiology Unit, National Cancer Institute, Via Venezian 1, 20133 Milan, Italy. sieris@libero.it
Source
Public Health Nutr. 2002 Dec;5(6B):1287-96
Date
Dec-2002
Language
English
Publication Type
Article
Keywords
Adult
Aged
Alcohol drinking - epidemiology
Beer - statistics & numerical data
Diet Surveys
Europe - epidemiology
Female
Humans
Male
Mental Recall
Middle Aged
Population Surveillance - methods
Prospective Studies
Sex Distribution
Wine - statistics & numerical data
Abstract
The aim of this study was to compare the quantities of alcohol and types of alcoholic beverages consumed, and the timing of consumption, in centres participating in the European Prospective Investigation into Cancer and Nutrition (EPIC). These centres, in 10 European countries, are characterised by widely differing drinking habits and frequencies of alcohol-related diseases.
We collected a single standardised 24-hour dietary recall per subject from a random sample of the EPIC cohort (36 900 persons initially and 35 955 after exclusion of subjects under 35 and over 74 years of age). This provided detailed information on the distribution of alcohol consumption during the day in relation to main meals, and was used to determine weekly consumption patterns. The crude and adjusted (by age, day of week and season) means of total ethanol consumption and consumption according to type of beverage were stratified by centre and sex.
Sex was a strong determinant of drinking patterns in all 10 countries. The highest total alcohol consumption was observed in the Spanish centres (San Sebastian, 41.4 g day-1) for men and in Danish centres (Copenhagen, 20.9 g day-1) for women. The lowest total alcohol intake was in the Swedish centres (Umeå, 10.2 g day-1) in men and in Greek women (3.4 g day-1). Among men, the main contributor to total alcohol intake was wine in Mediterranean countries and beer in the Dutch, German, Swedish and Danish centres. In most centres, the main source of alcohol for women was wine except for Murcia (Spain), where it was beer. Alcohol consumption, particularly by women, increased markedly during the weekend in nearly all centres. The German, Dutch, UK (general population) and Danish centres were characterised by the highest percentages of alcohol consumption outside mealtimes.
The large variation in drinking patterns among the EPIC centres provides an opportunity to better understand the relationship between alcohol and alcohol-related diseases.
PubMed ID
12639233 View in PubMed
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Physical activity of subjects aged 50-64 years involved in the European Prospective Investigation into Cancer and Nutrition (EPIC).

https://arctichealth.org/en/permalink/ahliterature18554
Source
Public Health Nutr. 2002 Dec;5(6B):1163-76
Publication Type
Article
Date
Dec-2002
Author
M. Haftenberger
A J Schuit
M J Tormo
H. Boeing
N. Wareham
H B Bueno-de-Mesquita
M. Kumle
A. Hjartåker
M D Chirlaque
E. Ardanaz
C. Andren
B. Lindahl
P H M Peeters
N E Allen
K. Overvad
A. Tjønneland
F. Clavel-Chapelon
J. Linseisen
M M Bergmann
A. Trichopoulou
P. Lagiou
S. Salvini
S. Panico
E. Riboli
P. Ferrari
N. Slimani
Author Affiliation
German Institute of Human Nutrition, Department of Epidemiology, Arthur Scheunert Allee 114-116, D-14558 Potsdam-Rehbrücke, Germany. haftenb@mail.dife.de
Source
Public Health Nutr. 2002 Dec;5(6B):1163-76
Date
Dec-2002
Language
English
Publication Type
Article
Keywords
Cross-Sectional Studies
Europe
Exercise
Female
Humans
Male
Middle Aged
Occupations
Population Surveillance - methods
Prospective Studies
Questionnaires
Recreation
Research Support, Non-U.S. Gov't
Abstract
OBJECTIVE: To describe physical activity of participants in the European Prospective Investigation into Cancer and Nutrition (EPIC). DESIGN: A cross-sectional analysis of baseline data of a European prospective cohort study. SUBJECTS: This analysis was restricted to participants in the age group 50-64 years, which was represented in all EPIC centres. It involved 236 386 participants from 25 centres in nine countries. In each EPIC centre, physical activity was assessed by standardised and validated questions. Frequency distribution of type of professional activity and participation in non-professional activities, and age-adjusted means, medians and percentiles of time dedicated to non-professional activities are presented for men and women from each centre. RESULTS: Professional activity was most frequently classified as sedentary or standing in all centres. There was a wide variation regarding participation in different types of non-professional activities and time dedicated to these activities across EPIC centres. Over 80% of all EPIC participants engaged in walking, while less than 50% of the subjects participated in sport. Total time dedicated to recreational activities was highest among the Dutch participants and lowest among men from Malmö (Sweden) and women from Naples (Italy). In all centres, total time dedicated to recreational activity in the summer was higher than in the winter. Women from southern Europe spent the most time on housekeeping. CONCLUSIONS: There is a considerable variation of physical activity across EPIC centres. This variation was especially evident for recreational activities in both men and women.
PubMed ID
12639225 View in PubMed
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