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Consumption of dairy products in the European Prospective Investigation into Cancer and Nutrition (EPIC) cohort: data from 35 955 24-hour dietary recalls in 10 European countries.

https://arctichealth.org/en/permalink/ahliterature18551
Source
Public Health Nutr. 2002 Dec;5(6B):1259-71
Publication Type
Article
Date
Dec-2002
Author
A. Hjartåker
A. Lagiou
N. Slimani
E. Lund
M D Chirlaque
E. Vasilopoulou
X. Zavitsanos
F. Berrino
C. Sacerdote
M C Ocké
P H M Peeters
D. Engeset
G. Skeie
A. Aller
P. Amiano
G. Berglund
S. Nilsson
A. McTaggart
E A Spencer
K. Overvad
A. Tjønneland
F. Clavel-Chapelon
J. Linseisen
M. Schulz
B. Hemon
E. Riboli
Author Affiliation
Section of Medical Statistics, University of Oslo, PO Box 1122, Blindern, N-0317 Norway. anette.hjartaker@basalmed.uio.no
Source
Public Health Nutr. 2002 Dec;5(6B):1259-71
Date
Dec-2002
Language
English
Publication Type
Article
Keywords
Adult
Aged
Dairy Products
Diet
Diet Surveys
Europe
Female
Humans
Male
Mental Recall
Middle Aged
Population Surveillance - methods
Prospective Studies
Research Support, Non-U.S. Gov't
Abstract
OBJECTIVES: To describe and compare the consumption of dairy products in cohorts included in the European Prospective Investigation into Cancer and Nutrition (EPIC). METHODS: 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. RESULTS: 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. CONCLUSION: 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.
PubMed ID
12639231 View in PubMed
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A cross-sectional study of dietary habits and urinary glucose excretion - a predictor of non-insulin-dependent diabetes mellitus.

https://arctichealth.org/en/permalink/ahliterature20439
Source
Eur J Clin Nutr. 2000 May;54(5):434-9
Publication Type
Article
Date
May-2000
Author
A. Ekblond
L. Mellemkjaer
A. Tjonneland
M. Suntum
C. Stripp
K. Overvad
C. Johansen
J H Olsen
Author Affiliation
Institute of Cancer Epidemiology, Danish Cancer Society, Copenhagen, Denmark.
Source
Eur J Clin Nutr. 2000 May;54(5):434-9
Date
May-2000
Language
English
Publication Type
Article
Keywords
Animals
Cereals
Cross-Sectional Studies
Denmark
Diabetes Mellitus, Type 2 - etiology - prevention & control - urine
Diet
Dietary Fiber - administration & dosage
Female
Fishes
Fruit
Glycosuria
Humans
Male
Middle Aged
Milk
Poultry
Research Support, Non-U.S. Gov't
Sex Characteristics
Abstract
OBJECTIVE: To investigate the association between consumption of certain foods and macronutrients and urinary glucose excretion, which is a predictor of non-insulin-dependent diabetes mellitus. DESIGN: A cross-sectional study, Denmark, 1993-97. SUBJECTS: Participants in the Danish study 'Diet, Cancer and Health'. After exclusion of persons with postprandial urine samples and persons with diabetes or other diseases potentially resulting in glycosuria, the study population included 14 743 men and 18 064 women aged 50-64 y. We identified 183 men and 43 women with glucose in their urine. RESULTS: Consumption of poultry was negatively associated with glycosuria in both men (odds ratio, OR=0.87; 95% confidence interval, 95% CI=0.77-0.98) and women (OR=0.69; 0.48-1.00). Fiber from fruit showed a weak negative association with glycosuria in both men (0. 95; 0.90-1.01) and women (0.89; 0.78-1.02), whereas a significant negative association with total fiber (0.68; 0.51-0.91) and fiber from vegetables (0.94; 0.88-0.99) was seen in men. Intake of fish tended to reduce the risk of glycosuria in women only (0.80; 0.63-1. 02), whereas ingestion of milk products increased their risk significantly (1.15; 1.06-1.24). CONCLUSION: Although statistical significance and consistency in the two sexes were not achieved for all end-points, the study indicates a protective effect of dietary products like poultry, fruit and cereals against glycosuria and suggests a promoting effect of milk. SPONSORSHIP: The Danish National Board of Health and the Danish Cancer Society.
PubMed ID
10822293 View in PubMed
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Determinants of plasma alkylresorcinol concentration in Danish post-menopausal women.

https://arctichealth.org/en/permalink/ahliterature140604
Source
Eur J Clin Nutr. 2011 Jan;65(1):94-101
Publication Type
Article
Date
Jan-2011
Author
R. Landberg
A. Kamal-Eldin
P. Aman
J. Christensen
K. Overvad
A. Tjønneland
A. Olsen
Author Affiliation
Department of Food Science, Swedish University of Agriculture Science, SLU, Uppsala, Sweden. rikard.landberg@lmv.slu.se
Source
Eur J Clin Nutr. 2011 Jan;65(1):94-101
Date
Jan-2011
Language
English
Publication Type
Article
Keywords
Biological Markers - blood
Bread
Denmark
Diet
Dietary Fiber - analysis
Female
Humans
Middle Aged
Multivariate Analysis
Postmenopause
Questionnaires
Regression Analysis
Resorcinols - blood
Secale cereale - chemistry
Abstract
Alkylresorcinols (AR), a group of phenolic lipids present in the outer parts of wheat and rye grain kernels, have been suggested as biomarkers of whole-grain wheat and rye intake. In this study, we investigated potential determinants of plasma AR concentration in a free-living population.
Non-fasting samples from post-menopausal women enrolled in the Danish Diet, Cancer and Health study (n = 360) were selected. Diet was assessed using a semi-quantitative food frequency questionnaires (FFQ) and the association between food items likely to contain AR and relevant non-dietary factors were studied by analysis of covariance models.
The median AR concentration was 78 nmol/l (interquartile range = 106.9 nmol/l). Intake of rye bread, identified as the main determinant, was associated with 87% higher plasma total AR concentration per 100 g of bread (95% confidence interval = 46-139%). About 8-12% of the total variation (depending on the AR homologue) in plasma AR concentration was explained by the selected dietary variables. At a nutrient level, total dietary fiber and cereal fiber were significantly associated with plasma total AR concentration (P = 0.05), but only ˜2% of the total plasma AR concentration was explained by the dietary fiber or cereal fiber intake.
In the studied population, AR plasma concentration was mainly affected by rye bread intake among investigated determinants.
PubMed ID
20859297 View in PubMed
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Diversity of dietary patterns observed in the European Prospective Investigation into Cancer and Nutrition (EPIC) project.

https://arctichealth.org/en/permalink/ahliterature18549
Source
Public Health Nutr. 2002 Dec;5(6B):1311-28
Publication Type
Article
Date
Dec-2002
Author
N. Slimani
M. Fahey
A A Welch
E. Wirfält
C. Stripp
E. Bergström
J. Linseisen
M B Schulze
C. Bamia
Y. Chloptsios
F. Veglia
S. Panico
H B Bueno-de-Mesquita
M C Ocké
M. Brustad
E. Lund
C A González
A. Barcos
G. Berglund
A. Winkvist
A. Mulligan
P. Appleby
K. Overvad
A. Tjønneland
F. Clavel-Chapelon
E. Kesse
P. Ferrari
W A Van Staveren
E. Riboli
Author Affiliation
Unit of Nutrition and Cancer, International Agency for Research on Cancer, 150 cours Albert-Thomas, 69372 Lyon Cedex 08, France. Slimani@iarc.fr
Source
Public Health Nutr. 2002 Dec;5(6B):1311-28
Date
Dec-2002
Language
English
Publication Type
Article
Keywords
Adult
Aged
Cultural Diversity
Diet
Diet Surveys
Europe
Female
Food Habits
Humans
Male
Mental Recall
Middle Aged
Population Surveillance - methods
Research Support, Non-U.S. Gov't
Abstract
OBJECTIVE: To describe the diversity in dietary patterns existing across centres/regions participating in the European Prospective Investigation into Cancer and Nutrition (EPIC). DESIGN AND SETTING: Single 24-hour dietary recall measurements were obtained by means of standardised face-to-face interviews using the EPIC-SOFT software. These have been used to present a graphic multi-dimensional comparison of the adjusted mean consumption of 22 food groups. SUBJECTS: In total, 35 955 men and women, aged 35-74 years, participating in the EPIC nested calibration study. RESULTS: Although wide differences were observed across centres, the countries participating in EPIC are characterised by specific dietary patterns. Overall, Italy and Greece have a dietary pattern characterised by plant foods (except potatoes) and a lower consumption of animal and processed foods, compared with the other EPIC countries. France and particularly Spain have more heterogeneous dietary patterns, with a relatively high consumption of both plant foods and animal products. Apart from characteristics specific to vegetarian groups, the UK 'health-conscious' group shares with the UK general population a relatively high consumption of tea, sauces, cakes, soft drinks (women), margarine and butter. In contrast, the diet in the Nordic countries, The Netherlands, Germany and the UK general population is relatively high in potatoes and animal, processed and sweetened/refined foods, with proportions varying across countries/centres. In these countries, consumption of vegetables and fruit is similar to, or below, the overall EPIC means, and is low for legumes and vegetable oils. Overall, dietary patterns were similar for men and women, although there were large gender differences for certain food groups. CONCLUSIONS: There are considerable differences in food group consumption and dietary patterns among the EPIC study populations. This large heterogeneity should be an advantage when investigating the relationship between diet and cancer and formulating new aetiological hypotheses related to dietary patterns and disease.
PubMed ID
12639235 View in PubMed
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Importance of diet and sex in prevention of coronary artery disease, cancer, osteoporosis, and overweight or underweight: a study of attitudes and practices of Danish primary care physicians.

https://arctichealth.org/en/permalink/ahliterature11048
Source
Am J Clin Nutr. 1997 Jun;65(6 Suppl):2004S-2006S
Publication Type
Article
Date
Jun-1997
Author
U. Hølund
A. Thomassen
G. Boysen
P. Charles
E F Eriksen
K. Overvad
B. Petersson
B. Sandström
M. Vittrup
Author Affiliation
Nutrition Department, Danish Dairy Board, Aarhus, Denmark.
Source
Am J Clin Nutr. 1997 Jun;65(6 Suppl):2004S-2006S
Date
Jun-1997
Language
English
Publication Type
Article
Keywords
Adolescent
Adult
Age Factors
Aged
Aged, 80 and over
Attitude of Health Personnel
Child
Child, Preschool
Comparative Study
Coronary Disease - prevention & control
Denmark
Diet
Family Practice
Female
Humans
Infant
Male
Middle Aged
Neoplasms - prevention & control
Obesity - prevention & control
Osteoporosis - prevention & control
Physician's Practice Patterns
Primary Health Care
Questionnaires
Risk factors
Sex Factors
Abstract
General practitioners (GPs) in Denmark (n = 374) answered a questionnaire on attitudes toward including information on diet and sex in the prevention of coronary artery disease, cancers, osteoporosis, and weight problems. Risk factors for disease were ranked as follows: smoking, alcohol, stress, diet, physical exercise, heredity, and hygiene. Patients' lack of motivation, insufficient time for each patient, and inadequate knowledge about nutrition were listed by GPs as barriers to dietary counseling. GPs stated that the sex of the patient was important only for counseling on osteoporosis. Lack of time and insufficient knowledge were perceived as barriers to including sex-specific issues in prevention. One-half of the GPs were questioned about the issue of prevention on the basis of female case stories and the other half on the basis of male case stories with identical wording. Responses to the case stories indicated that GPs would give dietary guidance and recommend loss of weight to slightly overweight male patients to a much greater degree than to overweight female patients for prevention of coronary artery disease, give dietary counseling and recommend loss of weight and exercise to female patients more than to male patients for prevention of cancers, recommend a supplement of calcium and vitamin D for prevention of osteoporosis to female patients, and recommend weight gain and discuss psychosocial issues more with underweight female patients than with underweight male patients. Female GPs included measures of prevention such as dietary counseling, exercise prescription, dietary supplement prescription, and discussion of psychosocial issues to a greater extent than did male GPs.
PubMed ID
9174510 View in PubMed
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Iodine. Do we need an enrichment program in Denmark?

https://arctichealth.org/en/permalink/ahliterature61975
Source
Int J Food Sci Nutr. 1996 Sep;47(5):377-81
Publication Type
Article
Date
Sep-1996
Author
L B Rasmussen
G. Andersson
J. Haraldsdóttir
E. Kristiansen
K. Molsted
P. Laurberg
K. Overvad
H. Perrild
L. Ovesen
Author Affiliation
National Food Agency, Royal Veterinary and Agricultural University, Søborg, Denmark.
Source
Int J Food Sci Nutr. 1996 Sep;47(5):377-81
Date
Sep-1996
Language
English
Publication Type
Article
Keywords
Animals
Beverages
Cattle
Denmark - epidemiology
Diet
Eggs
Female
Fishes
Food, Fortified
Goiter - classification - epidemiology - prevention & control
Humans
Incidence
Iodine - administration & dosage - urine
Meat
Middle Aged
Milk
Nutritional Requirements
Abstract
A working group was established to evaluate the need for iodine enrichment in Denmark. Judged from studies of urinary iodine excretion and one dietary survey the intake of iodine in Denmark is low compared with recommended intakes. The occurrence of non-toxic goitre is relatively high; between 9 and 13% in elderly women. Furthermore, a high occurrence of toxic goitre has been seen in the western part of Denmark. On the other hand, an increased or a high intake of iodine may lead to hyperthyroidism and thyroiditis. The working group concluded that an increase in iodine intake in the Danish population is needed and the best way to achieve this is to iodize all salt. To avoid side effects of a sudden large increase in iodine intake the initial amount of iodine in salt will only be 2 ppm.
PubMed ID
8889622 View in PubMed
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Reproducibility and relative validity of a self-administered semiquantitative food frequency questionnaire applied to younger women.

https://arctichealth.org/en/permalink/ahliterature22172
Source
J Clin Epidemiol. 1997 Mar;50(3):303-11
Publication Type
Article
Date
Mar-1997
Author
S. Friis
S. Kruger Kjaer
C. Stripp
K. Overvad
Author Affiliation
Danish Cancer Society, Division for Cancer Epidemiology, København O.
Source
J Clin Epidemiol. 1997 Mar;50(3):303-11
Date
Mar-1997
Language
English
Publication Type
Article
Keywords
Adult
Denmark - epidemiology
Diet
Female
Humans
Nutrition Assessment
Prospective Studies
Questionnaires
Reproducibility of Results
Research Support, Non-U.S. Gov't
Research Support, U.S. Gov't, P.H.S.
Risk factors
Uterine Cervical Neoplasms - epidemiology
Abstract
We have evaluated the reproducibility and relative validity of a semiquantitative food frequency questionnaire (FFQ) used in a prospective study of risk factors for cervical neoplasia. The questionnaire is a modified version of one developed and evaluated in a middle-aged Danish population. In the present study, 122 women from the general population of Copenhagen, aged 20-29 years, completed the FFQ twice at a 1-year interval, and provided three 4-day dietary records during the intervening year. The mean nutrient intakes calculated from the first and second questionnaire were similar and, for most nutrients, close to those obtained from the dietary records. The Pearson correlation coefficients between the mean nutrient intakes from the two questionnaires ranged from 0.53 (95% CI, 0.39-0.65) for vitamin E to 0.76 (95% CI, 0.67-0.83) for vitamin B12 (median, 0.67 [95% CI, 0.56-0.76]). In comparisons between the second FFQ and the dietary records, the correlations ranged from 0.24 (95% CI, 0.07-0.40) for vitamin D to 0.63 (95% CI, 0.51-0.73) for sucrose (median, 0.42 [95% CI, 0.26-0.561). The correlations between FFQ and dietary records were generally higher after adjustment for energy intake (median, 0.53 [95% CI, 0.39-0.65]) and within-person variability (median, 0.64 [95% CI, 0.52-0.73]). On average, 71% of the women were classified in the same (+/- 1) quintile in the second FFQ and the dietary records. An average of 3.8% of the women were grossly misclassified into the highest and lowest quintiles by the dietary records. The relative validity of the FFQ in this population was similar to that reported earlier. It is concluded that the FFQ is reproducible and provides a useful scale for categorizing individuals according to their intake of energy and nutrients.
PubMed ID
9120530 View in PubMed
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Socio-economic determinants for participation in the Danish EPIC Diet, Cancer and Health cohort.

https://arctichealth.org/en/permalink/ahliterature18733
Source
IARC Sci Publ. 2002;156:55-7
Publication Type
Article
Date
2002

Variability of fish consumption within the 10 European countries participating in the European Investigation into Cancer and Nutrition (EPIC) study.

https://arctichealth.org/en/permalink/ahliterature18550
Source
Public Health Nutr. 2002 Dec;5(6B):1273-85
Publication Type
Article
Date
Dec-2002
Author
A A Welch
E. Lund
P. Amiano
M. Dorronsoro
M. Brustad
M. Kumle
M. Rodriguez
C. Lasheras
L. Janzon
J. Jansson
R. Luben
E A Spencer
K. Overvad
A. Tjønneland
F. Clavel-Chapelon
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
Author Affiliation
Strangeways Research Laboratory, Department of Public Health and Primary Care, University of Cambridge, Wort's Causeway, UK. ailsa.welch@srl.cam.ac.uk
Source
Public Health Nutr. 2002 Dec;5(6B):1273-85
Date
Dec-2002
Language
English
Publication Type
Article
Keywords
Adult
Aged
Animals
Cross-Sectional Studies
Crustacea
Diet
Diet Surveys
Europe
Female
Fishes
Humans
Male
Mental Recall
Middle Aged
Population Surveillance - methods
Prospective Studies
Research Support, Non-U.S. Gov't
Shellfish
Abstract
OBJECTIVE: 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. DESIGN: 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. SETTING: Twenty-seven redefined centres in the 10 European countries participating in the EPIC study. SUBJECTS: In total, 35 955 subjects (13 031 men and 22 924 women), aged 35-74 years, selected from the main EPIC cohort. RESULTS: 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. CONCLUSIONS: 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.
PubMed ID
12639232 View in PubMed
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Wine intake and diet in a random sample of 48763 Danish men and women.

https://arctichealth.org/en/permalink/ahliterature10739
Source
Am J Clin Nutr. 1999 Jan;69(1):49-54
Publication Type
Article
Date
Jan-1999
Author
A. Tjønneland
M. Grønbaek
C. Stripp
K. Overvad
Author Affiliation
Danish Cancer Society, Institute of Cancer Epidemiology, Copenhagen. annet@cancer.dk
Source
Am J Clin Nutr. 1999 Jan;69(1):49-54
Date
Jan-1999
Language
English
Publication Type
Article
Keywords
Beer
Cohort Studies
Comparative Study
Cross-Sectional Studies
Denmark
Diet
Dose-Response Relationship, Drug
Ethanol - administration & dosage - therapeutic use
Female
Humans
Life Style
Male
Middle Aged
Myocardial Ischemia - prevention & control
Odds Ratio
Research Support, Non-U.S. Gov't
Sex Factors
Wine
Abstract
BACKGROUND: Variation in diet associated with drinking patterns may explain why wine seems to reduce ischemic heart disease mortality. OBJECTIVE: Our objective was to study the association between intake of different alcoholic beverages and selected indicators of a healthy diet. DESIGN: This was a cross-sectional study conducted in Copenhagen and Aarhus, Denmark, from 1995 to 1997, and included 23 284 men and 25 479 women aged 50-64 y. The main outcome measures were groups of selected foods that were indicators of a healthy dietary pattern. RESULTS: Wine, as compared with other alcoholic drinks, was associated with a higher intake of fruit, fish, cooked vegetables, salad, and the use of olive oil for cooking in both men and women. Men who preferred beer and spirits had odds ratios of 0.42 (95% CI: 0.39, 0.45) and 0.51 (95% CI: 0.43, 0.60), respectively, for a high intake of salad compared with those who preferred wine. Higher wine intake was associated with a higher intake of healthy food items compared with intake of
Notes
Comment In: Am J Clin Nutr. 1999 Jan;69(1):2-39925114
PubMed ID
9925122 View in PubMed
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10 records – page 1 of 1.