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Baseline patterns of adipose tissue fatty acids and long-term risk of breast cancer: a case-cohort study in the Danish cohort Diet, Cancer and Health.

https://arctichealth.org/en/permalink/ahliterature264936
Source
Eur J Clin Nutr. 2014 Oct;68(10):1088-94
Publication Type
Article
Date
Oct-2014
Author
J A Schmidt
A. Gorst-Rasmussen
P W Nyström
J H Christensen
E B Schmidt
C. Dethlefsen
A. Tjønneland
K. Overvad
C C Dahm
Source
Eur J Clin Nutr. 2014 Oct;68(10):1088-94
Date
Oct-2014
Language
English
Publication Type
Article
Keywords
Adult
Aged
Breast Neoplasms - epidemiology - pathology
Cohort Studies
Denmark - epidemiology
Fatty Acids - analysis
Female
Humans
Incidence
Male
Middle Aged
Prospective Studies
Risk
Risk factors
Subcutaneous Fat - chemistry
Abstract
The evidence regarding fatty acids and breast cancer risk is inconclusive. Adipose tissue fatty acids can be used as biomarkers of fatty acid intake and of endogenous fatty acid exposure. Fatty acids in adipose tissue are correlated owing to common dietary sources and shared metabolic pathways, which group fatty acids into naturally occurring patterns. We aimed to prospectively investigate associations between adipose tissue fatty acid patterns and long-term risk of total breast cancer and breast cancer subtypes characterised by oestrogen and progesterone receptor status (ER and PR).
This case-cohort study was based on data from the Danish cohort Diet, Cancer and Health. At baseline, a fat biopsy and information on lifestyle and reproductive factors were collected. From the 31 original fatty acids measured, patterns of fatty acids were identified using the treelet transform. During a median follow-up of 5.3 years, 474 breast cancer cases were identified. Hazard ratios and 95% confidence intervals of risk of total breast cancer and of subtypes according to quintiles of factor score were determined by weighted Cox proportional hazards regression.
After adjustment for potential confounders, factor scores for the seven patterns identified by the treelet transform were not associated with risk of total breast cancer, nor with risk of ER+, ER-, PR+ or PR- tumours.
No clear associations between the patterns of fatty acids at baseline and long-term risk of total breast cancer or ER+, ER-, PR+ or PR- tumours were observed.
PubMed ID
24642780 View in PubMed
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Body composition and body fat distribution in relation to later risk of acute myocardial infarction: a Danish follow-up study.

https://arctichealth.org/en/permalink/ahliterature137399
Source
Int J Obes (Lond). 2011 Nov;35(11):1433-41
Publication Type
Article
Date
Nov-2011
Author
J G Stegger
E B Schmidt
T. Obel
T L Berentzen
A. Tjønneland
T I A Sørensen
K. Overvad
Author Affiliation
Department of Cardiology, Center for Cardiovascular Research, Aalborg Hospital, Aarhus University Hospital, Aalborg, Denmark. Jakob.Stegger@rn.dk
Source
Int J Obes (Lond). 2011 Nov;35(11):1433-41
Date
Nov-2011
Language
English
Publication Type
Article
Keywords
Body Composition
Body Fat Distribution
Body mass index
Denmark - epidemiology
Female
Follow-Up Studies
Humans
Male
Middle Aged
Myocardial Infarction - epidemiology - etiology - physiopathology
Obesity - complications - epidemiology - physiopathology
Predictive value of tests
Proportional Hazards Models
Prospective Studies
Questionnaires
Risk factors
Abstract
Obesity is a modifiable risk factor for acute myocardial infarction (MI), but lean body mass (LBM) may also be an important factor. Low LBM may increase the risk of MI and LBM may modify the effect of obesity on MI. Thus, the inability of the classical anthropometric measures to evaluate LBM may lead to misclassification of MI risk in both lean and obese persons. We investigated the associations between incident MI and bioelectrical impedance analyses (BIA) derived measures of body composition in combination with body mass index (BMI) and anthropometric measures of body fat distribution.
From 1993 to 1997, 27?148 men and 29?863 women, aged 50 to 64 year, were recruited into the Danish prospective study Diet, Cancer and Health. During 11.9 years of follow-up we identified 2028 cases of incident MI (1487 men and 541 women). BMI, waist circumference (WC), hip circumference and BIA of body composition including body fat mass (BFM), body fat percentage and LBM were measured at baseline. We used Cox proportional hazard models with age as time axis and performed extensive control for confounding. Weight, BMI, classical estimates of abdominal obesity and BIA estimates of obesity showed significant positive associations with incident MI. However, BFM adjusted for WC showed no association. Low LBM was associated with a higher risk of incident MI in both genders, and high LBM was associated with a higher risk in men.
Obesity was positively associated with MI. Estimates of obesity achieved by BIA seemed not to add additional information to classical anthropometric measures regarding MI risk. Both high and low LBM may be positively associated with MI.
PubMed ID
21285940 View in PubMed
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Consumption of added fats and oils in the European Prospective Investigation into Cancer and Nutrition (EPIC) centres across 10 European countries as assessed by 24-hour dietary recalls.

https://arctichealth.org/en/permalink/ahliterature18552
Source
Public Health Nutr. 2002 Dec;5(6B):1227-42
Publication Type
Article
Date
Dec-2002
Author
J. Linseisen
E. Bergström
L. Gafá
C A González
A. Thiébaut
A. Trichopoulou
R. Tumino
C. Navarro Sánchez
C. Martínez Garcia
I. Mattisson
S. Nilsson
A. Welch
E A Spencer
K. Overvad
A. Tjønneland
F. Clavel-Chapelon
E. Kesse
A B Miller
M. Schulz
K. Botsi
A. Naska
S. Sieri
C. Sacerdote
M C Ocké
P H M Peeters
G. Skeie
D. Engeset
U R Charrondière
N. Slimani
Author Affiliation
Unit of Human Nutrition and Cancer Prevention, Technical University of Munich, Alte Akademie 16, D-85350 Freising-Weihenstephan, Germany. j.linseisen@wzw.tum.de
Source
Public Health Nutr. 2002 Dec;5(6B):1227-42
Date
Dec-2002
Language
English
Publication Type
Article
Keywords
Adult
Aged
Diet Surveys
Dietary Fats - administration & dosage - adverse effects
Educational Status
Energy intake
Europe
Female
Humans
Male
Mental Recall
Middle Aged
Neoplasms - etiology
Population Surveillance - methods
Prospective Studies
Research Support, Non-U.S. Gov't
Abstract
OBJECTIVE: 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). DESIGN AND SETTING: 24-Hour dietary recalls were collected by means of standardised computer-guided interviews in 27 redefined EPIC centres across 10 European countries. SUBJECTS: 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. RESULTS: 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. CONCLUSIONS: 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.
PubMed ID
12639229 View in PubMed
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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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[Diet, cancer and health--a population study and establishment of a biological bank in Denmark]

https://arctichealth.org/en/permalink/ahliterature20597
Source
Ugeskr Laeger. 2000 Jan 17;162(3):350-4
Publication Type
Article
Date
Jan-17-2000
Author
A M Tjønneland
O K Overvad
Author Affiliation
Aarhus Universitet, Institut for Epidemiologi og Socialmedicin.
Source
Ugeskr Laeger. 2000 Jan 17;162(3):350-4
Date
Jan-17-2000
Language
Danish
Publication Type
Article
Keywords
Aged
Cohort Studies
Databases, Factual
Denmark - epidemiology
English Abstract
Follow-Up Studies
Food Habits
Humans
Life Style
Middle Aged
Neoplasms - epidemiology - etiology - mortality
Prospective Studies
Questionnaires
Registries
Risk factors
Specimen Handling
Tissue Banks
Abstract
In order to test hypotheses on diet and the risk of cancer, a prospective cohort study was established. A total of 57,055 persons living in Copenhagen and Aarhus, between 50 and 65 years of age, visited a study clinic between December 1993 and May 1997. The participants provided questionnaire data on diet and lifestyle. Furthermore, anthropometric measurements, blood pressure and biological material were collected. All participants will be followed by linkage to health registries including the Cancer Registry and by self-administered follow-up questionnaires. The purpose of this publication is to describe the data-base, which will be available for research in the years to come including the results of the first two years of follow-up.
PubMed ID
10680472 View in PubMed
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Food sources of carbohydrates in a European cohort of adults.

https://arctichealth.org/en/permalink/ahliterature18553
Source
Public Health Nutr. 2002 Dec;5(6B):1197-215
Publication Type
Article
Date
Dec-2002
Author
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
M D Chirlaque
P. Amiano
E. Lundin
A. Mulligan
E A Spencer
K. Overvad
A. Tjønneland
F. Clavel-Chapelon
J. Linseisen
U. Nöthlings
E. Polychronopoulos
K. Georga
U R Charrondière
N. Slimani
Author Affiliation
Department of Medicine, Lund University, Malmö, SE-20502 Sweden. elisabet.wirfalt@smi.mas.lu.se
Source
Public Health Nutr. 2002 Dec;5(6B):1197-215
Date
Dec-2002
Language
English
Publication Type
Article
Keywords
Adult
Aged
Diet Surveys
Dietary Carbohydrates - administration & dosage
Europe
Female
Food Habits
Humans
Male
Mental Recall
Middle Aged
Population Surveillance - methods
Prospective Studies
Research Support, Non-U.S. Gov't
Abstract
OBJECTIVE: To describe the average consumption of carbohydrate-providing food groups among study centres of the European Prospective Investigation into Cancer and Nutrition (EPIC). METHODS: 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. RESULTS: 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. CONCLUSION: 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.
PubMed ID
12639227 View in PubMed
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Interaction between blood type, smoking and factor V Leiden mutation and risk of venous thromboembolism: a Danish case-cohort study.

https://arctichealth.org/en/permalink/ahliterature124479
Source
J Thromb Haemost. 2012 Oct;10(10):2191-3
Publication Type
Article
Date
Oct-2012

Is the effect of alcohol on risk of stroke confined to highly stressed persons?

https://arctichealth.org/en/permalink/ahliterature9192
Source
Neuroepidemiology. 2005;25(3):105-13
Publication Type
Article
Date
2005
Author
N R Nielsen
T. Truelsen
J C Barefoot
S P Johnsen
K. Overvad
G. Boysen
P. Schnohr
M. Grønbaek
Author Affiliation
Centre for Alcohol Research, National Institute of Public Health, Copenhagen, Denmark. nrn@niph.dk
Source
Neuroepidemiology. 2005;25(3):105-13
Date
2005
Language
English
Publication Type
Article
Keywords
Adult
Aged
Aged, 80 and over
Alcohol Drinking - psychology
Alcoholic Beverages - adverse effects
Cerebrovascular Accident - etiology
Denmark
Female
Follow-Up Studies
Humans
Male
Middle Aged
Prospective Studies
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't
Research Support, U.S. Gov't, P.H.S.
Risk factors
Self Assessment (Psychology)
Stress, Psychological - psychology
Abstract
BACKGROUND: Psychological stress and alcohol are both suggested as risk factors for stroke. Further, there appears to be a close relation between stress and alcohol consumption. Several experimental studies have found alcohol consumption to reduce the immediate effects of stress in a laboratory setting. We aimed to examine whether the association between alcohol and stroke depends on level of self-reported stress in a large prospective cohort. METHODS: The 5,373 men and 6,723 women participating in the second examination of the Copenhagen City Heart Study in 1981-1983 were asked at baseline about their self-reported level of stress and their weekly alcohol consumption. The participants were followed-up until 31st of December 1997 during which 880 first ever stroke events occurred. Data were analysed by means of Cox regression modelling. RESULTS: At a high stress level, weekly total consumption of 1-14 units of alcohol compared with no consumption seemed associated with a lower risk of stroke (adjusted RR: 0.57, 95% CI: 0.31-1.07). At lower stress levels, no clear associations were observed. Regarding subtypes, self-reported stress appeared only to modify the association between alcohol intake and ischaemic stroke events. Regarding specific types of alcoholic beverages, self-reported stress only modified the associations for intake of beer and wine. CONCLUSIONS: This study indicates that the apparent lower risk of stroke associated with moderate alcohol consumption is confined to a group of highly stressed persons. It is suggested that alcohol consumption may play a role in reducing the risk of stroke by modifying the physiological or psychological stress response.
PubMed ID
15956807 View in PubMed
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Long-term exposure to traffic-related air pollution and diabetes-associated mortality: a cohort study.

https://arctichealth.org/en/permalink/ahliterature121320
Source
Diabetologia. 2013 Jan;56(1):36-46
Publication Type
Article
Date
Jan-2013
Author
O. Raaschou-Nielsen
M. Sørensen
M. Ketzel
O. Hertel
S. Loft
A. Tjønneland
K. Overvad
Z J Andersen
Author Affiliation
Danish Cancer Society Research Center, Strandboulevarden 49, 2100, Copenhagen Ø, Denmark. ole@cancer.dk
Source
Diabetologia. 2013 Jan;56(1):36-46
Date
Jan-2013
Language
English
Publication Type
Article
Keywords
Air Pollutants - toxicity
Cohort Studies
Confounding Factors (Epidemiology)
Denmark - epidemiology
Diabetes Mellitus - epidemiology - mortality
Environmental Exposure - adverse effects
Female
Follow-Up Studies
Humans
Male
Middle Aged
Nitrogen Dioxide - toxicity
Proportional Hazards Models
Prospective Studies
Questionnaires
Registries
Residence Characteristics
Time Factors
Urban health
Vehicle Emissions - toxicity
Abstract
The aim of this study was to investigate whether air pollution from traffic at a residence is associated with mortality related to type 1 or type 2 diabetes.
We followed up 52,061 participants in the Danish Diet, Cancer and Health cohort for diabetes-related mortality in the nationwide Register of Causes of Death, from baseline in 1993-1997 up to the end of 2009, and traced their residential addresses since 1971 in the Central Population Registry. We used dispersion-modelled concentration of nitrogen dioxide (NO2) since 1971 and amount of traffic at the baseline residence as indicators of traffic-related air pollution and used Cox regression models to estimate mortality-rate ratios (MRRs) with adjustment for potential confounders.
Mean levels of NO2 at the residence since 1971 were significantly associated with mortality from diabetes. Exposure above 19.4 µg/m³ (upper quartile) was associated with a MRR of 2.15 (95% CI 1.21, 3.83) when compared with below 13.6 µg/m³ (lower quartile), corresponding to an MRR of 1.31 (95% CI 0.98, 1.76) per 10 µg/m³ NO2 after adjustment for potential confounders.
This study suggests that traffic-related air pollution is associated with mortality from diabetes. If confirmed, reduction in population exposure to traffic-related air pollution could be an additional strategy against the global public health burden of diabetes.
PubMed ID
22918192 View in PubMed
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Obesity and risk of subsequent hospitalisation with pneumonia.

https://arctichealth.org/en/permalink/ahliterature144594
Source
Eur Respir J. 2010 Dec;36(6):1330-6
Publication Type
Article
Date
Dec-2010
Author
J B Kornum
M. Nørgaard
C. Dethlefsen
K M Due
R W Thomsen
A. Tjønneland
H T Sørensen
K. Overvad
Author Affiliation
Dept of Clinical Epidemiology, Aarhus University Hospital, Denmark. j.kornum@rn.dk
Source
Eur Respir J. 2010 Dec;36(6):1330-6
Date
Dec-2010
Language
English
Publication Type
Article
Keywords
Alcohol drinking - epidemiology
Body mass index
Chronic Disease
Cohort Studies
Comorbidity
Denmark - epidemiology
Female
Hospitalization
Humans
Life Style
Male
Middle Aged
Obesity - epidemiology
Pneumonia - epidemiology
Prospective Studies
Risk factors
Smoking - epidemiology
Abstract
Obesity may be associated with increased risk of pneumonia, but available data on this relationship are sparse and inconsistent. We followed a prospective cohort of 22,578 males and 25,973 females from the Danish Diet, Cancer and Health Study, aged 50-64 yrs and free from major chronic diseases at baseline (1993-1997), for first-time hospitalisation with pneumonia (median follow-up 12 yrs). Compared with males of normal weight, adjusted hazard ratios (HRs) for pneumonia were 1.4 (95% CI 1.2-1.7) for males with moderate obesity (body mass index (BMI) 30.0-34.9 kg·m?²), and 2.0 (95% CI 1.4-2.8) for males with severe obesity (BMI = 35.0 kg·m?²), controlling for lifestyle and educational variables. Among females the associations were weaker, with adjusted HRs of 0.8 (95% CI 0.6-1.0) for moderate obesity, and 1.2 (95% CI 0.8-1.6) for severe obesity. Adjustment for major chronic diseases diagnosed during follow-up eliminated the associations between obesity and pneumonia risk. Obesity is associated with higher risk of hospitalisation with pneumonia among males but not among females, which is apparently explained by occurrence of other chronic diseases.
Notes
Comment In: Eur Respir J. 2011 May;37(5):1298; author reply 1299-130021532024
Comment In: Eur Respir J. 2011 May;37(5):1299; author reply 1299-130021532025
PubMed ID
20351023 View in PubMed
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16 records – page 1 of 2.