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Adherence to the World Cancer Research Fund/American Institute for Cancer Research guidelines and risk of death in Europe: results from the European Prospective Investigation into Nutrition and Cancer cohort study

Vergnaud, Anne-Claire; Romaguera, Dora; Peeters, Petra H.; van Gils, Carla H.; Chan, Doris S. M.; Romieu, Isabelle; Freisling, Heinz; Ferrari, Pietro; Clavel-Chapelon, Francoise and Fagherazzi, Guy, et al. (2013) In American Journal of Clinical Nutrition 97(5). p.1107-1120
Abstract
Background: In 2007, the World Cancer Research Fund (WCRF) and the American Institute for Cancer Research (AICR) issued recommendations on diet, physical activity, and weight management for cancer prevention on the basis of the most comprehensive collection of available evidence. Objective: We investigated whether concordance with WCRF/AICR recommendations is related to risk of death. Design: The current study included 378,864 participants from 9 European countries enrolled in the European Prospective Investigation into Cancer and Nutrition study. At recruitment (1992-1998), dietary, anthropometric, and lifestyle information was collected. A WCRF/AICR score, which incorporated 6 of the WCRF/AICR recommendations for men [regarding body... (More)
Background: In 2007, the World Cancer Research Fund (WCRF) and the American Institute for Cancer Research (AICR) issued recommendations on diet, physical activity, and weight management for cancer prevention on the basis of the most comprehensive collection of available evidence. Objective: We investigated whether concordance with WCRF/AICR recommendations is related to risk of death. Design: The current study included 378,864 participants from 9 European countries enrolled in the European Prospective Investigation into Cancer and Nutrition study. At recruitment (1992-1998), dietary, anthropometric, and lifestyle information was collected. A WCRF/AICR score, which incorporated 6 of the WCRF/AICR recommendations for men [regarding body fatness, physical activity, foods and drinks that promote weight gain, plant foods, animal foods, and alcoholic drinks (score range: 0-6)] and 7 WCRF/AICR recommendations for women [plus breastfeeding (score range: 0-7)], was constructed. Higher scores indicated greater concordance with WCRF/AICR recommendations. Associations between the WCRF/AICR score and risks of total and cause-specific death were estimated by using Cox regression analysis. Results: After a median follow-up time of 12.8 y, 23,828 deaths were identified. Participants within the highest category of the WCRF/AICR score (5-6 points in men; 6-7 points in women) had a 34% lower hazard of death (95% CI: 0.59, 0.75) compared with participants within the lowest category of the WCRF/AICR score (0-2 points in men; 0-3 points in women). Significant inverse associations were observed in all countries. The WCRF/AICR score was also significantly associated with a lower hazard of dying from cancer, circulatory disease, and respiratory disease. Conclusion: Results of this study suggest that following WCRF/AICR recommendations could significantly increase longevity. Am J Clin Nutr 2013;97:1107-20. (Less)
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American Journal of Clinical Nutrition
volume
97
issue
5
pages
1107 - 1120
publisher
American Society for Clinical Nutrition
external identifiers
  • wos:000318000700028
  • scopus:84876935626
ISSN
1938-3207
DOI
10.3945/ajcn.112.049569
language
English
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yes
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69696887-b020-4bcf-bc42-2e58fdad9d20 (old id 3843259)
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2013-07-01 07:00:49
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2019-08-14 02:29:46
@article{69696887-b020-4bcf-bc42-2e58fdad9d20,
  abstract     = {Background: In 2007, the World Cancer Research Fund (WCRF) and the American Institute for Cancer Research (AICR) issued recommendations on diet, physical activity, and weight management for cancer prevention on the basis of the most comprehensive collection of available evidence. Objective: We investigated whether concordance with WCRF/AICR recommendations is related to risk of death. Design: The current study included 378,864 participants from 9 European countries enrolled in the European Prospective Investigation into Cancer and Nutrition study. At recruitment (1992-1998), dietary, anthropometric, and lifestyle information was collected. A WCRF/AICR score, which incorporated 6 of the WCRF/AICR recommendations for men [regarding body fatness, physical activity, foods and drinks that promote weight gain, plant foods, animal foods, and alcoholic drinks (score range: 0-6)] and 7 WCRF/AICR recommendations for women [plus breastfeeding (score range: 0-7)], was constructed. Higher scores indicated greater concordance with WCRF/AICR recommendations. Associations between the WCRF/AICR score and risks of total and cause-specific death were estimated by using Cox regression analysis. Results: After a median follow-up time of 12.8 y, 23,828 deaths were identified. Participants within the highest category of the WCRF/AICR score (5-6 points in men; 6-7 points in women) had a 34% lower hazard of death (95% CI: 0.59, 0.75) compared with participants within the lowest category of the WCRF/AICR score (0-2 points in men; 0-3 points in women). Significant inverse associations were observed in all countries. The WCRF/AICR score was also significantly associated with a lower hazard of dying from cancer, circulatory disease, and respiratory disease. Conclusion: Results of this study suggest that following WCRF/AICR recommendations could significantly increase longevity. Am J Clin Nutr 2013;97:1107-20.},
  author       = {Vergnaud, Anne-Claire and Romaguera, Dora and Peeters, Petra H. and van Gils, Carla H. and Chan, Doris S. M. and Romieu, Isabelle and Freisling, Heinz and Ferrari, Pietro and Clavel-Chapelon, Francoise and Fagherazzi, Guy and Dartois, Laureen and Li, Kuanrong and Tikk, Kaja and Bergmann, Manuela M. and Boeing, Heiner and Tjonneland, Anne and Olsen, Anja and Overvad, Kim and Dahm, Christina C. and Luisa Redondo, Maria and Agudo, Antonio and Sanchez, Maria-Jose and Amiano, Pilar and Chirlaque, Maria-Dolores and Ardanaz, Eva and Khaw, Kay-Tee and Wareham, Nick J. and Crowe, Francesca and Trichopoulou, Antonia and Orfanos, Philippos and Trichopoulos, Dimitrios and Masala, Giovanna and Sieri, Sabina and Tumino, Rosario and Vineis, Paolo and Panico, Salvatore and Bueno-de-Mesquita, H. Bas and Ros, Martine M. and May, Anne and Wirfält, Elisabet and Sonestedt, Emily and Johansson, Ingegerd and Hallmans, Goeran and Lund, Eiliv and Weiderpass, Elisabete and Parr, Christine L. and Riboli, Elio and Norat, Teresa},
  issn         = {1938-3207},
  language     = {eng},
  number       = {5},
  pages        = {1107--1120},
  publisher    = {American Society for Clinical Nutrition},
  series       = {American Journal of Clinical Nutrition},
  title        = {Adherence to the World Cancer Research Fund/American Institute for Cancer Research guidelines and risk of death in Europe: results from the European Prospective Investigation into Nutrition and Cancer cohort study},
  url          = {http://dx.doi.org/10.3945/ajcn.112.049569},
  volume       = {97},
  year         = {2013},
}