TY - JOUR
T1 - 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
AU - Vergnaud, Anne-Claire
AU - Romaguera, Dora
AU - Peeters, Petra H.
AU - van Gils, Carla H.
AU - Chan, Doris S. M.
AU - Romieu, Isabelle
AU - Freisling, Heinz
AU - Ferrari, Pietro
AU - Clavel-Chapelon, Francoise
AU - Fagherazzi, Guy
AU - Dartois, Laureen
AU - Li, Kuanrong
AU - Tikk, Kaja
AU - Bergmann, Manuela M.
AU - Boeing, Heiner
AU - Tjonneland, Anne
AU - Olsen, Anja
AU - Overvad, Kim
AU - Dahm, Christina C.
AU - Luisa Redondo, Maria
AU - Agudo, Antonio
AU - Sanchez, Maria-Jose
AU - Amiano, Pilar
AU - Chirlaque, Maria-Dolores
AU - Ardanaz, Eva
AU - Khaw, Kay-Tee
AU - Wareham, Nick J.
AU - Crowe, Francesca
AU - Trichopoulou, Antonia
AU - Orfanos, Philippos
AU - Trichopoulos, Dimitrios
AU - Masala, Giovanna
AU - Sieri, Sabina
AU - Tumino, Rosario
AU - Vineis, Paolo
AU - Panico, Salvatore
AU - Bueno-de-Mesquita, H. Bas
AU - Ros, Martine M.
AU - May, Anne
AU - Wirfält, Elisabet
AU - Sonestedt, Emily
AU - Johansson, Ingegerd
AU - Hallmans, Goeran
AU - Lund, Eiliv
AU - Weiderpass, Elisabete
AU - Parr, Christine L.
AU - Riboli, Elio
AU - Norat, Teresa
PY - 2013
Y1 - 2013
N2 - 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.
AB - 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.
U2 - 10.3945/ajcn.112.049569
DO - 10.3945/ajcn.112.049569
M3 - Article
C2 - 23553166
SN - 1938-3207
VL - 97
SP - 1107
EP - 1120
JO - American Journal of Clinical Nutrition
JF - American Journal of Clinical Nutrition
IS - 5
ER -
