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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 study1,4.
- Source :
-
The American journal of clinical nutrition [Am J Clin Nutr] 2013 May; Vol. 97 (5), pp. 1107-20. Date of Electronic Publication: 2013 Apr 03. - Publication Year :
- 2013
-
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.<br />Objective: We investigated whether concordance with WCRF/AICR recommendations is related to risk of death.<br />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.<br />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.<br />Conclusion: Results of this study suggest that following WCRF/AICR recommendations could significantly increase longevity.
- Subjects :
- Adult
Aged
Cohort Studies
Diet
Energy Intake
Europe epidemiology
Female
Follow-Up Studies
Guidelines as Topic
Humans
Life Style
Male
Middle Aged
Motor Activity
Nutrition Surveys
Proportional Hazards Models
Prospective Studies
Risk Factors
Surveys and Questionnaires
White People
Neoplasms epidemiology
Neoplasms prevention & control
Patient Compliance
Subjects
Details
- Language :
- English
- ISSN :
- 1938-3207
- Volume :
- 97
- Issue :
- 5
- Database :
- MEDLINE
- Journal :
- The American journal of clinical nutrition
- Publication Type :
- Academic Journal
- Accession number :
- 23553166
- Full Text :
- https://doi.org/10.3945/ajcn.112.049569