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 study1-5

Anne Claire Vergnaud, Dora Romaguera, Petra H. Peeters, Carla H. Van Gils, Doris S M Chan, Isabelle Romieu, Heinz Freisling, Pietro Ferrari, Francoise Clavel-Chapelon, Guy Fagherazzi, Laureen Dartois, Kuanrong Li, Kaja Tikk, Manuela M. Bergmann, Heiner Boeing, Anne Tjønneland, Anja Olsen, Kim Overvad, Christina C. Dahm, Maria Luisa RedondoAntonio Agudo, Maria Jose Sanchez, Pilar Amiano, Maria Dolores Chirlaque, Eva Ardanaz, Kay Tee Khaw, Nick J. Wareham, Francesca Crowe, Antonia Trichopoulou, Philippos Orfanos, Dimitrios Trichopoulos, Giovanna Masala, Sabina Sieri, Rosario Tumino, Paolo Vineis, Salvatore Panico, H. Bas Bueno-de-Mesquita, Martine M. Ros, Anne May, Elisabet Wirfalt, Emily Sonestedt, Ingegerd Johansson, Goran Hallmans, Eiliv Lund, Elisabete Weiderpass, Christine L. Parr, Elio Riboli, Teresa Norat

Research output: Contribution to journalArticle

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. AWCRF/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 followingWCRF/AICR recommendations could significantly increase longevity.

Original languageEnglish
Pages (from-to)1107-1120
Number of pages14
JournalAmerican Journal of Clinical Nutrition
Volume97
Issue number5
DOIs
Publication statusPublished - May 1 2013

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Guidelines
Research
Neoplasms
Exercise
Food
Edible Plants
Breast Feeding
Weight Gain
Life Style
Cause of Death

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Nutrition and Dietetics

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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 study1-5. / 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; Fagherazzi, Guy; Dartois, Laureen; Li, Kuanrong; Tikk, Kaja; Bergmann, Manuela M.; Boeing, Heiner; Tjønneland, Anne; Olsen, Anja; Overvad, Kim; Dahm, Christina C.; Redondo, Maria Luisa; Agudo, Antonio; Sanchez, Maria Jose; Amiano, Pilar; Chirlaque, Maria Dolores; Ardanaz, Eva; Khaw, Kay Tee; Wareham, Nick J.; Crowe, Francesca; Trichopoulou, Antonia; Orfanos, Philippos; Trichopoulos, Dimitrios; Masala, Giovanna; Sieri, Sabina; Tumino, Rosario; Vineis, Paolo; Panico, Salvatore; Bueno-de-Mesquita, H. Bas; Ros, Martine M.; May, Anne; Wirfalt, Elisabet; Sonestedt, Emily; Johansson, Ingegerd; Hallmans, Goran; Lund, Eiliv; Weiderpass, Elisabete; Parr, Christine L.; Riboli, Elio; Norat, Teresa.

In: American Journal of Clinical Nutrition, Vol. 97, No. 5, 01.05.2013, p. 1107-1120.

Research output: Contribution to journalArticle

Vergnaud, AC, Romaguera, D, Peeters, PH, Van Gils, CH, Chan, DSM, Romieu, I, Freisling, H, Ferrari, P, Clavel-Chapelon, F, Fagherazzi, G, Dartois, L, Li, K, Tikk, K, Bergmann, MM, Boeing, H, Tjønneland, A, Olsen, A, Overvad, K, Dahm, CC, Redondo, ML, Agudo, A, Sanchez, MJ, Amiano, P, Chirlaque, MD, Ardanaz, E, Khaw, KT, Wareham, NJ, Crowe, F, Trichopoulou, A, Orfanos, P, Trichopoulos, D, Masala, G, Sieri, S, Tumino, R, Vineis, P, Panico, S, Bueno-de-Mesquita, HB, Ros, MM, May, A, Wirfalt, E, Sonestedt, E, Johansson, I, Hallmans, G, Lund, E, Weiderpass, E, Parr, CL, Riboli, E & Norat, T 2013, '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 study1-5', American Journal of Clinical Nutrition, vol. 97, no. 5, pp. 1107-1120. https://doi.org/10.3945/ajcn.112.049569
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 ; Fagherazzi, Guy ; Dartois, Laureen ; Li, Kuanrong ; Tikk, Kaja ; Bergmann, Manuela M. ; Boeing, Heiner ; Tjønneland, Anne ; Olsen, Anja ; Overvad, Kim ; Dahm, Christina C. ; Redondo, Maria Luisa ; Agudo, Antonio ; Sanchez, Maria Jose ; Amiano, Pilar ; Chirlaque, Maria Dolores ; Ardanaz, Eva ; Khaw, Kay Tee ; Wareham, Nick J. ; Crowe, Francesca ; Trichopoulou, Antonia ; Orfanos, Philippos ; Trichopoulos, Dimitrios ; Masala, Giovanna ; Sieri, Sabina ; Tumino, Rosario ; Vineis, Paolo ; Panico, Salvatore ; Bueno-de-Mesquita, H. Bas ; Ros, Martine M. ; May, Anne ; Wirfalt, Elisabet ; Sonestedt, Emily ; Johansson, Ingegerd ; Hallmans, Goran ; Lund, Eiliv ; Weiderpass, Elisabete ; Parr, Christine L. ; Riboli, Elio ; Norat, Teresa. / 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 study1-5. In: American Journal of Clinical Nutrition. 2013 ; Vol. 97, No. 5. pp. 1107-1120.
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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. AWCRF/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 followingWCRF/AICR recommendations could significantly increase longevity.",
author = "Vergnaud, {Anne Claire} and Dora Romaguera and Peeters, {Petra H.} and {Van Gils}, {Carla H.} and Chan, {Doris S M} and Isabelle Romieu and Heinz Freisling and Pietro Ferrari and Francoise Clavel-Chapelon and Guy Fagherazzi and Laureen Dartois and Kuanrong Li and Kaja Tikk and Bergmann, {Manuela M.} and Heiner Boeing and Anne Tj{\o}nneland and Anja Olsen and Kim Overvad and Dahm, {Christina C.} and Redondo, {Maria Luisa} and Antonio Agudo and Sanchez, {Maria Jose} and Pilar Amiano and Chirlaque, {Maria Dolores} and Eva Ardanaz and Khaw, {Kay Tee} and Wareham, {Nick J.} and Francesca Crowe and Antonia Trichopoulou and Philippos Orfanos and Dimitrios Trichopoulos and Giovanna Masala and Sabina Sieri and Rosario Tumino and Paolo Vineis and Salvatore Panico and Bueno-de-Mesquita, {H. Bas} and Ros, {Martine M.} and Anne May and Elisabet Wirfalt and Emily Sonestedt and Ingegerd Johansson and Goran Hallmans and Eiliv Lund and Elisabete Weiderpass and Parr, {Christine L.} and Elio Riboli and Teresa Norat",
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T1 - Adherence to the World Cancer Research Fund/American Institute for Cancer Research guidelines and risk of death in Europe

T2 - Results from the European Prospective Investigation into Nutrition and Cancer cohort study1-5

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 - Tjønneland, Anne

AU - Olsen, Anja

AU - Overvad, Kim

AU - Dahm, Christina C.

AU - Redondo, Maria Luisa

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 - Wirfalt, Elisabet

AU - Sonestedt, Emily

AU - Johansson, Ingegerd

AU - Hallmans, Goran

AU - Lund, Eiliv

AU - Weiderpass, Elisabete

AU - Parr, Christine L.

AU - Riboli, Elio

AU - Norat, Teresa

PY - 2013/5/1

Y1 - 2013/5/1

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. AWCRF/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 followingWCRF/AICR recommendations could significantly increase longevity.

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