Total dietary carbohydrate, sugar, starch and fibre intakes in the European Prospective Investigation into Cancer and Nutrition

A. E. Cust, M. R. Skilton, M. M E van Bakel, J. Halkjær, A. Olsen, C. Agnoli, T. Psaltopoulou, E. Buurma, E. Sonestedt, M. D. Chirlaque, S. Rinaldi, A. Tjønneland, M. K. Jensen, F. Clavel-Chapelon, M. C. Boutron-Ruault, R. Kaaks, U. Nöthlings, Y. Chloptsios, D. Zylis, A. MattielloS. Caini, M. C. Ocké, Y. T. van der Schouw, G. Skeie, C. L. Parr, E. Molina-Montes, J. Manjer, I. Johansson, A. McTaggart, T. J. Key, S. Bingham, E. Riboli, N. Slimani

Research output: Contribution to journalArticle

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Abstract

Objective: To describe dietary carbohydrate intakes and their food sources among 27 centres in 10 countries participating in the European Prospective Investigation into Cancer and Nutrition (EPIC) study. Methods: Between 1995 and 2000, 36034 subjects, aged between 35-74 years, were administered a standardized, 24-h dietary recall using a computerized interview software programme (EPIC-SOFT). Intakes (g/day) of total carbohydrate, sugars, starch and fibre were estimated using the standardized EPIC Nutrient Database (ENDB). Mean intakes were adjusted for age, total energy intake, height and weight, and were weighted by season and day of recall. Results: Adjusted mean total carbohydrate intakes were highest in Italy and in the UK health-conscious cohort, and were lowest in Spain, Greece and France. Total fibre intakes were highest in the UK health-conscious cohort and lowest in Sweden and the UK general population. Bread contributed the highest proportion of carbohydrates (mainly starches) in every centre. Fruit consumption contributed a greater proportion of total carbohydrates (mainly sugars) among women than among men, and in southern centres compared with northern centres. Bread, fruits and vegetables represented the largest sources of fibre, but food sources varied considerably between centres. In stratified analyses, carbohydrate intakes tended to be higher among subjects who were physically active, never-smokers or non-drinkers of alcohol. Conclusions: Dietary carbohydrate intakes and in particular their food sources varied considerably between these 10 European countries. Intakes also varied according to gender and lifestyle factors. These data will form the basis for future aetiological analyses of the role of dietary carbohydrates in influencing health and disease.

Original languageEnglish
JournalEuropean Journal of Clinical Nutrition
Volume63
Issue numberSUPPL. 4
DOIs
Publication statusPublished - 2009

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Dietary Sucrose
Dietary Carbohydrates
Dietary Fiber
Starch
Carbohydrates
Bread
Neoplasms
Food
Fruit
Health
Greece
Energy Intake
Sweden
Vegetables
Spain
Italy
France
Life Style
Software
Eating

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Nutrition and Dietetics

Cite this

Total dietary carbohydrate, sugar, starch and fibre intakes in the European Prospective Investigation into Cancer and Nutrition. / Cust, A. E.; Skilton, M. R.; van Bakel, M. M E; Halkjær, J.; Olsen, A.; Agnoli, C.; Psaltopoulou, T.; Buurma, E.; Sonestedt, E.; Chirlaque, M. D.; Rinaldi, S.; Tjønneland, A.; Jensen, M. K.; Clavel-Chapelon, F.; Boutron-Ruault, M. C.; Kaaks, R.; Nöthlings, U.; Chloptsios, Y.; Zylis, D.; Mattiello, A.; Caini, S.; Ocké, M. C.; van der Schouw, Y. T.; Skeie, G.; Parr, C. L.; Molina-Montes, E.; Manjer, J.; Johansson, I.; McTaggart, A.; Key, T. J.; Bingham, S.; Riboli, E.; Slimani, N.

In: European Journal of Clinical Nutrition, Vol. 63, No. SUPPL. 4, 2009.

Research output: Contribution to journalArticle

Cust, AE, Skilton, MR, van Bakel, MME, Halkjær, J, Olsen, A, Agnoli, C, Psaltopoulou, T, Buurma, E, Sonestedt, E, Chirlaque, MD, Rinaldi, S, Tjønneland, A, Jensen, MK, Clavel-Chapelon, F, Boutron-Ruault, MC, Kaaks, R, Nöthlings, U, Chloptsios, Y, Zylis, D, Mattiello, A, Caini, S, Ocké, MC, van der Schouw, YT, Skeie, G, Parr, CL, Molina-Montes, E, Manjer, J, Johansson, I, McTaggart, A, Key, TJ, Bingham, S, Riboli, E & Slimani, N 2009, 'Total dietary carbohydrate, sugar, starch and fibre intakes in the European Prospective Investigation into Cancer and Nutrition', European Journal of Clinical Nutrition, vol. 63, no. SUPPL. 4. https://doi.org/10.1038/ejcn.2009.74
Cust, A. E. ; Skilton, M. R. ; van Bakel, M. M E ; Halkjær, J. ; Olsen, A. ; Agnoli, C. ; Psaltopoulou, T. ; Buurma, E. ; Sonestedt, E. ; Chirlaque, M. D. ; Rinaldi, S. ; Tjønneland, A. ; Jensen, M. K. ; Clavel-Chapelon, F. ; Boutron-Ruault, M. C. ; Kaaks, R. ; Nöthlings, U. ; Chloptsios, Y. ; Zylis, D. ; Mattiello, A. ; Caini, S. ; Ocké, M. C. ; van der Schouw, Y. T. ; Skeie, G. ; Parr, C. L. ; Molina-Montes, E. ; Manjer, J. ; Johansson, I. ; McTaggart, A. ; Key, T. J. ; Bingham, S. ; Riboli, E. ; Slimani, N. / Total dietary carbohydrate, sugar, starch and fibre intakes in the European Prospective Investigation into Cancer and Nutrition. In: European Journal of Clinical Nutrition. 2009 ; Vol. 63, No. SUPPL. 4.
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abstract = "Objective: To describe dietary carbohydrate intakes and their food sources among 27 centres in 10 countries participating in the European Prospective Investigation into Cancer and Nutrition (EPIC) study. Methods: Between 1995 and 2000, 36034 subjects, aged between 35-74 years, were administered a standardized, 24-h dietary recall using a computerized interview software programme (EPIC-SOFT). Intakes (g/day) of total carbohydrate, sugars, starch and fibre were estimated using the standardized EPIC Nutrient Database (ENDB). Mean intakes were adjusted for age, total energy intake, height and weight, and were weighted by season and day of recall. Results: Adjusted mean total carbohydrate intakes were highest in Italy and in the UK health-conscious cohort, and were lowest in Spain, Greece and France. Total fibre intakes were highest in the UK health-conscious cohort and lowest in Sweden and the UK general population. Bread contributed the highest proportion of carbohydrates (mainly starches) in every centre. Fruit consumption contributed a greater proportion of total carbohydrates (mainly sugars) among women than among men, and in southern centres compared with northern centres. Bread, fruits and vegetables represented the largest sources of fibre, but food sources varied considerably between centres. In stratified analyses, carbohydrate intakes tended to be higher among subjects who were physically active, never-smokers or non-drinkers of alcohol. Conclusions: Dietary carbohydrate intakes and in particular their food sources varied considerably between these 10 European countries. Intakes also varied according to gender and lifestyle factors. These data will form the basis for future aetiological analyses of the role of dietary carbohydrates in influencing health and disease.",
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T1 - Total dietary carbohydrate, sugar, starch and fibre intakes in the European Prospective Investigation into Cancer and Nutrition

AU - Cust, A. E.

AU - Skilton, M. R.

AU - van Bakel, M. M E

AU - Halkjær, J.

AU - Olsen, A.

AU - Agnoli, C.

AU - Psaltopoulou, T.

AU - Buurma, E.

AU - Sonestedt, E.

AU - Chirlaque, M. D.

AU - Rinaldi, S.

AU - Tjønneland, A.

AU - Jensen, M. K.

AU - Clavel-Chapelon, F.

AU - Boutron-Ruault, M. C.

AU - Kaaks, R.

AU - Nöthlings, U.

AU - Chloptsios, Y.

AU - Zylis, D.

AU - Mattiello, A.

AU - Caini, S.

AU - Ocké, M. C.

AU - van der Schouw, Y. T.

AU - Skeie, G.

AU - Parr, C. L.

AU - Molina-Montes, E.

AU - Manjer, J.

AU - Johansson, I.

AU - McTaggart, A.

AU - Key, T. J.

AU - Bingham, S.

AU - Riboli, E.

AU - Slimani, N.

PY - 2009

Y1 - 2009

N2 - Objective: To describe dietary carbohydrate intakes and their food sources among 27 centres in 10 countries participating in the European Prospective Investigation into Cancer and Nutrition (EPIC) study. Methods: Between 1995 and 2000, 36034 subjects, aged between 35-74 years, were administered a standardized, 24-h dietary recall using a computerized interview software programme (EPIC-SOFT). Intakes (g/day) of total carbohydrate, sugars, starch and fibre were estimated using the standardized EPIC Nutrient Database (ENDB). Mean intakes were adjusted for age, total energy intake, height and weight, and were weighted by season and day of recall. Results: Adjusted mean total carbohydrate intakes were highest in Italy and in the UK health-conscious cohort, and were lowest in Spain, Greece and France. Total fibre intakes were highest in the UK health-conscious cohort and lowest in Sweden and the UK general population. Bread contributed the highest proportion of carbohydrates (mainly starches) in every centre. Fruit consumption contributed a greater proportion of total carbohydrates (mainly sugars) among women than among men, and in southern centres compared with northern centres. Bread, fruits and vegetables represented the largest sources of fibre, but food sources varied considerably between centres. In stratified analyses, carbohydrate intakes tended to be higher among subjects who were physically active, never-smokers or non-drinkers of alcohol. Conclusions: Dietary carbohydrate intakes and in particular their food sources varied considerably between these 10 European countries. Intakes also varied according to gender and lifestyle factors. These data will form the basis for future aetiological analyses of the role of dietary carbohydrates in influencing health and disease.

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