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6. Eating at restaurants, at work or at home. Is there a difference? A study among adults of 11 European countries in the context of the HECTOR* project

Author

Orfanos, P, Naska, A, Rodrigues, S, Lopes, C, Freisling, H, Rohrmann, S, and Sieri, S

Subjects
Restaurants -- User statistics, Food habits -- Demographic aspects -- Statistics, Food/cooking/nutrition, Health
Abstract

Background/Objectives: To compare macronutrient intakes out of home--by location--to those at home and to investigate differences in total daily intakes between individuals consuming more than half of their daily energy out of home and those eating only at home. Subjects/Methods: Data collected through 24-h recalls or diaries among 23 766 European adults. Participants were grouped as 'non-substantial', 'intermediate' and 'very substantial out-of-home' eaters based on energy intake out of home. Mean macronutrient intakes were estimated at home and out of home (overall, at restaurants, at work). Study/cohort-specific mean differences in total intakes between the 'very substantial out-of-home' and the 'at-home' eaters were estimated through linear regression and pooled estimates were derived. Results: At restaurants, men consumed 29% of their energy as fat, 15% as protein, 45% as carbohydrates and 11% as alcohol. Among women, fat contributed 33% of energy intake at restaurants, protein 16%, carbohydrates 45% and alcohol 6%. When eating at work, both sexes reported 30% of energy from fat and 55% from carbohydrates. Intakes at home were higher in fat and lower in carbohydrates and alcohol. Total daily intakes of the 'very substantial out-of-home' eaters were generally similar to those of individuals eating only at home, apart from lower carbohydrate and higher alcohol intakes among individuals eating at restaurants. Conclusions: In a large population of adults from 11 European countries, eating at work was generally similar to eating at home. Alcoholic drinks were the primary contributors of higher daily energy intakes among individuals eating substantially at restaurants., Author(s): P Orfanos [sup.1] , A Naska [sup.1] , S Rodrigues [sup.2] , C Lopes [sup.3] , H Freisling [sup.4] , S Rohrmann [sup.5] , S Sieri [sup.6] , I [...]

Published
2017
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9. The relative risk of second primary cancers in Switzerland: a population-based retrospective cohort study

Author

Feller, Anita, Matthes, Katarina L., Bordoni, Andrea, Bouchardy, Christine, Bulliard, Jean-Luc, Herrmann, Christian, Konzelmann, Isabelle, Maspoli, Manuela, Mousavi, Mohsen, Rohrmann, Sabine, Staehelin, Katharina, Arndt, Volker, Staehelin, K., Bouchardy, C., Mousavi, M., Bulliard, J. L., Maspoli, M., Bordoni, A., Konzelmann, I., Blanc-Moya, R., Rohrmann, S., and NICER Working Group

Subjects
Male, Cancer Research, Retrospective, 0302 clinical medicine, Cancer Survivors, Cohort study, Relative risk, Second primary cancer, Switzerland, Risk Factors, Neoplasms, 030212 general & internal medicine, Registries, education.field_of_study, Incidence (epidemiology), Incidence, Smoking, Neoplasms, Second Primary, Middle Aged, lcsh:Neoplasms. Tumors. Oncology. Including cancer and carcinogens, Oncology, 030220 oncology & carcinogenesis, Cohort, Female, Research Article, Adult, medicine.medical_specialty, Adolescent, Alcohol Drinking, Population, lcsh:RC254-282, 03 medical and health sciences, Young Adult, Internal medicine, Genetics, medicine, Humans, Lung cancer, education, Aged, Retrospective Studies, business.industry, Cancer, Correction, Retrospective cohort study, medicine.disease, business
Abstract

Background More people than ever before are currently living with a diagnosis of cancer and the number of people concerned is likely to continue to rise. Cancer survivors are at risk of developing a second primary cancer (SPC). This study aims to investigate the risk of SPC in Switzerland. Methods The study cohort included all patients with a first primary cancer recorded in 9 Swiss population-based cancer registries 1981–2009 who had a minimum survival of 6 months, and a potential follow-up until the end of 2014. We calculated standardized incidence ratios (SIR) to estimate relative risks (RR) of SPC in cancer survivors compared with the cancer risk of the general population. SIR were stratified by type of first cancer, sex, age and period of first diagnosis, survival period and site of SPC. Results A total of 33,793 SPC were observed in 310,113 cancer patients. Both male (SIR 1.18, 95%CI 1.16–1.19) and female (SIR 1.20, 95%CI 1.18–1.22) cancer survivors had an elevated risk of developing a SPC. Risk estimates varied substantially according to type of first cancer and were highest in patients initially diagnosed with cancer of the oral cavity and pharynx, Hodgkin lymphoma, laryngeal, oesophageal, or lung cancer. Age-stratified analyses revealed a tendency towards higher RR in patients first diagnosed at younger ages. Stratified by survival period, risk estimates showed a rising trend with increasing time from the initial diagnosis. We observed strong associations between particular types of first and SPC, i.e. cancer types sharing common risk factors such as smoking or alcohol consumption (e.g. repeated cancer of the oral cavity and pharynx (SIRmales 20.12, 95%CI 17.91–22.33; SIRfemales 37.87, 95%CI 30.27–45.48). Conclusion Swiss cancer survivors have an increased risk of developing a SPC compared to the general population, particularly patients first diagnosed before age 50 and those surviving more than 10 years. Cancer patients should remain under continued surveillance not only for recurrent cancers but also for new cancers. Some first and SPCs share lifestyle associated risk factors making it important to promote healthier lifestyles in both the general population and cancer survivors.

Published
2020

10. Risk factors for the onset of prostatic cancer: age, location, and behavioral correlates

Author

Leitzmann MF and Rohrmann S

Subjects
Infectious and parasitic diseases, RC109-216
Abstract

Michael F Leitzmann1, Sabine Rohrmann21Department of Epidemiology and Preventive Medicine, Regensburg University Medical Center, Regensburg, Germany; 2Institute of Social and Preventive Medicine, University of Zurich, Zurich, SwitzerlandAbstract: At present, only three risk factors for prostate cancer have been firmly established; these are all nonmodifiable: age, race, and a positive family history of prostate cancer. However, numerous modifiable factors have also been implicated in the development of prostate cancer. In the current review, we summarize the epidemiologic data for age, location, and selected behavioral factors in relation to the onset of prostate cancer. Although the available data are not entirely consistent, possible preventative behavioral factors include increased physical activity, intakes of tomatoes, cruciferous vegetables, and soy. Factors that may enhance prostate cancer risk include frequent consumption of dairy products and, possibly, meat. By comparison, alcohol probably exerts no important influence on prostate cancer development. Similarly, dietary supplements are unlikely to protect against the onset of prostate cancer in healthy men. Several factors, such as smoking and obesity, show a weak association with prostate cancer incidence but a positive relation with prostate cancer mortality. Other factors, such as fish intake, also appear to be unassociated with incident prostate cancer but show an inverse relation with fatal prostate cancer. Such heterogeneity in the relationship between behavioral factors and nonadvanced, advanced, or fatal prostate cancers helps shed light on the carcinogenetic process because it discerns the impact of exposure on early and late stages of prostate cancer development. Inconsistent associations between behavioral factors and prostate cancer risk seen in previous studies may in part be due to uncontrolled detection bias because of current widespread use of prostate-specific antigen testing for prostate cancer, and the possibility that certain behavioral factors are systematically related to the likelihood of undergoing screening examinations. In addition, several genes may modify the study results, but data concerning specific gene–environment interactions are currently sparse. Despite large improvements in our understanding of prostate cancer risk factors in the past two decades, present knowledge does not allow definitive recommendations for specific preventative behavioral interventions.Keywords: prostate cancer, risk factors, etiology, epidemiology

Published
2012

11. Fruits and vegetables consumption and the risk of histological subtypes of lung cancer in the European Prospective Investigation into Cancer and Nutrition (EPIC)

Author

Büchner, F. L., Bueno-de-Mesquita, H. B., Linseisen, J., Boshuizen, H. C., Kiemeney, L. A. L. M., Ros, M. M., Overvad, K., Hansen, L., Tjonneland, A., Raaschou-Nielsen, O., Clavel-Chapelon, F., Boutron-Ruault, M.-C., Touillaud, M., Kaaks, R., Rohrmann, S., Boeing, H., Nöthlings, U., Trichopoulou, A., Zylis, D., Dilis, V., Palli, D., Sieri, S., Vineis, P., Tumino, R., Panico, S., Peeters, P. H. M., van Gils, C. H., Lund, E., Gram, I. T., Braaten, T., Martinez, C., Agudo, A., Arriola, L., Ardanaz, E., Navarro, C., Rodríguez, L., Manjer, J., Wirfält, E., Hallmans, G., Rasmuson, T., Key, T. J., Roddam, A. W., Bingham, S., Khaw, K.-T., Slimani, N., Bofetta, P., Byrnes, G., Norat, T., Michaud, D., and Riboli, E.

Published
2010

12. Modified Mediterranean diet and survival after myocardial infarction: the EPIC-Elderly study

Author

Trichopoulou, A., Bamia, C., Norat, T., Overvad, K., Schmidt, E. B., Tjønneland, A., Halkjær, J., Clavel-Chapelon, F., Vercambre, M. -N., Boutron-Ruault, M. -C., Linseisen, J., Rohrmann, S., Boeing, H., Weikert, C., Benetou, V., Psaltopoulou, T., Orfanos, P., Boffetta, P., Masala, G., Pala, V., Panico, S., Tumino, R., Sacerdote, C., Bueno-de-Mesquita, H. B., Ocke, M. C., Peeters, P. H., Van der Schouw, Y. T., González, C., Sanchez, M. J., Chirlaque, M. D., Moreno, C., Larrañaga, N., Van Guelpen, B., Jansson, J. -H., Bingham, S., Khaw, K. -T., Spencer, E. A., Key, T., Riboli, E., and Trichopoulos, D.

Published
2007

13. Dietary vitamin D intake and risk of type 2 diabetes in the European Prospective Investigation into Cancer and Nutrition: the EPIC-InterAct study

Author

Abbas, S, Linseisen, J, Rohrmann, S, Beulens, J W J, Buijsse, B, Amiano, P, Ardanaz, E, Balkau, B, Boeing, H, Clavel-Chapelon, F, Fagherazzi, G, Franks, P W, Gavrila, D, Grioni, S, Kaaks, R, Key, T J, Khaw, K T, Kühn, T, Mattiello, A, Molina-Montes, E, Nilsson, P M, Overvad, K, Quirós, J R, Rolandsson, O, Sacerdote, C, Saieva, C, Slimani, N, Sluijs, I, Spijkerman, A M W, Tjonneland, A, Tumino, R, van der A, D L, Zamora-Ros, R, Sharp, S J, Langenberg, C, Forouhi, N G, Riboli, E, and Wareham, N J

Published
2014
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15. Meat consumption and diet quality and mortality in NHANES III

Author

Kappeler, R., Eichholzer, M., and Rohrmann, S.

Subjects
Food consumption -- Health aspects, Mortality -- Research -- Switzerland, Meat -- Health aspects, Food/cooking/nutrition, Health
Abstract

BACKGROUND/OBJECTIVES: There is growing evidence that meat consumption is associated with total and cause-specific mortality. Our objective was to evaluate the association of meat intake and the healthy eating index (HEI) with total mortality, cancer and cardiovascular disease (CVD) mortality. SUBJECTS/METHODS: Analyses are based on 17 611 participants from Third National Health and Nutrition Examination Survey (NHANES III) (1986-2010). Meat intake was assessed using a food frequency questionnaire administrated at baseline. Adherence to the HEI was analyzed with a single 24-h dietary recall. Cox proportional hazards regression models were used to estimate hazard ratios (HRs) and 95% confidence intervals (CIs) of mortality according to five categories of meat consumption and three categories of the HEI score. RESULTS: During the follow-up period, 3683 deaths occurred, of which 1554 were due to CVD and 794 due to cancer. After multivariable adjustment, neither red and processed meat, nor white meat consumption were consistently associated with all-cause or cause-specific mortality. In men, white meat consumption tended to be inversely associated with total mortality (P for trend = 0.02), but there was no such association among women. Significantly decreased mortality was observed in the top compared with the bottom third of the HEI score (HR = 0.70, 95% CI 0.52-0.96). This association was only observed in men, but not in women. CONCLUSIONS: Meat consumption was not associated with mortality. A healthy diet according to HEI, however, was associated with a decreased total mortality in men, but not in women. European Journal of Clinical Nutrition (2013) 67, 598-606; doi: 10.1038/ejcn.2013.59; published online 13 March 2013 Keywords: cohort study; NHANES III; mortality; meat consumption; healthy eating index (HEI), INTRODUCTION Meat is a major source of animal protein and fat in many regions of the world. (1) Average annual consumption per person has increased by 12 kg during the [...]

Published
2013
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17. How food choices link sociodemographic and lifestyle factors with sustainability impacts

Author

Frehner, A., van Zanten, H.H.E., Schader, C., de Boer, I.J.M., Pestoni, G., Rohrmann, S., Müller, Adrian, Frehner, A., van Zanten, H.H.E., Schader, C., de Boer, I.J.M., Pestoni, G., Rohrmann, S., and Müller, Adrian

Abstract

While the production of food causes major environmental impacts and poses social risks, consumption of healthy and nutritious food is essential for human wellbeing. Against this background, action to make current diets more sustainable is needed, which in turn requires knowledge on possibilities for improvement. In this study, we investigated how sociodemographic and lifestyle factors relate to different sustainability impacts of diets in Switzerland using recent dietary recall data (n = 2057). Of each dietary recall, we assessed six impacts: global warming potential, cropland and grassland occupation, social risks, diet quality, and diet cost. We investigated the association between sociodemographic and lifestyle factors and food choices as well as between sociodemographic and lifestyle factors and environmental and socio-economic impacts, and combined these results in a qualitative approach. The median impacts of Swiss dietary recalls were 3.25 kg CO2eq for global warming potential, 4.92 m2 for cropland occupation, and 1.43 m2 for grassland occupation. Further, the median score for social risks was 1.64 e+08 points (Social Hotspots Index), for diet quality 43.65 points (Alternate Healthy Eating Index), and 9.27 CHF for diet cost. Moreover, our results showed that any action on food groups, be it for health, social, or environmental reasons, potentially affects societal groups differently. Nationalities, language regions, age groups, and smoking status seemed particularly distinctive, while income or educational groups seemed hardly relevant. Further, reductions of some food groups, especially different types of meat, offer large potentials for synergies on multiple impact categories. Others, such as fruits and vegetables as well as fish and seafood, result in trade-offs. On the one hand, these food groups contribute to an improved diet quality. On the other hand, these food groups are costly, and the production of fruits and vegetables additionally poses social ri

Published
2021

18. The association of education with long-term weight change in the EPIC-PANACEA cohort

Author

Rohrmann, S, Steinbrecher, A, Linseisen, J, Hermann, S, May, A, Luan, J, Ekelund, U, Overvad, K, Tjønneland, A, Halkjær, J, Fagherazzi, G, Boutron-Ruault, M-C, Clavel-Chapelon, F, Agnoli, C, Tumino, R, Masala, G, Mattiello, A, Ricceri, F, Travier, N, Amiano, P, Ardanaz, E, Chirlaque, M-D, Sanchez, M-J, Rodríguez, L, Nilsson, L M, Johansson, I, Hedblad, B, Rosvall, M, Lund, E, Braaten, T, Naska, A, Orfanos, P, Trichopoulou, A, van den Berg, S, Bueno-de-Mesquita, H B, Bergmann, M M, Steffen, A, Kaaks, R, Teucher, B, Wareham, N J, Khaw, K-T, Crowe, F L, Illner, A-K, Slimani, N, Gallo, V, Mouw, T, Norat, T, and Peeters, P H M

Published
2012
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19. Diabetes mellitus, glycated haemoglobin and C-peptide levels in relation to pancreatic cancer risk: a study within the European Prospective Investigation into Cancer and Nutrition (EPIC) cohort

Author

Grote, V. A., Rohrmann, S., Nieters, A., Dossus, L., Tjønneland, A., Halkjær, J., Overvad, K., Fagherazzi, G., Boutron-Ruault, M. C., Morois, S., Teucher, B., Becker, S., Sluik, D., Boeing, H., Trichopoulou, A., Lagiou, P., Trichopoulos, D., Palli, D., Pala, V., Tumino, R., Vineis, P., Panico, S., Rodríguez, L., Duell, E. J., Molina-Montes, E., Dorronsoro, M., Huerta, J. M., Ardanaz, E., Jeurnink, S. M., Beulens, J. W. J., Peeters, P. H. M., Sund, M., Ye, W., Lindkvist, B., Johansen, D., Khaw, K. T., Wareham, N., Allen, N., Crowe, F., Jenab, M., Romieu, I., Michaud, D. S., Riboli, E., Romaguera, D., Bueno-de-Mesquita, H. B., and Kaaks, R.

Published
2011
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20. The association of lifetime alcohol use with measures of abdominal and general adiposity in a large-scale European cohort

Author

Bergmann, M M, Schütze, M, Steffen, A, Boeing, H, Halkjaer, J, Tjonneland, A, Travier, N, Agudo, A, Slimani, N, Rinaldi, S, Norat, T, Romaguera, D, Rohrmann, S, Kaaks, R, Jakobsen, M U, Overvad, K, Ekelund, U, Spencer, E A, Rodríguez, L, Sánchez, M J, Dorronsoro, M, Barricarte, A, Chirlaque, M-D, Orfanos, P, Naska, A, Trichopoulou, A, Palli, D, Grioni, S, Vineis, P, Panico, S, Tumino, R, Riboli, E, Wareham, N J, Bueno-de-Mesquita, B, May, A, and Peeters, P H M

Published
2011
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21. Eating out of home: energy, macro- and micronutrient intakes in 10 European countries. The European Prospective Investigation into Cancer and Nutrition

Author

Orfanos, P., Naska, A., Trichopoulou, A., Grioni, S., Boer, J.M.A., van Bakel, M.M.E., Ericson, U., Rohrmann, S., Boeing, H., Rodriguez, L., Ardanaz, E., Sacerdote, C., Giurdanella, M.C., Niekerk, E.M., Peeters, P.H.M., Manjer, J., van Guelpen, B., Deharveng, G., Skeie, G., Engeset, D., Halkjaer, J., Jensen, A.M., McTaggart, A., Crowe, F., Stratigakou, V., Oikonomou, E., Touvier, M., Niravong, M., Riboli, E., Bingham, S., and Slimani, N.

Subjects
Beverages -- Investigations -- Health aspects -- Nutritional aspects -- Research, Life style -- Health aspects -- Nutritional aspects -- Investigations -- Research, Cancer -- Risk factors, Convenience foods -- Nutritional aspects -- Research -- Investigations -- Health aspects, Diet -- Health aspects -- Investigations -- Research -- Nutritional aspects, Company legal issue, Food/cooking/nutrition, Health
Abstract

Objectives: To assess the contribution of out-of-home (OH) energy and nutrient intake to total dietary intake, and to compare out- versus in-home nutrient patterns among 27 centres in 10 countries participating in the European Prospective Investigation into Cancer and Nutrition (EPIC) study. Methods: Between 1995 and 2000, 36 034 participants aged between 35-74 years completed a standardized 24-h dietary recall using a software programme (EPIC-Soft) that recorded the place of food/drink consumption. Eating OH was defined as the consumption of foods and beverages anywhere other than in household premises, irrespective of the place of purchase/preparation. Nutrient intakes were estimated using a standardized nutrient database. Mean intakes were adjusted for age and weighted by season and day of recall. Results: Among women, OH eating contributed more to total fat intake than to intakes of protein and carbohydrates. Among both genders, and particularly in southern Europe, OH eating contributed more to sugar and starch intakes and less to total fibre intake. The contribution of OH eating was also lower for calcium and vitamin C intakes. The composition of diet at home was different from that consumed out of home in southern countries, but was relatively similar in the north. Conclusions: In northern Europe, OH and in-home eating are homogeneous, whereas southern Europeans consider OH eating as a distinctive occasion. In most centres, women selected more fat-rich items when eating out. doi: 10.1038/ejcn.2009.84 Keywords: eating out of home; 24-h dietary recall; EPIC; EPIC-Soft; nutrients; standardization, Introduction Modern living has led to an increase in the frequency and variety of meals and snacks consumed away from home. This trend shows no signs of future decline, which, [...]

Published
2009
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22. Dietary glycaemic index and glycaemic load in the European Prospective Investigation into Cancer and Nutrition

Author

van Bakel, M.M.E., Kaaks, R., Feskens, E.J.M., Rohrmann, S., Welch, A.A., Pala, V., Avloniti, K., van der Schouw, Y.T., van der A, D.L., Du, H., Halkjaer, J., Tormo, M.J., Cust, A.E., Brighenti, F., Beulens, J.W., Ferrari, P., Biessy, C., Lentjes, M., Spencer, E.A., Panico, S., Masala, G., Bueno-de-Mesquita, H.B., Peeters, P.H.M., Trichopoulou, A., Psaltopoulou, T., Clavel-Chapelon, F., Touvier, M., Skeie, G., Rinaldi, S., Sonestedt, E., Johansson, I., Schulze, M., Ardanaz, E., Buckland, G., Tjonneland, A., Overvad, K., Bingham, S., Riboli, E., and Slimani, N.

Subjects
Carbohydrates -- Nutritional aspects -- Identification and classification -- Research, Sugars in human nutrition -- Research -- Nutritional aspects, Cancer -- Research -- Nutritional aspects, Glycemic index -- Research -- Nutritional aspects, Food/cooking/nutrition, Health
Abstract

Objectives: To describe dietary glycaemic index (GI) and glycaemic load (GL) values in the population participating in the European Prospective Investigation into Cancer and Nutrition (EPIC) study according to food groups, nutrients and lifestyle characteristics. Methods: Single 24-h dietary recalls (24-HDRs) from 33 566 subjects were used to calculate dietary GI and GL, and an ad hoc database was created as the main reference source. Mean GI and GL intakes were adjusted for age, total energy intake, height and weight, and were weighted by season and day of recall. Results: GI was the lowest in Spain and Germany, and highest in the Netherlands, United Kingdom and Denmark for both genders. In men, GL was the lowest in Spain and Germany and highest in Italy, whereas in women, it was the lowest in Spain and Greece and highest in the UK health-conscious cohort. Bread was the largest contributor to GL in all centres (15-45%), but it also showed the largest inter-individual variation. GL, but not GI, tended to be lower in the highest body mass index category in both genders. GI was positively correlated with starch and intakes of bread and potatoes, whereas it was correlated negatively with intakes of sugar, fruit and dairy products. GL was positively correlated with all carbohydrate components and intakes of cereals, whereas it was negatively correlated with fat and alcohol and with intakes of wine, with large variations across countries. Conclusions: GI means varied modestly across countries and genders, whereas GL means varied more, but it may possibly act as a surrogate of carbohydrate intake. doi: 10.1038/ejcn.2009.81 Keywords: glycaemic index; glycaemic load; 24-h dietary recall; EPIC; ENDB; standardization, Introduction Carbohydrates are traditionally classified according to their saccharide chain length as 'simple sugar' or 'complex carbohydrate'. However, Jenkins et al. (1981) developed a more physiological classification on the basis [...]

Published
2009
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23. Alcohol consumption patterns, diet and body weight in 10 European countries

Author

Sieri, S., Krogh, V., Saieva, C., Grobbee, D.E., Bergmann, M., Rohrmann, S., Tjonneland, A., Ferrari, P., Chloptsios, Y., Dilis, V., Jenab, M., Linseisen, J., Wallstrom, P., Johansson, I., Chirlaque, M.D., Sanchez, M.J., Niravong, M., Clavel-Chapelon, F., Welch, A.A., Allen, N.E., Bueno-de-Mesquita, H.B., van der Schouw, Y.T., Sacerdote, C., Panico, S., Parr, C.L., Braaten, T., Olsen, A., Jensen, M.K., Bingham, S., Riboli, E., and Slimani, N.

Subjects
Drinking of alcoholic beverages -- Health aspects -- Demographic aspects -- Analysis, Body weight -- Analysis -- Health aspects, Diet -- Health aspects -- Analysis, Food/cooking/nutrition, Health
Abstract

Background/objectives: Europe has the highest level of alcohol consumption in the world. As drinking patterns are important determinants of the beneficial and harmful effects of alcohol consumption, we investigated alcohol consumption in relation to nutrient intake, place of consumption, education and body weight in a sample of adults from 10 European countries. Methods: A 24-h dietary recall interview was conducted on 13 025 men and 23 009 women, aged 35-74 years, from 27 centres participating in the European Prospective Investigation into Cancer and Nutrition (EPIC) study. Means and standard errors of alcohol consumption, adjusted for age, were calculated, stratified by gender and centre. Results: In many centres, higher level drinkers (males consuming >24 g of ethanol/day, equivalent to 42 standard drinks and females consuming >12 g of ethanol/day equivalent to >1 standard drink) obtained more energy from fat and protein and less from sugar than did abstainers. The proportion of energy from starch tended to be higher for male and lower for female higher level drinkers than for abstainers. Female higher level drinkers had a lower body mass index than did abstainers, whereas male higher level drinkers generally weighed more. Male higher level drinkers were less educated than abstainers in Mediterranean countries, but were more educated elsewhere. Female higher level drinkers were usually more educated than were abstainers. Outside the home, consumption (both genders) tended to be at friends' homes, particularly among men in Northern and Central Europe, and in bars in Spain. Conclusions: This study reveals clear geographical differences in drinking habits across Europe, and shows that the characteristics of different alcohol consumption categories also vary. doi: 10.1038/ejcn.2009.76 Keywords: Alcohol; EPIC; 24-h dietary recall; EPIC-Soft; ENDB, Introduction Europe has the highest level of alcohol consumption in the world (Rehm et al., 2003a). Studies on drinking patterns across Europe, in terms of place of consumption, types of [...]

Published
2009
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24. The EPIC nutrient database project (ENDB): a first attempt to standardize nutrient databases across the 10 European countries participating in the EPIC study

Author

Slimani, N, Deharveng, G, Unwin, I, Southgate, D A T, Vignat, J, Skeie, G, Salvini, S, Parpinel, M, Møller, A, Ireland, J, Becker, W, Farran, A, Westenbrink, S, Vasilopoulou, E, Unwin, J, Borgejordet, Å, Rohrmann, S, Church, S, Gnagnarella, P, Casagrande, C, van Bakel, M, Niravong, M, Boutron-Ruault, M C, Stripp, C, Tjønneland, A, Trichopoulou, A, Georga, K, Nilsson, S, Mattisson, I, Ray, J, Boeing, H, Ocké, M, Peeters, P H M, Jakszyn, P, Amiano, P, Engeset, D, Lund, E, Santucci de Magistris, M, Sacerdote, C, Welch, A, Bingham, S, Subar, A F, and Riboli, E

Published
2007
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25. Cooking of meat and fish in Europe—results from the European Prospective Investigation into Cancer and Nutrition (EPIC)

Author

Rohrmann, S, Linseisen, J, Becker, N, Norat, T, Sinha, R, Skeie, G, Lund, E, Martínez, C, Barricarte, A, Mattisson, I, Berglund, G, Welch, A, Davey, G, Overvad, K, Tjønneland, A, Clavel-Chapelon, F, Kesse, E, Lotze, G, Klipstein-Grobusch, K, Vasilopoulou, E, Polychronopoulos, E, Pala, V, Celentano, E, Bueno-de-Mesquita, HB, Peeters, PHM, Riboli, E, and Slimani, N

Published
2002
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26. Alcohol consumption and risk of type 2 diabetes in European men and women: influence of beverage type and body sizeThe EPIC–InterAct study

Author

Beulens, J. W. J., van der Schouw, Y. T., Bergmann, M. M., Rohrmann, S., Schulze, M. B., Buijsse, B., Grobbee, D. E., Arriola, L., Cauchi, S., Tormo, M.-J., Allen, N. E., van der A, D. L., Balkau, B., Boeing, H., Clavel-Chapelon, F., de Lauzon-Guillan, B., Franks, P., Froguel, P., Gonzales, C., Halkjær, J., Huerta, J. M., Kaaks, R., Key, T. J., Khaw, K. T., Krogh, V., Molina-Montes, E., Nilsson, P., Overvad, K., Palli, D., Panico, S., Quirós, Ramón J., Ronaldsson, O., Romieu, I., Romaguera, D., Sacerdote, C., Sánchez, M.-J., Spijkerman, A. M. W., Teucher, B., Tjonneland, A., Tumino, R., Sharp, S., Forouhi, N. G., Langenberg, C., Feskens, E. J. M., Riboli, E., and Wareham, N. J.

Published
2012
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27. Eating out, weight and weight gain. A cross-sectional and prospective analysis in the context of the EPIC-PANACEA study

Author

Naska, A, Orfanos, P, Trichopoulou, A, May, A M, Overvad, K, Jakobsen, M U, Tjnneland, A, Halkjær, J, Fagherazzi, G, Clavel-Chapelon, F, Boutron-Ruault, M-C, Rohrmann, S, Hermann, S, Steffen, A, Haubrock, J, Oikonomou, E, Dilis, V, Katsoulis, M, Sacerdote, C, Sieri, S, Masala, G, Tumino, R, Mattiello, A, Bueno-de-Mesquita, H B, Skeie, G, Engeset, D, Barricarte, A, Rodríuez, L, Dorronsoro, M, Sánchez, M-J, Chirlaque, M-D, Agudo, A, Manjer, J, Wirfält, E, Hellström, V, Shungin, D, Khaw, K-T, Wareham, N J, Spencer, E A, Freisling, H, Slimani, N, Vergnaud, A-C, Mouw, T, Romaguera, D, Odysseos, A, and Peeters, P HM

Published
2011
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28. Weight change in later life and risk of death amongst the elderly: the European Prospective Investigation into Cancer and Nutrition-Elderly Network on Ageing and Health study

Author

Bamia, C., Halkjær, J., Lagiou, P., Trichopoulos, D., Tjønneland, A., Berentzen, T. L., Overvad, K., Clavel-Chapelon, F., Boutron-Ruault, M.-C., Rohrmann, S., Linseisen, J., Steffen, A., Boeing, H., May, A. M., Peeters, P. H., Bueno-de-Mesquita, Bas H., van den Berg, S. W., Dorronsoro, M., Barricarte, A., Suarez, Rodriguez L., Navarro, C., González, C. A., Boffetta, P., Pala, V., Hallmans, G., and Trichopoulou, A.

Published
2010
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29. Specific food group combinations explaining the variation in intakes of nutrients and other important food components in the European Prospective Investigation into Cancer and Nutrition: an application of the reduced rank regression method

Author

Kröger, J, Ferrari, P, Jenab, M, Bamia, C, Touvier, M, Bueno-de-Mesquita, H B, Fahey, M T, Benetou, V, Schulz, M, Wirfält, E, Boeing, H, Hoffmann, K, Schulze, M B, Orfanos, P, Oikonomou, E, Huybrechts, I, Rohrmann, S, Pischon, T, Manjer, J, Agren, A, Navarro, C, Jakszyn, P, Boutron-Ruault, M C, Niravong, M, Khaw, K T, Crowe, F, Ocké, M C, van der Schouw, Y T, Mattiello, A, Bellegotti, M, Engeset, D, Hjartåker, A, Egeberg, R, Overvad, K, Riboli, E, Bingham, S, and Slimani, N

Published
2009

30. Contribution of highly industrially processed foods to the nutrient intakes and patterns of middle-aged populations in the European Prospective Investigation into Cancer and Nutrition study

Author

Slimani, N, Deharveng, G, Southgate, DAT, Biessy, C, Chajès, V, van Bakel, MME, Boutron-Ruault, M C, McTaggart, A, Grioni, S, Verkaik-Kloosterman, J, Huybrechts, I, Amiano, P, Jenab, M, Vignat, J, Bouckaert, K, Casagrande, C, Ferrari, P, Zourna, P, Trichopoulou, A, Wirfält, E, Johansson, G, Rohrmann, S, Illner, A-K, Barricarte, A, Rodríguez, L, Touvier, M, Niravong, M, Mulligan, A, Crowe, F, Ocké, M C, van der Schouw, Y T, Bendinelli, B, Lauria, C, Brustad, M, Hjartåker, A, Tjønneland, A, Jensen, A M, Riboli, E, and Bingham, S

Published
2009

31. A cross-sectional analysis of physical activity and obesity indicators in European participants of the EPIC-PANACEA study

Author

Besson, H, Ekelund, U, Luan, J, May, A M, Sharp, S, Travier, N, Agudo, A, Slimani, N, Rinaldi, S, Jenab, M, Norat, T, Mouw, T, Rohrmann, S, Kaaks, R, Bergmann, M, Boeing, H, Clavel-Chapelon, F, Boutron-Ruault, M C, Overvad, K, Andreasen, E L, Føns Johnsen, N, Halkjaer, J, Gonzalez, C, Rodriguez, L, Sanchez, M J, Arriola, L, Barricarte, A, Navarro, C, Key, T J, Spencer, E A, Orfanos, P, Naska, A, Trichopoulou, A, Manjer, J, Wirfält, E, Lund, E, Palli, D, Agnoli, C, Vineis, P, Panico, S, Tumino, R, Bueno-de-Mesquita, H B, van den Berg, S W, Odysseos, A D, Riboli, E, Wareham, N J, and Peeters, P H

Published
2009

32. Semen quality of young men in Switzerland: a nationwide cross‐sectional population‐based study

Author

Rahban, R, Priskorn, L, Senn, A, Stettler, E, Galli, F, Vargas, J, Van den Bergh, M, Fusconi, A, Garlantezec, R, Jensen, T K, Multigner, L, Skakkebæk, N E, Germond, M, Jørgensen, N, Nef, S, Bouchardy, C, Herrmann, C, Mousavi, M, Bulliard, J‐L, Maspoli, M, Bordoni, A, Konzelmann, I, Blanc‐Moya, R, Rohrmann, S, University of Zurich, and Nef, S

Subjects
2748 Urology, 2712 Endocrinology, Diabetes and Metabolism, 610 Medicine & health, 10060 Epidemiology, Biostatistics and Prevention Institute (EBPI), 2743 Reproductive Medicine, 1310 Endocrinology
Published
2019

33. Adherence to the World Cancer Research Fund/American Institute for Cancer Research cancer prevention recommendations and risk of in situ breast cancer in the European Prospective Investigation into Cancer and Nutrition (EPIC) cohort

Author

Karavasiloglou, N. Hüsing, A. Masala, G. Van Gils, C.H. Turzanski Fortner, R. Chang-Claude, J. Huybrechts, I. Weiderpass, E. Gunter, M. Arveux, P. Fournier, A. Kvaskoff, M. Tjønneland, A. Kyrø, C. Dahm, C.C. Vistisen, H.T. Bakker, M.F. Sánchez, M.-J. Chirlaque López, M.D. Santiuste, C. Ardanaz, E. Menéndez, V. Agudo, A. Trichopoulou, A. Karakatsani, A. La Vecchia, C. Peppa, E. Palli, D. Agnoli, C. Panico, S. Tumino, R. Sacerdote, C. Butt, S.T. Borgquist, S. Skeie, G. Schulze, M. Key, T. Khaw, K.-T. Tsilidis, K.K. Ellingjord-Dale, M. Riboli, E. Kaaks, R. Dossus, L. Rohrmann, S. Kühn, T.

Abstract

Background: Even though in situ breast cancer (BCIS) accounts for a large proportion of the breast cancers diagnosed, few studies have investigated potential risk factors for BCIS. Their results suggest that some established risk factors for invasive breast cancer have a similar impact on BCIS risk, but large population-based studies on lifestyle factors and BCIS risk are lacking. Thus, we investigated the association between lifestyle and BCIS risk within the European Prospective Investigation into Cancer and Nutrition cohort. Methods: Lifestyle was operationalized by a score reflecting the adherence to the World Cancer Research Fund/American Institute for Cancer Research (WCRF/AICR) cancer prevention recommendations. The recommendations utilized in these analyses were the ones pertinent to healthy body weight, physical activity, consumption of plant-based foods, energy-dense foods, red and processed meat, and sugary drinks and alcohol, as well as the recommendation on breastfeeding. Cox proportional hazards regression was used to assess the association between lifestyle score and BCIS risk. The results were presented as hazard ratios (HR) and corresponding 95% confidence intervals (CI). Results: After an overall median follow-up time of 14.9 years, 1277 BCIS cases were diagnosed. Greater adherence to the WCRF/AICR cancer prevention recommendations was not associated with BCIS risk (HR = 0.98, 95% CI 0.93-1.03; per one unit of increase; multivariable model). An inverse association between the lifestyle score and BCIS risk was observed in study centers, where participants were recruited mainly via mammographic screening and attended additional screening throughout follow-up (HR = 0.85, 95% CI 0.73-0.99), but not in the remaining ones (HR = 0.99, 95% CI 0.94-1.05). Conclusions: While we did not observe an overall association between lifestyle and BCIS risk, our results indicate that lifestyle is associated with BCIS risk among women recruited via screening programs and with regular screening participation. This suggests that a true inverse association between lifestyle habits and BCIS risk in the overall cohort may have been masked by a lack of information on screening attendance. The potential inverse association between lifestyle and BCIS risk in our analyses is consistent with the inverse associations between lifestyle scores and breast cancer risk reported from previous studies. © 2019 The Author(s).

Published
2019

35. Dietary Patterns and their Sociodemographic and Lifestyle Determinants in Switzerland: Results from the National Nutrition Survey menuCH

Author

Krieger, J.P., Pestoni, G., Cabaset, S., Brombach, C., Sych, J., Schader, C., Faeh, D., Rohrmann, S., Krieger, J.P., Pestoni, G., Cabaset, S., Brombach, C., Sych, J., Schader, C., Faeh, D., and Rohrmann, S.

Abstract

From a public health perspective, determinants of diets are crucial to identify, but they remain unclear in Switzerland. Hence, we sought to define current dietary patterns and their sociodemographic and lifestyle determinants using the national nutrition survey menuCH (2014–2015, n = 2057). First, we applied multiple factorial analysis and hierarchical clustering on the energy-standardised daily consumption of 17 food categories. Four dietary patterns were identified (“Swiss traditional”: high intakes of dairy products and chocolate, n = 744; “Western 1”: soft drinks and meat, n = 383; “Western 2”: alcohol, meat and starchy, n = 444; and “Prudent”: n = 486). Second, we used multinomial logistic regression to examine the determinants of the four dietary patterns: ten sociodemographic or lifestyle factors (sex, age, body mass index, language region, nationality, marital status, income, physical activity, smoking status, and being on a weight-loss diet) were significantly associated with the dietary patterns. Notably, belonging to the French- and Italian-speaking regions of Switzerland increased the odds of following a “Prudent” diet (Odds ratio [95% confidence interval]: 1.92 [1.45–2.53] and 1.68 [0.98–2.90], respectively) compared to the German-speaking regions. Our findings highlight the influence of sociodemographic and lifestyle parameters on diet and the particularities of the language regions of Switzerland. These results provide the basis for public health interventions targeted for population subgroups.

Published
2019
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36. Aufgaben und Methoden

Author

Höfler, Gerald, Kreipe, Hans, Moch, Holger; https://orcid.org/0000-0002-7986-2839, Höfler, G ( Gerald ), Kreipe, H ( Hans ), Moch, H ( Holger ), Zimmermann, D R, Rohrmann, S, Höfler, Gerald, Kreipe, Hans, Moch, Holger; https://orcid.org/0000-0002-7986-2839, Höfler, G ( Gerald ), Kreipe, H ( Hans ), Moch, H ( Holger ), Zimmermann, D R, and Rohrmann, S

Published
2019

38. International incidence of childhood cancer, 2001-10 a population-based registry study

Author

Steliarova Foucher Eva, Colombet, Murielle, Ries Lynn, A. G., Moreno, Florencia, Dolya, Anastasia, Bray, Freddie, Hesseling, Peter, Shin, Hee Young Stiller, Iicc, 3 contributors, Bouzbid, S, Hamdi Cherif, M, Hablas, A, Chirpaz, E, Buziba, N, Chesumbai, Gc, Manraj, Ss, Reynders, D, Wabinga, Hr, Chokunonga, E, Moreno, F, Lima, Ca, Asturian Laporte, C, de Oliveira JC, de Aquino JP, Gallagher, Sv, Uribe, Cj, Bravo, Le, Yepez Chamorro MC, Torres Alvarado, G, Galán Alvarez YH, Martinez Reyes FC, Castillo Calvas JC, Mendoza Alava, M, Cueva Ayala, P, Hanchard, B, Fajardo Gutiérrez, A, Zavala Zegarra DE, Barrios, E, Nikiforuk, C, Woods, R, Turner, D, Macintyre, M, Corriveau, A, Navaneelan, T, Bertrand, C, Stuart Panko, H, Wilson, Rj, Kosary, C, Shen, X, Brockhouse, J, Yee, Ga, Mitchell, Tc, Snipes, K, West, D, Rao, C, Bolick, S, Rycroft, Rk, Mueller, L, Zheng, Y, Dosch, K, Brown, H, Vargas, A, Levin, Gm, Bayakly, R, Johnson, C, Shen, T, Ruppert, L, Lynch, Cf, Lai, Sm, Tucker, Tc, Wu, Xc, Schwenn, M, Stern, K, Gershman, S, Copeland, G, Bushhouse, S, Rogers, Db, Jackson Thompson, J, Lemons, D, Frederick, S, Harris, Ja, Riddle, B, Stroup, A, Wiggins, C, Schymura, Mj, Giljahn, Lk, Sheikh, A, Schubert, S, Aldinger, W, Fulton, Jp, Whiteside, M, Nogueira, L, Sweeney, C, Johnson, A, Martin, J, Farley, S, Harrelson, D, Malicki, R, Espinoza, Jr, Hernandez, By, Abulfateh, N, Wang, N, Ngan, R, Lingegowda, Kb, Swaminathan, R, Koyande, Ss, Silverman, B, Ozasa, K, Kanemura, S, Soda, M, Miyashiro, I, Shibata, A, Nimri, O, Won, Yj, Kim, Ch, Hong, Ns, Nam, Hs, Kweon, S, Kim, Wc, Huh, Js, Jung, Kw, Yoo, Ci, Elbasmy, A, Laudico, Av, Lumague, Mr, Almutlag, H, Buasom, R, Srisukho, S, Tanabodee, J, Wiangnon, S, Pongnikorn, D, Sriplung, H, Dirican, O, Eser, S, Le Hoang, M, Hackl, M, Zborovskaya, A, Dimitrova, N, Valerianova, Z, Sekerija, M, Pavlou, P, Dušek, M, Mägi, M, Clavel, J, Lacour, B, Guizard, Av, Bouvier, V, Troussard, X, Woronoff, As, Tretarre, B, Colonna, M, Molinié, F, Bara, S, Velten, M, Marrer, E, Ganry, O, Grosclaude, P, Kaatsch, P, Zeissig, Sr, Holleczek, B, Katalinic, A, Jakab, Z, Birgisson, H, Walsh, Pm, Mangone, L, Merletti, Franco, Magoni, M, Ferretti, S, Serraino, D, Spagnoli, G, Fusco, M, Michiara, M, Tumino, R, Falcini, F, Sensi, F, Tisano, F, Piffer, S, Stracci, F, Tagliabue, G, Smailyte, G, Agius, D, Visser, O, Ursin, G, Didkowska, J, Trojanowski, M, Wojciechowska, U, Forjaz de Lacerda, G, Silva, Ma, Laranja Pontes, J, da Costa Miranda, A, Kaiserova, E, Primic Žakelj, M, Peris Bonet, R, Vicente Raneda ML, Almar Marqués, E, Quirós Garcia JR, Ramos Monserrat, M, Errezola Saizar, M, Alemán Herrera, A, Díaz García JM, Marcos Gragera, R, Sanchez Perez MJ, Ardanaz Aicua, E, Galceran, J, Klint, A, Kuehni, Ce, Bouchardy, C, Levi, F, Bordoni, A, Konzelmann, I, Rohrmann, S, Stiller, Ca, Gavin, At, Brewster, Dh, Phung, H, Rushton, S, Guthridge, S, Aitken, J, D'Onise, K, Venn, A, Farrugian, H, Threlfall, Tj, Laumond, S, Yen Kai Sun, L, Hendrix, J, Ballantine, K, Colombet, M, Dolya, A, Masuyer, E, Steliarova Foucher, E., IICC-3 contributors, Bouzbid, S., Hamdi-Cherif, M., Hablas, A., Chirpaz, E., Buziba, N., Chesumbai, G.C., Manraj, S.S., Reynders, D., Wabinga, H.R., Chokunonga, E., Moreno, F., Lima, C.A., Asturian Laporte, C., de Oliveira, J.C., de Aquino, J.P., Gallagher, S.V., Uribe, C.J., Bravo, L.E., Yepez Chamorro, M.C., Torres Alvarado, G., Galán Alvarez, Y.H., Martinez Reyes, F.C., Castillo Calvas, J.C., Mendoza Alava, M., Cueva Ayala, P., Hanchard, B., Fajardo-Gutiérrez, A., Zavala Zegarra, D.E., Barrios, E., Nikiforuk, C., Woods, R., Turner, D., MacIntyre, M., Corriveau, A., Navaneelan, T., Bertrand, C., Stuart-Panko, H., Wilson, R.J., Kosary, C., Shen, X., Brockhouse, J., Yee, G.A., Mitchell, T.C., Snipes, K., West, D., Rao, C., Bolick, S., Rycroft, R.K., Mueller, L., Zheng, Y., Dosch, K., Brown, H., Vargas, A., Levin, G.M., Bayakly, R., Johnson, C., Shen, T., Ruppert, L., Lynch, C.F., Lai, S.M., Tucker, T.C., Wu, X.C., Schwenn, M., Stern, K., Gershman, S., Copeland, G., Bushhouse, S., Rogers, D.B., Jackson Thompson, J., Lemons, D., Frederick, S., Harris, J.A., Riddle, B., Stroup, A., Wiggins, C., Schymura, M.J., Giljahn, L.K., Sheikh, A., Schubert, S., Aldinger, W., Fulton, J.P., Whiteside, M., Nogueira, L., Sweeney, C., Johnson, A., Martin, J., Farley, S., Harrelson, D., Malicki, R., Espinoza, J.R., Hernandez, B.Y., Abulfateh, N., Wang, N., Ngan, R., Lingegowda, K.B., Swaminathan, R., Koyande, S.S., Silverman, B., Ozasa, K., Kanemura, S., Soda, M., Miyashiro, I., Shibata, A., Nimri, O., Won, Y.J., Kim, C.H., Hong, N.S., Nam, H.S., Kweon, S., Kim, W.C., Huh, J.S., Jung, K.W., Yoo, C.I., Elbasmy, A., Laudico, A.V., Lumague, M.R., AlMutlag, H., Buasom, R., Srisukho, S., Tanabodee, J., Wiangnon, S., Pongnikorn, D., Sriplung, H., Dirican, O., Eser, S., Le Hoang, M., Hackl, M., Zborovskaya, A., Dimitrova, N., Valerianova, Z., Sekerija, M., Pavlou, P., Dušek, M., Mägi, M., Clavel, J., Lacour, B., Guizard, A.V., Bouvier, V., Troussard, X., Woronoff, A.S., Tretarre, B., Colonna, M., Molinié, F., Bara, S., Velten, M., Marrer, E., Ganry, O., Grosclaude, P., Kaatsch, P., Zeissig, S.R., Holleczek, B., Katalinic, A., Jakab, Z., Birgisson, H., Walsh, P.M., Mangone, L., Merletti, F., Magoni, M., Ferretti, S., Serraino, D., Spagnoli, G., Fusco, M., Michiara, M., Tumino, R., Falcini, F., Sensi, F., Tisano, F., Piffer, S., Stracci, F., Tagliabue, G., Smailyte, G., Agius, D., Visser, O., Ursin, G., Didkowska, J., Trojanowski, M., Wojciechowska, U., Forjaz de Lacerda, G., Silva, M.A., Laranja Pontes, J., da Costa Miranda, A., Kaiserova, E., Primic Žakelj, M., Peris-Bonet, R., Vicente Raneda, M.L., Almar Marqués, E., Quirós Garcia, J.R., Ramos Monserrat, M., Errezola Saizar, M., Alemán Herrera, A., Díaz García, J.M., Marcos-Gragera, R., Sanchez-Perez, M.J., Ardanaz Aicua, E., Galceran, J., Klint, A., Kuehni, C.E., Bouchardy, C., Levi, F., Bordoni, A., Konzelmann, I., Rohrmann, S., Stiller, C.A., Gavin, A.T., Brewster, D.H., Phung, H., Rushton, S., Guthridge, S., Aitken, J., D'Onise, K., Venn, A., Farrugian, H., Threlfall, T.J., Laumond, S., Yen Kai Sun, L., Hendrix, J., Ballantine, K., Colombet, M., Dolya, A., Masuyer, E., Steliarova-Foucher, E., University of Zurich, and Steliarova-Foucher, Eva

Subjects
0301 basic medicine, Male, Pediatrics, cancer incidence, sistema de registros, humanos, Ethnic group, adolescente, population-based registry study, North America/epidemiology, 0302 clinical medicine, Neoplasms, Medicine, Registries, Young adult, Child, Cancer in children -- Mortality, Cause of death, neoplasias, education.field_of_study, Incidence (epidemiology), Incidence, South America/epidemiology, Articles, Càncer en els infants -- Mortalitat, incidence, cancer registry, childhood cancer, 3. Good health, adulto joven, Caribbean Region/epidemiology, Oncology, Oceania/epidemiology, 030220 oncology & carcinogenesis, Child, Preschool, Oncology, childhood, cancer, population-based registry study, cancer incidence, 2730 Oncology, Female, medicine.medical_specialty, Oceanía, Adolescent, Oceania, Population, Socio-culturale, 610 Medicine & health, incidencia, Europe/epidemiology, 03 medical and health sciences, Young Adult, Age Distribution, distribución por edades, SDG 3 - Good Health and Well-being, cancer, Humans, education, childhood, lactante, Asia/epidemiology, business.industry, Cancer, Infant, 10060 Epidemiology, Biostatistics and Prevention Institute (EBPI), medicine.disease, Cancer registry, 030104 developmental biology, Africa/epidemiology, business, Neoplasms/epidemiology, International Classification of Diseases for Oncology, Demography
Abstract

Background Cancer is a major cause of death in children worldwide, and the recorded incidence tends to increase with time. Internationally comparable data on childhood cancer incidence in the past two decades are scarce. This study aimed to provide internationally comparable local data on the incidence of childhood cancer to promote research of causes and implementation of childhood cancer control. Methods This population-based registry study, devised by the International Agency for Research on Cancer in collaboration with the International Association of Cancer Registries, collected data on all malignancies and nonmalignant neoplasms of the CNS diagnosed before age 20 years in populations covered by high-quality cancer registries with complete data for 2001-10. Incidence rates per million person-years for the 0-14 years and 0-19 years age groups were age-adjusted using the world standard population to provide age-standardised incidence rates (WSRs), using the age-specific incidence rates (ASR) for individual age groups (0-4 years, 5-9 years, 10-14 years, and 15-19 years). All rates were reported for 19 geographical areas or ethnicities by sex, age group, and cancer type. The regional WSRs for children aged 0-14 years were compared with comparable data obtained in the 1980s. Findings Of 532 invited cancer registries, 153 registries from 62 countries, departments, and territories met quality standards, and contributed data for the entire decade of 2001-10. 385 509 incident cases in children aged 0-19 years occurring in 2.64 billion person-years were included. The overall WSR was 140.6 per million person-years in children aged 0-14 years (based on 284 649 cases), and the most common cancers were leukaemia (WSR 46.4), followed by CNS tumours (WSR 28.2), and lymphomas (WSR 15.2). In children aged 15-19 years (based on 100 860 cases), the ASR was 185.3 per million person-years, the most common being lymphomas (ASR 41.8) and the group of epithelial tumours and melanoma (ASR 39.5). Incidence varied considerably between and within the described regions, and by cancer type, sex, age, and racial and ethnic group. Since the 1980s, the global WSR of registered cancers in children aged 0-14 years has increased from 124.0 (95% CI 123.3-124.7) to 140.6 (140.1-141.1) per million person-years. Interpretation This unique global source of childhood cancer incidence will be used for aetiological research and to inform public health policy, potentially contributing towards attaining several targets of the Sustainable Development Goals. The observed geographical, racial and ethnic, age, sex, and temporal variations require constant monitoring and research., International Agency for Research on Cancer and the Union for International Cancer Control.

Published
2017

40. Survival outcome of non-small cell lung cancer (NSCLC) patients: Comparing results between the database of the Comprehensive Cancer Center Zürich (CCCZ) and the Epidemiological Cancer Registry Zurich and Zug (KKR)

Author

Stahel, R.A., primary, Curioni, A., additional, Rohrmann, S., additional, Dafni, U., additional, Sandner, U., additional, Andratschke, N., additional, Dimopoulou, G., additional, Guckenberger, M., additional, Kohler, M., additional, Matthes, K., additional, Opitz, I., additional, and Weder, W., additional

Published
2019
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41. Changing geographical patterns and trends in cancer incidence in children and adolescents in Europe, 1991–2010 (Automated Childhood Cancer Information System): a population-based study

Author

Steliarova-Foucher, E. (Eva), Fidler, M.M. (Miranda M), Colombet, M. (Murielle), Lacour, B. (Brigitte), Kaatsch, P. (Peter), Piñeros, M. (Marion), Soerjomataram, I. (Isabelle), Bray, F. (Freddie), Coebergh, J.W. (Jan Willem), Peris-Bonet, R. (Rafael), Stiller, C. (C.), Hackl, M. (Monika), Zborovskaya, A. (Anna), Dimitrova, N. (Nadya), Valerianova, Z. (Zdravka), Dušek, L. (Ladislav), Magi, M. (Margit), Monnereau, A. (Alain), Clavel, J., Velten, M. (Michel), Guizard, A.-V. (Anne-Valérie), Bouvier, V. (Véronique), Troussard, X. (Xavier), Woronoff, A.-S. (Anne-Sophie), Marrer, E. (Emilie), Trétarre, B. (Brigitte), Colonna, M. (M.), Ganry, O. (Olivier), Grosclaude, P. (P.), Holleczek, B. (B.), Jakab, Z. (Zsuzsanna), Tryggvadottir, L. (Laufey), Mangone, L. (Lucia), Merletti, F. (Franco), Ferretti, S. (Stefano), Caruso, B. (Bianca), Michiara, M. (Maria), Tumino, R. (Rosario), Falcini, F. (Fabio), Zanetti, R. (Roberto), Tagliabue, G. (Giovanna), Visser, O.J. (Otto), Ursin, G. (Giske), Mężyk, R. (Ryszard), Kepska, K. (Kamila), Laranja Pontes, J. (José), Primic-Žakelj, M. (Maja), Fernández-Delgado, R. (Rafael), Vicente Raneda, M.L. (Marisa L), Almar Marqués, E. (Enrique), Quirós Garcia, J.R. (José Ramón), Lopez de Munain, A. (Arantza), Marcos-Gragera, R. (R.), Sanchez-Perez, M.-J. (Maria-Jose), Ramos Monserrat, M. (Maria), Ardanaz, E. (Eva), Galceran, J. (J.), Khan, S. (Staffan), Kuehni, C. (Claudia), Bouchardy, C. (C.), Levi, F. (Fabio), Konzelmann, I. (Isabelle), Rohrmann, S. (Sabine), Vernon, S. (Sally), Brewster, D.H. (David H), White, C. (Ceri), Dolya, A. (Anastasia), Steliarova-Foucher, E. (Eva), Fidler, M.M. (Miranda M), Colombet, M. (Murielle), Lacour, B. (Brigitte), Kaatsch, P. (Peter), Piñeros, M. (Marion), Soerjomataram, I. (Isabelle), Bray, F. (Freddie), Coebergh, J.W. (Jan Willem), Peris-Bonet, R. (Rafael), Stiller, C. (C.), Hackl, M. (Monika), Zborovskaya, A. (Anna), Dimitrova, N. (Nadya), Valerianova, Z. (Zdravka), Dušek, L. (Ladislav), Magi, M. (Margit), Monnereau, A. (Alain), Clavel, J., Velten, M. (Michel), Guizard, A.-V. (Anne-Valérie), Bouvier, V. (Véronique), Troussard, X. (Xavier), Woronoff, A.-S. (Anne-Sophie), Marrer, E. (Emilie), Trétarre, B. (Brigitte), Colonna, M. (M.), Ganry, O. (Olivier), Grosclaude, P. (P.), Holleczek, B. (B.), Jakab, Z. (Zsuzsanna), Tryggvadottir, L. (Laufey), Mangone, L. (Lucia), Merletti, F. (Franco), Ferretti, S. (Stefano), Caruso, B. (Bianca), Michiara, M. (Maria), Tumino, R. (Rosario), Falcini, F. (Fabio), Zanetti, R. (Roberto), Tagliabue, G. (Giovanna), Visser, O.J. (Otto), Ursin, G. (Giske), Mężyk, R. (Ryszard), Kepska, K. (Kamila), Laranja Pontes, J. (José), Primic-Žakelj, M. (Maja), Fernández-Delgado, R. (Rafael), Vicente Raneda, M.L. (Marisa L), Almar Marqués, E. (Enrique), Quirós Garcia, J.R. (José Ramón), Lopez de Munain, A. (Arantza), Marcos-Gragera, R. (R.), Sanchez-Perez, M.-J. (Maria-Jose), Ramos Monserrat, M. (Maria), Ardanaz, E. (Eva), Galceran, J. (J.), Khan, S. (Staffan), Kuehni, C. (Claudia), Bouchardy, C. (C.), Levi, F. (Fabio), Konzelmann, I. (Isabelle), Rohrmann, S. (Sabine), Vernon, S. (Sally), Brewster, D.H. (David H), White, C. (Ceri), and Dolya, A. (Anastasia)

Abstract

Background: A deceleration in the increase in cancer incidence in children and adolescents has been reported in several national and regional studies in Europe. Based on a large database representing 1·3 billion person-years over the period 1991–2010, we provide a consolidated report on cancer incidence trends at ages 0–19 years. Methods: We invited all population-based cancer registries operating in European countries to participate in this population-based registry study. We requested a listing of individual records of cancer cases, including sex, age, date of birth, date of cancer diagnosis, tumour sequence number, primary site, morphology, behaviour, and the most valid basis of diagnosis. We also requested population counts in each calendar year by sex and age for the registration area, from official national sources, and specific information about the covered area and registration practices. An eligible registry could become a contributor if it provided quality data for all complete calendar years in the period 1991–2010. Incidence rates and the average annual percentage change with 95% CIs were reported for all cancers and major diagnostic groups, by region and overall, separately for children (age 0–14 years) and adolescents (age 15–19 years). We examined and quantified the stability of the trends with joinpoint analyses. Findings: For the years 1991–2010, 53 registries in 19 countries contributed a total of 180 335 unique cases. We excluded 15 162 (8·4%) of 180 335 cases due to differing practices of registration, and considered the quality indicators for the 165 173 cases included to be satisfactory. The average annual age-standardised incidence was 137·5 (95% CI 136·7–138·3) per million person-years and incidence increased significantly by 0·54% (0·44–0·65) per year in children (age 0–14 years) with no change in trend. In adolescents, the combined European incidence was 176·2 (174·4–178·0) per million person-years based on all 35 138 eligible cases and inc

Published
2018
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42. Eating at restaurants, at work or at home. Is there a difference? A study among adults of 11 European countries in the context of the HECTOR* project

Author

Orfanos, P. Naska, A. Rodrigues, S. Lopes, C. Freisling, H. Rohrmann, S. Sieri, S. Elmadfa, I. Lachat, C. and Gedrich, K. Boeing, H. Katzke, V. Turrini, A. Tumino, R. and Ricceri, F. Mattiello, A. Palli, D. Ocke, M. and Engeset, D. Oltarzewski, M. Nilsson, L. M. Key, T. and Trichopoulou, A.

Abstract

BACKGROUND/OBJECTIVES: To compare macronutrient intakes out of home-by location-to those at home and to investigate differences in total daily intakes between individuals consuming more than half of their daily energy out of home and those eating only at home. SUBJECTS/METHODS: Data collected through 24-h recalls or diaries among 23 766 European adults. Participants were grouped as ‘non-substantial’, ‘intermediate’ and ‘very substantial out-of-home’ eaters based on energy intake out of home. Mean macronutrient intakes were estimated at home and out of home (overall, at restaurants, at work). Study/cohort-specific mean differences in total intakes between the ‘very substantial out-of-home’ and the ‘at-home’ eaters were estimated through linear regression and pooled estimates were derived. RESULTS: At restaurants, men consumed 29% of their energy as fat, 15% as protein, 45% as carbohydrates and 11% as alcohol. Among women, fat contributed 33% of energy intake at restaurants, protein 16%, carbohydrates 45% and alcohol 6%. When eating at work, both sexes reported 30% of energy from fat and 55% from carbohydrates. Intakes at home were higher in fat and lower in carbohydrates and alcohol. Total daily intakes of the ‘very substantial out-of-home’ eaters were generally similar to those of individuals eating only at home, apart from lower carbohydrate and higher alcohol intakes among individuals eating at restaurants. CONCLUSIONS: In a large population of adults from 11 European countries, eating at work was generally similar to eating at home. Alcoholic drinks were the primary contributors of higher daily energy intakes among individuals eating substantially at restaurants.

Published
2017

43. Vasectomy and prostate cancer risk in the European Prospective Investigation into Cancer and Nutrition (EPIC)

Author

Smith Byrne, K, Castaño, J, Chirlaque, M, Lilja, H, Agudo, A, Ardanaz, E, Rodríguez-Barranco, M, Boeing, H, Kaaks, R, Khaw, K, Larrañaga, N, Navarro, C, Olsen, A, Overvad, K, Perez-Cornago, A, Rohrmann, S, Sánchez, M, Tjønneland, A, Tsilidis, K, Johansson, M, Riboli, E, Key, T, Travis, R, and Imperial College Trust

Subjects
Adult, Male, SERUM, DESIGN, Vasectomy, Journal Article, Humans, COHORT, Prospective Studies, Oncology & Carcinogenesis, Aged, Science & Technology, PLASMA, MORTALITY, DEATH, Prostatic Neoplasms, MEN, Middle Aged, Europe, Oncology, POPULATIONS, FOLLOW-UP, Life Sciences & Biomedicine, 1112 Oncology And Carcinogenesis, BETA-MICROSEMINOPROTEIN
Abstract

Purpose Vasectomy is a commonly used form of male sterilization, and some studies have suggested that it may be associated with an increased risk of prostate cancer, including more aggressive forms of the disease. We investigated the prospective association of vasectomy with prostate cancer in a large European cohort, with a focus on high-grade and advanced-stage tumors, and death due to prostate cancer. Patients and Methods A total of 84,753 men from the European Prospective Investigation into Cancer and Nutrition (EPIC), aged 35 to 79 years, provided information on vasectomy status (15% with vasectomy) at recruitment and were followed for incidence of prostate cancer and death. We estimated the association of vasectomy with prostate cancer risk overall, by tumor subtype, and for death due to prostate cancer, using multivariable-adjusted Cox proportional hazards models. Results During an average follow-up of 15.4 years, 4,377 men were diagnosed with prostate cancer, including 641 who had undergone a vasectomy. Vasectomy was not associated with prostate cancer risk (hazard ratio [HR], 1.05; 95% CI, 0.96 to 1.15), and no evidence for heterogeneity in the association was observed by stage of disease or years since vasectomy. There was some evidence of heterogeneity by tumor grade ( P = .02), with an increased risk for low-intermediate grade (HR, 1.14; 95% CI, 1.01 to 1.29) but not high-grade prostate cancer (HR, 0.83; 95% CI, 0.64 to 1.07). Vasectomy was not associated with death due to prostate cancer (HR, 0.88; 95% CI, 0.68 to 1.12). Conclusion These findings from a large European prospective study show no elevated risk for overall, high-grade or advanced-stage prostate cancer, or death due to prostate cancer in men who have undergone a vasectomy compared with men who have not.

Published
2016

45. Eating at restaurants, at work or at home. Is there a difference? : a study among adults of 11 European countries in the context of the HECTOR* project

Author

Orfanos, P., Naska, A., Rodrigues, S., Lopes, C., Freisling, H., Rohrmann, S., Sieri, S., Elmadfa, I., Lachat, C., Gedrich, K., Boeing, H., Katzke, V., Turrini, A., Tumino, R., Ricceri, F., Mattiello, A., Palli, D., Ocke, M., Engeset, D., Oltarzewski, M., Nilsson, Lena Maria, Key, T., Trichopoulou, A., Orfanos, P., Naska, A., Rodrigues, S., Lopes, C., Freisling, H., Rohrmann, S., Sieri, S., Elmadfa, I., Lachat, C., Gedrich, K., Boeing, H., Katzke, V., Turrini, A., Tumino, R., Ricceri, F., Mattiello, A., Palli, D., Ocke, M., Engeset, D., Oltarzewski, M., Nilsson, Lena Maria, Key, T., and Trichopoulou, A.

Abstract

BACKGROUND/OBJECTIVES: To compare macronutrient intakes out of home-by location-to those at home and to investigate differences in total daily intakes between individuals consuming more than half of their daily energy out of home and those eating only at home. SUBJECTS/METHODS: Data collected through 24-h recalls or diaries among 23 766 European adults. Participants were grouped as 'non-substantial', 'intermediate' and 'very substantial out-of-home' eaters based on energy intake out of home. Mean macronutrient intakes were estimated at home and out of home (overall, at restaurants, at work). Study/cohort-specific mean differences in total intakes between the 'very substantial out-of-home' and the 'at-home' eaters were estimated through linear regression and pooled estimates were derived. RESULTS: At restaurants, men consumed 29% of their energy as fat, 15% as protein, 45% as carbohydrates and 11% as alcohol. Among women, fat contributed 33% of energy intake at restaurants, protein 16%, carbohydrates 45% and alcohol 6%. When eating at work, both sexes reported 30% of energy from fat and 55% from carbohydrates. Intakes at home were higher in fat and lower in carbohydrates and alcohol. Total daily intakes of the 'very substantial out-of-home' eaters were generally similar to those of individuals eating only at home, apart from lower carbohydrate and higher alcohol intakes among individuals eating at restaurants. CONCLUSIONS: In a large population of adults from 11 European countries, eating at work was generally similar to eating at home. Alcoholic drinks were the primary contributors of higher daily energy intakes among individuals eating substantially at restaurants.

Published
2017
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46. International incidence of childhood cancer, 2001-10: a population-based registry study.

Author

IICC-3 contributors, Bouzbid, S., Hamdi-Cherif, M., Hablas, A., Chirpaz, E., Buziba, N., Chesumbai, G.C., Manraj, S.S., Reynders, D., Wabinga, H.R., Chokunonga, E., Moreno, F., Lima, C.A., Asturian Laporte, C., de Oliveira, J.C., de Aquino, J.P., Gallagher, S.V., Uribe, C.J., Bravo, L.E., Yepez Chamorro, M.C., Torres Alvarado, G., Galán Alvarez, Y.H., Martinez Reyes, F.C., Castillo Calvas, J.C., Mendoza Alava, M., Cueva Ayala, P., Hanchard, B., Fajardo-Gutiérrez, A., Zavala Zegarra, D.E., Barrios, E., Nikiforuk, C., Woods, R., Turner, D., MacIntyre, M., Corriveau, A., Navaneelan, T., Bertrand, C., Stuart-Panko, H., Wilson, R.J., Kosary, C., Shen, X., Brockhouse, J., Yee, G.A., Mitchell, T.C., Snipes, K., West, D., Rao, C., Bolick, S., Rycroft, R.K., Mueller, L., Zheng, Y., Dosch, K., Brown, H., Vargas, A., Levin, G.M., Bayakly, R., Johnson, C., Shen, T., Ruppert, L., Lynch, C.F., Lai, S.M., Tucker, T.C., Wu, X.C., Schwenn, M., Stern, K., Gershman, S., Copeland, G., Bushhouse, S., Rogers, D.B., Jackson Thompson, J., Lemons, D., Frederick, S., Harris, J.A., Riddle, B., Stroup, A., Wiggins, C., Schymura, M.J., Giljahn, L.K., Sheikh, A., Schubert, S., Aldinger, W., Fulton, J.P., Whiteside, M., Nogueira, L., Sweeney, C., Johnson, A., Martin, J., Farley, S., Harrelson, D., Malicki, R., Espinoza, J.R., Hernandez, B.Y., Abulfateh, N., Wang, N., Ngan, R., Lingegowda, K.B., Swaminathan, R., Koyande, S.S., Silverman, B., Ozasa, K., Kanemura, S., Soda, M., Miyashiro, I., Shibata, A., Nimri, O., Won, Y.J., Kim, C.H., Hong, N.S., Nam, H.S., Kweon, S., Kim, W.C., Huh, J.S., Jung, K.W., Yoo, C.I., Elbasmy, A., Laudico, A.V., Lumague, M.R., AlMutlag, H., Buasom, R., Srisukho, S., Tanabodee, J., Wiangnon, S., Pongnikorn, D., Sriplung, H., Dirican, O., Eser, S., Le Hoang, M., Hackl, M., Zborovskaya, A., Dimitrova, N., Valerianova, Z., Sekerija, M., Pavlou, P., Dušek, M., Mägi, M., Clavel, J., Lacour, B., Guizard, A.V., Bouvier, V., Troussard, X., Woronoff, A.S., Tretarre, B., Colonna, M., Molinié, F., Bara, S., Velten, M., Marrer, E., Ganry, O., Grosclaude, P., Kaatsch, P., Zeissig, S.R., Holleczek, B., Katalinic, A., Jakab, Z., Birgisson, H., Walsh, P.M., Mangone, L., Merletti, F., Magoni, M., Ferretti, S., Serraino, D., Spagnoli, G., Fusco, M., Michiara, M., Tumino, R., Falcini, F., Sensi, F., Tisano, F., Piffer, S., Stracci, F., Tagliabue, G., Smailyte, G., Agius, D., Visser, O., Ursin, G., Didkowska, J., Trojanowski, M., Wojciechowska, U., Forjaz de Lacerda, G., Silva, M.A., Laranja Pontes, J., da Costa Miranda, A., Kaiserova, E., Primic Žakelj, M., Peris-Bonet, R., Vicente Raneda, M.L., Almar Marqués, E., Quirós Garcia, J.R., Ramos Monserrat, M., Errezola Saizar, M., Alemán Herrera, A., Díaz García, J.M., Marcos-Gragera, R., Sanchez-Perez, M.J., Ardanaz Aicua, E., Galceran, J., Klint, A., Kuehni, C.E., Bouchardy, C., Levi, F., Bordoni, A., Konzelmann, I., Rohrmann, S., Stiller, C.A., Gavin, A.T., Brewster, D.H., Phung, H., Rushton, S., Guthridge, S., Aitken, J., D'Onise, K., Venn, A., Farrugian, H., Threlfall, T.J., Laumond, S., Yen Kai Sun, L., Hendrix, J., Ballantine, K., Colombet, M., Dolya, A., Masuyer, E., Steliarova-Foucher, E., Ries, LAG, Bray, F., Hesseling, P., Shin, H.Y., IICC-3 contributors, Bouzbid, S., Hamdi-Cherif, M., Hablas, A., Chirpaz, E., Buziba, N., Chesumbai, G.C., Manraj, S.S., Reynders, D., Wabinga, H.R., Chokunonga, E., Moreno, F., Lima, C.A., Asturian Laporte, C., de Oliveira, J.C., de Aquino, J.P., Gallagher, S.V., Uribe, C.J., Bravo, L.E., Yepez Chamorro, M.C., Torres Alvarado, G., Galán Alvarez, Y.H., Martinez Reyes, F.C., Castillo Calvas, J.C., Mendoza Alava, M., Cueva Ayala, P., Hanchard, B., Fajardo-Gutiérrez, A., Zavala Zegarra, D.E., Barrios, E., Nikiforuk, C., Woods, R., Turner, D., MacIntyre, M., Corriveau, A., Navaneelan, T., Bertrand, C., Stuart-Panko, H., Wilson, R.J., Kosary, C., Shen, X., Brockhouse, J., Yee, G.A., Mitchell, T.C., Snipes, K., West, D., Rao, C., Bolick, S., Rycroft, R.K., Mueller, L., Zheng, Y., Dosch, K., Brown, H., Vargas, A., Levin, G.M., Bayakly, R., Johnson, C., Shen, T., Ruppert, L., Lynch, C.F., Lai, S.M., Tucker, T.C., Wu, X.C., Schwenn, M., Stern, K., Gershman, S., Copeland, G., Bushhouse, S., Rogers, D.B., Jackson Thompson, J., Lemons, D., Frederick, S., Harris, J.A., Riddle, B., Stroup, A., Wiggins, C., Schymura, M.J., Giljahn, L.K., Sheikh, A., Schubert, S., Aldinger, W., Fulton, J.P., Whiteside, M., Nogueira, L., Sweeney, C., Johnson, A., Martin, J., Farley, S., Harrelson, D., Malicki, R., Espinoza, J.R., Hernandez, B.Y., Abulfateh, N., Wang, N., Ngan, R., Lingegowda, K.B., Swaminathan, R., Koyande, S.S., Silverman, B., Ozasa, K., Kanemura, S., Soda, M., Miyashiro, I., Shibata, A., Nimri, O., Won, Y.J., Kim, C.H., Hong, N.S., Nam, H.S., Kweon, S., Kim, W.C., Huh, J.S., Jung, K.W., Yoo, C.I., Elbasmy, A., Laudico, A.V., Lumague, M.R., AlMutlag, H., Buasom, R., Srisukho, S., Tanabodee, J., Wiangnon, S., Pongnikorn, D., Sriplung, H., Dirican, O., Eser, S., Le Hoang, M., Hackl, M., Zborovskaya, A., Dimitrova, N., Valerianova, Z., Sekerija, M., Pavlou, P., Dušek, M., Mägi, M., Clavel, J., Lacour, B., Guizard, A.V., Bouvier, V., Troussard, X., Woronoff, A.S., Tretarre, B., Colonna, M., Molinié, F., Bara, S., Velten, M., Marrer, E., Ganry, O., Grosclaude, P., Kaatsch, P., Zeissig, S.R., Holleczek, B., Katalinic, A., Jakab, Z., Birgisson, H., Walsh, P.M., Mangone, L., Merletti, F., Magoni, M., Ferretti, S., Serraino, D., Spagnoli, G., Fusco, M., Michiara, M., Tumino, R., Falcini, F., Sensi, F., Tisano, F., Piffer, S., Stracci, F., Tagliabue, G., Smailyte, G., Agius, D., Visser, O., Ursin, G., Didkowska, J., Trojanowski, M., Wojciechowska, U., Forjaz de Lacerda, G., Silva, M.A., Laranja Pontes, J., da Costa Miranda, A., Kaiserova, E., Primic Žakelj, M., Peris-Bonet, R., Vicente Raneda, M.L., Almar Marqués, E., Quirós Garcia, J.R., Ramos Monserrat, M., Errezola Saizar, M., Alemán Herrera, A., Díaz García, J.M., Marcos-Gragera, R., Sanchez-Perez, M.J., Ardanaz Aicua, E., Galceran, J., Klint, A., Kuehni, C.E., Bouchardy, C., Levi, F., Bordoni, A., Konzelmann, I., Rohrmann, S., Stiller, C.A., Gavin, A.T., Brewster, D.H., Phung, H., Rushton, S., Guthridge, S., Aitken, J., D'Onise, K., Venn, A., Farrugian, H., Threlfall, T.J., Laumond, S., Yen Kai Sun, L., Hendrix, J., Ballantine, K., Colombet, M., Dolya, A., Masuyer, E., Steliarova-Foucher, E., Ries, LAG, Bray, F., Hesseling, P., and Shin, H.Y.

Abstract

Cancer is a major cause of death in children worldwide, and the recorded incidence tends to increase with time. Internationally comparable data on childhood cancer incidence in the past two decades are scarce. This study aimed to provide internationally comparable local data on the incidence of childhood cancer to promote research of causes and implementation of childhood cancer control. This population-based registry study, devised by the International Agency for Research on Cancer in collaboration with the International Association of Cancer Registries, collected data on all malignancies and non-malignant neoplasms of the CNS diagnosed before age 20 years in populations covered by high-quality cancer registries with complete data for 2001-10. Incidence rates per million person-years for the 0-14 years and 0-19 years age groups were age-adjusted using the world standard population to provide age-standardised incidence rates (WSRs), using the age-specific incidence rates (ASR) for individual age groups (0-4 years, 5-9 years, 10-14 years, and 15-19 years). All rates were reported for 19 geographical areas or ethnicities by sex, age group, and cancer type. The regional WSRs for children aged 0-14 years were compared with comparable data obtained in the 1980s. Of 532 invited cancer registries, 153 registries from 62 countries, departments, and territories met quality standards, and contributed data for the entire decade of 2001-10. 385 509 incident cases in children aged 0-19 years occurring in 2·64 billion person-years were included. The overall WSR was 140·6 per million person-years in children aged 0-14 years (based on 284 649 cases), and the most common cancers were leukaemia (WSR 46·4), followed by CNS tumours (WSR 28·2), and lymphomas (WSR 15·2). In children aged 15-19 years (based on 100 860 cases), the ASR was 185·3 per million person-years, the most common being lymphomas (ASR 41·8) and the group of epithelial tumours and melanoma (ASR 39·5). Incidence varied

Published
2017

47. Overview of preventive practices provided by primary care physicians: A cross-sectional study in Switzerland and France

Author

Rohrmann, S, Sebo, P, Maisonneuve, H, Cerutti, B, Fournier, J-P, Senn, N, Rat, C, Haller, DM, Rohrmann, S, Sebo, P, Maisonneuve, H, Cerutti, B, Fournier, J-P, Senn, N, Rat, C, and Haller, DM

Abstract

BACKGROUND: A range of preventive practices are recommended to reduce the burden of chronic diseases. The aim of our study was to describe the preventive practices of French-speaking primary care physicians. METHODS: A cross-sectional survey was conducted in 2015 in a randomly selected sample of 1100 primary care physicians (700 in Switzerland, 400 in France). The physicians were asked how often they performed the following recommended preventive practices: blood pressure, weight and height measurements, screening for dyslipidemia, screening for alcohol use and brief intervention, screening for smoking (and brief advice for smokers), colon and prostate cancer screening, and influenza immunization. Response options on the five points Likert scale were never, rarely, sometimes, often, always. The physicians were considered to be performing the preventive practice regularly if they declared performing it often or always. RESULTS: 518 participants (47%) returned the questionnaire. The most commonly reported preventive practices were: blood pressure measurement (99%), screening for smoking (95%) and brief advice for smokers (95%). The least frequently reported practices were annual influenza immunization for at-risk patients <65 years (37%), height measurement (53%), screening for excessive alcohol use (60%) and brief advice for at-risk drinkers (67%). All other practices were reported by 70 to 90% of participants. CONCLUSION: Whereas some preventive practices now appear to be part of primary care routine, others were not applied by a large proportion of primary care physicians in our study. Further studies should explore whether these findings are related to miss-knowledge of common guidelines, or other implementation barriers in this primary care context.

Published
2017

48. Risk of cardiovascular disease morbidity and mortality in frail and pre-frail older adults:results from a meta-analysis and exploratory meta-regression analysis

Author

Veronese, N. (Nicola), Cereda, E. (Emanuele), Stubbs, B. (Brendon), Solmi, M. (Marco), Luchini, C. (Claudio), Manzato, E. (Enzo), Sergi, G. (Giuseppe), Manu, P. (Peter), Harris, T. (Tamara), Fontana, L. (Luigi), Strandberg, T. (Timo), Amieva, H. (Helene), Dumurgier, J. (Julien), Elbaz, A. (Alexis), Tzourio, C. (Christophe), Eicholzer, M. (Monika), Rohrmann, S. (Sabine), Moretti, C. (Claudio), D’Ascenzo, F. (Fabrizio), Quadri, G. (Giorgio), Polidoro, A. (Alessandro), Lourenço, R. A. (Roberto Alves), Moreira, V. G. (Virgilio Garcia), Sanchis, J. (Juan), Scotti, V. (Valeria), Maggi, S. (Stefania), Correll, C. U. (Christoph U.), Veronese, N. (Nicola), Cereda, E. (Emanuele), Stubbs, B. (Brendon), Solmi, M. (Marco), Luchini, C. (Claudio), Manzato, E. (Enzo), Sergi, G. (Giuseppe), Manu, P. (Peter), Harris, T. (Tamara), Fontana, L. (Luigi), Strandberg, T. (Timo), Amieva, H. (Helene), Dumurgier, J. (Julien), Elbaz, A. (Alexis), Tzourio, C. (Christophe), Eicholzer, M. (Monika), Rohrmann, S. (Sabine), Moretti, C. (Claudio), D’Ascenzo, F. (Fabrizio), Quadri, G. (Giorgio), Polidoro, A. (Alessandro), Lourenço, R. A. (Roberto Alves), Moreira, V. G. (Virgilio Garcia), Sanchis, J. (Juan), Scotti, V. (Valeria), Maggi, S. (Stefania), and Correll, C. U. (Christoph U.)

Abstract

Frailty is common and associated with poorer outcomes in the elderly, but its role as potential cardiovascular disease (CVD) risk factor requires clarification. We thus aimed to meta-analytically evaluate the evidence of frailty and pre-frailty as risk factors for CVD. Two reviewers selected all studies comparing data about CVD prevalence or incidence rates between frail/pre-frail vs. robust. The association between frailty status and CVD in cross-sectional studies was explored by calculating and pooling crude and adjusted odds ratios (ORs) ±95% confidence intervals (CIs); the data from longitudinal studies were pooled using the adjusted hazard ratios (HRs). Eighteen cohorts with a total of 31,343 participants were meta-analyzed. Using estimates from 10 cross-sectional cohorts, both frailty and pre-frailty were associated with higher odds of CVD than robust participants. Longitudinal data were obtained from 6 prospective cohort studies. After a median follow-up of 4.4 years, we identified an increased risk for faster onset of any-type CVD in the frail (HR = 1.70 [95%CI, 1.18–2.45]; I² = 66%) and pre-frail (HR = 1.23 [95%CI, 1.07–1.36]; I² = 67%) vs. robust groups. Similar results were apparent for time to CVD mortality in the frail and pre-frail groups. In conclusion, frailty and pre-frailty constitute addressable and independent risk factors for CVD in older adults.

Published
2017

49. Serum B vitamin levels and risk of lung cancer

Author

Johansson, M., Relton, C., Uel, P. M., Vollset, S. E., Midttun, Ø., Nygård, O., Slimani, N., Boffetta, P., Jenab, M., Clavel-Chapelon, F., Boutron-Ruault, M. -C., Fagherazzi, G., Kaaks, R., Rohrmann, S., Boeing, H., Weikert, C., Bas Buenode-Mesquita, H., Ros, M. M., Van Gils, C. H., Peeters, P. H. M., Agudo, A., Barricarte, A., Navarro, C., Rodríguez, L., Sánchez, M. -J., Larrañaga, N., Khaw, K. -T., Wareham, N., Allen, N. E., Crowe, F., Gallo, V., Norat, T., Krogh, V., Masala, G., Panico, S., Sacerdote, C., Tumino, R., Trichopoulou, A., Lagiou, P., Trichopoulos, D., Rasmuson, T., Hallmans, G., Riboli, E., Vineis, P., Brennan, P., Johansson, M, Relton, C, Ueland, Pm, Vollset, Se, Midttun, Ø, Nygård, O, Slimani, N, Boffetta, P, Jenab, M, Clavel Chapelon, F, Boutron Ruault, Mc, Fagherazzi, G, Kaaks, R, Rohrmann, S, Boeing, H, Weikert, C, Bueno de Mesquita, Hb, Ros, Mm, van Gils, Ch, Peeters, Ph, Agudo, A, Barricarte, A, Navarro, C, Rodríguez, L, Sánchez, Mj, Larrañaga, N, Khaw, Kt, Wareham, N, Allen, Ne, Crowe, F, Gallo, V, Norat, T, Krogh, V, Masala, G, Panico, Salvatore, Sacerdote, C, Tumino, R, Trichopoulou, A, Lagiou, P, Trichopoulos, D, Rasmuson, T, Hallmans, G, Riboli, E, Vineis, P, Brennan, P., and Johansson, M. and Relton, C. and Ueland, P.M. and Vollset, S.E. and Midttun, Ø. and Nygård, O. and Slimani, N. and Boffetta, P. and Jenab, M. and Clavel-Chapelon, F. and Boutron-Ruault, M.-C. and Fagherazzi, G. and Kaaks, R. and Rohrmann, S. and Boeing, H. and Weikert, C. and Bas Buenode-Mesquita, H. and Ros, M.M. and Van Gils, C.H. and Peeters, P.H.M. and Agudo, A. and Barricarte, A. and Navarro, C. and Rodríguez, L. and Sánchez, M.-J. and Larrañaga, N. and Khaw, K.-T. and Wareham, N. and Allen, N.E. and Crowe, F. and Gallo, V. and Norat, T. and Krogh, V. and Masala, G. and Panico, S. and Sacerdote, C. and Tumino, R. and Trichopoulou, A. and Lagiou, P. and Trichopoulos, D. and Rasmuson, T. and Hallmans, G. and Riboli, E. and Vineis, P. and Brennan, P.

Subjects
Adult, Male, Risk, medicine.medical_specialty, Lung Neoplasms, Homocysteine, Lower risk, Gastroenterology, Cohort Studies, Molecular epidemiology [NCEBP 1], chemistry.chemical_compound, Methionine, Internal medicine, Odds Ratio, medicine, Humans, Lung cancer, Aged, business.industry, Incidence, Cancer, General Medicine, Odds ratio, Middle Aged, medicine.disease, Vitamin B 6, European Prospective Investigation into Cancer and Nutrition, Europe, B vitamins, Quartile, chemistry, Vitamin B Complex, Immunology, Female, business
Abstract

Contains fulltext : 89308.pdf (Publisher’s version ) (Closed access) CONTEXT: B vitamins and factors related to 1-carbon metabolism help to maintain DNA integrity and regulate gene expression and may affect cancer risk. OBJECTIVE: To investigate if 1-carbon metabolism factors are associated with onset of lung cancer. DESIGN, SETTING, AND PARTICIPANTS: The European Prospective Investigation into Cancer and Nutrition (EPIC) recruited 519,978 participants from 10 countries between 1992 and 2000, of whom 385,747 donated blood. By 2006, 899 lung cancer cases were identified and 1770 control participants were individually matched by country, sex, date of birth, and date of blood collection. Serum levels were measured for 6 factors of 1-carbon metabolism and cotinine. MAIN OUTCOME MEASURE: Odds ratios (ORs) of lung cancer by serum levels of 4 B vitamins (B(2), B(6), folate [B(9)], and B(12)), methionine, and homocysteine. RESULTS: Within the entire EPIC cohort, the age-standardized incidence rates of lung cancer (standardized to the world population, aged 35-79 years) were 6.6, 44.9, and 156.1 per 100,000 person-years among never, former, and current smokers for men, respectively. The corresponding incidence rates for women were 7.1, 23.9, and 100.9 per 100,000 person-years, respectively. After accounting for smoking, a lower risk for lung cancer was seen for elevated serum levels of B(6) (fourth vs first quartile OR, 0.44; 95% confidence interval [CI], 0.33-0.60; P for trend

Published
2010

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