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1. Determinants of non- response to a second assessment of lifestyle factors and body weight in the EPIC-PANACEA study

Author

Dora Romaguera, Rosario Tumino, Françoise Clavel-Chapelon, Heiner Boeing, Carlos González, Elizabeth A Spencer, Silke Hermann, Kim Overvad, Androniki Naska, Veronica Hellstrom, Antonio Agudo, Anne Tjønneland, Jytte Halkjær, Anne-Claire Vergnaud, Miren Dorronsoro, Tonje Braaten, Jonas Manjer, José María Huerta, Bo Hedblad, Nadia Slimani, H. Bas Bueno-de-Mesquita, Amalia Mattiello, Marianne Uhre Jakobsen, Traci Mouw, Petra H.M. Peeters, Teresa Norat, Daphne L. van der A, Aurelio Barricarte, Nicholas J. Wareham, Timothy J. Key, Domenico Palli, Valeria Pala, Eiliv Lund, Elio Riboli, Anne M. May, Marie-Christine Boutron-Ruault, Laudina Rodríguez, Lotte E. Adema, Maria J. Sánchez, Philippos Orfanos, Ulf Ekelund, Antonia Trichopoulou, Annika Steffen, Sabine Rohrmann, Manuela M. Bergmann, Sabina Rinaldi, Julius Centre for Health Sciences and Primary Care, University Medical Center [Utrecht], National Institute for Public Health and the Environment [Bilthoven] (RIVM), Department of Epidemiology and Public Health, Imperial College London, Unit of Nutrition, Environment and Cancer, Institut d'Investigació Biomèdica de Bellvitge [Barcelone] (IDIBELL), Epidemiology Unit, Medical Research Council, German Institute of Human Nutrition Potsdam-Rehbrücke, German Institute of Human Nutrition Potsdam-Rehbrücke (DIfE), Hellenic Health Foundation, Department of Hygiene, Epidemiology and Medical Statistics, International Agency for Cancer Research (IACR), Division of Clinical Epidemiology, German Cancer Research Center - Deutsches Krebsforschungszentrum [Heidelberg] (DKFZ), Department of Epidemiology, Aarhus University [Aarhus], Department of Cardiology, Aarhus University Hospital, Danish Cancer Society, Institute of Cancer Epidemiology, Cancer Research UK Epidemiology Unit, University of Oxford, Department of Public Health and Clinical Medicine, Umeå University, Department of Surgery, Lund University [Lund]-Malmø University Hospital, Department of Clinical Science, Institute of Community Medicine, University of Tromsø (UiT), Nutrition, hormones et cancer: épidémiologie et prévention (E3N), Epidémiologie, sciences sociales, santé publique (IFR 69), Université Paris 1 Panthéon-Sorbonne (UP1)-Université Paris-Sud - Paris 11 (UP11)-École des hautes études en sciences sociales (EHESS)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Université Paris Descartes - Paris 5 (UPD5)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Centre National de la Recherche Scientifique (CNRS)-Université Paris 1 Panthéon-Sorbonne (UP1)-Université Paris-Sud - Paris 11 (UP11)-École des hautes études en sciences sociales (EHESS)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Université Paris Descartes - Paris 5 (UPD5)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Centre National de la Recherche Scientifique (CNRS)-Université Paris-Sud - Paris 11 (UP11)-Institut Gustave Roussy (IGR)-Institut National de la Santé et de la Recherche Médicale (INSERM), Public Health and Participation Directorate, Health and Health Care Services Council, Andalusian School of Public Health [Granada], Epidemiology and Health Information, Public Health Department of Gipuzkoa, Public Health Institute of Navarra, Epidemiology Department, CIBER de Epidemiología y Salud Pública (CIBERESP)-Council of Health and Consumer Affairs, Molecular and Nutritional Epidemiology Unit, ISPO-Cancer Research and Prevention Institute, Nutritional Epidemiology Unit, National Cancer Institute [Bethesda] (NCI-NIH), National Institutes of Health [Bethesda] (NIH)-National Institutes of Health [Bethesda] (NIH)-IRCCS Foundation, Dipartimento di Medicina Clinica e Sperimentale, Universita di Napoli, Cancer Registry, Civile - M.P.Arezzo Hospital, This work was supported by the European Union, in the framework of the Public Health Programme (project number: 2005328). The work was further financially supported by the European Commission: Public Health and Consumer Protection Directorate 1993-2004, Research Directorate-General 2005-.', Ligue contre le Cancer, Societé 3 M, Mutuelle Générale de l'Education Nationale, Institut National de la Santé et de la Recherche Médicale (INSERM) (France), German Cancer Aid, German Cancer Research Center, Federal Ministry of Education and Research (Germany), Danish Cancer Society (Denmark), Health Research Fund (FIS) of the Spanish Ministry of Health, The participating regional governments and institutions and the ISCIII of the Spanish Ministry of Health (RETICC DR06/0020) (Spain), Cancer Research UK, Medical Research Council, Stroke Association, British Heart Foundation, Department of Health, Food Standards Agency, the Wellcome Trust (United Kingdom), Greek Ministry of Health and Social Solidarity, Hellenic Health Foundation and Stavros Niarchos Foundation (Greece), Italian Association for Research on Cancer, National Research Council (Italy), Dutch Ministry of Public Health, Welfare and Sports, Dutch Ministry of Health, Dutch Prevention Funds, LK Research Funds, Dutch ZON (Zorg Onderzoek Nederland), World Cancer Research Fund (WCRF) (the The Netherlands), Swedish Cancer Society, Swedish Scientific Council, Regional Government of Skane (Sweden), Norwegian Cancer Society (Norway)., BMC, Ed., [May,AM, Adema,LE, Peeters,PHM] Julius Centre for Health Sciences and Primary Care, University Medical Centre Utrecht, Utrecht University,Utrecht, The Netherlands. [May,AM, van der Daphne,A, Bueno-de-Mesquita,HB] National Institute for Public Health and the Environment (RIVM), Bilthoven, The Netherlands. [Romaguera,D, Vergnaud,AC, Mouw,T, Norat,T, Riboli,E, Peeters,PHM] Department of Epidemiology and Biostatistics, School of Public Health, Imperial College London, London, United Kingdom. [Agudo,A, Gonzalez,C] Unit of Nutrition, Environment and Cancer, Catalan Institute of Oncology, IDIBELL, Barcelona, Spain. [Ekelund,U, Wareham,NJ] Medical Research Council, Epidemiology Unit, Cambridge, United Kingdom. [Steffen,A, Boeing,H, Bergmann,MM] German Institute of Human Nutrition Potsdam Rehbrücke, Heidelberg, Germany. [Orfanos,P, Naska,A, Trichopoulou,A] Hellenic Health Foundation, Athens, Greece AND Department of Hygiene, Epidemiology and Medical Statistics, School of Medicine, University of Athens, Athens, Greece. [Slimani,N, Rinaldi,S] International Agency for Research on Cancer (IARC-WHO), Lyon, France. [Rohrmann,S, Hermann,S] Division of Clinical Epidemiology, German Cancer Research Center, Heidelberg, Germany. [Jakobsen,MU, Overvad,K] Department of Epidemiology, School of Public Health, Aarhus University, Aarhus, Denmark. [Overvad,K] Department of Cardiology, Aalborg Hospital, Aarhus University Hospital, Aalborg, Denmark. [Tjonneland,A, Halkjaer,J] Danish Cancer Society, Institute of Cancer Epidemiology, Copenhagen, Denmark. [Key,TJ, Spencer,EA] Cancer Research UK Epidemiology Unit, University of Oxford, Oxford, United Kingdom. [Hellstrom,V] Department of Public Health and Clinical Medicine,Nutritional Research, Umea University, Umea, Sweden. [Manjer,J] Department of Surgery, Malmø University Hospital, Lund University, Malmø, Sweden. [Hedblad,B] Department of Clinical Science, Malmø University Hospital, Lund University, Malmø, Sweden. [Lund,E, Braaten,T] Institute of Community Medicine, University of Tromsø, Tromsø, Norway. [Clavel-Chapelon,F, Boutron-Ruault,MC] Institut National de la Santé et de la Recherche Médicale(INSERM), Villejuif, France. [Clavel-Chapelon,F, Boutron-Ruault,MC] Institut Gustave Roussy, Villejuif, France. [Rodriguez,L] Public Health and Participation Directorate, Health and Health Care Services Council, Asturias, Spain. [Sanchez,MJ] Andalusian School of Public Health, Granada, and CIBER de Epidemiology and Public Health (CIBERESP), Granada, Spain. [Dorronsoro,M] Public Health Department of Gipuzkoa, San Sebastian, Spain. [Barricarte,A] Public Health Institute of Navarra, Pamplona, Spain. [Huerta,JM] Epidemiology Department, Council of Health and Consumer Affairs, Murcia & CIBER Epidemiología y Salud Pública (CIBERESP), Murcia, Spain. [Palli,D] Molecular and Nutritional Epidemiology Unit, ISPO-Cancer Research and Prevention Institute, Florence, Italy.[Pala,V] Nutritional Epidemiology Unit, IRCCS Foundation, National Cancer Institute, Milan, Italy. [Mattiello,A] Dipartimento di Medicina Clinica e Sperimentale, Università di Napoli, Naples, Italy.[Tumino,R] Cancer Registry, Azienda Ospedaliera 'Civile M.P.Arezzo', Ragusa, Italy., This work was supported by the European Union, in the framework of the Public Health Programme (project number: 2005328). The work was further financially supported by the European Commission: Public Health and Consumer Protection Directorate 1993–2004, Ligue contre le Cancer, Societé 3 M, Mutuelle Générale de l’Education Nationale, Institut National de la Santé et de la Recherche Médicale (INSERM) (France), University of Oxford [Oxford], Wareham, Nicholas [0000-0003-1422-2993], Apollo - University of Cambridge Repository, University of Zurich, and May, Anne M

Subjects
Gerontology, Male, Restaurants, Epidemiology, Cross-sectional study, VDP::Medisinske Fag: 700::Helsefag: 800::Epidemiologi medisinsk og odontologisk statistikk: 803, Lost-to-follow-up, Weight Gain, Non-participation, Body Mass Index, Eating, 0302 clinical medicine, Risk Factors, Medicine, 030212 general & internal medicine, Prospective Studies, PREDICTORS, Prospective cohort study, Workplace, Nonresponse bias, POPULATION, 2718 Health Informatics, lcsh:R5-920, education.field_of_study, Nutrition and Dietetics, Anthropometry, Follow-up, Participation, Public Health, Global Health, Social Medicine and Epidemiology, HEALTH SURVEY, cohort, Middle Aged, Health survey, HEALTH CARE SCIENCES & SERVICES, 3. Good health, Näringslära, Europe, VDP::Medical disciplines: 700::Health sciences: 800::Epidemiology medical and dental statistics: 803, Cohort, Female, lcsh:Medicine (General), Life Sciences & Biomedicine, Estilo de Vida, Cohort study, Research Article, Adult, Estils de vida, representativeness, Non-response, PARTICIPATION, Population, Lifestyles, Pes corporal, 610 Medicine & health, 030209 endocrinology & metabolism, Health Informatics, 03 medical and health sciences, Sex Factors, Attrition, Humans, COHORT, Obesity, education, REPRESENTATIVENESS, Aged, Selection bias, SELECTION BIAS, Science & Technology, Analytical, Diagnostic and Therapeutic Techniques and Equipment::Investigative Techniques::Epidemiologic Methods::Data Collection::Health Surveys [Medical Subject Headings], business.industry, Predictors, Body Weight, Psychiatry and Psychology::Behavior and Behavior Mechanisms::Psychology, Social::Life Style [Medical Subject Headings], 10060 Epidemiology, Biostatistics and Prevention Institute (EBPI), Odds ratio, Health Care Service and Management, Health Policy and Services and Health Economy, Encuestas epidemiológicas, Body weight, Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi, Cross-Sectional Studies, [SDV.SPEE] Life Sciences [q-bio]/Santé publique et épidémiologie, NONRESPONSE BIAS, ATTRITION, [SDV.SPEE]Life Sciences [q-bio]/Santé publique et épidémiologie, FOLLOW-UP, business, Energy Intake, Body mass index, 2713 Epidemiology
Abstract

Background This paper discusses whether baseline demographic, socio-economic, health variables, length of follow-up and method of contacting the participants predict non-response to the invitation for a second assessment of lifestyle factors and body weight in the European multi-center EPIC-PANACEA study. Methods Over 500.000 participants from several centers in ten European countries recruited between 1992 and 2000 were contacted 2–11 years later to update data on lifestyle and body weight. Length of follow-up as well as the method of approaching differed between the collaborating study centers. Non-responders were compared with responders using multivariate logistic regression analyses. Results Overall response for the second assessment was high (81.6%). Compared to postal surveys, centers where the participants completed the questionnaire by phone attained a higher response. Response was also high in centers with a short follow-up period. Non-response was higher in participants who were male (odds ratio 1.09 (confidence interval 1.07; 1.11), aged under 40 years (1.96 (1.90; 2.02), living alone (1.40 (1.37; 1.43), less educated (1.35 (1.12; 1.19), of poorer health (1.33 (1.27; 1.39), reporting an unhealthy lifestyle and who had either a low (25, 1.08 (1.06; 1.10); especially ≥30 kg/m2, 1.26 (1.23; 1.29)). Conclusions Cohort studies may enhance cohort maintenance by paying particular attention to the subgroups that are most unlikely to respond and by an active recruitment strategy using telephone interviews.

Published
2012

2. Meat consumption and prospective weight change in participants of the EPIC-PANACEA study

Author

Claudia Agnoli, Eiliv Lund, Jytte Halkjær, Paolo Vineis, Nadia Slimani, Laudina Rodríguez, Ingegerd Johansson, Anne M. May, Pilar Amiano, Bas Bueno-de-Mesquita, José María Huerta, Dagrun Engeset, Anne Tjønneland, Françoise Clavel-Chapelon, Heiner Boeing, Marie-Christine Boutron-Ruault, Dora Romaguera, Rosario Tumino, Traci Mouw, Androniki Naska, Marianne Uhre Jakobsen, Nicholas J. Wareham, Elisabeth Couto, Anne-Claire Vergnaud, Frederike L. Büchner, Teresa Norat, Kim Overvad, Philippos Orfanos, Silke Hermann, Timothy J. Key, Vanessa Cottet, Elisabet Wirfält, Salvatore Panico, Jian'an Luan, Antonia Trichopoulou, Veronica Hellstrom, Aurelio Barricarte, Antonio Agudo, Sabina Rinaldi, Jonas Manjer, Noémie Travier, Andreani D. Odysseos, Domenico Palli, Brian Buijsse, María José Sánchez, Tonje Braaten, Sabine Rohrmann, Petra H.M. Peeters, Elio Riboli, E. A. Spencer, Vergnaud, Ac, Norat, T, Romaguera, D, Mouw, T, May, Am, Travier, N, Luan, J, Wareham, N, Slimani, N, Rinaldi, S, Couto, E, Clavel Chapelon, F, Boutron Ruault, Mc, Cottet, V, Palli, D, Agnoli, C, Panico, Salvatore, Tumino, R, Vineis, P, Agudo, A, Rodriguez, L, Sanchez, Mj, Amiano, P, Barricarte, A, Huerta, Jm, Key, Tj, Spencer, Ea, Bueno de Mesquita, B, Büchner, Fl, Orfanos, P, Naska, A, Trichopoulou, A, Rohrmann, S, Hermann, S, Boeing, H, Buijsse, B, Johansson, I, Hellstrom, V, Manjer, J, Wirfält, E, Jakobsen, Mu, Overvad, K, Tjonneland, A, Halkjaer, J, Lund, E, Braaten, T, Engeset, D, Odysseos, A, Riboli, E, and Peeters, Ph

Subjects
Adult, Male, Calorie, Meat, 030309 nutrition & dietetics, Medicine (miscellaneous), 030209 endocrinology & metabolism, Overweight, Weight Gain, Diet Surveys, Molecular epidemiology [NCEBP 1], 03 medical and health sciences, 0302 clinical medicine, Reference Values, Risk Factors, Environmental health, Surveys and Questionnaires, Weight management, medicine, Humans, Food science, Obesity, Prospective Studies, Prospective cohort study, Aged, 2. Zero hunger, 0303 health sciences, Nutrition and Dietetics, business.industry, Weight change, Smoking, food and beverages, Middle Aged, medicine.disease, 3. Good health, Diet, Red meat, Female, medicine.symptom, business, Energy Intake, Weight gain, Follow-Up Studies
Abstract

Contains fulltext : 87610.pdf (Publisher’s version ) (Closed access) BACKGROUND: Meat intake may be related to weight gain because of its high energy and fat content. Some observational studies have shown that meat consumption is positively associated with weight gain, but intervention studies have shown mixed results. OBJECTIVE: Our objective was to assess the association between consumption of total meat, red meat, poultry, and processed meat and weight gain after 5 y of follow-up, on average, in the large European population who participated in the European Prospective Investigation into Cancer and Nutrition-Physical Activity, Nutrition, Alcohol, Cessation of Smoking, Eating Out of Home and Obesity (EPIC-PANACEA) project. DESIGN: A total of 103,455 men and 270,348 women aged 25-70 y were recruited between 1992 and 2000 in 10 European countries. Diet was assessed at baseline with the use of country-specific validated questionnaires. A dietary calibration study was conducted in a representative subsample of the cohort. Weight and height were measured at baseline and self-reported at follow-up in most centers. Associations between energy from meat (kcal/d) and annual weight change (g/y) were assessed with the use of linear mixed models, controlled for age, sex, total energy intake, physical activity, dietary patterns, and other potential confounders. RESULTS: Total meat consumption was positively associated with weight gain in men and women, in normal-weight and overweight subjects, and in smokers and nonsmokers. With adjustment for estimated energy intake, an increase in meat intake of 250 g/d (eg, one steak at approximately 450 kcal) would lead to a 2-kg higher weight gain after 5 y (95% CI: 1.5, 2.7 kg). Positive associations were observed for red meat, poultry, and processed meat. CONCLUSION: Our results suggest that a decrease in meat consumption may improve weight management. 01 augustus 2010

Published
2010

3. Adherence to the Mediterranean diet is associated with lower abdominal adiposity in European men and women

Author

Anne M. May, Petra H.M. Peeters, Hervé Besson, Aurelio Barricarte, Vanessa Cottet, Ingegerd Johansson, Françoise Clavel-Chapelon, Kim Overvad, Heiner Boeing, Marianne Uhre Jacobsen, Eiliv Lund, Nadia Slimani, Elisabeth Couto, Dragun Engeset, Paolo Vineis, Pilar Amiano, Claudia Agnoli, Jian'an Luan, Rudolf Kaaks, Christina Bamia, Domenico Palli, Frederike L. Büchner, Jytte Halkjær, Laudina Rodríguez, Nicholas J. Wareham, Anne Tjønneland, Elio Riboli, Toni Braaten, María José Sánchez, E. A. Spencer, Jonas Manjer, Sabine Rohrmann, Veronica Hellstrom, Antonio Agudo, José María Huerta, H. Bas Bueno-de-Mesquita, Traci Mouw, Teresa Norat, Timothy J. Key, Manuela M. Bergmann, Sabina Rinaldi, Noémie Travier, Andreani D. Odysseos, Elisabet Wirfält, Salvatore Panico, Philippos Orfanos, Marie-Christine Boutron-Ruault, Antonia Trichopoulou, Dora Romaguera, Rosario Tumino, Androniki Naska, Romaguera, D, Norat, T, Mouw, T, May, Am, Bamia, C, Slimani, N, Travier, N, Besson, H, Luan, J, Wareham, N, Rinaldi, S, Couto, E, Clavel Chapelon, F, Boutron Ruault, Mc, Cottet, V, Palli, D, Agnoli, C, Panico, Salvatore, Tumino, R, Vineis, P, Agudo, A, Rodriguez, L, Sanchez, Mj, Amiano, P, Barricarte, A, Huerta, Jm, Key, Tj, Spencer, Ea, Bueno de Mesquita, Hb, Büchner, Fl, Orfanos, P, Naska, A, Trichopoulou, A, Rohrmann, S, Kaaks, R, Bergmann, M, Boeing, H, Johansson, I, Hellstrom, V, Manjer, J, Wirfält, E, Uhre Jacobsen, M, Overvad, K, Tjonneland, A, Halkjaer, J, Lund, E, Braaten, T, Engeset, D, Odysseos, A, Riboli, E, and Peeters, P. H.

Subjects
Adult, Male, Waist, Mediterranean diet, 030309 nutrition & dietetics, Cross-sectional study, Abdominal Fat, Medicine (miscellaneous), 030209 endocrinology & metabolism, Aetiology, screening and detection [ONCOL 5], Diet, Mediterranean, Body Mass Index, Cohort Studies, Molecular epidemiology [NCEBP 1], 03 medical and health sciences, 0302 clinical medicine, medicine, Humans, Obesity, Prospective Studies, Food science, Prospective cohort study, Adiposity, Aged, 2. Zero hunger, 0303 health sciences, Nutrition and Dietetics, Geography, Confounding, Middle Aged, medicine.disease, Diet, Europe, Cross-Sectional Studies, Linear Models, Female, Waist Circumference, Body mass index, Demography, Cohort study
Abstract

Contains fulltext : 79873.pdf (Publisher’s version ) (Closed access) Given the lack of consistent evidence of the relationship between Mediterranean dietary patterns and body fat, we assessed the cross-sectional association between adherence to a modified Mediterranean diet, BMI, and waist circumference (WC). A total of 497,308 individuals (70.7% women) aged 25-70 y from 10 European countries participated in this study. Diet was assessed at baseline using detailed validated country-specific questionnaires, and anthropometrical measurements were collected using standardized procedures. The association between the degree of adherence to the modified-Mediterranean Diet Score (mMDS) (including high consumption of vegetables, legumes, fruits and nuts, cereals, fish and seafood, and unsaturated:saturated fatty acids ratio; moderate alcohol intake; and low consumption of meat and meat products and dairy products) and BMI (kg.m(-2)) or WC (cm) was modeled through mixed-effects linear regression, controlling for potential confounders. Overall, the mMDS was not significantly associated with BMI. Higher adherence to the Mediterranean diet was significantly associated with lower WC, for a given BMI, in both men (-0.09; 95% CI -0.14 to -0.04) and women (-0.06; 95% CI -0.10 to -0.01). The association was stronger in men (-0.20; 95% CI -0.23 to -0.17) and women (-0.17; 95% CI -0.21 to -0.13) from Northern European countries. Despite the observed heterogeneity among regions, results of this study suggest that adherence to a modified Mediterranean diet, high in foods of vegetable origin and unsaturated fatty acids, is associated with lower abdominal adiposity measured by WC in European men and women.

Published
2009

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