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4. Environment-wide association study to comprehensively test and validate associations between nutrition and lifestyle factors and testosterone deficiency: NHANES 1988–1994 and 1999–2004

Author

Lopez, D. S., Wulaningsih, W., Tsilidis, K. K., Baillargeon, J., Williams, S. B., Urban, R., and Rohrmann, S.

Abstract

Purpose: Testosterone (T) plays an important role in men’s health and its deficiency is linked with poorer health. However, the role of nutritional and lifestyle factors in T regulation and production remains unclear. The objectives are to comprehensively test the cross-sectional associations of nutritional and lifestyle factors with T deficiency and to validate the associations in the NHANES survey. Methods: We performed weighted multivariable logistic regression analysis to examine the association of 173 nutritional and lifestyle factors with T deficiency (total testosterone ≤ 3.5 ng/mL) in NHANES III as the discovery set (mean age 41). We controlled for multiple comparisons with a false discovery rate (FDR) < 5% and replicated in NHANES 1999–2004 (mean age 44). Results: We identified seven nutritional factors as being inversely associated with T deficiency in NHANES 1999–2004, namely dietary intake of vitamin A, protein, saturated fatty acids, monounsaturated fatty acids, total fats, saturated fatty acid 16:0, and phosphorus. In a multivariable model, only vitamin A intake remained significantly associated with T deficiency (OR 0.97, 95% CI 0.94–0.99). Principal component analysis suggested that the two principal components, (1) dietary fats, protein, and phosphorous and (2) total vitamin A, may be associated with T deficiency. Conclusion: Our systematic evaluation provided new insight into the modifiable factors that could play a role in the regulation of T production. This study has the potential to contribute to the current body of literature which seeks to formulate a clinical definition of T deficiency after taking into account nutritional and lifestyle factors.

Published
2024
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5. International incidence of childhood cancer, 2001–10: a population-based registry study

Author

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, JA Pontes, Gallagher, SM Vargas, 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, RKC, 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, 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, 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, Steliarova-Foucher, Eva, Colombet, Murielle, Ries, Lynn A G, Moreno, Florencia, Dolya, Anastasia, Bray, Freddie, Hesseling, Peter, Shin, Hee Young, and Stiller, Charles A

Published
2017
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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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16. Verkaufen, kaufen und konsumieren – Eine Synthesestudie zu den Ernährungsunterschieden in den verschiedenen Gross- und Sprachregionen der Schweiz

Author

Matthes, KL, Zuberbuehler, CA, Burnier, M, Rohrmann, S, Hartmann, C, Siegrist, M, Zwahlen, M, Bender, N, and Staub, K

Subjects
610 Medicine & health, 360 Social problems & social services
Abstract

Bisherige Untersuchungen zu regionalen Ernährungsunterschieden in der Schweiz haben einzelne Datensätze ausgewertet, die vor allem die Konsum-Perspektive beispielsweise nach Sprachregionen berücksichtigt haben. Hingegen wurden bis anhin Daten über Lebensmittelverkäufe und Haushaltseinkäufe in den Analysen nicht berücksichtigt. Im vorliegenden Projekt wurden verschiedene schweizweite Datensätze zur Ernährung auf der Ebene der 7 administrativen Grossregionen (Mittelland, Genferseeregion, Nordwestschweiz, Ostschweiz, Tessin, Zentralschweiz und Zürich) verglichen. Zusätzlich wurden Datensätze zum Verkauf und Einkauf miteinbezogen. Wir analysierten 8 verschiedene Datensätze (6 Konsum, 1 Einkauf, 1 Verkauf). Die regionalen Unterschiede decken sich gut bei einigen Lebensmittelgruppen, besonders für Fisch und Milchprodukte. Es wird deutlich, dass in der Genferseeregion, der französischsprechenden Region des Mittellandes und im Tessin mehr Fisch gekauft, verkauft und konsumiert wird als in den Regionen der Deutschschweiz, wohingegen in der Deutschschweiz mehr Milchprodukte verkauft, eingekauft und konsumiert werden. Unterschiede zwischen Verkauf, Einkauf und Konsum sind für Früchte/Nüsse, Gemüse und Fleisch ersichtlich. Ebenso konnte gezeigt werden, dass die Sprachregionen und somit die kulturellen Unterschiede den grösseren Einfluss auf die Ernährung haben als die Grossregionen. Besonders gut ersichtlich ist dies beim Mittelland, wo wir die deutsch- und die französischsprechende Region separat ausgewertet haben und erhebliche Unterschiede zeigen konnten.

Published
2021
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17. 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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20. 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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21. 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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22. 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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23. Dietary β-carotene, vitamin C and E intake and breast cancer risk in the European Prospective Investigation into Cancer and Nutrition (EPIC)

Author

Nagel, G., Linseisen, J., van Gils, C. H., Peeters, P. H., Boutron-Ruault, M. C., Clavel-Chapelon, F., Romieu, I., Tjønneland, A., Olsen, A., Roswall, N., Witt, P. M., Overvad, K., Rohrmann, S., Kaaks, R., Drogan, D., Boeing, H., Trichopoulou, A., Stratigakou, V., Zylis, D., Engeset, D., Lund, E., Skeie, G., Berrino, F., Grioni, S., Mattiello, A., Masala, G., Tumino, R., Zanetti, R., Ros, M. M., Bueno-de-Mesquita, H. B., Ardanaz, E., Sánchez, M. J., Huerta, J. M., Amiano, P., Rodríguez, L., Manjer, J., Wirfält, E., Lenner, P., Hallmans, G., Spencer, E. A., Key, T. J., Bingham, S., Khaw, K. T., Rinaldi, S., Slimani, N., Boffetta, P., Gallo, V., Norat, T., and Riboli, E.

Published
2010
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26. 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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27. 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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28. 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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30. 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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31. 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

32. 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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33. 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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36. Primary brain tumours and specific serum immunoglobulin E: a case–control study nested in the European Prospective Investigation into Cancer and Nutrition cohort

Author

Schlehofer, B., Siegmund, B., Linseisen, J., Schüz, J., Rohrmann, S., Becker, S., Michaud, D., Melin, B., Bueno-de-Mesquita, Bas H., Peeters, P. H. M., Vineis, P., Tjonneland, A., Olsen, A., Overvad, K., Romieu, I., Boeing, H., Aleksandrova, K., Trichopoulou, A., Bamia, C., Lagiou, P., Sacerdote, C., Palli, D., Panico, S., Sieri, S., Tumino, R., Sanchez, M.-J., Rodriguez, L., Dorronsoro, M., Duell, E. J., Chirlaque, M.-D., Barricarte, A., Borgquist, S., Manjer, J., Gallo, V., Allen, N. E., Key, T. J., Riboli, E., Kaaks, R., and Wahrendorf, J.

Published
2011
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37. 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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38. Survival outcome of non-small cell lung cancer patients: Comparing results between the database of the Comprehensive Cancer Center Zürich and the Epidemiological Cancer Registry Zurich and Zug

Author

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

Published
2020
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39. 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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40. Physical activity is differentially associated with change in body weight and waist circumference: results from the European prospective investigation into cancer and nutrition (EPIC) study in 288,498 men and women: T4:OS1.1

Author

Ekelund, U, Besson, H, Luan, J, May, A M, Sharp, S J, Brage, S, Travier, N, Agudo, A, Slimani, N, Rinaldi, S, Jenab, M, Norat, T, Mouw, T, Rohrmann, S, Kaaks, R, Bergmann, M M, Boeing, H, Clavel-Chapelon, F, Boutron-Ruault, M C, Overvad, K, Jakobsen, M U, Føns Johnsen, N, Halkjaer, J, Gonzalez, C A, 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, Pala, V, Vineis, P, Matiello, A, 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
2010

41. 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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42. 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

43. 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

44. 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

45. Aufgaben und Methoden

Author

Moch, Holger, Zimmermann, D R, Rohrmann, S, University of Zurich, Höfler, Gerald, Kreipe, Hans, and Moch, Holger

Subjects
10049 Institute of Pathology and Molecular Pathology, 610 Medicine & health
Published
2019

46. 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

50. 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

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