scholarly journals Diversity of dietary patterns observed in the European Prospective Investigation into Cancer and Nutrition (EPIC) project

2002 ◽  
Vol 5 (6b) ◽  
pp. 1311-1328 ◽  
Author(s):  
N Slimani ◽  
M Fahey ◽  
A Welch ◽  
E Wirfält ◽  
C Stripp ◽  
...  
Keyword(s):  
General Population ◽  
Dietary Patterns ◽  
Food Group ◽  
Food Groups ◽  
Men And Women ◽  
Plant Foods ◽  
Dietary Recall ◽  
High Consumption ◽  
The Uk ◽  
Prospective Investigation

AbstractObjective:To describe the diversity in dietary patterns existing across centres/regions participating in the European Prospective Investigation into Cancer and Nutrition (EPIC).Design and setting:Single 24-hour dietary recall measurements were obtained by means of standardised face-to-face interviews using the EPIC-SOFT software. These have been used to present a graphic multi-dimensional comparison of the adjusted mean consumption of 22 food groups.Subjects:In total, 35 955 men and women, aged 35–74 years, participating in the EPIC nested calibration study.Results:Although wide differences were observed across centres, the countries participating in EPIC are characterised by specific dietary patterns. Overall, Italy and Greece have a dietary pattern characterised by plant foods (except potatoes) and a lower consumption of animal and processed foods, compared with the other EPIC countries. France and particularly Spain have more heterogeneous dietary patterns, with a relatively high consumption of both plant foods and animal products. Apart from characteristics specific to vegetarian groups, the UK ‘health-conscious’ group shares with the UK general population a relatively high consumption of tea, sauces, cakes, soft drinks (women), margarine and butter. In contrast, the diet in the Nordic countries, The Netherlands, Germany and the UK general population is relatively high in potatoes and animal, processed and sweetened/refined foods, with proportions varying across countries/centres. In these countries, consumption of vegetables and fruit is similar to, or below, the overall EPIC means, and is low for legumes and vegetable oils. Overall, dietary patterns were similar for men and women, although there were large gender differences for certain food groups.Conclusions:There are considerable differences in food group consumption and dietary patterns among the EPIC study populations. This large heterogeneity should be an advantage when investigating the relationship between diet and cancer and formulating new aetiological hypotheses related to dietary patterns and disease.

scholarly journals Intake estimation of total and individual flavan-3-ols, proanthocyanidins and theaflavins, their food sources and determinants in the European Prospective Investigation into Cancer and Nutrition (EPIC) study

2011 ◽  
Vol 108 (6) ◽  
pp. 1095-1108 ◽  
Author(s):  
Viktoria Knaze ◽  
Raul Zamora-Ros ◽  
Leila Luján-Barroso ◽  
Isabelle Romieu ◽  
Augustin Scalbert ◽  
...  
Keyword(s):  
General Population ◽  
Epidemiological Studies ◽  
Food Composition ◽  
Food Sources ◽  
Protective Effects ◽  
Dietary Recall ◽  
San Sebastian ◽  
The Uk ◽  
Dietary Data ◽  
Prospective Investigation

Epidemiological studies suggest health-protective effects of flavan-3-ols and their derived compounds on chronic diseases. The present study aimed to estimate dietary flavan-3-ol, proanthocyanidin (PA) and theaflavin intakes, their food sources and potential determinants in the European Prospective Investigation into Cancer and Nutrition (EPIC) calibration cohort. Dietary data were collected using a standardised 24 h dietary recall software administered to 36 037 subjects aged 35–74 years. Dietary data were linked with a flavanoid food composition database compiled from the latest US Department of Agriculture and Phenol-Explorer databases and expanded to include recipes, estimations and retention factors. Total flavan-3-ol intake was the highest in UK Health-conscious men (453·6 mg/d) and women of UK General population (377·6 mg/d), while the intake was the lowest in Greece (men: 160·5 mg/d; women: 124·8 mg/d). Monomer intake was the highest in UK General population (men: 213·5 mg/d; women: 178·6 mg/d) and the lowest in Greece (men: 26·6 mg/d in men; women: 20·7 mg/d). Theaflavin intake was the highest in UK General population (men: 29·3 mg/d; women: 25·3 mg/d) and close to zero in Greece and Spain. PA intake was the highest in Asturias (men: 455·2 mg/d) and San Sebastian (women: 253 mg/d), while being the lowest in Greece (men: 134·6 mg/d; women: 101·0 mg/d). Except for the UK, non-citrus fruits (apples/pears) were the highest contributors to the total flavan-3-ol intake. Tea was the main contributor of total flavan-3-ols in the UK. Flavan-3-ol, PA and theaflavin intakes were significantly different among all assessed groups. This study showed heterogeneity in flavan-3-ol, PA and theaflavin intake throughout the EPIC countries.

scholarly journals Diet and general cognitive ability in the UK Biobank dataset

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Piril Hepsomali ◽  
John A. Groeger
Keyword(s):  
Cognitive Ability ◽  
Dietary Patterns ◽  
Red Meat ◽  
Milk Intake ◽  
Special Focus ◽  
General Cognitive Ability ◽  
Food Groups ◽  
Uk Biobank ◽  
Wide Range ◽  
The Uk

AbstractAccumulating evidence suggests that dietary interventions might have potential to be used as a strategy to protect against age-related cognitive decline and neurodegeneration, as there are associations between some nutrients, food groups, dietary patterns, and some domains of cognition. In this study, we aimed to conduct the largest investigation of diet and cognition to date, through systematically examining the UK Biobank (UKB) data to find out whether dietary quality and food groups play a role on general cognitive ability. This cross-sectional population-based study involved 48,749 participants. UKB data on food frequency questionnaire and cognitive function were used. Also, healthy diet, partial fibre intake, and milk intake scores were calculated. Adjusted models included age, sex, and BMI. We observed associations between better general cognitive ability and higher intakes of fish, and unprocessed red meat; and moderate intakes of fibre, and milk. Surprisingly, we found that diet quality, vegetable intake, high and low fibre and milk intake were inversely associated with general cognitive ability. Our results suggest that fish and unprocessed red meat and/or nutrients that are found in fish and unprocessed red meat might be beneficial for general cognitive ability. However, results should be interpreted in caution as the same food groups may affect other domains of cognition or mental health differently. These discrepancies in the current state of evidence invites further research to examine domain-specific effects of dietary patterns/food groups on a wide range of cognitive and affective outcomes with a special focus on potential covariates that may have an impact on diet and cognition relationship.

scholarly journals The food patterns of a multicenter cohort of Brazilian nulliparous pregnant women

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Maria J. Miele ◽  
Renato T. Souza ◽  
Iracema M. Calderon ◽  
Francisco E. Feitosa ◽  
Débora F. Leite ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Dietary Patterns ◽  
Principal Component ◽  
Good Representation ◽  
Processed Foods ◽  
Food Groups ◽  
Dietary Recall ◽  
Complex Process ◽  
Nutrient Consumption ◽  
Main Components

AbstractAssessment of human nutrition is a complex process, in pregnant women identify dietary patterns through mean nutrient consumption can be an opportunity to better educate women on how to improve their overall health through better eating. This exploratory study aimed to identify a posteriori dietary patterns in a cohort of nulliparous pregnant women. The principal component analysis (PCA) technique was performed, with Varimax orthogonal rotation of data extracted from the 24-h dietary recall, applied at 20 weeks of gestation. We analysed 1.145 dietary recalls, identifying five main components that explained 81% of the dietary pattern of the sample. Dietary patterns found were: Obesogenic, represented by ultra-processed foods, processed foods, and food groups rich in carbohydrates, fats and sugars; Traditional, most influenced by natural, minimally processed foods, groups of animal proteins and beans; Intermediate was similar to the obesogenic, although there were lower loads; Vegetarian, which was the only good representation of fruits, vegetables and dairy products; and Protein, which best represented the groups of proteins (animal and vegetable). The obesogenic and intermediate patterns represented over 37% of the variation in food consumption highlighting the opportunity to improve maternal health especially for women at first mothering.

Dietary Patterns of Men and Women Suggest Targets for Health Promotion: The Framingham Nutrition Studies

1996 ◽  
Vol 11 (1) ◽  
pp. 42-52 ◽  
Author(s):  
Barbara E. Millen ◽  
Paula A. Quatromoni ◽  
David R. Gagnon ◽  
L. Adrienne Cupples ◽  
Mary M. Franz ◽  
...  
Keyword(s):  
Dietary Patterns ◽  
Behavioral Interventions ◽  
Nutrient Intake ◽  
Population Based ◽  
Dietary Behaviors ◽  
Food Groups ◽  
Cross Sectional ◽  
Men And Women ◽  
Cluster Analyses ◽  
Food And Nutrient Intake

Purpose. The goal of the study was to characterize the dietary patterns of adult men and women. Design. The study used a cross-sectional analysis of food consumption behaviors and nutrient intake measured from 1984 through 1988. Setting. The Framingham Offspring/Spouse Study, Framingham, Massachusetts. Subjects. The population-based sample comprised 1831 men and 1828 women between 20 and 70 years of age. Measures. Dietary patterns were defined by cluster analyses, which used the estimates of usual daily food intake from food frequency questionnaires, and the patterns were compared with Food Guide Pyramid recommendations. Nutrient intakes were independently estimated from 24-hour recalls and compared with Year 2000 nutrition recommendations. Results. Cluster analyses identified five groups of men and five groups of women with distinctive dietary patterns. Men differed on intakes of all food groups except vegetables and snacks plus sweetened beverages. Specific dietary behaviors, including low intakes of whole grains, fruits, vegetables, and other complex carbohydrates; high intakes of beer and liquor; and high intakes of high-fat animal foods warrant targeted intervention messages for men. Women's patterns differed across all food groups except red meats and fattier poultry and beer. Dietary behaviors of women that deserve attention include low fruit, vegetable, starch, and dairy intakes; chronic dieting; high alcohol intake; and sources of hidden fats. No cluster met the current recommendations for food and nutrient intake. Conclusions. Distinct dietary patterns in Framingham men and women vary in compliance with national nutrition and health policy objectives and provide insights for developing behavioral interventions to improve food and nutrient intake.

scholarly journals A short food-group-based dietary questionnaire is reliable and valid for assessing toddlers' dietary risk in relatively advantaged samples

2014 ◽  
Vol 112 (4) ◽  
pp. 627-637 ◽  
Author(s):  
Lucinda K. Bell ◽  
Rebecca K. Golley ◽  
Anthea M. Magarey
Keyword(s):  
Risk Score ◽  
Dietary Patterns ◽  
Reliability And Validity ◽  
Food Group ◽  
Dietary Guidelines ◽  
Risk Category ◽  
Food Groups ◽  
Sweetened Beverages ◽  
Dietary Risk ◽  
Highly Correlated

Identifying toddlers at dietary risk is crucial for determining who requires intervention to improve dietary patterns and reduce health consequences. The objectives of the present study were to develop a simple tool that assesses toddlers' dietary risk and investigate its reliability and validity. The nineteen-item Toddler Dietary Questionnaire (TDQ) is informed by dietary patterns observed in Australian children aged 14 (n552) and 24 (n493) months and the Australian dietary guidelines. It assesses the intake of ‘core’ food groups (e.g. fruit, vegetables and dairy products) and ‘non-core’ food groups (e.g. high-fat, high-sugar and/or high-salt foods and sweetened beverages) over the previous 7 d, which is then scored against a dietary risk criterion (0–100; higher score = higher risk). Parents of toddlers aged 12–36 months (Socio-Economic Index for Areas decile range 5–9) were asked to complete the TDQ for their child (n111) on two occasions, 3·2 (sd1·8) weeks apart, to assess test–retest reliability. They were also asked to complete a validated FFQ from which the risk score was calculated and compared with the TDQ-derived risk score (relative validity). Mean scores were highly correlated and not significantly different for reliability (intra-class correlation = 0·90, TDQ1 30·2 (sd8·6)v. TDQ2 30·9 (sd8·9);P= 0·14) and validity (r0·83, average TDQ ((TDQ1+TDQ2)/2) 30·5 (sd8·4)v. FFQ 31·4 (sd8·1);P= 0·05). All the participants were classified into the same (reliability 75 %; validity 79 %) or adjacent (reliability 25 %; validity 21 %) risk category (low (0–24), moderate (25–49), high (50–74) and very high (75–100)). Overall, the TDQ is a valid and reliable screening tool for identifying at-risk toddlers in relatively advantaged samples.

scholarly journals Intakes and sources of isoflavones, lignans, enterolignans, coumestrol and soya-containing foods in the Norfolk arm of the European Prospective Investigation into Cancer and Nutrition (EPIC-Norfolk), from 7 d food diaries, using a newly updated database

2012 ◽  
Vol 16 (8) ◽  
pp. 1454-1462 ◽  
Author(s):  
Angela A Mulligan ◽  
Gunter GC Kuhnle ◽  
Marleen AH Lentjes ◽  
Veronica van Scheltinga ◽  
Natasha A Powell ◽  
...  
Keyword(s):  
Food Group ◽  
Population Based ◽  
Food Composition ◽  
Interquartile Range ◽  
Food Sources ◽  
Population Based Study ◽  
Men And Women ◽  
Food Diaries ◽  
Daily Intakes ◽  
Prospective Investigation

AbstractObjectiveA diet rich in phyto-oestrogens has been suggested to protect against a variety of common diseases but UK intake data on phyto-oestrogens or their food sources are sparse. The present study estimates the average intakes of isoflavones, lignans, enterolignans and coumestrol from 7 d food diaries and provides data on total isoflavone, lignan and phyto-oestrogen consumption by food group.DesignDevelopment of a food composition database for twelve phyto-oestrogens and analysis of soya food and phyto-oestrogen consumption in a population-based study.SettingMen and women, aged 40–79 years, from the general population participating in the Norfolk arm of the European Prospective Investigation into Cancer and Nutrition (EPIC-Norfolk) between 1993 and 1997, with nutrient and food data from 7 d food diaries.SubjectsA subset of 20 437 participants.ResultsThe median daily phyto-oestrogen intake for all men was 1199 μg (interquartile range 934–1537 μg; mean 1504 μg,sd1502 μg) and 888 μg for all women (interquartile range 710–1135 μg; mean 1205 μg,sd1701 μg). In soya consumers, median daily intakes were higher: 2861 μg in men (interquartile range 1304–7269 μg; mean 5051 μg,sd5031 μg) and 3142 μg in women (interquartile range 1089–7327 μg; mean 5396 μg,sd6092 μg). In both men and women, bread made the greatest contribution to phyto-oestrogen intake – 40·8 % and 35·6 %, respectively. In soya consumers, vegetable dishes and soya/goat's/sheep's milks were the main contributors – 45·7 % and 21·3 % in men and 38·4 % and 33·7 % in women, respectively.ConclusionsThe ability to estimate phyto-oestrogen intake in Western populations more accurately will aid investigations into their suggested effects on health.

scholarly journals Dietary intake of different types and characteristics of processed meat which might be associated with cancer risk – results from the 24-hour diet recalls in the European Prospective Investigation into Cancer and Nutrition (EPIC)

2006 ◽  
Vol 9 (4) ◽  
pp. 449-464 ◽  
Author(s):  
Jakob Linseisen ◽  
Sabine Rohrmann ◽  
Teresa Norat ◽  
Carlos A Gonzalez ◽  
Miren Dorronsoro Iraeta ◽  
...  
Keyword(s):  
Cancer Risk ◽  
Dietary Intake ◽  
Nutrient Content ◽  
Food Group ◽  
Cooking Methods ◽  
Processed Meat ◽  
Northern European ◽  
Average Intake ◽  
The Uk ◽  
Prospective Investigation

AbstractObjectiveThere is increasing evidence for a significant effect of processed meat (PM) intake on cancer risk. However, refined knowledge on how components of this heterogeneous food group are associated with cancer risk is still missing. Here, actual data on the intake of PM subcategories is given; within a food-based approach we considered preservation methods, cooking methods and nutrient content for stratification, in order to address most of the aetiologically relevant hypotheses.Design and settingStandardised computerised 24-hour diet recall interviews were collected within the framework of the European Prospective Investigation into Cancer and Nutrition (EPIC), a prospective cohort study in 27 centres across 10 European countries.SubjectsSubjects were 22 924 women and 13 031 men aged 35–74 years.ResultsExcept for the so-called ‘health-conscious’ cohort in the UK, energy-adjusted total PM intake ranged between 11.1 and 47.9 g day−1 in women and 18.8 and 88.5 g day−1 in men. Ham, salami-type sausages and heated sausages contributed most to the overall PM intake. The intake of cured (addition of nitrate/nitrite) PM was highest in the German, Dutch and northern European EPIC centres, with up to 68.8 g day−1 in men. The same was true for smoked PM (up to 51.8 g day−1). However, due to the different manufacturing practice, the highest average intake of NaNO2 through PM consumption was found for the Spanish centres (5.4 mg day−1 in men) as compared with German and British centres. Spanish centres also showed the highest intake of NaCl-rich types of PM; most cholesterol- and iron-rich PM was consumed in central and northern European centres. Possibly hazardous cooking methods were more often used for PM preparation in central and northern European centres.ConclusionsWe applied a food-based categorisation of PM that addresses aetiologically relevant mechanisms for cancer development and found distinct differences in dietary intake of these categories of PM across European cohorts. This predisposes EPIC to further investigate the role of PM in cancer aetiology.

scholarly journals Patterns of food consumption among vegetarians and non-vegetarians

2014 ◽  
Vol 112 (10) ◽  
pp. 1644-1653 ◽  
Author(s):  
Michael J. Orlich ◽  
Karen Jaceldo-Siegl ◽  
Joan Sabaté ◽  
Jing Fan ◽  
Pramil N. Singh ◽  
...  
Keyword(s):  
Health Outcomes ◽  
Food Consumption ◽  
Dietary Patterns ◽  
A Priori ◽  
Food Group ◽  
Epidemiological Studies ◽  
Consumption Patterns ◽  
Health Study ◽  
Food Groups ◽  
Vegetarian Diets

Vegetarian dietary patterns have been reported to be associated with a number of favourable health outcomes in epidemiological studies, including the Adventist Health Study 2 (AHS-2). Such dietary patterns may vary and need further characterisation regarding foods consumed. The aims of the present study were to characterise and compare the food consumption patterns of several vegetarian and non-vegetarian diets. Dietary intake was measured using an FFQ among more than 89 000 members of the AHS-2 cohort. Vegetarian dietary patterns were defined a priori, based on the absence of certain animal foods in the diet. Foods were categorised into fifty-eight minor food groups comprising seventeen major food groups. The adjusted mean consumption of each food group for the vegetarian dietary patterns was compared with that for the non-vegetarian dietary pattern. Mean consumption was found to differ significantly across the dietary patterns for all food groups. Increased consumption of many plant foods including fruits, vegetables, avocados, non-fried potatoes, whole grains, legumes, soya foods, nuts and seeds was observed among vegetarians. Conversely, reduced consumption of meats, dairy products, eggs, refined grains, added fats, sweets, snack foods and non-water beverages was observed among vegetarians. Thus, although vegetarian dietary patterns in the AHS-2 have been defined based on the absence of animal foods in the diet, they differ greatly with respect to the consumption of many other food groups. These differences in food consumption patterns may be important in helping to explain the association of vegetarian diets with several important health outcomes.

scholarly journals Nutritional intake and dietary patterns in pregnancy: a longitudinal study of women with lifetime eating disorders

2012 ◽  
Vol 108 (11) ◽  
pp. 2093-2099 ◽  
Author(s):  
Nadia Micali ◽  
Kate Northstone ◽  
Pauline Emmett ◽  
Ulrike Naumann ◽  
Janet L. Treasure
Keyword(s):  
Eating Disorders ◽  
Longitudinal Study ◽  
Dietary Patterns ◽  
Nutrient Intake ◽  
Food Group ◽  
Population Based ◽  
Food Groups ◽  
Caffeine Consumption ◽  
Parents And Children ◽  
In Pregnancy

There is limited knowledge about dietary patterns and nutrient/food intake during pregnancy in women with lifetime eating disorders (ED). The objective of the present study was to determine patterns of food and nutrient intake in women with lifetime ED as part of an existing longitudinal population-based cohort: the Avon Longitudinal Study of Parents and Children. Women with singleton pregnancies and no lifetime psychiatric disorders other than ED (n 9723) were compared with women who reported lifetime (ever) ED: (anorexia nervosa (AN, n 151), bulimia nervosa (BN, n 186) or both (AN+BN, n 77)). Women reported usual food consumption using a FFQ at 32 weeks of gestation. Nutrient intakes, frequency of consumption of food groups and overall dietary patterns were examined. Women with lifetime ED were compared with control women using linear regression and logistic regression (as appropriate) after adjustment for relevant covariates, and for multiple comparisons. Women with lifetime ED scored higher on the ‘vegetarian’ dietary pattern; they had a lower intake of meat, which was compensated by a higher consumption of soya products and pulses compared with the controls. Lifetime AN increased the risk for a high ( ≥ 2500 g/week) caffeine consumption in pregnancy. No deficiencies in mineral and vitamin intake were evident across the groups, although small differences were observed in macronutrient intakes. In conclusion, despite some differences in food group consumption, women with lifetime ED had similar patterns of nutrient intake to healthy controls. Important differences in relation to meat eating and vegetarianism were highlighted, as well as high caffeine consumption. These differences might have an important impact on fetal development.

scholarly journals Dietary Patterns Based on Estimated Glomerular Filtration Rate and Kidney Function Decline in the General Population: The Lifelines Cohort Study

Nutrients ◽  
2020 ◽  
Vol 12 (4) ◽  
pp. 1099 ◽  
Author(s):  
Qingqing Cai ◽  
Louise H. Dekker ◽  
Stephan J. L. Bakker ◽  
Martin H. de Borst ◽  
Gerjan J. Navis
Keyword(s):  
Glomerular Filtration Rate ◽  
General Population ◽  
Glomerular Filtration ◽  
Kidney Function ◽  
Dietary Patterns ◽  
Filtration Rate ◽  
Estimated Glomerular Filtration Rate ◽  
High Consumption ◽  
Kidney Function Decline ◽  
Egfr Decline

No specific dietary patterns have been established that are linked with loss of kidney function. We aimed to identify an estimated glomerular filtration rate-based dietary pattern (eGFR-DP) and to evaluate its association with eGFR decline and chronic kidney disease (CKD) incidence in the general population. We included 78,335 participants from the Lifelines cohort in the Northern Netherlands. All participants had an eGFR >60 mL/min/1.73 m2 at baseline and completed a second visit five years later. The eGFR-DP was constructed at baseline using a 110-item food frequency questionnaire by reduced rank regression, stratified by sex. Logistic regression was performed to evaluated the association between the eGFR-DP score and either a ≥20% eGFR decline or incident CKD. Among women, eGFR-DP were characterized by high consumption of egg, cheese, and legumes and low consumption of sweets, white meat, and commercially prepared dishes. In men, eGFR-DP were characterized by high consumption of cheese, bread, milk, fruits, vegetables, and beer and low consumption of white and red meat. A higher eGFR-DP score was associated with a lower risk of a ≥20% eGFR decline (OR 4th vs. 1st quartile, women: 0.79 [95% CI: 0.73–0.87]; men: 0.67 [0.59–0.76]). The association between the eGFR-DP score and CKD incidence was lost upon adjustment for baseline eGFR. Our results provide support for dietary interventions to prevent kidney function decline in the general population.

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