Adherence to the Dutch Guidelines for a Healthy Diet and cancer risk in the European Prospective Investigation into Cancer and Nutrition–Netherlands (Epic-NL) cohort

Dados Bibliográficos

ID15096871
AutoresEllen A Struijk (0000-0002-9302-9616, University Medical Center Utrecht, autor correspondente), Anne M May (0000-0003-0643-3790, University Medical Center Utrecht), Joline WJ Beulens (0000-0002-4181-0937, University Medical Center Utrecht), Heidi P Fransen (0000-0002-2286-3806, University Medical Center Utrecht), G Ardine De Wit (0000-0002-1375-7657, University Medical Center Utrecht), Jolanda M A Boer (0000-0002-9714-4304, National Institute for Public Health and the Environment), Jolanda MA Boer, N Charlotte Onland-Moret, N Charlotte Onland‐Moret (0000-0002-2360-913X, University Medical Center Utrecht), Jeljer Hoekstra (National Institute for Public Health and the Environment), Yvonne T Van Der Schouw (0000-0002-4605-435X, University Medical Center Utrecht), H Bas Bueno-de-Mesquita, H Bas Bueno‐de‐Mesquita (University Medical Center Utrecht), Petra HM Peeters, Petra H M Peeters (0000-0003-2296-6458, University Medical Center Utrecht)
Ano2014
Volume17
Fascículo11
Páginas2546-2553
Data de publicação2014-11-01
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoPublic Health Nutrition (JOURNAL)
Identificadores do periódicoISSN: 1368-9800 • E-ISSN: 1475-2727
EditoraCambridge University Press (CUP) (PUBLISHER)
DOI10.1017/s1368980013002966
PMID24192305
OpenAlexW2110790684
IdiomaEN
Citações recebidas1
Referências citadas23

Objective To examine the association between adherence to the Dutch Guidelines for a Healthy Diet created by the Dutch Health Council in 2006 and overall and smoking-related cancer incidence. Design Prospective cohort study. Setting Adherence to the guidelines, which includes one recommendation on physical activity and nine on diet, was measured using an adapted version of the Dutch Healthy Diet (DHD) index. The score ranged from 0 to 90 with a higher score indicating greater adherence to the guidelines. We estimated the hazard ratios (HR) and 95 % confidence intervals for the association between the DHD index (in tertiles and per 20-point increment) at baseline and cancer incidence at follow-up. Subjects We studied 35 608 men and women aged 20–70 years recruited into the European Prospective Investigation into Cancer and Nutrition–Netherlands (EPIC-NL) study during 1993–1997. Results After an average follow-up of 12·7 years, 3027 cancer cases were documented. We found no significant association between the DHD index (tertile 3 v . tertile 1) and overall (HR = 0·97; 95 % CI 0·88, 1·07) and smoking-related cancer incidence (HR = 0·89; 95 % CI 0·76, 1·06) after adjustment for relevant confounders. Excluding the components physical activity or alcohol from the score did not change the results. None of the individual components of the DHD index was significantly associated with cancer incidence. Conclusions In the present study, participants with a high adherence to the Dutch Guidelines for a Healthy Diet were not at lower risk of overall or smoking-related cancer. This does not exclude that other components not included in the DHD index may be associated with overall cancer risk

Cancer · Cohort · Cohort study · Diet and cancer · Environmental health · EPIC · European Prospective Investigation into Cancer and Nutrition · Prospective cohort study · Consumer Attitudes and Food Labeling · Medicine · Nutritional Studies and Diet · Obesity, Physical Activity, Diet · Gerontology · Internal Medicine