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

N. Slimani, M. Fahey, A.A. Welch, E. Wirfalt, C. Stripp, E. Bergstrom, J. Linseisen, M.B. Schulze, C. Bamia, Y. Chloptsios, F. Veglia, S. Panico, B. Bueno de Mesquita, M.C. Ocké, M. Brustadt, E. Lund, C.A. Gonzalez, A. Barcos, G. Berglund, A. Winkvist & 9 others A. Mulligan, P. Appleby, K. Overvad, A. Tjonneland, F. Clavel-Chapelon, E. Kesse, P. Ferrari, W.A. van Staveren, E. Riboli

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Abstract

Objective: 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.
Original languageEnglish
Pages (from-to)1311-1328
JournalPublic Health Nutrition
Volume5
Issue number6B
DOIs
Publication statusPublished - 2002

Fingerprint

Neoplasms
Food
Edible Plants
Solanum tuberosum
Margarine
Population
Diet
Scandinavian and Nordic Countries
Carbonated Beverages
Butter
Plant Oils
Greece
Tea
Fabaceae
Vegetables
Netherlands
Spain
Italy
Calibration
France

Keywords

  • coronary heart-disease
  • mediterranean diet
  • potential confounders
  • measurement error
  • nutrient intake
  • breast-cancer
  • life-style
  • risk
  • epidemiology
  • men

Cite this

Slimani, N., Fahey, M., Welch, A. A., Wirfalt, E., Stripp, C., Bergstrom, E., ... Riboli, E. (2002). Diversity of dietary patterns observed in the European Prospective Investigation into Cancer and Nutrition (EPIC) project. Public Health Nutrition, 5(6B), 1311-1328. https://doi.org/10.1079/PHN2002407
Slimani, N. ; Fahey, M. ; Welch, A.A. ; Wirfalt, E. ; Stripp, C. ; Bergstrom, E. ; Linseisen, J. ; Schulze, M.B. ; Bamia, C. ; Chloptsios, Y. ; Veglia, F. ; Panico, S. ; Bueno de Mesquita, B. ; Ocké, M.C. ; Brustadt, M. ; Lund, E. ; Gonzalez, C.A. ; Barcos, A. ; Berglund, G. ; Winkvist, A. ; Mulligan, A. ; Appleby, P. ; Overvad, K. ; Tjonneland, A. ; Clavel-Chapelon, F. ; Kesse, E. ; Ferrari, P. ; van Staveren, W.A. ; Riboli, E. / Diversity of dietary patterns observed in the European Prospective Investigation into Cancer and Nutrition (EPIC) project. In: Public Health Nutrition. 2002 ; Vol. 5, No. 6B. pp. 1311-1328.
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abstract = "Objective: 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.",
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author = "N. Slimani and M. Fahey and A.A. Welch and E. Wirfalt and C. Stripp and E. Bergstrom and J. Linseisen and M.B. Schulze and C. Bamia and Y. Chloptsios and F. Veglia and S. Panico and {Bueno de Mesquita}, B. and M.C. Ock{\'e} and M. Brustadt and E. Lund and C.A. Gonzalez and A. Barcos and G. Berglund and A. Winkvist and A. Mulligan and P. Appleby and K. Overvad and A. Tjonneland and F. Clavel-Chapelon and E. Kesse and P. Ferrari and {van Staveren}, W.A. and E. Riboli",
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Slimani, N, Fahey, M, Welch, AA, Wirfalt, E, Stripp, C, Bergstrom, E, Linseisen, J, Schulze, MB, Bamia, C, Chloptsios, Y, Veglia, F, Panico, S, Bueno de Mesquita, B, Ocké, MC, Brustadt, M, Lund, E, Gonzalez, CA, Barcos, A, Berglund, G, Winkvist, A, Mulligan, A, Appleby, P, Overvad, K, Tjonneland, A, Clavel-Chapelon, F, Kesse, E, Ferrari, P, van Staveren, WA & Riboli, E 2002, 'Diversity of dietary patterns observed in the European Prospective Investigation into Cancer and Nutrition (EPIC) project', Public Health Nutrition, vol. 5, no. 6B, pp. 1311-1328. https://doi.org/10.1079/PHN2002407

Diversity of dietary patterns observed in the European Prospective Investigation into Cancer and Nutrition (EPIC) project. / Slimani, N.; Fahey, M.; Welch, A.A.; Wirfalt, E.; Stripp, C.; Bergstrom, E.; Linseisen, J.; Schulze, M.B.; Bamia, C.; Chloptsios, Y.; Veglia, F.; Panico, S.; Bueno de Mesquita, B.; Ocké, M.C.; Brustadt, M.; Lund, E.; Gonzalez, C.A.; Barcos, A.; Berglund, G.; Winkvist, A.; Mulligan, A.; Appleby, P.; Overvad, K.; Tjonneland, A.; Clavel-Chapelon, F.; Kesse, E.; Ferrari, P.; van Staveren, W.A.; Riboli, E.

In: Public Health Nutrition, Vol. 5, No. 6B, 2002, p. 1311-1328.

Research output: Contribution to journalArticleAcademicpeer-review

TY - JOUR

T1 - Diversity of dietary patterns observed in the European Prospective Investigation into Cancer and Nutrition (EPIC) project

AU - Slimani, N.

AU - Fahey, M.

AU - Welch, A.A.

AU - Wirfalt, E.

AU - Stripp, C.

AU - Bergstrom, E.

AU - Linseisen, J.

AU - Schulze, M.B.

AU - Bamia, C.

AU - Chloptsios, Y.

AU - Veglia, F.

AU - Panico, S.

AU - Bueno de Mesquita, B.

AU - Ocké, M.C.

AU - Brustadt, M.

AU - Lund, E.

AU - Gonzalez, C.A.

AU - Barcos, A.

AU - Berglund, G.

AU - Winkvist, A.

AU - Mulligan, A.

AU - Appleby, P.

AU - Overvad, K.

AU - Tjonneland, A.

AU - Clavel-Chapelon, F.

AU - Kesse, E.

AU - Ferrari, P.

AU - van Staveren, W.A.

AU - Riboli, E.

PY - 2002

Y1 - 2002

N2 - Objective: 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.

AB - Objective: 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.

KW - coronary heart-disease

KW - mediterranean diet

KW - potential confounders

KW - measurement error

KW - nutrient intake

KW - breast-cancer

KW - life-style

KW - risk

KW - epidemiology

KW - men

U2 - 10.1079/PHN2002407

DO - 10.1079/PHN2002407

M3 - Article

VL - 5

SP - 1311

EP - 1328

JO - Public Health Nutrition

JF - Public Health Nutrition

SN - 1368-9800

IS - 6B

ER -