Consumption of ultra-processed foods and risk of multimorbidity of cancer and cardiometabolic diseases : a multinational cohort study

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Consumption of ultra-processed foods and risk of multimorbidity of cancer and cardiometabolic diseases : a multinational cohort study

Cordova, Reynalda (författare): University of Vienna,International Agency for Research on Cancer, World Health Organization

Viallon, Vivian (författare): International Agency for Research on Cancer, World Health Organization

Fontvieille, Emma (författare): International Agency for Research on Cancer, World Health Organization

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Peruchet-Noray, Laia (författare): International Agency for Research on Cancer, World Health Organization

Jansana, Anna (författare): International Agency for Research on Cancer, World Health Organization

Wagner, Karl Heinz (författare): University of Vienna

Kyrø, Cecilie (författare)

Tjønneland, Anne (författare): University of Copenhagen

Katzke, Verena (författare): German Cancer Research Centre

Bajracharya, Rashmita (författare): German Cancer Research Centre

Schulze, Matthias B. (författare): German Institute of Human Nutrition,University of Potsdam

Masala, Giovanna (författare): Institute for Cancer Research, Prevention and Clinical Network (ISPRO)

Sieri, Sabina (författare): Istituto Nazionale dei Tumori

Panico, Salvatore (författare): University of Naples Federico II

Ricceri, Fulvio (författare): University of Turin

Tumino, Rosario (författare): Hyblean Association for Epidemiological Research

Boer, Jolanda M.A. (författare): National Institute for Public Health and the Environment (RIVM)

Verschuren, W. M.Monique (författare): University Medical Center Utrecht,National Institute for Public Health and the Environment (RIVM)

van der Schouw, Yvonne T. (författare): University Medical Center Utrecht

Jakszyn, Paula (författare): Catalan Institute of Oncology,Ramon Llull University

Redondo-Sánchez, Daniel (författare): Andalusian School Of Public Health (EASP),CIBER Epidemiology and Public Health (CIBERESP)

Amiano, Pilar (författare): CIBER Epidemiology and Public Health (CIBERESP)

Huerta, José María (författare): CIBER Epidemiology and Public Health (CIBERESP),Murcia Regional Health Council

Guevara, Marcela (författare): Health Research Institute of Navarra (IDISNA),CIBER Epidemiology and Public Health (CIBERESP)

Borné, Yan (författare): Lund University,Lunds universitet,Nutritionsepidemiologi,Forskargrupper vid Lunds universitet,Nutrition Epidemiology,Lund University Research Groups

Sonestedt, Emily (författare): Lund University,Lunds universitet,Nutritionsepidemiologi,Forskargrupper vid Lunds universitet,Nutrition Epidemiology,Lund University Research Groups

Tsilidis, Konstantinos K. (författare): Imperial College London,University of Ioannina

Millett, Christopher (författare): Imperial College London,NOVA University Lisbon

Heath, Alicia K. (författare): Imperial College London

Aglago, Elom K. (författare): Imperial College London

Aune, Dagfinn (författare): Cancer Registry of Norway, Institute of Population-Based Cancer Research,Imperial College London

Gunter, Marc J. (författare): International Agency for Research on Cancer, World Health Organization,Imperial College London

Ferrari, Pietro (författare): International Agency for Research on Cancer, World Health Organization

Huybrechts, Inge (författare): International Agency for Research on Cancer, World Health Organization

Freisling, Heinz (författare): International Agency for Research on Cancer, World Health Organization

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(creator_code:org_t)

2023
2023
Engelska.
Ingår i: The Lancet Regional Health - Europe. - 2666-7762. ; 35

Relaterad länk:: http://dx.doi.org/10... (free); visa fler...; https://lup.lub.lu.s...; https://doi.org/10.1...; visa färre...

Tidskriftsartikel (refereegranskat)

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Background: It is currently unknown whether ultra-processed foods (UPFs) consumption is associated with a higher incidence of multimorbidity. We examined the relationship of total and subgroup consumption of UPFs with the risk of multimorbidity defined as the co-occurrence of at least two chronic diseases in an individual among first cancer at any site, cardiovascular disease, and type 2 diabetes. Methods: This was a prospective cohort study including 266,666 participants (60% women) free of cancer, cardiovascular disease, and type 2 diabetes at recruitment from seven European countries in the European Prospective Investigation into Cancer and Nutrition (EPIC) study. Foods and drinks consumed over the previous 12 months were assessed at baseline by food-frequency questionnaires and classified according to their degree of processing using Nova classification. We used multistate modelling based on Cox regression to estimate cause-specific hazard ratios (HR) and their 95% confidence intervals (CI) for associations of total and subgroups of UPFs with the risk of multimorbidity of cancer and cardiometabolic diseases. Findings: After a median of 11.2 years of follow-up, 4461 participants (39% women) developed multimorbidity of cancer and cardiometabolic diseases. Higher UPF consumption (per 1 standard deviation increment, ∼260 g/day without alcoholic drinks) was associated with an increased risk of multimorbidity of cancer and cardiometabolic diseases (HR: 1.09, 95% CI: 1.05, 1.12). Among UPF subgroups, associations were most notable for animal-based products (HR: 1.09, 95% CI: 1.05, 1.12), and artificially and sugar-sweetened beverages (HR: 1.09, 95% CI: 1.06, 1.12). Other subgroups such as ultra-processed breads and cereals (HR: 0.97, 95% CI: 0.94, 1.00) or plant-based alternatives (HR: 0.97, 95% CI: 0.91, 1.02) were not associated with risk. Interpretation: Our findings suggest that higher consumption of UPFs increases the risk of cancer and cardiometabolic multimorbidity. Funding: Austrian Academy of Sciences, Fondation de France, Cancer Research UK, World Cancer Research Fund International, and the Institut National du Cancer.

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MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Klinisk medicin; och Cancer och onkol ...

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Consumption of ultra-processed foods and risk of multimorbidity of cancer and cardiometabolic diseases : a multinational cohort study

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