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Sökning: onr:"swepub:oai:DiVA.org:umu-206527" > Changes in lifestyl...

Changes in lifestyle and risk of colorectal cancer in the european prospective investigation into cancer and nutrition

Botteri, Edoardo (författare)
Section for Colorectal Cancer Screening, Cancer Registry of Norway, Oslo, Norway; Department of Research, Cancer Registry of Norway, Oslo, Norway
Peveri, Giulia (författare)
Department of Clinical Sciences and Community Health, Università degli Studi di Milano, Milan, Italy; Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden
Berstad, Paula (författare)
Section for Colorectal Cancer Screening, Cancer Registry of Norway, Oslo, Norway
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Bagnardi, Vincenzo (författare)
Department of Statistics and Quantitative Methods, University of Milan-Bicocca, Milan, Italy
Chen, Sairah L.F. (författare)
Department of Community Medicine, UiT The Arctic University of Norway, Tromsø, Norway
Sandanger, Torkjel M. (författare)
Department of Community Medicine, UiT The Arctic University of Norway, Tromsø, Norway
Hoff, Geir (författare)
Section for Colorectal Cancer Screening, Cancer Registry of Norway, Oslo, Norway; Department of Research, Telemark Hospital, Skien, Norway
Dahm, Christina C. (författare)
Department of Public Health, Aarhus University, Denmark
Antoniussen, Christian S. (författare)
Department of Public Health, Aarhus University, Denmark
Tjønneland, Anne (författare)
Danish Cancer Society Research Center, Copenhagen, Denmark
Eriksen, Anne Kirstine (författare)
Danish Cancer Society Research Center, Copenhagen, Denmark
Skeie, Guri (författare)
Department of Community Medicine, UiT The Arctic University of Norway, Tromsø, Norway
Perez-Cornago, Aurora (författare)
Cancer Epidemiology Unit, Nuffield Department of Population Health, University of Oxford, Oxford, United Kingdom
Huerta, José María (författare)
Department of Epidemiology, Murcia Regional Health Council, IMIB-Arrixaca, Murcia, Spain; CIBER Epidemiología y Salud Pública (CIBERESP), Madrid, Spain
Jakszyn, Paula (författare)
Unit of Nutrition and Cancer, Cancer Epidemiology Research Programme, Catalan Institute of Oncology (ICO-IDIBELL), Barcelona, Spain
Harlid, Sophia, 1978- (författare)
Umeå universitet,Onkologi
Sundström, Björn, 1968- (författare)
Umeå universitet,Institutionen för folkhälsa och klinisk medicin
Barricarte, Aurelio (författare)
CIBER Epidemiología y Salud Pública (CIBERESP), Madrid, Spain; Navarra Public Health Institute, Pamplona, Spain; Navarra Institute for Health Research (IdiSNA), Pamplona, Spain
Monninkhof, Evelyn M. (författare)
Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht University, Utrecht, Netherlands
Derksen, Jeroen W.G. (författare)
Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht University, Utrecht, Netherlands
Schulze, Matthias B. (författare)
Department of Molecular Epidemiology, German Institute of Human Nutrition Potsdam-Rehbruecke, Nuthetal, Germany; Institute of Nutritional Science, University of Potsdam, Nuthetal, Germany
Bueno-De-Mesquita, Bas (författare)
Centre for Nutrition, Prevention and Health Services, National Institute for Public Health and the Environment (RIVM), Bilthoven, Netherlands
Sánchez, Maria-Jose (författare)
CIBER Epidemiología y Salud Pública (CIBERESP), Madrid, Spain; Escuela Andaluza de Salud Pública (EASP), Granada, Spain; Instituto de Investigación Biosanitaria ibs.GRANADA, Granada, Spain; Department of Preventive Medicine and Public Health, University of Granada, Granada, Spain
Cross, Amanda J. (författare)
Department of Epidemiology and Biostatistics, School of Public Health, Imperial College London, London, United Kingdom
Tsilidis, Konstantinos K. (författare)
Department of Epidemiology and Biostatistics, School of Public Health, Imperial College London, London, United Kingdom; Department of Hygiene and Epidemiology, University of Ioannina, School of Medicine, Ioannina, Greece
De Magistris, Maria Santucci (författare)
Azienda Ospedaliera Universitaria Federico II di Napoli, Napoli, Italy
Kaaks, Rudolf (författare)
Division of Cancer Epidemiology, German Cancer Research Center (DKFZ), Heidelberg, Germany
Katzke, Verena (författare)
Division of Cancer Epidemiology, German Cancer Research Center (DKFZ), Heidelberg, Germany
Rothwell, Joseph A. (författare)
Université Paris-Saclay, UVSQ, Inserm, CESP U1018, 'Exposome, Heredity, Cancer and Health' Team, Gustave Roussy, Villejuif, France
Laouali, Nasser (författare)
Université Paris-Saclay, UVSQ, Inserm, CESP U1018, 'Exposome, Heredity, Cancer and Health' Team, Gustave Roussy, Villejuif, France
Severi, Gianluca (författare)
Université Paris-Saclay, UVSQ, Inserm, CESP U1018, 'Exposome, Heredity, Cancer and Health' Team, Gustave Roussy, Villejuif, France; Department of Statistics, Computer Science, Applications 'G. Parenti' (DISIA), University of Florence, Florence, Italy
Amiano, Pilar (författare)
Ministry of Health of the Basque Government, Sub Directorate for Public Health and Addictions of Gipuzkoa, San Sebastian, Spain; Biodonostia Health Research Institute, Epidemiology of Chronic and Communicable Diseases Group, San Sebastián, Spain; Spanish Consortium for Research on Epidemiology and Public Health (CIBERESP), Instituto de Salud Carlos III, Madrid, Spain
Contiero, Paolo (författare)
Environmental Epidemiology Unit, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy
Sacerdote, Carlotta (författare)
Unit of Cancer Epidemiology, Città della Salute e della Scienza University-Hospital, Turin, Italy
Goldberg, Marcel (författare)
Population-based Epidemiologic Cohorts Unit, Inserrm UMS 11, Villejuif, France
Touvier, Mathilde (författare)
Nutritional Epidemiology Research Team (EREN), Sorbonne Paris Nord University, Inserm U1153, Inrae U1125, Cnam, Epidemiology and Statistics Research Center - University of Paris (CRESS), Bobigny, France; Public Health Department, Avicenne Hospital, AP-HP, Bobigny, France
Freisling, Heinz (författare)
International Agency for Research on Cancer, World Health Organization, Lyon, France
Viallon, Vivian (författare)
International Agency for Research on Cancer, World Health Organization, Lyon, France
Weiderpass, Elisabete (författare)
International Agency for Research on Cancer, World Health Organization, Lyon, France
Riboli, Elio (författare)
Department of Epidemiology and Biostatistics, School of Public Health, Imperial College London, London, United Kingdom
Gunter, Marc J. (författare)
International Agency for Research on Cancer, World Health Organization, Lyon, France
Jenab, Mazda (författare)
International Agency for Research on Cancer, World Health Organization, Lyon, France
Ferrari, Pietro (författare)
International Agency for Research on Cancer, World Health Organization, Lyon, France
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 (creator_code:org_t)
2022-10-12
2023
Engelska.
Ingår i: American Journal of Gastroenterology. - : Ovid Technologies (Wolters Kluwer Health). - 0002-9270 .- 1572-0241. ; 118:4, s. 702-711
Relaterad länk:
https://urn.kb.se/re...
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https://doi.org/10.1...
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  • Tidskriftsartikel (refereegranskat)
Abstract Ämnesord
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  • Introduction: We investigated the impact of changes in lifestyle habits on colorectal cancer (CRC) risk in a multicountry European cohort.Methods: We used baseline and follow-up questionnaire data from the European Prospective Investigation into Cancer cohort to assess changes in lifestyle habits and their associations with CRC development. We calculated a healthy lifestyle index (HLI) score based on smoking status, alcohol consumption, body mass index, and physical activity collected at the 2 time points. HLI ranged from 0 (most unfavorable) to 16 (most favorable). We estimated the association between HLI changes and CRC risk using Cox regression models and reported hazard ratios (HR) with 95% confidence intervals (CI).Results: Among 295,865 participants, 2,799 CRC cases were observed over a median of 7.8 years. The median time between questionnaires was 5.7 years. Each unit increase in HLI from the baseline to the follow-up assessment was associated with a statistically significant 3% lower CRC risk. Among participants in the top tertile at baseline (HLI > 11), those in the bottom tertile at follow-up (HLI ≤ 9) had a higher CRC risk (HR 1.34; 95% CI 1.02-1.75) than those remaining in the top tertile. Among individuals in the bottom tertile at baseline, those in the top tertile at follow-up had a lower risk (HR 0.77; 95% CI 0.59-1.00) than those remaining in the bottom tertile.Discussion: Improving adherence to a healthy lifestyle was inversely associated with CRC risk, while worsening adherence was positively associated with CRC risk. These results justify and support recommendations for healthy lifestyle changes and healthy lifestyle maintenance for CRC prevention.

Ämnesord

MEDICIN OCH HÄLSOVETENSKAP  -- Hälsovetenskap -- Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Health Sciences -- Public Health, Global Health, Social Medicine and Epidemiology (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Gastroenterologi (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Gastroenterology and Hepatology (hsv//eng)

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