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  • Botteri, EdoardoSection for Colorectal Cancer Screening, Cancer Registry of Norway, Oslo, Norway; Department of Research, Cancer Registry of Norway, Oslo, Norway (author)

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

  • Article/chapterEnglish2023

Publisher, publication year, extent ...

  • 2022-10-12
  • Ovid Technologies (Wolters Kluwer Health),2023
  • printrdacarrier

Numbers

  • LIBRIS-ID:oai:DiVA.org:umu-206527
  • https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-206527URI
  • https://doi.org/10.14309/ajg.0000000000002065DOI
  • http://kipublications.ki.se/Default.aspx?queryparsed=id:153086920URI

Supplementary language notes

  • Language:English
  • Summary in:English

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  • Subject category:ref swepub-contenttype
  • Subject category:art swepub-publicationtype

Notes

  • 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.

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  • Peveri, GiuliaDepartment of Clinical Sciences and Community Health, Università degli Studi di Milano, Milan, Italy; Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden (author)
  • Berstad, PaulaSection for Colorectal Cancer Screening, Cancer Registry of Norway, Oslo, Norway (author)
  • Bagnardi, VincenzoDepartment of Statistics and Quantitative Methods, University of Milan-Bicocca, Milan, Italy (author)
  • Chen, Sairah L.F.Department of Community Medicine, UiT The Arctic University of Norway, Tromsø, Norway (author)
  • Sandanger, Torkjel M.Department of Community Medicine, UiT The Arctic University of Norway, Tromsø, Norway (author)
  • Hoff, GeirSection for Colorectal Cancer Screening, Cancer Registry of Norway, Oslo, Norway; Department of Research, Telemark Hospital, Skien, Norway (author)
  • Dahm, Christina C.Department of Public Health, Aarhus University, Denmark (author)
  • Antoniussen, Christian S.Department of Public Health, Aarhus University, Denmark (author)
  • Tjønneland, AnneDanish Cancer Society Research Center, Copenhagen, Denmark (author)
  • Eriksen, Anne KirstineDanish Cancer Society Research Center, Copenhagen, Denmark (author)
  • Skeie, GuriDepartment of Community Medicine, UiT The Arctic University of Norway, Tromsø, Norway (author)
  • Perez-Cornago, AuroraCancer Epidemiology Unit, Nuffield Department of Population Health, University of Oxford, Oxford, United Kingdom (author)
  • Huerta, José MaríaDepartment of Epidemiology, Murcia Regional Health Council, IMIB-Arrixaca, Murcia, Spain; CIBER Epidemiología y Salud Pública (CIBERESP), Madrid, Spain (author)
  • Jakszyn, PaulaUnit of Nutrition and Cancer, Cancer Epidemiology Research Programme, Catalan Institute of Oncology (ICO-IDIBELL), Barcelona, Spain (author)
  • Harlid, Sophia,1978-Umeå universitet,Onkologi(Swepub:umu)soha0105 (author)
  • Sundström, Björn,1968-Umeå universitet,Institutionen för folkhälsa och klinisk medicin(Swepub:umu)bjnsum99 (author)
  • Barricarte, AurelioCIBER Epidemiología y Salud Pública (CIBERESP), Madrid, Spain; Navarra Public Health Institute, Pamplona, Spain; Navarra Institute for Health Research (IdiSNA), Pamplona, Spain (author)
  • Monninkhof, Evelyn M.Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht University, Utrecht, Netherlands (author)
  • Derksen, Jeroen W.G.Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht University, Utrecht, Netherlands (author)
  • Schulze, Matthias B.Department of Molecular Epidemiology, German Institute of Human Nutrition Potsdam-Rehbruecke, Nuthetal, Germany; Institute of Nutritional Science, University of Potsdam, Nuthetal, Germany (author)
  • Bueno-De-Mesquita, BasCentre for Nutrition, Prevention and Health Services, National Institute for Public Health and the Environment (RIVM), Bilthoven, Netherlands (author)
  • Sánchez, Maria-JoseCIBER 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 (author)
  • Cross, Amanda J.Department of Epidemiology and Biostatistics, School of Public Health, Imperial College London, London, United Kingdom (author)
  • Tsilidis, Konstantinos K.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 (author)
  • De Magistris, Maria SantucciAzienda Ospedaliera Universitaria Federico II di Napoli, Napoli, Italy (author)
  • Kaaks, RudolfDivision of Cancer Epidemiology, German Cancer Research Center (DKFZ), Heidelberg, Germany (author)
  • Katzke, VerenaDivision of Cancer Epidemiology, German Cancer Research Center (DKFZ), Heidelberg, Germany (author)
  • Rothwell, Joseph A.Université Paris-Saclay, UVSQ, Inserm, CESP U1018, 'Exposome, Heredity, Cancer and Health' Team, Gustave Roussy, Villejuif, France (author)
  • Laouali, NasserUniversité Paris-Saclay, UVSQ, Inserm, CESP U1018, 'Exposome, Heredity, Cancer and Health' Team, Gustave Roussy, Villejuif, France (author)
  • Severi, GianlucaUniversité 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 (author)
  • Amiano, PilarMinistry 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 (author)
  • Contiero, PaoloEnvironmental Epidemiology Unit, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy (author)
  • Sacerdote, CarlottaUnit of Cancer Epidemiology, Città della Salute e della Scienza University-Hospital, Turin, Italy (author)
  • Goldberg, MarcelPopulation-based Epidemiologic Cohorts Unit, Inserrm UMS 11, Villejuif, France (author)
  • Touvier, MathildeNutritional 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 (author)
  • Freisling, HeinzInternational Agency for Research on Cancer, World Health Organization, Lyon, France (author)
  • Viallon, VivianInternational Agency for Research on Cancer, World Health Organization, Lyon, France (author)
  • Weiderpass, ElisabeteInternational Agency for Research on Cancer, World Health Organization, Lyon, France (author)
  • Riboli, ElioDepartment of Epidemiology and Biostatistics, School of Public Health, Imperial College London, London, United Kingdom (author)
  • Gunter, Marc J.International Agency for Research on Cancer, World Health Organization, Lyon, France (author)
  • Jenab, MazdaInternational Agency for Research on Cancer, World Health Organization, Lyon, France (author)
  • Ferrari, PietroInternational Agency for Research on Cancer, World Health Organization, Lyon, France (author)
  • Section for Colorectal Cancer Screening, Cancer Registry of Norway, Oslo, Norway; Department of Research, Cancer Registry of Norway, Oslo, NorwayDepartment of Clinical Sciences and Community Health, Università degli Studi di Milano, Milan, Italy; Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden (creator_code:org_t)

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  • In:American Journal of Gastroenterology: Ovid Technologies (Wolters Kluwer Health)118:4, s. 702-7110002-92701572-0241

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