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Pre-diagnostic conc...
Pre-diagnostic concordance with the WCRF/AICR guidelines and survival in European colorectal cancer patients : a cohort study
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Romaguera, Dora (author)
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Ward, Heather (author)
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Wark, Petra A (author)
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show more...
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Vergnaud, Anne-Claire (author)
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Peeters, Petra H (author)
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van Gils, Carla H (author)
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Ferrari, Pietro (author)
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Fedirko, Veronika (author)
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Jenab, Mazda (author)
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Boutron-Ruault, Marie-Christine (author)
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Dossus, Laure (author)
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Dartois, Laureen (author)
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Hansen, Camilla Plambeck (author)
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Dahm, Christina Catherine (author)
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Buckland, Genevieve (author)
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Sánchez, María José (author)
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Dorronsoro, Miren (author)
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Navarro, Carmen (author)
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Barricarte, Aurelio (author)
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Key, Timothy J (author)
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Trichopoulou, Antonia (author)
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Tsironis, Christos (author)
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Lagiou, Pagona (author)
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Masala, Giovanna (author)
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Pala, Valeria (author)
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Tumino, Rosario (author)
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Vineis, Paolo (author)
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Panico, Salvatore (author)
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Bueno-de-Mesquita, H Bas (author)
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Siersema, Peter D (author)
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- Ohlsson, Bodil (author)
- Lund University,Lunds universitet,Internmedicin - epidemiologi,Forskargrupper vid Lunds universitet,Internal Medicine - Epidemiology,Lund University Research Groups
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- Jirström, Karin (author)
- Lund University,Lunds universitet,Tumörmikromiljö,Sektion I,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Tumor microenvironment,Section I,Department of Clinical Sciences, Lund,Faculty of Medicine
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- Wennberg, Maria (author)
- Umeå universitet,Näringsforskning
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- Nilsson, Lena Maria, 1965- (author)
- Umeå universitet,Arktiskt centrum vid Umeå universitet (Arcum)
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- Weiderpass, Elisabete (author)
- Karolinska Institutet
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Kühn, Tilman (author)
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Katzke, Verena (author)
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Khaw, Kay-Tee (author)
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Wareham, Nick J (author)
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Tjønneland, Anne (author)
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Boeing, Heiner (author)
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Quirós, José R (author)
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Gunter, Marc J (author)
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Riboli, Elio (author)
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Norat, Teresa (author)
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(creator_code:org_t)
- 2015-05-07
- 2015
- English.
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In: BMC Medicine. - : Springer Science and Business Media LLC. - 1741-7015. ; 13
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http://www.ncbi.nlm....
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http://dx.doi.org/10... (free)
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https://urn.kb.se/re...
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https://doi.org/10.1...
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Abstract
Subject headings
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- BACKGROUND: Cancer survivors are advised to follow lifestyle recommendations on diet, physical activity, and body fatness proposed by the World Cancer Research Fund/American Institute of Cancer Research (WCRF/AICR) for cancer prevention. Previous studies have demonstrated that higher concordance with these recommendations measured using an index score (the WCRF/AICR score) was associated with lower cancer incidence and mortality. The aim of this study was to evaluate the association between pre-diagnostic concordance with WCRF/AICR recommendations and mortality in colorectal cancer (CRC) patients.METHODS: The association between the WCRF/AICR score (score range 0-6 in men and 0-7 in women; higher scores indicate greater concordance) assessed on average 6.4 years before diagnosis and CRC-specific (n = 872) and overall mortality (n = 1,113) was prospectively examined among 3,292 participants diagnosed with CRC in the European Prospective Investigation into Cancer and Nutrition (EPIC) cohort (mean follow-up time after diagnosis 4.2 years). Multivariable Cox proportional hazard models were used to estimate hazard ratios (HRs) and 95% confidence intervals (CIs) for mortality.RESULTS: The HRs (95% CIs) for CRC-specific mortality among participants in the second (score range in men/women: 2.25-2.75/3.25-3.75), third (3-3.75/4-4.75), and fourth (4-6/5-7) categories of the score were 0.87 (0.72-1.06), 0.74 (0.61-0.90), and 0.70 (0.56-0.89), respectively (P for trend <0.0001), compared to participants with the lowest concordance with the recommendations (category 1 of the score: 0-2/0-3). Similar HRs for overall mortality were observed (P for trend 0.004). Meeting the recommendations on body fatness and plant food consumption were associated with improved survival among CRC cases in mutually adjusted models.CONCLUSIONS: Greater concordance with the WCRF/AICR recommendations on diet, physical activity, and body fatness prior to CRC diagnosis is associated with improved survival among CRC patients.
Subject headings
- 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 -- Hälsovetenskap -- Näringslära (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Nutrition and Dietetics (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Cancer och onkologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Cancer and Oncology (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Annan klinisk medicin (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Other Clinical Medicine (hsv//eng)
Keyword
- Alcohol consumption; Breast cancer; Prospective study
Publication and Content Type
- ref (subject category)
- art (subject category)
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Romaguera, Dora
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Ward, Heather
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Wark, Petra A
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Vergnaud, Anne-C ...
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Peeters, Petra H
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van Gils, Carla ...
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show more...
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Ferrari, Pietro
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Fedirko, Veronik ...
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Jenab, Mazda
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Boutron-Ruault, ...
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Dossus, Laure
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Dartois, Laureen
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Hansen, Camilla ...
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Dahm, Christina ...
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Buckland, Genevi ...
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Sánchez, María J ...
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Dorronsoro, Mire ...
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Navarro, Carmen
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Barricarte, Aure ...
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Key, Timothy J
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Trichopoulou, An ...
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Tsironis, Christ ...
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Lagiou, Pagona
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Masala, Giovanna
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Pala, Valeria
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Tumino, Rosario
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Vineis, Paolo
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Panico, Salvator ...
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Bueno-de-Mesquit ...
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Siersema, Peter ...
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Ohlsson, Bodil
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Jirström, Karin
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Wennberg, Maria
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Nilsson, Lena Ma ...
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Weiderpass, Elis ...
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Kühn, Tilman
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Katzke, Verena
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Khaw, Kay-Tee
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Wareham, Nick J
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Tjønneland, Anne
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Boeing, Heiner
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Quirós, José R
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Gunter, Marc J
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Riboli, Elio
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Norat, Teresa
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- Articles in the publication
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BMC Medicine
- By the university
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Umeå University
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Lund University
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Karolinska Institutet