Lifestyle factors and risk of multimorbidity of cancer and cardiometabolic diseases : a multinational cohort study

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Lifestyle factors and risk of multimorbidity of cancer and cardiometabolic diseases : a multinational cohort study

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

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

Lennon, Hannah (författare): International Agency for Research on Cancer, World Health Organization

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Bagnardi, Vincenzo (författare): University of Milano-Bicocca

Ricci, Cristian (författare): North-West University

Butterworth, Adam S. (författare): University of Cambridge

Sweeting, Michael (författare): University of Cambridge

Muller, David (författare): Imperial College London

Romieu, Isabelle (författare): International Agency for Research on Cancer, World Health Organization

Bazelle, Pauline (författare): International Agency for Research on Cancer, World Health Organization

Kvaskoff, Marina (författare): Centre for Research in Epidemiology and Population Health (CESP),University of Paris-Saclay

Arveux, Patrick (författare): Centre Georges-François Leclerc,Centre for Research in Epidemiology and Population Health (CESP),Breast and Gynaecologic Cancer Registry of Côte d'Or

Severi, Gianluca (författare): University of Paris-Saclay,Human Genetics Foundation (HuGeF),Centre for Research in Epidemiology and Population Health (CESP)

Bamia, Christina (författare): Hellenic Health Foundation, Athens,National and Kapodistrian University of Athens

Kühn, Tilman (författare): German Cancer Research Centre

Kaaks, Rudolf (författare): German Cancer Research Centre

Bergmann, Manuela (författare): German Institute of Human Nutrition

Boeing, Heiner (författare): German Institute of Human Nutrition

Tjønneland, Anne (författare): Danish Cancer Society

Olsen, Anja (författare): Danish Cancer Society

Overvad, Kim (författare): Aarhus University

Dahm, Christina C. (författare): Aarhus University

Menéndez, Virginia (författare): Public Health Directorate

Agudo, Antonio (författare): Bellvitge University Hospital-IDIBELL,Bellvitge Biomedical Research Institute,L'Hospitalet de Llobregat, Barcelona,University of Oxford

Sánchez, Maria Jose (författare): University of Granada,CIBER Epidemiology and Public Health (CIBERESP)

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

Santiuste, Carmen (författare): Murcia Regional Health Council

Gurrea, Aurelio Barricarte (författare): CIBER Epidemiology and Public Health (CIBERESP)

Tong, Tammy Y.N. (författare): University of Oxford

Schmidt, Julie A. (författare): University of Oxford

Tzoulaki, Ioanna (författare): University of Ioannina,Imperial College London

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

Ward, Heather (författare): Imperial College London

Palli, Domenico (författare): Institute for Cancer Research, Prevention and Clinical Network (ISPRO)

Agnoli, Claudia (författare): Istituto Nazionale dei Tumori

Tumino, Rosario (författare): Civic and M.P Arezzo Hospital

Ricceri, Fulvio (författare): Citta' della Salute e della Scienza Hospital-University of Turin

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

Picavet, H. Susan J. (författare): National Institute for Public Health and the Environment (RIVM)

Bakker, Marije (författare): University Medical Center Utrecht

Monninkhof, Evelyn (författare): University Medical Center Utrecht

Nilsson, Peter (författare): Umeå universitet,Umeå University,Näringsforskning

Manjer, Jonas (författare): Lund University,Lunds universitet,Kirurgi,Forskargrupper vid Lunds universitet,Surgery,Lund University Research Groups,Skåne University Hospital

Rolandsson, Olov (författare): Umeå universitet,Umeå University,Allmänmedicin

Thysell, Elin (författare): Umeå University

Weiderpass, Elisabete (författare): International Agency for Research on Cancer, World Health Organization

Jenab, Mazda (författare): International Agency for Research on Cancer, World Health Organization

Riboli, Elio (författare): Imperial College London

Vineis, Paolo (författare): Imperial College London

Danesh, John (författare): University of Cambridge

Wareham, Nick J (författare): University of Cambridge

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

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

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2020-01-10
2020
Engelska.
Ingår i: BMC Medicine. - : Springer Science and Business Media LLC. - 1741-7015. ; 18:1

Relaterad länk:: http://dx.doi.org/10... (free); visa fler...; https://bmcmedicine....; https://doi.org/10.1...; https://umu.diva-por... (primary) (Raw object); https://lup.lub.lu.s...; https://doi.org/10.1...; https://urn.kb.se/re...; visa färre...

Tidskriftsartikel (refereegranskat)

Abstract Ämnesord

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BACKGROUND: Although lifestyle factors have been studied in relation to individual non-communicable diseases (NCDs), their association with development of a subsequent NCD, defined as multimorbidity, has been scarcely investigated. The aim of this study was to investigate associations between five lifestyle factors and incident multimorbidity of cancer and cardiometabolic diseases. METHODS: In this prospective cohort study, 291,778 participants (64% women) from seven European countries, mostly aged 43 to 58 years and free of cancer, cardiovascular disease (CVD), and type 2 diabetes (T2D) at recruitment, were included. Incident multimorbidity of cancer and cardiometabolic diseases was defined as developing subsequently two diseases including first cancer at any site, CVD, and T2D in an individual. Multi-state modelling based on Cox regression was used to compute hazard ratios (HR) and 95% confidence intervals (95% CI) of developing cancer, CVD, or T2D, and subsequent transitions to multimorbidity, in relation to body mass index (BMI), smoking status, alcohol intake, physical activity, adherence to the Mediterranean diet, and their combination as a healthy lifestyle index (HLI) score. Cumulative incidence functions (CIFs) were estimated to compute 10-year absolute risks for transitions from healthy to cancer at any site, CVD (both fatal and non-fatal), or T2D, and to subsequent multimorbidity after each of the three NCDs. RESULTS: During a median follow-up of 11 years, 1910 men and 1334 women developed multimorbidity of cancer and cardiometabolic diseases. A higher HLI, reflecting healthy lifestyles, was strongly inversely associated with multimorbidity, with hazard ratios per 3-unit increment of 0.75 (95% CI, 0.71 to 0.81), 0.84 (0.79 to 0.90), and 0.82 (0.77 to 0.88) after cancer, CVD, and T2D, respectively. After T2D, the 10-year absolute risks of multimorbidity were 40% and 25% for men and women, respectively, with unhealthy lifestyle, and 30% and 18% for men and women with healthy lifestyles. CONCLUSION: Pre-diagnostic healthy lifestyle behaviours were strongly inversely associated with the risk of cancer and cardiometabolic diseases, and with the prognosis of these diseases by reducing risk of multimorbidity.

Ämnesord

MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Cancer och onkologi (hsv//swe)
MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Cancer and Oncology (hsv//eng)
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)

Nyckelord

Cancer
Cancer and cardiometabolic multimorbidity
Cardiovascular disease
Diabetes
Healthy lifestyle
Obesity
Prevention
Cancer

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Av författaren/redakt...: Freisling, Heinz; Viallon, Vivian; Lennon, Hannah; Bagnardi, Vincen ...; Ricci, Cristian; Butterworth, Ada ...; visa fler...; Sweeting, Michae ...; Muller, David; Romieu, Isabelle; Bazelle, Pauline; Kvaskoff, Marina; Arveux, Patrick; Severi, Gianluca; Bamia, Christina; Kühn, Tilman; Kaaks, Rudolf; Bergmann, Manuel ...; Boeing, Heiner; Tjønneland, Anne; Olsen, Anja; Overvad, Kim; Dahm, Christina ...; Menéndez, Virgin ...; Agudo, Antonio; Sánchez, Maria J ...; Amiano, Pilar; Santiuste, Carme ...; Gurrea, Aurelio ...; Tong, Tammy Y.N.; Schmidt, Julie A ...; Tzoulaki, Ioanna; Tsilidis, Konsta ...; Ward, Heather; Palli, Domenico; Agnoli, Claudia; Tumino, Rosario; Ricceri, Fulvio; Panico, Salvator ...; Picavet, H. Susa ...; Bakker, Marije; Monninkhof, Evel ...; Nilsson, Peter; Manjer, Jonas; Rolandsson, Olov; Thysell, Elin; Weiderpass, Elis ...; Jenab, Mazda; Riboli, Elio; Vineis, Paolo; Danesh, John; Wareham, Nick J; Gunter, Marc J.; Ferrari, Pietro; visa färre...

Om ämnet

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

MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Hälsovetenskap; och Folkhälsovetensk ...

Artiklar i publikationen: BMC Medicine

Av lärosätet: Lunds universitet; Umeå universitet

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