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  • Cordova, ReynaldaInternational Agency for Research on Cancer, World Health Organization,University of Vienna (author)

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

  • Article/chapterEnglish2023

Publisher, publication year, extent ...

  • 2023

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  • LIBRIS-ID:oai:lup.lub.lu.se:d9a86348-7d6b-4d7d-a8fb-259deabce681
  • https://lup.lub.lu.se/record/d9a86348-7d6b-4d7d-a8fb-259deabce681URI
  • https://doi.org/10.1016/j.lanepe.2023.100771DOI

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  • Language:English
  • Summary in:English

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

Notes

  • 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.

Subject headings and genre

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  • Viallon, VivianInternational Agency for Research on Cancer, World Health Organization (author)
  • Fontvieille, EmmaInternational Agency for Research on Cancer, World Health Organization (author)
  • Peruchet-Noray, LaiaInternational Agency for Research on Cancer, World Health Organization (author)
  • Jansana, AnnaInternational Agency for Research on Cancer, World Health Organization (author)
  • Wagner, Karl HeinzUniversity of Vienna (author)
  • Kyrø, Cecilie (author)
  • Tjønneland, AnneUniversity of Copenhagen (author)
  • Katzke, VerenaGerman Cancer Research Centre (author)
  • Bajracharya, RashmitaGerman Cancer Research Centre (author)
  • Schulze, Matthias B.University of Potsdam,German Institute of Human Nutrition (author)
  • Masala, GiovannaInstitute for Cancer Research, Prevention and Clinical Network (ISPRO) (author)
  • Sieri, SabinaIstituto Nazionale dei Tumori (author)
  • Panico, SalvatoreUniversity of Naples Federico II (author)
  • Ricceri, FulvioUniversity of Turin (author)
  • Tumino, RosarioHyblean Association for Epidemiological Research (author)
  • Boer, Jolanda M.A.National Institute for Public Health and the Environment (RIVM) (author)
  • Verschuren, W. M.MoniqueUniversity Medical Center Utrecht,National Institute for Public Health and the Environment (RIVM) (author)
  • van der Schouw, Yvonne T.University Medical Center Utrecht (author)
  • Jakszyn, PaulaCatalan Institute of Oncology,Ramon Llull University (author)
  • Redondo-Sánchez, DanielCIBER Epidemiology and Public Health (CIBERESP),Andalusian School Of Public Health (EASP) (author)
  • Amiano, PilarCIBER Epidemiology and Public Health (CIBERESP) (author)
  • Huerta, José MaríaCIBER Epidemiology and Public Health (CIBERESP),Murcia Regional Health Council (author)
  • Guevara, MarcelaCIBER Epidemiology and Public Health (CIBERESP),Health Research Institute of Navarra (IDISNA) (author)
  • Borné, YanLund University,Lunds universitet,Nutritionsepidemiologi,Forskargrupper vid Lunds universitet,Nutrition Epidemiology,Lund University Research Groups(Swepub:lu)med-boy (author)
  • Sonestedt, EmilyLund University,Lunds universitet,Nutritionsepidemiologi,Forskargrupper vid Lunds universitet,Nutrition Epidemiology,Lund University Research Groups(Swepub:lu)medf-eso (author)
  • Tsilidis, Konstantinos K.Imperial College London,University of Ioannina (author)
  • Millett, ChristopherNOVA University Lisbon,Imperial College London (author)
  • Heath, Alicia K.Imperial College London (author)
  • Aglago, Elom K.Imperial College London (author)
  • Aune, DagfinnCancer Registry of Norway, Institute of Population-Based Cancer Research,Imperial College London (author)
  • Gunter, Marc J.International Agency for Research on Cancer, World Health Organization,Imperial College London (author)
  • Ferrari, PietroInternational Agency for Research on Cancer, World Health Organization (author)
  • Huybrechts, IngeInternational Agency for Research on Cancer, World Health Organization (author)
  • Freisling, HeinzInternational Agency for Research on Cancer, World Health Organization (author)
  • International Agency for Research on Cancer, World Health OrganizationUniversity of Vienna (creator_code:org_t)

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  • In:The Lancet Regional Health - Europe352666-7762

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