Healthy lifestyle change and all-cause and cancer mortality in the European Prospective Investigation into Cancer and Nutrition cohort

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Healthy lifestyle change and all-cause and cancer mortality in the European Prospective Investigation into Cancer and Nutrition cohort

Matta, Komodo (författare): International Agency for Research on Cancer, World Health Organization

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

Botteri, Edoardo (författare): Cancer Registry of Norway, Institute of Population-Based Cancer Research

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Peveri, Giulia (författare): Karolinska Institute,University of Milan

Dahm, Christina (författare): Aarhus University

Nannsen, Anne Østergaard (författare): Aarhus University

Olsen, Anja (författare): Danish Cancer Society,Aarhus University

Tjønneland, Anne (författare): Danish Cancer Society,University of Copenhagen

Elbaz, Alexis (författare): Institut Gustave Roussy

Artaud, Fanny (författare): Institut Gustave Roussy

Marques, Chloé (författare): Institut Gustave Roussy

Kaaks, Rudolf (författare): German Cancer Research Centre

Katzke, Verena (författare): German Cancer Research Centre

Schulze, Matthias B. (författare): German Institute of Human Nutrition,University of Potsdam

Llanaj, Erand (författare): German Institute of Human Nutrition,German Center for Diabetes Research

Masala, Giovanna (författare): Institute for Cancer Research, Prevention and Clinical Network (ISPRO)

Pala, Valeria (författare): Istituto Nazionale dei Tumori

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

Tumino, Rosario (författare): Hyblean Association for Epidemiological Research

Ricceri, Fulvio (författare): University of Turin

Derksen, Jeroen W.G. (författare): University Medical Center Utrecht

Nøst, Therese Haugdahl (författare): Norwegian University of Science and Technology,UiT The Arctic University of Norway, Tromsø

Sandanger, Torkjel M. (författare): UiT The Arctic University of Norway, Tromsø

Borch, Kristin Benjaminsen (författare): UiT The Arctic University of Norway, Tromsø

Quirós, J. Ramón (författare)

Castro-Espin, Carlota (författare): International Agency for Research on Cancer, World Health Organization,Bellvitge Biomedical Research Institute,Catalan Institute of Oncology

Sánchez, Maria José (författare): CIBER Epidemiology and Public Health (CIBERESP),University of Granada,Andalusian School Of Public Health (EASP)

Atxega, Amaia Aizpurua (författare): Biodonostia Health Research Institute

Cirera, Lluís (författare): CIBER Epidemiology and Public Health (CIBERESP),University of Murcia,Murcia Regional Health Council

Guevara, Marcela (författare): Health Research Institute of Navarra (IDISNA),CIBER Epidemiology and Public Health (CIBERESP)

Manjer, Jonas (författare): Lund University,Lunds universitet,Kirurgi,Forskargrupper vid Lunds universitet,LUCC: Lunds universitets cancercentrum,Övriga starka forskningsmiljöer,Surgery,Lund University Research Groups,LUCC: Lund University Cancer Centre,Other Strong Research Environments,Skåne University Hospital

Tin Tin, Sandar (författare): University of Oxford

Heath, Alicia (författare): Imperial College London

Touvier, Mathilde (författare): National Institute for Health and Medical Research, France

Goldberg, Marcel (författare): Université Paris Cité

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

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

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

Riboli, Elio (författare): Imperial College London

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

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2024
2024
Engelska.
Ingår i: BMC Medicine. - 1741-7015. ; 22:1

Relaterad länk:: http://dx.doi.org/10... (free); visa fler...; https://lup.lub.lu.s...; https://doi.org/10.1...; http://kipublication...; visa färre...

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Background: Healthy lifestyles are inversely associated with the risk of noncommunicable diseases, which are leading causes of death. However, few studies have used longitudinal data to assess the impact of changing lifestyle behaviours on all-cause and cancer mortality. Methods: Within the European Prospective Investigation into Cancer and Nutrition (EPIC) cohort, lifestyle profiles of 308,497 cancer-free adults (71% female) aged 35–70 years at recruitment across nine countries were assessed with baseline and follow-up questionnaires administered on average of 7 years apart. A healthy lifestyle index (HLI), assessed at two time points, combined information on smoking status, alcohol intake, body mass index, and physical activity, and ranged from 0 to 16 units. A change score was calculated as the difference between HLI at baseline and follow-up. Associations between HLI change and all-cause and cancer mortality were modelled with Cox regression, and the impact of changing HLI on accelerating mortality rate was estimated by rate advancement periods (RAP, in years). Results: After the follow-up questionnaire, participants were followed for an average of 9.9 years, with 21,696 deaths (8407 cancer deaths) documented. Compared to participants whose HLIs remained stable (within one unit), improving HLI by more than one unit was inversely associated with all-cause and cancer mortality (hazard ratio [HR]: 0.84; 95% confidence interval [CI]: 0.81, 0.88; and HR: 0.87; 95% CI: 0.82, 0.92; respectively), while worsening HLI by more than one unit was associated with an increase in mortality (all-cause mortality HR: 1.26; 95% CI: 1.20, 1.33; cancer mortality HR: 1.19; 95% CI: 1.09, 1.29). Participants who worsened HLI by more than one advanced their risk of death by 1.62 (1.44, 1.96) years, while participants who improved HLI by the same amount delayed their risk of death by 1.19 (0.65, 2.32) years, compared to those with stable HLI. Conclusions: Making healthier lifestyle changes during adulthood was inversely associated with all-cause and cancer mortality and delayed risk of death. Conversely, making unhealthier lifestyle changes was positively associated with mortality and an accelerated risk of death.

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Av lärosätet: Lunds universitet; Karolinska Institutet

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Healthy lifestyle change and all-cause and cancer mortality in the European Prospective Investigation into Cancer and Nutrition cohort

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