Sökning: onr:"swepub:oai:lup.lub.lu.se:d9a86348-7d6b-4d7d-a8fb-259deabce681" > Consumption of ultr...
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000 | 07218naa a2200757 4500 | |
001 | oai:lup.lub.lu.se:d9a86348-7d6b-4d7d-a8fb-259deabce681 | |
003 | SwePub | |
008 | 231218s2023 | |||||||||||000 ||eng| | |
024 | 7 | a https://lup.lub.lu.se/record/d9a86348-7d6b-4d7d-a8fb-259deabce6812 URI |
024 | 7 | a https://doi.org/10.1016/j.lanepe.2023.1007712 DOI |
040 | a (SwePub)lu | |
041 | a engb eng | |
042 | 9 SwePub | |
072 | 7 | a art2 swepub-publicationtype |
072 | 7 | a ref2 swepub-contenttype |
100 | 1 | a Cordova, Reynaldau International Agency for Research on Cancer, World Health Organization,University of Vienna4 aut |
245 | 1 0 | a Consumption of ultra-processed foods and risk of multimorbidity of cancer and cardiometabolic diseases : a multinational cohort study |
264 | 1 | c 2023 |
520 | a 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. | |
650 | 7 | a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Cancer och onkologi0 (SwePub)302032 hsv//swe |
650 | 7 | a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Cancer and Oncology0 (SwePub)302032 hsv//eng |
653 | a Cancer | |
653 | a Cardiovascular diseases | |
653 | a Diabetes | |
653 | a Diet | |
653 | a Multimorbidity | |
653 | a Ultra-processed foods | |
700 | 1 | a Viallon, Vivianu International Agency for Research on Cancer, World Health Organization4 aut |
700 | 1 | a Fontvieille, Emmau International Agency for Research on Cancer, World Health Organization4 aut |
700 | 1 | a Peruchet-Noray, Laiau International Agency for Research on Cancer, World Health Organization4 aut |
700 | 1 | a Jansana, Annau International Agency for Research on Cancer, World Health Organization4 aut |
700 | 1 | a Wagner, Karl Heinzu University of Vienna4 aut |
700 | 1 | a Kyrø, Cecilie4 aut |
700 | 1 | a Tjønneland, Anneu University of Copenhagen4 aut |
700 | 1 | a Katzke, Verenau German Cancer Research Centre4 aut |
700 | 1 | a Bajracharya, Rashmitau German Cancer Research Centre4 aut |
700 | 1 | a Schulze, Matthias B.u University of Potsdam,German Institute of Human Nutrition4 aut |
700 | 1 | a Masala, Giovannau Institute for Cancer Research, Prevention and Clinical Network (ISPRO)4 aut |
700 | 1 | a Sieri, Sabinau Istituto Nazionale dei Tumori4 aut |
700 | 1 | a Panico, Salvatoreu University of Naples Federico II4 aut |
700 | 1 | a Ricceri, Fulviou University of Turin4 aut |
700 | 1 | a Tumino, Rosariou Hyblean Association for Epidemiological Research4 aut |
700 | 1 | a Boer, Jolanda M.A.u National Institute for Public Health and the Environment (RIVM)4 aut |
700 | 1 | a Verschuren, W. M.Moniqueu University Medical Center Utrecht,National Institute for Public Health and the Environment (RIVM)4 aut |
700 | 1 | a van der Schouw, Yvonne T.u University Medical Center Utrecht4 aut |
700 | 1 | a Jakszyn, Paulau Ramon Llull University,Catalan Institute of Oncology4 aut |
700 | 1 | a Redondo-Sánchez, Danielu Andalusian School Of Public Health (EASP),CIBER Epidemiology and Public Health (CIBERESP)4 aut |
700 | 1 | a Amiano, Pilaru CIBER Epidemiology and Public Health (CIBERESP)4 aut |
700 | 1 | a Huerta, José Maríau CIBER Epidemiology and Public Health (CIBERESP),Murcia Regional Health Council4 aut |
700 | 1 | a Guevara, Marcelau Health Research Institute of Navarra (IDISNA),CIBER Epidemiology and Public Health (CIBERESP)4 aut |
700 | 1 | a Borné, Yanu Lund University,Lunds universitet,Nutritionsepidemiologi,Forskargrupper vid Lunds universitet,Nutrition Epidemiology,Lund University Research Groups4 aut0 (Swepub:lu)med-boy |
700 | 1 | a Sonestedt, Emilyu Lund University,Lunds universitet,Nutritionsepidemiologi,Forskargrupper vid Lunds universitet,Nutrition Epidemiology,Lund University Research Groups4 aut0 (Swepub:lu)medf-eso |
700 | 1 | a Tsilidis, Konstantinos K.u University of Ioannina,Imperial College London4 aut |
700 | 1 | a Millett, Christopheru NOVA University Lisbon,Imperial College London4 aut |
700 | 1 | a Heath, Alicia K.u Imperial College London4 aut |
700 | 1 | a Aglago, Elom K.u Imperial College London4 aut |
700 | 1 | a Aune, Dagfinnu Imperial College London,Cancer Registry of Norway, Institute of Population-Based Cancer Research4 aut |
700 | 1 | a Gunter, Marc J.u Imperial College London,International Agency for Research on Cancer, World Health Organization4 aut |
700 | 1 | a Ferrari, Pietrou International Agency for Research on Cancer, World Health Organization4 aut |
700 | 1 | a Huybrechts, Ingeu International Agency for Research on Cancer, World Health Organization4 aut |
700 | 1 | a Freisling, Heinzu International Agency for Research on Cancer, World Health Organization4 aut |
710 | 2 | a International Agency for Research on Cancer, World Health Organizationb University of Vienna4 org |
773 | 0 | t The Lancet Regional Health - Europeg 35q 35x 2666-7762 |
856 | 4 | u http://dx.doi.org/10.1016/j.lanepe.2023.100771x freey FULLTEXT |
856 | 4 8 | u https://lup.lub.lu.se/record/d9a86348-7d6b-4d7d-a8fb-259deabce681 |
856 | 4 8 | u https://doi.org/10.1016/j.lanepe.2023.100771 |
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