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FältnamnIndikatorerMetadata
00010967naa a2200853 4500
001oai:DiVA.org:umu-206527
003SwePub
008230411s2023 | |||||||||||000 ||eng|
009oai:prod.swepub.kib.ki.se:153086920
0247 a https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-2065272 URI
0247 a https://doi.org/10.14309/ajg.00000000000020652 DOI
0247 a http://kipublications.ki.se/Default.aspx?queryparsed=id:1530869202 URI
040 a (SwePub)umud (SwePub)ki
041 a engb eng
042 9 SwePub
072 7a ref2 swepub-contenttype
072 7a art2 swepub-publicationtype
1001 a Botteri, Edoardou Section for Colorectal Cancer Screening, Cancer Registry of Norway, Oslo, Norway; Department of Research, Cancer Registry of Norway, Oslo, Norway4 aut
2451 0a Changes in lifestyle and risk of colorectal cancer in the european prospective investigation into cancer and nutrition
264 c 2022-10-12
264 1b Ovid Technologies (Wolters Kluwer Health),c 2023
338 a print2 rdacarrier
520 a Introduction: We investigated the impact of changes in lifestyle habits on colorectal cancer (CRC) risk in a multicountry European cohort.Methods: We used baseline and follow-up questionnaire data from the European Prospective Investigation into Cancer cohort to assess changes in lifestyle habits and their associations with CRC development. We calculated a healthy lifestyle index (HLI) score based on smoking status, alcohol consumption, body mass index, and physical activity collected at the 2 time points. HLI ranged from 0 (most unfavorable) to 16 (most favorable). We estimated the association between HLI changes and CRC risk using Cox regression models and reported hazard ratios (HR) with 95% confidence intervals (CI).Results: Among 295,865 participants, 2,799 CRC cases were observed over a median of 7.8 years. The median time between questionnaires was 5.7 years. Each unit increase in HLI from the baseline to the follow-up assessment was associated with a statistically significant 3% lower CRC risk. Among participants in the top tertile at baseline (HLI > 11), those in the bottom tertile at follow-up (HLI ≤ 9) had a higher CRC risk (HR 1.34; 95% CI 1.02-1.75) than those remaining in the top tertile. Among individuals in the bottom tertile at baseline, those in the top tertile at follow-up had a lower risk (HR 0.77; 95% CI 0.59-1.00) than those remaining in the bottom tertile.Discussion: Improving adherence to a healthy lifestyle was inversely associated with CRC risk, while worsening adherence was positively associated with CRC risk. These results justify and support recommendations for healthy lifestyle changes and healthy lifestyle maintenance for CRC prevention.
650 7a MEDICIN OCH HÄLSOVETENSKAPx Hälsovetenskapx Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi0 (SwePub)303022 hsv//swe
650 7a MEDICAL AND HEALTH SCIENCESx Health Sciencesx Public Health, Global Health, Social Medicine and Epidemiology0 (SwePub)303022 hsv//eng
650 7a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Gastroenterologi0 (SwePub)302132 hsv//swe
650 7a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Gastroenterology and Hepatology0 (SwePub)302132 hsv//eng
7001 a Peveri, Giuliau Department of Clinical Sciences and Community Health, Università degli Studi di Milano, Milan, Italy; Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden4 aut
7001 a Berstad, Paulau Section for Colorectal Cancer Screening, Cancer Registry of Norway, Oslo, Norway4 aut
7001 a Bagnardi, Vincenzou Department of Statistics and Quantitative Methods, University of Milan-Bicocca, Milan, Italy4 aut
7001 a Chen, Sairah L.F.u Department of Community Medicine, UiT The Arctic University of Norway, Tromsø, Norway4 aut
7001 a Sandanger, Torkjel M.u Department of Community Medicine, UiT The Arctic University of Norway, Tromsø, Norway4 aut
7001 a Hoff, Geiru Section for Colorectal Cancer Screening, Cancer Registry of Norway, Oslo, Norway; Department of Research, Telemark Hospital, Skien, Norway4 aut
7001 a Dahm, Christina C.u Department of Public Health, Aarhus University, Denmark4 aut
7001 a Antoniussen, Christian S.u Department of Public Health, Aarhus University, Denmark4 aut
7001 a Tjønneland, Anneu Danish Cancer Society Research Center, Copenhagen, Denmark4 aut
7001 a Eriksen, Anne Kirstineu Danish Cancer Society Research Center, Copenhagen, Denmark4 aut
7001 a Skeie, Guriu Department of Community Medicine, UiT The Arctic University of Norway, Tromsø, Norway4 aut
7001 a Perez-Cornago, Aurorau Cancer Epidemiology Unit, Nuffield Department of Population Health, University of Oxford, Oxford, United Kingdom4 aut
7001 a Huerta, José Maríau Department of Epidemiology, Murcia Regional Health Council, IMIB-Arrixaca, Murcia, Spain; CIBER Epidemiología y Salud Pública (CIBERESP), Madrid, Spain4 aut
7001 a Jakszyn, Paulau Unit of Nutrition and Cancer, Cancer Epidemiology Research Programme, Catalan Institute of Oncology (ICO-IDIBELL), Barcelona, Spain4 aut
7001 a Harlid, Sophia,d 1978-u Umeå universitet,Onkologi4 aut0 (Swepub:umu)soha0105
7001 a Sundström, Björn,d 1968-u Umeå universitet,Institutionen för folkhälsa och klinisk medicin4 aut0 (Swepub:umu)bjnsum99
7001 a Barricarte, Aureliou CIBER Epidemiología y Salud Pública (CIBERESP), Madrid, Spain; Navarra Public Health Institute, Pamplona, Spain; Navarra Institute for Health Research (IdiSNA), Pamplona, Spain4 aut
7001 a Monninkhof, Evelyn M.u Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht University, Utrecht, Netherlands4 aut
7001 a Derksen, Jeroen W.G.u Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht University, Utrecht, Netherlands4 aut
7001 a Schulze, Matthias B.u Department of Molecular Epidemiology, German Institute of Human Nutrition Potsdam-Rehbruecke, Nuthetal, Germany; Institute of Nutritional Science, University of Potsdam, Nuthetal, Germany4 aut
7001 a Bueno-De-Mesquita, Basu Centre for Nutrition, Prevention and Health Services, National Institute for Public Health and the Environment (RIVM), Bilthoven, Netherlands4 aut
7001 a Sánchez, Maria-Joseu CIBER Epidemiología y Salud Pública (CIBERESP), Madrid, Spain; Escuela Andaluza de Salud Pública (EASP), Granada, Spain; Instituto de Investigación Biosanitaria ibs.GRANADA, Granada, Spain; Department of Preventive Medicine and Public Health, University of Granada, Granada, Spain4 aut
7001 a Cross, Amanda J.u Department of Epidemiology and Biostatistics, School of Public Health, Imperial College London, London, United Kingdom4 aut
7001 a Tsilidis, Konstantinos K.u Department of Epidemiology and Biostatistics, School of Public Health, Imperial College London, London, United Kingdom; Department of Hygiene and Epidemiology, University of Ioannina, School of Medicine, Ioannina, Greece4 aut
7001 a De Magistris, Maria Santucciu Azienda Ospedaliera Universitaria Federico II di Napoli, Napoli, Italy4 aut
7001 a Kaaks, Rudolfu Division of Cancer Epidemiology, German Cancer Research Center (DKFZ), Heidelberg, Germany4 aut
7001 a Katzke, Verenau Division of Cancer Epidemiology, German Cancer Research Center (DKFZ), Heidelberg, Germany4 aut
7001 a Rothwell, Joseph A.u Université Paris-Saclay, UVSQ, Inserm, CESP U1018, 'Exposome, Heredity, Cancer and Health' Team, Gustave Roussy, Villejuif, France4 aut
7001 a Laouali, Nasseru Université Paris-Saclay, UVSQ, Inserm, CESP U1018, 'Exposome, Heredity, Cancer and Health' Team, Gustave Roussy, Villejuif, France4 aut
7001 a Severi, Gianlucau Université Paris-Saclay, UVSQ, Inserm, CESP U1018, 'Exposome, Heredity, Cancer and Health' Team, Gustave Roussy, Villejuif, France; Department of Statistics, Computer Science, Applications 'G. Parenti' (DISIA), University of Florence, Florence, Italy4 aut
7001 a Amiano, Pilaru Ministry of Health of the Basque Government, Sub Directorate for Public Health and Addictions of Gipuzkoa, San Sebastian, Spain; Biodonostia Health Research Institute, Epidemiology of Chronic and Communicable Diseases Group, San Sebastián, Spain; Spanish Consortium for Research on Epidemiology and Public Health (CIBERESP), Instituto de Salud Carlos III, Madrid, Spain4 aut
7001 a Contiero, Paolou Environmental Epidemiology Unit, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy4 aut
7001 a Sacerdote, Carlottau Unit of Cancer Epidemiology, Città della Salute e della Scienza University-Hospital, Turin, Italy4 aut
7001 a Goldberg, Marcelu Population-based Epidemiologic Cohorts Unit, Inserrm UMS 11, Villejuif, France4 aut
7001 a Touvier, Mathildeu Nutritional Epidemiology Research Team (EREN), Sorbonne Paris Nord University, Inserm U1153, Inrae U1125, Cnam, Epidemiology and Statistics Research Center - University of Paris (CRESS), Bobigny, France; Public Health Department, Avicenne Hospital, AP-HP, Bobigny, France4 aut
7001 a Freisling, Heinzu International Agency for Research on Cancer, World Health Organization, Lyon, France4 aut
7001 a Viallon, Vivianu International Agency for Research on Cancer, World Health Organization, Lyon, France4 aut
7001 a Weiderpass, Elisabeteu International Agency for Research on Cancer, World Health Organization, Lyon, France4 aut
7001 a Riboli, Eliou Department of Epidemiology and Biostatistics, School of Public Health, Imperial College London, London, United Kingdom4 aut
7001 a Gunter, Marc J.u International Agency for Research on Cancer, World Health Organization, Lyon, France4 aut
7001 a Jenab, Mazdau International Agency for Research on Cancer, World Health Organization, Lyon, France4 aut
7001 a Ferrari, Pietrou International Agency for Research on Cancer, World Health Organization, Lyon, France4 aut
7102 a Section for Colorectal Cancer Screening, Cancer Registry of Norway, Oslo, Norway; Department of Research, Cancer Registry of Norway, Oslo, Norwayb Department of Clinical Sciences and Community Health, Università degli Studi di Milano, Milan, Italy; Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden4 org
7730 t American Journal of Gastroenterologyd : Ovid Technologies (Wolters Kluwer Health)g 118:4, s. 702-711q 118:4<702-711x 0002-9270x 1572-0241
8564 8u https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-206527
8564 8u https://doi.org/10.14309/ajg.0000000000002065
8564 8u http://kipublications.ki.se/Default.aspx?queryparsed=id:153086920

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