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Consumption of ultr...
Consumption of ultra-processed foods and risk of multimorbidity of cancer and cardiometabolic diseases : a multinational cohort study
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- Cordova, Reynalda (författare)
- University of Vienna,International Agency for Research on Cancer, World Health Organization
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- Viallon, Vivian (författare)
- International Agency for Research on Cancer, World Health Organization
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- Fontvieille, Emma (författare)
- International Agency for Research on Cancer, World Health Organization
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- Peruchet-Noray, Laia (författare)
- International Agency for Research on Cancer, World Health Organization
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- Jansana, Anna (författare)
- International Agency for Research on Cancer, World Health Organization
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- Wagner, Karl Heinz (författare)
- University of Vienna
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Kyrø, Cecilie (författare)
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- Tjønneland, Anne (författare)
- University of Copenhagen
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- Katzke, Verena (författare)
- German Cancer Research Centre
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- Bajracharya, Rashmita (författare)
- German Cancer Research Centre
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- Schulze, Matthias B. (författare)
- German Institute of Human Nutrition,University of Potsdam
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- Masala, Giovanna (författare)
- Institute for Cancer Research, Prevention and Clinical Network (ISPRO)
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- Sieri, Sabina (författare)
- Istituto Nazionale dei Tumori
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- Panico, Salvatore (författare)
- University of Naples Federico II
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- Ricceri, Fulvio (författare)
- University of Turin
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- Tumino, Rosario (författare)
- Hyblean Association for Epidemiological Research
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- Boer, Jolanda M.A. (författare)
- National Institute for Public Health and the Environment (RIVM)
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- Verschuren, W. M.Monique (författare)
- National Institute for Public Health and the Environment (RIVM),University Medical Center Utrecht
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- van der Schouw, Yvonne T. (författare)
- University Medical Center Utrecht
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- Jakszyn, Paula (författare)
- Catalan Institute of Oncology,Ramon Llull University
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- Redondo-Sánchez, Daniel (författare)
- Andalusian School Of Public Health (EASP),CIBER Epidemiology and Public Health (CIBERESP)
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- Amiano, Pilar (författare)
- CIBER Epidemiology and Public Health (CIBERESP)
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- Huerta, José María (författare)
- CIBER Epidemiology and Public Health (CIBERESP),Murcia Regional Health Council
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- Guevara, Marcela (författare)
- Health Research Institute of Navarra (IDISNA),CIBER Epidemiology and Public Health (CIBERESP)
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- Borné, Yan (författare)
- Lund University,Lunds universitet,Nutritionsepidemiologi,Forskargrupper vid Lunds universitet,Nutrition Epidemiology,Lund University Research Groups
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- Sonestedt, Emily (författare)
- Lund University,Lunds universitet,Nutritionsepidemiologi,Forskargrupper vid Lunds universitet,Nutrition Epidemiology,Lund University Research Groups
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- Tsilidis, Konstantinos K. (författare)
- University of Ioannina,Imperial College London
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- Millett, Christopher (författare)
- Imperial College London,NOVA University Lisbon
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- Heath, Alicia K. (författare)
- Imperial College London
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- Aglago, Elom K. (författare)
- Imperial College London
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- Aune, Dagfinn (författare)
- Imperial College London,Cancer Registry of Norway, Institute of Population-Based Cancer Research
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- Gunter, Marc J. (författare)
- International Agency for Research on Cancer, World Health Organization,Imperial College London
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- Ferrari, Pietro (författare)
- International Agency for Research on Cancer, World Health Organization
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- Huybrechts, Inge (författare)
- International Agency for Research on Cancer, World Health Organization
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- Freisling, Heinz (författare)
- International Agency for Research on Cancer, World Health Organization
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(creator_code:org_t)
- 2023
- 2023
- Engelska.
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Ingår i: The Lancet Regional Health - Europe. - 2666-7762. ; 35
- Relaterad länk:
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http://dx.doi.org/10... (free)
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https://lup.lub.lu.s...
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https://doi.org/10.1...
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Abstract
Ämnesord
Stäng
- 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.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Cancer och onkologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Cancer and Oncology (hsv//eng)
Nyckelord
- Cancer
- Cardiovascular diseases
- Diabetes
- Diet
- Multimorbidity
- Ultra-processed foods
Publikations- och innehållstyp
- art (ämneskategori)
- ref (ämneskategori)
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Till lärosätets databas
- Av författaren/redakt...
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Cordova, Reynald ...
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Viallon, Vivian
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Fontvieille, Emm ...
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Peruchet-Noray, ...
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Jansana, Anna
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Wagner, Karl Hei ...
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visa fler...
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Kyrø, Cecilie
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Tjønneland, Anne
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Katzke, Verena
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Bajracharya, Ras ...
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Schulze, Matthia ...
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Masala, Giovanna
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Sieri, Sabina
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Panico, Salvator ...
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Ricceri, Fulvio
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Tumino, Rosario
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Boer, Jolanda M. ...
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Verschuren, W. M ...
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van der Schouw, ...
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Jakszyn, Paula
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Redondo-Sánchez, ...
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Amiano, Pilar
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Huerta, José Mar ...
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Guevara, Marcela
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Borné, Yan
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Sonestedt, Emily
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Tsilidis, Konsta ...
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Millett, Christo ...
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Heath, Alicia K.
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Aglago, Elom K.
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Aune, Dagfinn
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Gunter, Marc J.
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Ferrari, Pietro
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Huybrechts, Inge
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Freisling, Heinz
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