Adherence to the WCRF/AICR Dietary Recommendations for Cancer Prevention and Risk of Cancer in Elderly from Europe and the United States: A Meta-Analysis within the CHANCES Project

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Fältnamn	Indikatorer	Metadata
000		04370naa a2200589 4500
001		oai:DiVA.org:umu-129420
003		SwePub
008		161227s2017 \| \|\|\|\|\|\|\|\|\|\|\|000 \|\|eng\|
024	7	a https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-1294202 URI
024	7	a https://doi.org/10.1158/1055-9965.EPI-16-04282 DOI
040		a (SwePub)umu
041		a engb eng
042		9 SwePub
072	7	a ref2 swepub-contenttype
072	7	a art2 swepub-publicationtype
100	1	a Jankovic, Nicole4 aut
245	1 0	a Adherence to the WCRF/AICR Dietary Recommendations for Cancer Prevention and Risk of Cancer in Elderly from Europe and the United States :b A Meta-Analysis within the CHANCES Project
264	1	c 2017
338		a print2 rdacarrier
520		a BACKGROUND: It is unknown if dietary recommendations for cancer prevention are applicable to the elderly. We analyzed WCRF/AICR recommendations in cohorts of European and US adults aged 60 years and above.METHODS: Individual participant data meta-analysis including 362,114 participants (43% women), from seven prospective cohort studies, free from cancer at enrollment. The WCRF/AICR diet score was based on: 1) energy-dense foods and sugary drinks, 2) plant foods, 3) red and processed meat 4) alcoholic drinks. Cox proportional hazards regression was used to examine the association between the diet score and cancer risks. Adjusted, cohort-specific hazard ratios (HR) were pooled using random-effects meta-analysis. Risk Advancement Periods (RAP) were calculated to quantify the time period by which the risk of cancer was postponed among those adhering to the recommendations.RESULTS: After a median follow-up of 11 to 15 years across cohorts, 69,708 cancer cases were identified. Each one-point increase in the WCRF/AICR diet score [range 0 (no) to 4 (complete adherence)] was significantly associated with a lower risk of total cancer (HR: 0.94, 95% CI: 0.92-0.97), cancers of the colorectum (HR: 0.84, 95% CI: 0.80-0.89), prostate (HR: 0.94, 95% CI: 0.92-0.97), but not breast or lung. Adherence to an additional component of the WCRF/AICR diet score significantly postponed the incidence of cancer at any site by 1.6 years (RAP: -1.6, 95% CI: -4.09 to -2.16).CONCLUSION: Adherence to WCRF/AICR dietary recommendations is associated with lower risk of cancer among older adults.IMPACT: Dietary recommendations for cancer prevention are applicable to the elderly.
650	7	a MEDICIN OCH HÄLSOVETENSKAPx Hälsovetenskapx Näringslära0 (SwePub)303042 hsv//swe
650	7	a MEDICAL AND HEALTH SCIENCESx Health Sciencesx Nutrition and Dietetics0 (SwePub)303042 hsv//eng
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
650	7	a MEDICIN OCH HÄLSOVETENSKAPx Hälsovetenskapx Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi0 (SwePub)303022 hsv//swe
650	7	a MEDICAL AND HEALTH SCIENCESx Health Sciencesx Public Health, Global Health, Social Medicine and Epidemiology0 (SwePub)303022 hsv//eng
700	1	a Geelen, Anouk4 aut
700	1	a Winkels, Renate M4 aut
700	1	a Mwungura, Blaise4 aut
700	1	a Fedirko, Veronika4 aut
700	1	a Jenab, Mazda4 aut
700	1	a Illner, Anne K4 aut
700	1	a Brenner, Hermann4 aut
700	1	a Ordonez-Mena, Jose M4 aut
700	1	a Kiefte-de Jong, Jessica C4 aut
700	1	a Franco, Oscar H4 aut
700	1	a Orfanos, Philippos4 aut
700	1	a Trichopoulou, Antonia4 aut
700	1	a Boffetta, Paolo4 aut
700	1	a Agudo, Antonio4 aut
700	1	a Peeters, Petra H4 aut
700	1	a Tjonneland, Anne4 aut
700	1	a Hallmans, Göranu Umeå universitet,Näringsforskning4 aut0 (Swepub:umu)goha0001
700	1	a Bueno-de-Mesquita, H Bas4 aut
700	1	a Park, Yikyung4 aut
700	1	a Feskens, Edith J4 aut
700	1	a de Groot, Lisette C4 aut
700	1	a Kampman, Ellen4 aut
710	2	a Umeå universitetb Näringsforskning4 org
773	0	t Cancer Epidemiology, Biomarkers and Preventiong 26:1, s. 136-144q 26:1<136-144x 1055-9965x 1538-7755
856	4 8	u https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-129420
856	4 8	u https://doi.org/10.1158/1055-9965.EPI-16-0428

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