Total dietary carbohydrate, sugar, starch and fibre intakes in the European Prospective Investigation into Cancer and Nutrition View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2009-11-04

AUTHORS

A E Cust, M R Skilton, M M E van Bakel, J Halkjær, A Olsen, C Agnoli, T Psaltopoulou, E Buurma, E Sonestedt, M D Chirlaque, S Rinaldi, A Tjønneland, M K Jensen, F Clavel-Chapelon, M C Boutron-Ruault, R Kaaks, U Nöthlings, Y Chloptsios, D Zylis, A Mattiello, S Caini, M C Ocké, Y T van der Schouw, G Skeie, C L Parr, E Molina-Montes, J Manjer, I Johansson, A McTaggart, T J Key, S Bingham, E Riboli, N Slimani

ABSTRACT

Objective:To describe dietary carbohydrate intakes and their food sources among 27 centres in 10 countries participating in the European Prospective Investigation into Cancer and Nutrition (EPIC) study.Methods:Between 1995 and 2000, 36 034 subjects, aged between 35–74 years, were administered a standardized, 24-h dietary recall using a computerized interview software programme (EPIC-SOFT). Intakes (g/day) of total carbohydrate, sugars, starch and fibre were estimated using the standardized EPIC Nutrient Database (ENDB). Mean intakes were adjusted for age, total energy intake, height and weight, and were weighted by season and day of recall.Results:Adjusted mean total carbohydrate intakes were highest in Italy and in the UK health-conscious cohort, and were lowest in Spain, Greece and France. Total fibre intakes were highest in the UK health-conscious cohort and lowest in Sweden and the UK general population. Bread contributed the highest proportion of carbohydrates (mainly starches) in every centre. Fruit consumption contributed a greater proportion of total carbohydrates (mainly sugars) among women than among men, and in southern centres compared with northern centres. Bread, fruits and vegetables represented the largest sources of fibre, but food sources varied considerably between centres. In stratified analyses, carbohydrate intakes tended to be higher among subjects who were physically active, never-smokers or non-drinkers of alcohol.Conclusions:Dietary carbohydrate intakes and in particular their food sources varied considerably between these 10 European countries. Intakes also varied according to gender and lifestyle factors. These data will form the basis for future aetiological analyses of the role of dietary carbohydrates in influencing health and disease. More... »

PAGES

s37-s60

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  • Journal

    TITLE

    European Journal of Clinical Nutrition

    ISSUE

    Suppl 4

    VOLUME

    63

    Author Affiliations

  • 26Current address: Centre for Molecular, Environmental, Genetic and Analytic Epidemiology, University of Melbourne, Melbourne, Australia.
  • 27Current address: Baker IDI Heart & Diabetes Institute, Melbourne, Australia.
  • Dietary Exposure Assessment Group, International Agency for Research on Cancer, Lyon, France
  • Institute of Cancer Epidemiology, Danish Cancer Society, Copenhagen, Denmark
  • Department of Preventive and Predictive Medicine, Nutritional Epidemiology Unit, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy
  • Department of Hygiene, Epidemiology and Medical Statistics, University of Athens Medical School, Athens, Greece
  • National Institute for Public Health and the Environment (RIVM), Bilthoven, Netherlands
  • Department of Clinical Sciences, Lund University, Malmö, Sweden
  • Epidemiology Department, Murcia Health Council, Murcia and CIBER Epidemiología y Salud Pública (CIBERESP), Spain
  • Department of Clinical Epidemiology, Aalborg Hospital, Aarhus University Hospital, Aalborg, Denmark
  • Inserm ERI 20, Institut Gustave Roussy, Villejuif, France
  • Division of Cancer Epidemiology, German Cancer Research Center (DKFZ), Heidelberg, Germany
  • Epidemiology Section, Institute for Experimental Medicine, University of Kiel, Kiel, Germany
  • Department of Clinical and Experimental Medicine, University of Naples, Federico II, Naples, Italy
  • Molecular and Nutritional Epidemiology Unit, ISPO, Florence, Italy
  • Julius Center for Health Sciences and Primary Care, University Medical Center, Utrecht, The Netherlands
  • Institute of Community Medicine, University of Tromsø, Tromsø, Norway
  • Department of Biostatistics, Institute of Basic Medical Sciences, University of Oslo, Oslo, Norway
  • Andalusian School of Public Health, Granada and CIBER Epidemiología y Salud Pública (CIBERESP), Spain
  • Department of Surgery, Malmö University Hospital, Malmö, Sweden
  • Department of Nutritional Research, University of Umeå, Umeå, Sweden
  • Department of Public Health and Primary Care, MRC Centre for Nutritional Epidemiology in Cancer Prevention and Survival, University of Cambridge, Cambridge, UK
  • Cancer Epidemiology Unit, University of Oxford, Oxford, UK
  • Diet and Cancer Group, MRC Mitochondrial Biology Unit, Cambridge, UK
  • Department of Epidemiology, Public Health and Primary Care, Imperial College, London, UK
  • Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1038/ejcn.2009.74

    DOI

    http://dx.doi.org/10.1038/ejcn.2009.74

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1008162134

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/19888280


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