Adherence to the Danish food-based dietary guidelines and risk of colorectal cancer: a cohort study
Background National dietary guidelines contribute to primary prevention of a wide range of diseases. Yet, the importance of adhering to the Danish dietary guidelines for colorectal cancer prevention is unclear. Methods We used the Danish Diet, Cancer and Health cohort ( n = 55,744) to investigate a...
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| Veröffentlicht in: | British journal of cancer 2021-12, Vol.125 (12), p.1726-1733 |
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| creator | Zhang, Jie Nyvang, Dorthe Ibsen, Daniel B. Olsen, Anja Tjønneland, Anne Overvad, Kim Dahm, Christina C. |
| description | Background
National dietary guidelines contribute to primary prevention of a wide range of diseases. Yet, the importance of adhering to the Danish dietary guidelines for colorectal cancer prevention is unclear.
Methods
We used the Danish Diet, Cancer and Health cohort (
n
= 55,744) to investigate adherence to the Danish dietary guidelines and the risk of colorectal cancer. Cox proportional hazard models were used to estimate hazard ratios (HRs) for colorectal cancer and subtypes across the Danish Dietary Guidelines Index score (ranging 0–6 points, 6 being the greatest adherence). Effect modification by BMI was explored on multiplicative and additive scales.
Results
During a median follow-up of 18.9 years, 1030 men and 849 women developed colorectal cancer. Higher index scores were associated with a lower risk of colorectal cancer (HR 0.66; 95% confidence interval (CI) 0.53, 0.84, highest (≥5) versus lowest index score ( |
| doi_str_mv | 10.1038/s41416-021-01556-x |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_8651800</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2607468394</sourcerecordid><originalsourceid>FETCH-LOGICAL-c474t-97f9d443259f8495ab0f6554079bd4438038785b0610f3307189001b6228cfe23</originalsourceid><addsrcrecordid>eNp9kctuFDEQRS0EIkPgB1ggS2zYGMqvts0CKQokIEViA2vLbbunHXrawe6Okr_Hw4TwWLCyXHXqVl1dhJ5TeE2B6zdVUEE7AowSoFJ25OYB2lDJGaGaqYdoAwCKgGFwhJ7Uetm-BrR6jI64kIYbwzbIn4Qxljj7iJeMlzHi925OdcRDzoH0rsaAQ4qLK7d4u6YQpzTHit0ccEn1G84D9nnKJfrFTdi7JlTeYteKYy4Lrssabp-iR4Obanx29x6jr2cfvpx-JBefzz-dnlwQL5RYiFGDCUJwJs2ghZGuh6GTUoAy_b6um2elZQ8dhYFzUFQbANp3jGk_RMaP0buD7tXa72LwcV6Km-xVSbt2vs0u2b87cxrtNl9b3UmqAZrAqzuBkr-vsS52l6qP0-TmmNdqmVRaKS7oHn35D3qZ1zI3e5Z1oESnuRGNYgfKl1xricP9MRTsPkN7yNC2DO3PDO1NG3rxp437kV-hNYAfgNpa8zaW37v_I_sD94-m_w</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2607468394</pqid></control><display><type>article</type><title>Adherence to the Danish food-based dietary guidelines and risk of colorectal cancer: a cohort study</title><source>MEDLINE</source><source>EZB-FREE-00999 freely available EZB journals</source><source>PubMed Central</source><source>SpringerLink Journals - AutoHoldings</source><creator>Zhang, Jie ; Nyvang, Dorthe ; Ibsen, Daniel B. ; Olsen, Anja ; Tjønneland, Anne ; Overvad, Kim ; Dahm, Christina C.</creator><creatorcontrib>Zhang, Jie ; Nyvang, Dorthe ; Ibsen, Daniel B. ; Olsen, Anja ; Tjønneland, Anne ; Overvad, Kim ; Dahm, Christina C.</creatorcontrib><description>Background
National dietary guidelines contribute to primary prevention of a wide range of diseases. Yet, the importance of adhering to the Danish dietary guidelines for colorectal cancer prevention is unclear.
Methods
We used the Danish Diet, Cancer and Health cohort (
n
= 55,744) to investigate adherence to the Danish dietary guidelines and the risk of colorectal cancer. Cox proportional hazard models were used to estimate hazard ratios (HRs) for colorectal cancer and subtypes across the Danish Dietary Guidelines Index score (ranging 0–6 points, 6 being the greatest adherence). Effect modification by BMI was explored on multiplicative and additive scales.
Results
During a median follow-up of 18.9 years, 1030 men and 849 women developed colorectal cancer. Higher index scores were associated with a lower risk of colorectal cancer (HR 0.66; 95% confidence interval (CI) 0.53, 0.84, highest (≥5) versus lowest index score (<3 points) group). Similar inverse associations were observed between index scores and colon cancer. The risk difference was −0.8% (95% CI: −1.6, −0.1) among the overweight/obese group and 0.1% (95% CI: −0.7, 1.0) in the normal weight group for high compared to low adherence.
Conclusion
Adherence to the Danish Dietary Guidelines was associated with a lower risk of colorectal cancer, particularly among people with overweight/obesity.</description><identifier>ISSN: 0007-0920</identifier><identifier>EISSN: 1532-1827</identifier><identifier>DOI: 10.1038/s41416-021-01556-x</identifier><identifier>PMID: 34593992</identifier><language>eng</language><publisher>London: Nature Publishing Group UK</publisher><subject>692/699/67/2324 ; 692/700/459/284 ; Biomedical and Life Sciences ; Biomedicine ; Body weight ; Cancer Research ; Cohort analysis ; Cohort Studies ; Colon cancer ; Colorectal cancer ; Colorectal carcinoma ; Colorectal Neoplasms - etiology ; Colorectal Neoplasms - pathology ; Denmark ; Diet - adverse effects ; Dietary guidelines ; Drug Resistance ; Epidemiology ; Female ; Humans ; Male ; Middle Aged ; Molecular Medicine ; Nutrition Policy - trends ; Obesity ; Oncology ; Overweight ; Risk Factors</subject><ispartof>British journal of cancer, 2021-12, Vol.125 (12), p.1726-1733</ispartof><rights>The Author(s), under exclusive licence to Springer Nature Limited 2021</rights><rights>2021. The Author(s), under exclusive licence to Springer Nature Limited.</rights><rights>The Author(s), under exclusive licence to Springer Nature Limited 2021.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c474t-97f9d443259f8495ab0f6554079bd4438038785b0610f3307189001b6228cfe23</citedby><cites>FETCH-LOGICAL-c474t-97f9d443259f8495ab0f6554079bd4438038785b0610f3307189001b6228cfe23</cites><orcidid>0000-0003-0481-2893</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8651800/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8651800/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,723,776,780,881,27901,27902,41464,42533,51294,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34593992$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Zhang, Jie</creatorcontrib><creatorcontrib>Nyvang, Dorthe</creatorcontrib><creatorcontrib>Ibsen, Daniel B.</creatorcontrib><creatorcontrib>Olsen, Anja</creatorcontrib><creatorcontrib>Tjønneland, Anne</creatorcontrib><creatorcontrib>Overvad, Kim</creatorcontrib><creatorcontrib>Dahm, Christina C.</creatorcontrib><title>Adherence to the Danish food-based dietary guidelines and risk of colorectal cancer: a cohort study</title><title>British journal of cancer</title><addtitle>Br J Cancer</addtitle><addtitle>Br J Cancer</addtitle><description>Background
National dietary guidelines contribute to primary prevention of a wide range of diseases. Yet, the importance of adhering to the Danish dietary guidelines for colorectal cancer prevention is unclear.
Methods
We used the Danish Diet, Cancer and Health cohort (
n
= 55,744) to investigate adherence to the Danish dietary guidelines and the risk of colorectal cancer. Cox proportional hazard models were used to estimate hazard ratios (HRs) for colorectal cancer and subtypes across the Danish Dietary Guidelines Index score (ranging 0–6 points, 6 being the greatest adherence). Effect modification by BMI was explored on multiplicative and additive scales.
Results
During a median follow-up of 18.9 years, 1030 men and 849 women developed colorectal cancer. Higher index scores were associated with a lower risk of colorectal cancer (HR 0.66; 95% confidence interval (CI) 0.53, 0.84, highest (≥5) versus lowest index score (<3 points) group). Similar inverse associations were observed between index scores and colon cancer. The risk difference was −0.8% (95% CI: −1.6, −0.1) among the overweight/obese group and 0.1% (95% CI: −0.7, 1.0) in the normal weight group for high compared to low adherence.
Conclusion
Adherence to the Danish Dietary Guidelines was associated with a lower risk of colorectal cancer, particularly among people with overweight/obesity.</description><subject>692/699/67/2324</subject><subject>692/700/459/284</subject><subject>Biomedical and Life Sciences</subject><subject>Biomedicine</subject><subject>Body weight</subject><subject>Cancer Research</subject><subject>Cohort analysis</subject><subject>Cohort Studies</subject><subject>Colon cancer</subject><subject>Colorectal cancer</subject><subject>Colorectal carcinoma</subject><subject>Colorectal Neoplasms - etiology</subject><subject>Colorectal Neoplasms - pathology</subject><subject>Denmark</subject><subject>Diet - adverse effects</subject><subject>Dietary guidelines</subject><subject>Drug Resistance</subject><subject>Epidemiology</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Molecular Medicine</subject><subject>Nutrition Policy - trends</subject><subject>Obesity</subject><subject>Oncology</subject><subject>Overweight</subject><subject>Risk Factors</subject><issn>0007-0920</issn><issn>1532-1827</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp9kctuFDEQRS0EIkPgB1ggS2zYGMqvts0CKQokIEViA2vLbbunHXrawe6Okr_Hw4TwWLCyXHXqVl1dhJ5TeE2B6zdVUEE7AowSoFJ25OYB2lDJGaGaqYdoAwCKgGFwhJ7Uetm-BrR6jI64kIYbwzbIn4Qxljj7iJeMlzHi925OdcRDzoH0rsaAQ4qLK7d4u6YQpzTHit0ccEn1G84D9nnKJfrFTdi7JlTeYteKYy4Lrssabp-iR4Obanx29x6jr2cfvpx-JBefzz-dnlwQL5RYiFGDCUJwJs2ghZGuh6GTUoAy_b6um2elZQ8dhYFzUFQbANp3jGk_RMaP0buD7tXa72LwcV6Km-xVSbt2vs0u2b87cxrtNl9b3UmqAZrAqzuBkr-vsS52l6qP0-TmmNdqmVRaKS7oHn35D3qZ1zI3e5Z1oESnuRGNYgfKl1xricP9MRTsPkN7yNC2DO3PDO1NG3rxp437kV-hNYAfgNpa8zaW37v_I_sD94-m_w</recordid><startdate>20211207</startdate><enddate>20211207</enddate><creator>Zhang, Jie</creator><creator>Nyvang, Dorthe</creator><creator>Ibsen, Daniel B.</creator><creator>Olsen, Anja</creator><creator>Tjønneland, Anne</creator><creator>Overvad, Kim</creator><creator>Dahm, Christina C.</creator><general>Nature Publishing Group UK</general><general>Nature Publishing Group</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7TO</scope><scope>7U9</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AN0</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M7P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0003-0481-2893</orcidid></search><sort><creationdate>20211207</creationdate><title>Adherence to the Danish food-based dietary guidelines and risk of colorectal cancer: a cohort study</title><author>Zhang, Jie ; Nyvang, Dorthe ; Ibsen, Daniel B. ; Olsen, Anja ; Tjønneland, Anne ; Overvad, Kim ; Dahm, Christina C.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c474t-97f9d443259f8495ab0f6554079bd4438038785b0610f3307189001b6228cfe23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>692/699/67/2324</topic><topic>692/700/459/284</topic><topic>Biomedical and Life Sciences</topic><topic>Biomedicine</topic><topic>Body weight</topic><topic>Cancer Research</topic><topic>Cohort analysis</topic><topic>Cohort Studies</topic><topic>Colon cancer</topic><topic>Colorectal cancer</topic><topic>Colorectal carcinoma</topic><topic>Colorectal Neoplasms - etiology</topic><topic>Colorectal Neoplasms - pathology</topic><topic>Denmark</topic><topic>Diet - adverse effects</topic><topic>Dietary guidelines</topic><topic>Drug Resistance</topic><topic>Epidemiology</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Molecular Medicine</topic><topic>Nutrition Policy - trends</topic><topic>Obesity</topic><topic>Oncology</topic><topic>Overweight</topic><topic>Risk Factors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Zhang, Jie</creatorcontrib><creatorcontrib>Nyvang, Dorthe</creatorcontrib><creatorcontrib>Ibsen, Daniel B.</creatorcontrib><creatorcontrib>Olsen, Anja</creatorcontrib><creatorcontrib>Tjønneland, Anne</creatorcontrib><creatorcontrib>Overvad, Kim</creatorcontrib><creatorcontrib>Dahm, Christina C.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Oncogenes and Growth Factors Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>British Nursing Database</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>ProQuest Biological Science Collection</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Biological Science Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>British journal of cancer</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Zhang, Jie</au><au>Nyvang, Dorthe</au><au>Ibsen, Daniel B.</au><au>Olsen, Anja</au><au>Tjønneland, Anne</au><au>Overvad, Kim</au><au>Dahm, Christina C.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Adherence to the Danish food-based dietary guidelines and risk of colorectal cancer: a cohort study</atitle><jtitle>British journal of cancer</jtitle><stitle>Br J Cancer</stitle><addtitle>Br J Cancer</addtitle><date>2021-12-07</date><risdate>2021</risdate><volume>125</volume><issue>12</issue><spage>1726</spage><epage>1733</epage><pages>1726-1733</pages><issn>0007-0920</issn><eissn>1532-1827</eissn><abstract>Background
National dietary guidelines contribute to primary prevention of a wide range of diseases. Yet, the importance of adhering to the Danish dietary guidelines for colorectal cancer prevention is unclear.
Methods
We used the Danish Diet, Cancer and Health cohort (
n
= 55,744) to investigate adherence to the Danish dietary guidelines and the risk of colorectal cancer. Cox proportional hazard models were used to estimate hazard ratios (HRs) for colorectal cancer and subtypes across the Danish Dietary Guidelines Index score (ranging 0–6 points, 6 being the greatest adherence). Effect modification by BMI was explored on multiplicative and additive scales.
Results
During a median follow-up of 18.9 years, 1030 men and 849 women developed colorectal cancer. Higher index scores were associated with a lower risk of colorectal cancer (HR 0.66; 95% confidence interval (CI) 0.53, 0.84, highest (≥5) versus lowest index score (<3 points) group). Similar inverse associations were observed between index scores and colon cancer. The risk difference was −0.8% (95% CI: −1.6, −0.1) among the overweight/obese group and 0.1% (95% CI: −0.7, 1.0) in the normal weight group for high compared to low adherence.
Conclusion
Adherence to the Danish Dietary Guidelines was associated with a lower risk of colorectal cancer, particularly among people with overweight/obesity.</abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><pmid>34593992</pmid><doi>10.1038/s41416-021-01556-x</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0003-0481-2893</orcidid><oa>free_for_read</oa></addata></record> |
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| ispartof | British journal of cancer, 2021-12, Vol.125 (12), p.1726-1733 |
| issn | 0007-0920 1532-1827 |
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| subjects | 692/699/67/2324 692/700/459/284 Biomedical and Life Sciences Biomedicine Body weight Cancer Research Cohort analysis Cohort Studies Colon cancer Colorectal cancer Colorectal carcinoma Colorectal Neoplasms - etiology Colorectal Neoplasms - pathology Denmark Diet - adverse effects Dietary guidelines Drug Resistance Epidemiology Female Humans Male Middle Aged Molecular Medicine Nutrition Policy - trends Obesity Oncology Overweight Risk Factors |
| title | Adherence to the Danish food-based dietary guidelines and risk of colorectal cancer: a cohort study |
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