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Food sources of carbohydrates in a European cohort of adults

Published online by Cambridge University Press:  02 January 2007

E Wirfält ,
A McTaggart ,
V Pala ,
B Gullberg ,
G Frasca ,
S Panico ,
HB Bueno-de-Mesquita ,
PHM Peeters ,
D Engeset  and
G Skeie
...Show all authors
E Wirfält*
Affiliation:
Department of Medicine, Lund University, Malmö, SE-20502, Sweden
A McTaggart
Affiliation:
Department of Public Health and Primary Care, School of Clinical Medicine, University of Cambridge, UK
V Pala
Affiliation:
Department of Epidemiology, National Cancer Institute, Milan, Italy
B Gullberg
Affiliation:
Department of Community Medicine, Lund University, Malmö, Sweden
G Frasca
Affiliation:
Cancer Registry, ‘Civile – M.P. Arezzo’ Hospital, Ragusa, Italy
S Panico
Affiliation:
Department of Clinical and Experimental Medicine, Federico II University, Naples, Italy
HB Bueno-de-Mesquita
Affiliation:
Centre of Chronic Diseases Epidemiology, National Institute of Public Health and the Environment, Bilthoven, The Netherlands
PHM Peeters
Affiliation:
Julius Center for General Practice and Patient Oriented Research, University of Utrecht, The Netherlands
D Engeset
Affiliation:
Institute of Community Medicine, University of Tromsø, Norway
G Skeie
Affiliation:
Institute of Community Medicine, University of Tromsø, Norway
MD Chirlaque
Affiliation:
Department of Epidemiology, Regional Health Council, Murcia, Spain
P Amiano
Affiliation:
Public Health Division of Gipuzkoa, Department of Health of the Basque Government, San Sebastian, Spain
E Lundin
Affiliation:
Department of Public Health and Clinical Medicine, Umeå University, Sweden
A Mulligan
Affiliation:
Department of Public Health and Primary Care, School of Clinical Medicine, University of Cambridge, UK
EA Spencer
Affiliation:
Cancer Research UK, Epidemiology Unit, University of Oxford, UK
K Overvad
Affiliation:
Department of Epidemiology and Social Medicine, Aarhus University, Denmark
A Tjønneland
Affiliation:
Danish Cancer Society, Institute of Cancer Epidemiology, Copenhagen, Denmark
F Clavel-Chapelon
Affiliation:
INSERM, E3N–EPIC Group, Institute Gustave Roussy, Villejuif, France
J Linseisen
Affiliation:
Division of Clinical Epidemiology, German Cancer Research Centre, Heidelberg, Germany
U Nöthlings
Affiliation:
Department of Epidemiology, German Institute of Human Nutrition, Potsdam-Rehbrücke, Germany
E Polychronopoulos
Affiliation:
National School of Public Health, Athens, Greece
K Georga
Affiliation:
Department of Hygiene and Epidemiology, School of Medicine, University of Athens, Greece
UR Charrondière
Affiliation:
International Agency for Research on Cancer, Lyon, France
N Slimani
Affiliation:
International Agency for Research on Cancer, Lyon, France
*
*Corresponding author: Email [email protected]
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Abstract

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Objective:

To describe the average consumption of carbohydrate-providing food groups among study centres of the European Prospective Investigation into Cancer and Nutrition (EPIC).

Methods:

Of the 27 redefined EPIC study centres, 19 contributed subjects of both genders and eight centres female participants only (men, n=13 031; women, n=22924, after exclusion of subjects under 35 and over 74 years of age from the original 36 900 total). Dietary data were obtained using the 24-hour recall methodology using the EPIC-SOFT software. The major sources of dietary carbohydrate were identified, and 16 food groups were examined.

Results:

The 10 food groups contributing most carbohydrate were bread; fruit; milk and milk products; sweet buns, cakes and pies; potato; sugar and jam; pasta and rice; vegetables and legumes; crispbread; and fruit and vegetable juices. Consumption of fruits as well as vegetables and legumes was higher in southern compared with northern centres, while soft drinks consumption was higher in the north. Italian centres had high pasta and rice consumption, but breakfast cereal, potato, and sweet buns, cakes and pies were higher in northern centres. In Sweden, lower bread consumption was balanced with a higher consumption of crispbread, and with sweet buns, cakes and pies. Overall, men consumed higher amounts of vegetables and legumes, bread, soft drinks, potatoes, pasta and rice, breakfast cereal and sugar and jam than women, but fruit consumption appeared more frequent in women.

Conclusion:

The study supports the established idea that carbohydrate-rich foods chosen in northern Europe are different from those in the Mediterranean region. When comparing and interpreting diet–disease relationships across populations, researchers need to consider all types of foods.

Keywords

FoodsCarbohydratesDescriptive epidemiologyEPIC studyCancer24-Hour dietary recallEurope
Type
Research Article
Information
Public Health Nutrition , Volume 5 , Issue 6b , December 2002 , pp. 1197 - 1215
Copyright
Copyright © CABI Publishing 2002

References

1Freudenheim, JL, Krogh, V, D'Amicis, A, Scaccini, C, Sette, S, Ferro-Lucci, A, et al. Food sources of nutrients in the diet of elderly Italians: I. Macronutrients and lipids. Int. J. Epidemiol. 1993; 22: 855–68.CrossRefGoogle ScholarPubMed
2World Cancer Research Fund/American Institute for Cancer Research (WCRF/AICR). Food, Nutrition and the Prevention of Cancer: A Global Perspective. Washington, DC: WCRF/AICR, 1997.Google Scholar
3Trichopoulou, A, Vasilopoulou, E. Nutritional composition and flavonoid content of edible wild greens and green pies: a potential rich source of antioxidant nutrients in the Mediterranean diet. Food Chem. 2000; 70: 319–23.CrossRefGoogle Scholar
4Messina, MJ, Persky, V, Setchell, KDR, Barnes, S. Soy intake and cancer risk: a review of the in vitro and in vivo data. Nutr. Cancer 1994; 21: 113–31.CrossRefGoogle Scholar
5Thompson, L, Robb, P, Serraino, M, Cheung, F. Mammalian lignan production from various foods. Nutr. Cancer 1991; 16: 43–52.CrossRefGoogle ScholarPubMed
6Adlercreutz, H. Phytoestrogens: epidemiology and a possible role in cancer protection. Environ. Health Perspect. 1995; 103: 103–12.Google Scholar
7Liljeberg, H, Björck, I. Effects of a low-glycemic index spaghetti meal on glucose tolerance and lipidemia at a subsequent meal in healthy subjects. Eur. J. Clin. Nutr. 2000; 54: 24–8.CrossRefGoogle Scholar
8Liljeberg, H, Björck, I. Delayed gastric emptying rate may explain improved glycaemia in healthy subjects to a starchy meal with added vinegar. Eur. J. Clin. Nutr. 1998; 52: 368–71.CrossRefGoogle ScholarPubMed
9Martin, L, Dumon, H, Lecannu, G, Champ, M. Potato and high-amylose maize starches are not equivalent producers of butyrate for the colonic mucosa. Br. J. Nutr. 2000; 84: 689–96.CrossRefGoogle Scholar
10Salmeron, J, Manson, J-AE, Stampfer, MJ, Colditz, GA, Wing, AL, Willet, WC. Dietary fiber, glycemic load, and risk of non-insulin-dependent diabetes mellitus in women. J. Am. Med. Assoc. 1997; 277: 472–7.CrossRefGoogle ScholarPubMed
11Salmeron, J, Ascherio, A, Rimm, E, Colditz, G, Spiegelman, D, Jenkins, D, et al. Dietary fiber, glycemic load, and risk of NIDDM in men. Diabetes Care 1997; 20: 545–50.CrossRefGoogle ScholarPubMed
12Agus, M, Swain, J, Larson, C, Eckert, E, Ludwig, D. Dietary composition and physiologic adaptations to energy restriction. Am. J. Clin. Nutr. 2000; 71: 901–7.CrossRefGoogle ScholarPubMed
13Kaaks, R. Nutrition, hormones and breast cancer: is insulin the missing link? Cancer Causes Control 1996; 7: 605–25.CrossRefGoogle ScholarPubMed
14La Vecchia, C, Negri, E, Decarli, A, Franceschi, S. Diabetes mellitus and colorectal cancer risk. Cancer Epidemiol. Biomark. Prev. 1997; 6: 1007–10.Google ScholarPubMed
15Kono, S, Honjo, S, Todoroki, I, Nishiwaki, M, Hamada, H, Nishikawa, H, et al. Glucose intolerance and adenomas of the sigmoid colon in Japanese men. Cancer Causes Control 1998; 9: 441–6.CrossRefGoogle ScholarPubMed
16Hu, F, Manson, J, Liu, S, Hunter, D, Colditz, G, Michels, K, et al. Prospective study of adult onset diabetes mellitus (type 2) and risk of colorectal cancer in women. J. Natl. Cancer Inst. 1999; 91: 542–7.CrossRefGoogle ScholarPubMed
17Nilsen, T, Vatten, L. Prospective study of colorectal cancer risk and physical activity, diabetes, blood glucose and BMI: exploring the hyperinsulinemia hypothesis. Br. J. Cancer 2001; 84: 417–22.CrossRefGoogle ScholarPubMed
18Phillips, J, Muir, J, Birkett, A, Lu, Z, Jones, G, O'Dea, K, et al. Effect of resistant starch on fecal bulk and fermentation-dependent events in humans. Am. J. Clin. Nutr. 1995; 62: 121–30.CrossRefGoogle ScholarPubMed
19Jenkins, D, Vuksan, V, Kendall, C, Wursch, P, Jeffcoat, R, Waring, S, et al. Physiological effects of resistant starches on fecal bulk, short chain fatty acids, blood lipids and glycemic index. J. Am. Coll. Nutr. 1998; 17: 609–16.CrossRefGoogle ScholarPubMed
20Hylla, S, Gostner, A, Dusel, G, Anger, H, Bartram, H, Christl, S, et al. Effects of resistant starch on the colon in healthy volunteers: possible implications for cancer prevention. Am. J. Clin. Nutr. 1998; 67: 136–42.CrossRefGoogle Scholar
21Hald, MT, Vogel, U, Dragsted, L, Loft, S, Wallin, H. Characterization of sugar-induced mutations in the cII gene in the colon of Big Blue rats. Paper presented at Danish Cancer Society Symposium, Nutrition and Cancer26–29 August 2001.Google Scholar
22Slattery, ML, Curtin, K, Anderson, K, Ma, KN, Edwards, S, Leppert, M, et al. Associations between dietary intake and Ki-ras mutations in colon tumors: a population-based study. Cancer Res. 2000; 60: 6935–41.Google ScholarPubMed
23Southgate, D. The role of dietary fibre in the diet. J. Roy. Soc. Health 1990; 110: 174–176.CrossRefGoogle ScholarPubMed
24Greenwald, P, Clifford, C, Milner, J. Diet and cancer prevention. Eur. J. Cancer 2001; 37: 948–965.CrossRefGoogle ScholarPubMed
25McCann, J. Obesity, cancer links prompts new recommendations. J. Natl. Cancer Inst. 2001; 93: 901–902.CrossRefGoogle ScholarPubMed
26Riboli, E, Kaaks, R. The EPIC Project: rationale and study design. Int. J. Epidemiol. 2001; 26: S6–S14.CrossRefGoogle Scholar
27Slimani, N, Kaaks, R, Ferrari, P, Casagrande, C, Clavel, F, Lotze, G, et al. European Prospective Investigation into Cancer and Nutrition (EPIC) calibration study: rationale, design and population characteristics. Public Health Nutr. 2002; 5(6B): 1125–45.CrossRefGoogle ScholarPubMed
28Slimani, N, Ferrari, P, Ocké, M, Welch, A, Boeing, H, Liere, M, et al. Standardization of the 24-hour recall calibration method used in the European Prospective Investigation into Cancer and Nutrition (EPIC): general concepts and preliminary results. Eur. J. Clin. Nutr. 2000; 54: 900–17.CrossRefGoogle ScholarPubMed
29Slimani, N, Deharveng, G, Charrondière, R, van Kappel, A, Ocké, M, Welch, A, et al. Structure of the standardized computerized 24-h diet recall interview used as reference method in the 22 centers participating in the EPIC project. European Prospective Investigation into Cancer and Nutrition. Comput. Meth. Programs Biomed. 1999; 58: 251–66.CrossRefGoogle ScholarPubMed
30Deharveng, G, Charrondière, UR, Slimani, N, Southgate, DAT, Riboli, E. Comparisons of nutrients in the food composition tables available in the nine European countries participating in EPIC. Eur. J. Clin. Nutr. 1999; 53: 60–79.CrossRefGoogle ScholarPubMed
31Norusis, MJ. SPSS for Windows Professional Statistics, Release 6.0. Chicago, IL: SPSS Inc., 1993.Google Scholar
32Helsing, E. Trends in fat consumption in Europe and their influence on the Mediterranean diet. Eur. J. Clin. Nutr. 1993; 47: S4–12.Google ScholarPubMed
33Cruz, A. Dietary habits and nutritional status in adolescents over Europe – Southern Europe. Eur. J. Clin. Nutr. 2000; 54: S29–35.CrossRefGoogle ScholarPubMed
34Kushi, L, Lenart, E, Willett, W. Health implications of Mediterranean diets in light of contemporary knowledge. 1. Plant foods and dairy products. Am. J. Clin. Nutr. 1995; 61: 1407S–15S.CrossRefGoogle ScholarPubMed
35Kushi, L, Lenart, E, Willett, W. Health implications of Mediterranean diets in light of contemporary knowledge. 2. Meat, wine, fats, and oil. Am. J. Clin. Nutr. 1995; 61: 1416S–27S.CrossRefGoogle Scholar
36Keys, A. Coronary heart disease in seven countries. Circulation 1970; 41(Suppl. 1): 1–211.Google Scholar
37Trichopoulou, A, Vasilopoulou, E, Lagiou, A. Mediterranean diet and coronary heart disease: are antioxidants critical? Nutr. Rev. 1999; 57: 253–5.Google ScholarPubMed
38Tavani, A, LaVecchia, C. Fruit and vegetable consumption and cancer risk in a Mediterranean population. Am. J. Clin. Nutr. 1995; 61: 1374S–7S.CrossRefGoogle Scholar
39Trichopoulou, A, Lagiou, P, Kuper, H, Trichopoulos, D. Cancer and Mediterranean dietary traditions. Cancer Epidemiol. Biomark. Prev. 2000; 9: 869–73.Google ScholarPubMed
40Steinmetz, K, Potter, J. Vegetables, fruits and cancer. I. Epidemiology. Cancer Causes Control 1991; 2: 325–57.CrossRefGoogle ScholarPubMed
41Ness, AR, Powles, JW. Fruit and vegetables, and cardiovascular disease: a review. Int. J. Epidemiol. 1997; 26: 1–13.CrossRefGoogle ScholarPubMed
42Law, M, Morris, J. By how much does fruit and vegetable consumption reduce the risk of ischaemic heart disease? Eur. J. Clin. Nutr. 1998; 52: 549–56.CrossRefGoogle ScholarPubMed
43Serra-Majem, L, Ribas, L, Tresserras, R, Ngo, J, Salleras, J. How could changes in diet explain changes in coronary heart disease mortality in Spain? The Spanish paradox. Am. J. Clin. Nutr. 1995; 61: 1351S–9S.CrossRefGoogle ScholarPubMed
44Holdsworth, M, Gerber, M, Haslam, C, Scali, J, Beardsworth, A, Avallone, M, et al. A comparison of dietary behaviour in Central England and a French Mediterranean region. Eur. J. Clin. Nutr. 2000; 54: 530–9.CrossRefGoogle Scholar
45Roos, G, Prättälä, R. Disparities in Food Habits. Review of Research in 15 European Countries. Publications of the National Public Health Institute. FAIR-97-3096 Disparities Group (tasks 4 and 5) (B24). Helsinki, Finland: KTL–National Public Health Institute, 1999.Google Scholar
46Adlercreutz, H. Epidemiology of phytoestrogens. Baillières Best Pract. Clin. Endocrinol. Metab. 1998; 12: 605–23.CrossRefGoogle ScholarPubMed
47Gibson, S. Are high-fat, high-sugar foods and diets conducive to obesity? Int. J. Food Sci. Nutr. 1996; 47: 405–15.CrossRefGoogle ScholarPubMed
48Macdiarmid, J, Cade, J, Blundell, J. High and low fat consumers, their macronutrient intake and body mass index: further analysis of the National Diet and Nutrition Survey of British Adults. Eur. J. Clin. Nutr. 1996; 50: 505–12.Google ScholarPubMed
49Macdiarmid, J, Vail, A, Cade, J, Blundell, J. The sugar–fat relationship revisited: differences in consumption between men and women of varying BMI. Int. J. Obes. Relat. Metab. Disord. 1998; 22: 1053–61.CrossRefGoogle ScholarPubMed
50Boulton-Smith, C, Woodward, M. Dietary composition and fat to sugar ratios in relation to obesity. Int. J. Obes. Relat. Disord. 1994; 18: 820–8.Google Scholar
51Drewnowski, A, Henderson, S, Shore, A, Fischler, C, Preziosi, P, Hercberg, S. The fat–sucrose seesaw in relation to age and dietary variety of French adults. Obes. Res. 1997; 5: 511–8.CrossRefGoogle ScholarPubMed
52Gudmand-Höyer, E, Skovberg, H. Disaccharide digestion and maldigestion. Scand. J. Gastroenterol. 1996; 31: 111–21.CrossRefGoogle Scholar
53Suarez, F, Savaiano, D, Levitt, M. A comparison of symptoms after the consumption of milk or lactose-hydrolyzed milk by people with self-reported severe lactose intolerance. N. Engl. J. Med. 1995; 333: 1–4.CrossRefGoogle ScholarPubMed
54Norkost 1997. Landsomfattende kostholdsundersökelse blant menn og kvinner i alderen 16–79. år. Rapport 2/1999. Oslo: Statens råd for ernaering og fysisk aktivitet, 1999.Google Scholar
55O'Doherty Jensen, K, Holm, L. Preferences, quantities and concerns: socio-cultural perspectives on the gendered consumption of foods. Eur. J. Clin. Nutr. 1999; 53: 351–9.CrossRefGoogle ScholarPubMed
56Beer-Borst, S, Hercberg, S, Morabia, A, Bernstein, M, Galan, P, Galasso, R, et al. Dietary patterns in six European populations: results from EURALIM, a collaborative European data harmonization and information campaign. Eur. J. Clin. Nutr. 2000; 54: 253–62.CrossRefGoogle ScholarPubMed
57Patterson, RE, Haines, PS, Popkin, BM. Health lifestyle patterns of US adults. Prev. Med. 1994; 23: 453–60.CrossRefGoogle Scholar
58Johansson, L, Frost Andersen, L. Who eats 5 a day? Intake of fruits and vegetables among Norwegians in relation to gender and lifestyle. J. Am. Diet. Assoc. 1998; 98: 689–91.CrossRefGoogle Scholar
59Irala-Estevez, J, Groth, M, Johansson, L, Oltersdorf, U, Prattala, R, Martinez-Gonzalez, M. A systematic review of socio-economic differences in food habits in Europe: consumption of fruit and vegetables. Eur. J. Clin. Nutr. 2000; 54: 706–14.CrossRefGoogle ScholarPubMed
60Tjönneland, A, Grönbeck, M, Stripp, C, Overvad, K. Wine intake and diet in a random sample of 48763 Danish men and women. Am. J. Clin. Nutr. 1999; 69: 49–54.CrossRefGoogle Scholar
61Wallstrom, P, Wirfält, E, Janzon, L, Mattisson, I, Elmstahl, S, Johansson, U, et al. Fruit and vegetable consumption in relation to risk factors for cancer: a report from the Malmö Diet and Cancer Study. Public Health Nutr. 2000; 3: 263–71.CrossRefGoogle Scholar
62Chatenoud, L, Negri, E, Vecchia, C, Volpato, O, Franceschi, S. Wine drinking and diet in Italy. Eur. J. Clin. Nutr. 2000; 54: 177–9.CrossRefGoogle ScholarPubMed
63Roos, G, Johansson, L, Kasmel, A, Klumbiene, J, Prattala, R. Disparities in vegetable and fruit consumption: European cases from the north to the south. Public Health Nutr. 2001; 4: 35–43.CrossRefGoogle ScholarPubMed
64Agudo, A, Pera, G. Vegetable and fruit consumption associated with anthropometric, dietary and lifestyle factors in Spain. EPIC Group of Spain. European Prospective Investigation into Cancer. Public Health Nutr. 1991; 2: 263–71.CrossRefGoogle Scholar
65Agudo, A, Amiano, P, Barcos, A, Barricarte, A, Beguiristain, JM, Chirlaque, MD, et al. Dietary intake of vegetables and fruits among adults in five regions of Spain. EPIC Group of Spain. European Prospective Investigation into Cancer and Nutrition. Eur. J. Clin. Nutr. 1991; 53: 174–80.CrossRefGoogle Scholar
66Pala, V, Berrino, F, Vineis, P, Palli, D, Celentano, E, Tumino, R. How vegetables are eaten in Italian EPIC centres: still setting a good example? Paper presented at European Conference on Nutrition and Cancer21–24 June 2001.Google Scholar