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Variability of fish consumption within the 10 European countries participating in the European Investigation into Cancer and Nutrition (EPIC) study

Published online by Cambridge University Press:  02 January 2007

AA Welch ,
E Lund ,
P Amiano ,
M Dorronsoro ,
M Brustad ,
M Kumle ,
M Rodriguez ,
C Lasheras ,
L Janzon  and
J Jansson
...Show all authors
AA Welch*
Affiliation:
Strangeways Research Laboratory, Department of Public Health and Primary Care, University of Cambridge, Wort's Causeway, Cambridge CB1 8RN, UK
E Lund
Affiliation:
Institute of Community Medicine, University of Tromsø, Norway
P Amiano
Affiliation:
Public Health Division of Gipuzkoa, Department of Health of the Basque Government, San Sebastian, Spain.
M Dorronsoro
Affiliation:
Public Health Division of Gipuzkoa, Department of Health of the Basque Government, San Sebastian, Spain.
M Brustad
Affiliation:
Institute of Community Medicine, University of Tromsø, Norway
M Kumle
Affiliation:
Institute of Community Medicine, University of Tromsø, Norway
M Rodriguez
Affiliation:
Granada Cancer Registry, Andalusian School of Public Health, Granada, Spain
C Lasheras
Affiliation:
Department of Functional Biology, Faculty of Medicine, University of Oviedo, Spain
L Janzon
Affiliation:
Department of Community Medicine, Malmö University Hospital, Sweden
J Jansson
Affiliation:
Reseach Centre for Endocrinology and Metabolism, Sahlgrenska University Hospital, Göteborg, Sweden
R Luben
Affiliation:
Strangeways Research Laboratory, Department of Public Health and Primary Care, University of Cambridge, Wort's Causeway, Cambridge CB1 8RN, UK
EA Spencer
Affiliation:
Cancer Research UK, Epidemiology Unit, University of Oxford, UK
K Overvad
Affiliation:
Department of Epidemiology and Social Medicine, University of Aarhus, Denmark
A Tjønneland
Affiliation:
Institute of Cancer Epidemiology, Danish Cancer Society, 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
K Klipstein-Grobusch
Affiliation:
Department of Epidemiology, German Institute of Human Nutrition, Potsdam-Rehbrücke, Germany
V Benetou
Affiliation:
Department of Hygiene and Epidemiology, School of Medicine, University of Athens, Greece
X Zavitsanos
Affiliation:
Department of Hygiene and Epidemiology, School of Medicine, University of Athens, Greece
R Tumino
Affiliation:
Cancer Registry, ‘Civile – M.P. Arezzo’ Hospital, Ragusa, Italy
R Galasso
Affiliation:
Institute of Internal Medicine and Metabolic Diseases, University of Naples, Italy
HB Bueno-de-Mesquita
Affiliation:
Department of Chronic Diseases Epidemiology, National Institute for Public Health and the Environment, Bilthoven, The, Netherlands
MC Ocké
Affiliation:
Department of Chronic Diseases Epidemiology, National Institute for Public Health and the Environment, Bilthoven, The, Netherlands
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 and compare the consumption of total fish (marine foods) and the fish sub-groups – white fish, fatty fish, very fatty fish, fish products and crustacea, in participants from the European Investigation into Cancer and Nutrition (EPIC) study.

Design:

Cross-sectional analysis of dietary intake using a computerised standardised 24-hour recall interview. Crude means, means and standard errors adjusted by age, season and day of the week were calculated, stratified by centre and gender.

Setting:

Twenty-seven redefined centres in the 10 European countries participating in the EPIC study.

Subjects:

In total, 35 955 subjects (13 031 men and 22 924 women), aged 35–74 years, selected from the main EPIC cohort.

Results:

A six- to sevenfold variation in total fish consumption exists in women and men, between the lowest consumption in Germany and the highest in Spain. Overall, white fish represented 49% and 45% of the intake of total fish in women and men, respectively, with the greatest consumption in centres in Spain and Greece and the least in the German and Dutch centres. Consumption of fatty fish reflected that of total fish. However, the greatest intake of very fatty fish was in the coastal areas of northern Europe (Denmark, Sweden and Norway) and in Germany. Consumption of fish products was greater in northern than in southern Europe, with white fish products predominating in centres in France, Italy, Spain, The Netherlands and Norway. Intake of roe and roe products was low. The highest consumption of crustacea was found in the French, Spanish and Italian centres. The number of fish types consumed was greater in southern than in northern Europe. The greatest variability in consumption by day of the week was found in the countries with the lowest fish intake.

Conclusions:

Throughout Europe, substantial geographic variation exists in total fish intake, fish sub-groups and the number of types consumed. Day-to-day variability in consumption is also high.

Keywords

FishMarine foodsCrustaceaCohort studiesCross-sectional analysisEPIC studyCancer24-Hour dietary recallEurope
Type
Research Article
Information
Public Health Nutrition , Volume 5 , Issue 6b , December 2002 , pp. 1273 - 1285
Copyright
Copyright © CABI Publishing 2002

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