Skip to main content Accessibility help
×
Home
Hostname: page-component-99c86f546-n7x5d Total loading time: 0.218 Render date: 2021-11-29T06:38:24.059Z Has data issue: true Feature Flags: { "shouldUseShareProductTool": true, "shouldUseHypothesis": true, "isUnsiloEnabled": true, "metricsAbstractViews": false, "figures": true, "newCiteModal": false, "newCitedByModal": true, "newEcommerce": true, "newUsageEvents": true }

Consumption of vegetables, fruit and other plant foods in the European Prospective Investigation into Cancer and Nutrition (EPIC) cohorts from 10 European countries

Published online by Cambridge University Press:  02 January 2007

A Agudo*
Affiliation:
Department of Epidemiology, Catalan Institute of Oncology (ICO), 08907 L'Hospitalet de Llobregat, Barcelona, Spain
N Slimani
Affiliation:
International Agency for Research on Cancer, Lyon, France
MC Ocké
Affiliation:
National Institute for Public Health and the Environment, Bilthoven, The Netherlands
A Naska
Affiliation:
School of Medicine, University of Athens, Greece
AB Miller
Affiliation:
German Cancer Research Centre, Heidelberg, Germany
A Kroke
Affiliation:
German Institute of Human Nutrition, Postdam-Rehbrücke, Germany
C Bamia
Affiliation:
School of Medicine, University of Athens, Greece
D Karalis
Affiliation:
School of Medicine, University of Athens, Greece
P Vineis
Affiliation:
Cancer Epidemiology Unit, University of Turin, Italy
D Palli
Affiliation:
Molecular and Nutritional Epidemiology Unit, CSPO, Scientific Institute of Tuscany, Florence, Italy
HB Bueno-de-Mesquita
Affiliation:
National Institute for 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
A Hjartåker
Affiliation:
Institute for Basic Medical Sciences, Oslo, Norway
C Navarro
Affiliation:
Department of Epidemiology, Health Council of Murcia, Spain
C Martínez Garcia
Affiliation:
Andalusian School of Public Health, Granada, Spain
P Wallström
Affiliation:
Department of Medicine, Lund University, Malmö University Hospital, Sweden
JX Zhang
Affiliation:
Nutritional Research, Department of Public Health and Clinical Medicine, University of Umeå, Sweden
AA Welch
Affiliation:
Institute of Public Health, School of Clinical Medicine, University of Cambridge, UK
E Spencer
Affiliation:
Cancer Research UK, Epidemiology Unit, University of Oxford, UK
C Stripp
Affiliation:
Institute of Cancer Epidemiology, Danish Cancer Society, Copenhagen, Denmark
K Overvad
Affiliation:
Institute of Epidemiology and Social Medicine, University of Aarhus, Denmark
F Clavel-Chapelon
Affiliation:
INSERM, U521, Institute Gustave Roussy, Villejuif, France
C Casagrande
Affiliation:
International Agency for Research on Cancer, Lyon, France
E Riboli
Affiliation:
International Agency for Research on Cancer, Lyon, France
*
*Corresponding author: Email a.agudo@ico.scs.es
Rights & Permissions[Opens in a new window]

Abstract

HTML view is not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.
Objective:

To describe and compare the consumption of the main groups and sub-groups of vegetables and fruits (V&F) in men and women from the centres participating in the European Prospective Investigation into Cancer and Nutrition (EPIC).

Design:

Cross-sectional analysis. Dietary intake was assessed by means of a 24-hour dietary recall using computerised interview software and standardised procedures. Crude and adjusted means were computed for the main groups and sub-groups of V&F by centre, separately for men and women. Adjusted means by season, day of the week and age were estimated using weights and covariance analysis.

Setting:

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

Subjects:

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

Results:

The centres from southern countries had the highest consumption of V&F, while the lowest intake was seen in The Netherlands and Scandinavia for both genders. These differences were more evident for fruits, particularly citrus. However, slightly different patterns arose for some sub-groups of vegetables, such as root vegetables and cabbage. Adjustment for body mass index, physical activity, smoking habits and education did not substantially modify the mean intakes of vegetables and fruits.

Conclusions:

Total vegetable and fruit intake follows a south–north gradient in both genders, whereas for several sub-groups of vegetables a different geographic distribution exists. Differences in mean intake of V&F by centre were not explained by lifestyle factors associated with V&F intake.

Type
Research Article
Copyright
Copyright © CABI Publishing 2002

References

1Van Duyn, MA, Pivonka, E. Overview of the health benefits of fruit and vegetable consumption for the dietetics professional: selected literature. J. Am. Diet. Assoc. 2000; 100: 1511–21.CrossRefGoogle ScholarPubMed
2World Cancer Research Fund (WCRF)/American Institute for Cancer Research (AICR). Food, Nutrition and the Prevention of Cancer: A Global Perspective. Washington, DC: WCRF/AICR, 1997.Google Scholar
3Greenwald, P, Clifford, CK, Milner, JA. Diet and cancer prevention. Eur. J. Cancer 2001; 37: 948–65.CrossRefGoogle ScholarPubMed
4Joshipura, KJ, Hu, FB, Manson, JE, Stampfer, MJ, Rimm, EB, Speizer, FE, et al. The effect of fruit and vegetable intake on risk for coronary heart disease. Ann. Intern. Med. 2001; 134: 1106–14.CrossRefGoogle ScholarPubMed
5Ness, AR, Powles, JW. Fruit and vegetables, and cardiovascular disease: a review. Int. J. Epidemiol. 1997; 26: 113.CrossRefGoogle ScholarPubMed
6Feldman, EB. Fruits and vegetables and the risk of stroke. Nutr. Rev. 2001; 59: 24–7.CrossRefGoogle ScholarPubMed
7Boyle, P, Veronesi, M, Tubiana, M, Alexander, FE, Calais da Silva, F, Denis, LJ, et al. European School of Oncology Advisory Report to the European Commission for the ‘Europe Against Cancer Programme’ European Code Against Cancer. Eur. J. Cancer 1995; 31A: 1395–405.CrossRefGoogle Scholar
8US Department of Agriculture/US Department of Health and Human Services. Nutrition and Your Health: Guidelines for the Americans, 5th ed. Home and Garden Bulletin No. 232. Washington, DC: US Government Printing Office, 2000.Google Scholar
9Hill, MJ. Changing pattern of diet in Europe. Eur. J. Cancer Prev. 1997; 6(Suppl.): S11–3.CrossRefGoogle Scholar
10Riboli, E, Hunt, KJ, Slimani, N, Ferrari, P, Norat, T, Fahey, M, et al. European Prospective Investigation into Cancer and Nutrition (EPIC): study populations and data collection. Public Health Nutr. 2002; 5(6B): 1113–24.CrossRefGoogle ScholarPubMed
11Slimani, N, Kaaks, R, Ferrari, P, Casagrande, C, Clavel-Chapelon, F, Lotze, A, 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
12Slimani, S, Deharveng, G, Charrondière, R, van Kappel, AL, Ocké, MC, 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. Comput. Meth. Programs Biomed. 1999; 58: 251–66.CrossRefGoogle ScholarPubMed
13Kleinbaum, DG, Kupper, LL, Muller, KE. Applied Regression Analysis and Other Multivariable Methods, 2nd ed. Belmont, CA: Duxbury Press, 1988.Google Scholar
14Agudo, A, Amiano, P, Barcos, A, Barricarte, A, Beguiristain, JM, Chirlaque, MD, et al. Dietary intake of vegetables and fruits among adults in five regions in Spain. Eur. J. Clin. Nutr. 1999; 53: 174–80.CrossRefGoogle ScholarPubMed
15Bingham, SA, Nelson, M. Assessment of food composition and nutrient intake. In: Margetts, BM, Nelson, M, eds. Design Concepts in Nutritional Epidemiology. Oxford: Oxford University Press, 1991; 153–91.Google Scholar
16Nestle, M. Fruits and vegetables: protective or just fellow travelers. Nutr. Rev. 1996; 54: 255–7.CrossRefGoogle ScholarPubMed
17Agudo, A, Pera, G, and the EPIC Group of Spain. Vegetable and fruit consumption associated with anthropometric, dietary and lifestyle factors in Spain. Public Health Nutr. 1999; 2: 263–71.CrossRefGoogle ScholarPubMed
18Serdula, MK, Byers, T, Mokdad, AH, Simoes, E, Mendlein, JM, Coates, RJ. The association between fruit and vegetable intake and chronic disease risk factors. Epidemiology 1996; 7: 161–5.CrossRefGoogle ScholarPubMed
19Roos, G, Johansson, L, Kasmel, A, Kumbiené, J, Prättälä, R. Disparities in vegetable and fruit consumption: European cases from the north to the south. Public Health Nutr. 2000; 4: 3543.Google Scholar
20Naska, A, Vasdekis, VGS, Trichopoulou, A, Friel, S, Leonhäuser, IU, Moreiras, O, et al. Fruit and vegetable availability among ten European countries: how does it compare with the [five-a-day] recommendation? Br. J. Nutr. 2000; 84: 549–56.Google ScholarPubMed
21Collet-Ribbing, C, Decloître, F. Consommation alimentaire en France et dans quelques pays occidentaux. In: Riboli, E, Decloître, F, Collet-Ribbing, C, eds. Alimentation et Cancer. Évaluation des Données Scientifiques. Centre National d'Études et de Recommandations sur la Nutrition et l'Alimentation (CNERNA). Paris: Tec & Doc-Lavoisier, 1996; 4177.Google Scholar
22Violan, C, Stevens, L, Molina, F. Encuesta de Alimentación en la Población Adulta de la Región de Murcia 1990. Serie Informes 7. Murcia: Consejeria de Sanidad, Región de Murcia, 1991.Google Scholar
23Krebs-Smith, SM, Kantor, LS. Choose a variety of fruits and vegetables daily: understanding the complexities. J. Nutr. 2001; 131: 487S501S.CrossRefGoogle ScholarPubMed
24Willett, WC. Diet and cancer: one view at the start of the millennium. Cancer Epidemiol. Biomark. Prev. 2001; 10: 38.Google ScholarPubMed
You have Access
157
Cited by

Send article to Kindle

To send this article to your Kindle, first ensure no-reply@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about sending to your Kindle. Find out more about sending to your Kindle.

Note you can select to send to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be sent to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Consumption of vegetables, fruit and other plant foods in the European Prospective Investigation into Cancer and Nutrition (EPIC) cohorts from 10 European countries
Available formats
×

Send article to Dropbox

To send this article to your Dropbox account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Dropbox.

Consumption of vegetables, fruit and other plant foods in the European Prospective Investigation into Cancer and Nutrition (EPIC) cohorts from 10 European countries
Available formats
×

Send article to Google Drive

To send this article to your Google Drive account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Google Drive.

Consumption of vegetables, fruit and other plant foods in the European Prospective Investigation into Cancer and Nutrition (EPIC) cohorts from 10 European countries
Available formats
×
×

Reply to: Submit a response

Please enter your response.

Your details

Please enter a valid email address.

Conflicting interests

Do you have any conflicting interests? *