5 results
Timing of eating across ten European countries – results from the European Prospective Investigation into Cancer and Nutrition (EPIC) calibration study
- Ena Huseinovic, Anna Winkvist, Heinz Freisling, Nadia Slimani, Heiner Boeing, Genevieve Buckland, Lukas Schwingshackl, Anja Olsen, Anne Tjønneland, Magdalena Stepien, Marie-Christine Boutron-Ruault, Francesca Mancini, Fanny Artaud, Tilman Kühn, Verena Katzke, Antonia Trichopoulou, Androniki Naska, Philippos Orfanos, Rosario Tumino, Giovanna Masala, Vittorio Krogh, Maria Santucci de Magistris, Marga C Ocké, Magritt Brustad, Torill Enget Jensen, Guri Skeie, Miguel Rodríguez-Barranco, José María Huerta, Eva Ardanaz, José Ramón Quirós, Paula Jakszyn, Emily Sonestedt, Ulrika Ericson, Maria Wennberg, Timothy J Key, Dagfinn Aune, Elio Riboli, Elisabete Weiderpass, Heléne Bertéus Forslund
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- Journal:
- Public Health Nutrition / Volume 22 / Issue 2 / February 2019
- Published online by Cambridge University Press:
- 17 October 2018, pp. 324-335
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Objective
To examine timing of eating across ten European countries.
DesignCross-sectional analysis of the European Prospective Investigation into Cancer and Nutrition (EPIC) calibration study using standardized 24 h diet recalls collected during 1995–2000. Eleven predefined food consumption occasions were assessed during the recall interview. We present time of consumption of meals and snacks as well as the later:earlier energy intake ratio, with earlier and later intakes defined as 06.00–14.00 and 15.00–24.00 hours, respectively. Type III tests were used to examine associations of sociodemographic, lifestyle and health variables with timing of energy intake.
SettingTen Western European countries.
SubjectsIn total, 22 985 women and 13 035 men aged 35–74 years (n 36 020).
ResultsA south–north gradient was observed for timing of eating, with later consumption of meals and snacks in Mediterranean countries compared with Central and Northern European countries. However, the energy load was reversed, with the later:earlier energy intake ratio ranging from 0·68 (France) to 1·39 (Norway) among women, and from 0·71 (Greece) to 1·35 (the Netherlands) among men. Among women, country, age, education, marital status, smoking, day of recall and season were all independently associated with timing of energy intake (all P<0·05). Among men, the corresponding variables were country, age, education, smoking, physical activity, BMI and day of recall (all P<0·05).
ConclusionsWe found pronounced differences in timing of eating across Europe, with later meal timetables but greater energy load earlier during the day in Mediterranean countries compared with Central and Northern European countries.
Comparison of standardised dietary folate intake across ten countries participating in the European Prospective Investigation into Cancer and Nutrition
- Jin Young Park, Genevieve Nicolas, Heinz Freisling, Carine Biessy, Augustin Scalbert, Isabelle Romieu, Véronique Chajès, Shu-Chun Chuang, Ulrika Ericson, Peter Wallström, Martine M. Ros, Petra H. M. Peeters, Amalia Mattiello, Domenico Palli, José María Huerta, Pilar Amiano, Jytte Halkjær, Christina C. Dahm, Antonia Trichopoulou, Philippos Orfanos, Birgit Teucher, Silke Feller, Guri Skeie, Dagrun Engeset, Marie-Christine Boutron-Ruault, Françoise Clavel-Chapelon, Francesca Crowe, Kay-Tee Khaw, Paolo Vineis, Nadia Slimani
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- Journal:
- British Journal of Nutrition / Volume 108 / Issue 3 / 14 August 2012
- Published online by Cambridge University Press:
- 01 November 2011, pp. 552-569
- Print publication:
- 14 August 2012
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Folate plays an important role in the synthesis and methylation of DNA as a cofactor in one-carbon metabolism. Inadequate folate intake has been linked to adverse health events. However, comparable information on dietary folate intake across European countries has never been reported. The objective of the present study was to describe the dietary folate intake and its food sources in ten countries in the European Prospective Investigation into Cancer and Nutrition (EPIC) study. A cross-sectional analysis was conducted in 36 034 participants (aged 35–74 years) who completed a single 24 h dietary recall using a computerised interview software program, EPIC-Soft® (International Agency for Research on Cancer, Lyon). Dietary folate intake was estimated using the standardised EPIC Nutrient DataBase, adjusted for age, energy intake, weight and height and weighted by season and day of recall. Adjusted mean dietary folate intake in most centres ranged from 250 to 350 μg/d in men and 200 to 300 μg/d in women. Folate intake tended to be lower among current smokers and heavier alcohol drinkers and to increase with educational level, especially in women. Supplement users (any types) were likely to report higher dietary folate intake in most centres. Vegetables, cereals and fruits, nuts and seeds were the main contributors to folate intake. Nonetheless, the type and pattern of consumption of these main food items varied across the centres. These first comparisons of standardised dietary folate intakes across different European populations show moderate regional differences (except the UK health conscious group), and variation by sex, educational level, smoking and alcohol-drinking status, and supplement use.
Appendix: International commentaries
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- By David Ames, Professor of Psychiatry of Old Age, University of Melbourne, Eleanor Flynn, Senior Lecturer in Medical Education, University of Melbourne, Maria Alekxandrova, Associate Professor of Psychiatry, Medical University Pleven, Kaloyan Stoychev, Consultant Psychiatrist, University Hospital Pleven, Kenneth Shulman, Professor of Geriatric Psychiatry, University of Toronto, Ross Upshur, Professor of Primary Care, University of Toronto, Kirsten Abelskov, Old-Age Psychiatrist, Aarhus University Hospital, Kaj Sparle Christensen, General Practitioner, Institut for Almen Medicin, University of Aarhus, Philippe H. Robert, Professor of Psychiatry, Michel Benoit, Psychiatrist Centre Mémoire de Ressources et de Recherche, Nice, Florence Cabane, General Practitioner Nice, Geneviève Ruault, Geriatrician Nice, Helen F. K. Chiu, Professor of Psychiatry, The Chinese University of Hong Kong, D. K. T. Li, Family Physician, Past President Hong Kong College of Family Physicians, Syuichi Awata, Psychiatrist and Director Division of Neuropsychiatry and Center for Dementia, Sendai City Hospital, Akira Honma, Psychiatrist, Tokyo Metropolitan Institute of Gerontology, Els Licht-Strunk, General Practitioner, VU University Medical Centre, Amsterdam, Marijke Bremmer, Consultant Psychiatrist, VU University Medical Centre, Amsterdam, Knut Engedal, Professor of Old-Age Psychiatry, Ullevaal University Hospital, Oslo, Harald Sanaker, Specialist in Family Medicine, Kongsvegen Legesenter, Brummunddal, Nicoleta Tătaru, Senior Consultant Psychiatrist, Forensic Hospital Ştei, Bihor, Monica Bălan, Primary Care Physician Oradea, Alexandru Dicker, Senior Consultant in Internal Medicine Psychiatric Hospital, Nucet, Bihor, Raimundo Mateos, Professor of Psychiatry, University of Santiago de Compostela, Jose Antonio Ferreiro Guri, Specialist in Family and Community, Medicine University of Santiago de Compostela, Tom Campbell, Professor of Family Medicine, University of Rochester, NY, Jeffrey M. Lyness, Professor of Psychiatry, University of Rochester, NY
- Carolyn A. Chew-Graham, University of Manchester, Robert Baldwin, Alistair Burns, University of Manchester
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- Book:
- Integrated Management of Depression in the Elderly
- Published online:
- 18 December 2009
- Print publication:
- 03 April 2008, pp 140-177
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Summary
The editors summarized the contributions written by colleagues in different parts of the world (Chapter 6) to illustrate the similarities, and occasional differences, in the management of depression in older people described in all the contributions. This appendix allows the reader to read the individual contributions.
Australia
Assessment
This 82-year-old woman is chronically disabled by pain and breathlessness and appears to have become socially disengaged. She has several symptoms of depression, including persistent low mood, loss of energy (which sounds to be out of proportion to her medical state), early morning waking, loss of interest in previously enjoyed activities, and persistent feelings that life is not worth living. The vignette does not provide information about her appetite and weight, concentration, any psychomotor changes, guilt feelings or confidence levels, but even so it is clear that, provided the symptoms have been present for two weeks (and this seems highly likely), she meets both DSM-IV diagnostic criteria for a major depressive episode and ICD-10 criteria for a depressive episode.
Australian health-care system
Within the Australian health-care system, in which specialists are accessible only after referral from a general practitioner (GP), this woman would normally be managed by her GP who in all likelihood will already be engaged in the management of her troublesome osteoarthritis and chronic obstructive pulmonary disease (COPD). She might well attend a respiratory outpatient clinic or rheumatology clinic in a public hospital, or (less likely as fewer than one-third of the elderly have private health insurance) be seeing a private medical specialist with expertise in one or both of these two areas.
Eating out of home and its correlates in 10 European countries. The European Prospective Investigation into Cancer and Nutrition (EPIC) study
- Philippos Orfanos, Androniki Naska, Dimitrios Trichopoulos, Nadia Slimani, Pietro Ferrari, Marit van Bakel, Genevieve Deharveng, Kim Overvad, Anne Tjønneland, Jytte Halkjær, Maria Santucci de Magistris, Rosario Tumino, Valeria Pala, Carlotta Sacerdote, Giovanna Masala, Guri Skeie, Dagrun Engeset, Eiliv Lund, Paula Jakszyn, Aurelio Barricarte, Maria-Dolores Chirlaque, Carmen Martinez-Garcia, Pilar Amiano, J Ramon Quirós, Sheila Bingham, Ailsa Welch, Elizabeth A Spencer, Timothy J Key, Sabine Rohrmann, Jakob Linseisen, Jennifer Ray, Heiner Boeing, Petra H Peeters, H Bas Bueno-de-Mesquita, Marga Ocke, Ingegerd Johansson, Gerd Johansson, Göran Berglund, Jonas Manjer, Marie-Christine Boutron-Ruault, Mathilde Touvier, Françoise Clavel-Chapelon, Antonia Trichopoulou
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- Journal:
- Public Health Nutrition / Volume 10 / Issue 12 / December 2007
- Published online by Cambridge University Press:
- 01 December 2007, pp. 1515-1525
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Objective
To compare the average out-of-home (OH) consumption of foods and beverages, as well as energy intake, among populations from 10 European countries and to describe the characteristics of substantial OH eaters, as defined for the purpose of the present study, in comparison to other individuals.
DesignCross-sectional study. Dietary data were collected through single 24-hour dietary recalls, in which the place of consumption was recorded. For the present study, substantial OH eaters were defined as those who consumed more than 25% of total daily energy intake at locations other than the household premises. Mean dietary intakes and the proportion of substantial OH eaters are presented by food group and country. Logistic regression analyses were used to estimate the odds of being a substantial OH eater in comparison to not being one, using mutually adjusted possible non-dietary determinants.
SettingTen European countries participating in the European Prospective Investigation into Cancer and Nutrition (EPIC).
SubjectsThe subjects were 34 270 individuals, 12 537 men and 21 733 women, aged 35–74 years.
ResultsThe fraction of energy intake during OH eating was generally higher in northern European countries than in the southern ones. Among the food and beverage groups, those selectively consumed outside the home were coffee/tea/waters and sweets and, to a lesser extent, cereals, meats, added lipids and vegetables. Substantial OH eating was positively associated with energy intake and inversely associated with age and physical activity. Substantial OH eating was less common among the less educated compared with the more educated, and more common during weekdays in central and north Europe and during the weekend in south Europe.
ConclusionsEating outside the home was associated with sedentary lifestyle and increased energy intake; it was more common among the young and concerned in particular coffee/tea/waters and sweets.
Consumption and portion sizes of tree nuts, peanuts and seeds in the European Prospective Investigation into Cancer and Nutrition (EPIC) cohorts from 10 European countries
- Mazda Jenab, Joan Sabaté, Nadia Slimani, Pietro Ferrari, Mathieu Mazuir, Corinne Casagrande, Genevieve Deharveng, Anne Tjønneland, Anja Olsen, Kim Overvad, Marie-Christine Boutron-Ruault, Françoise Clavel-Chapelon, Heiner Boeing, Cornelia Weikert, Jakob Linseisen, Sabine Rohrmann, Antonia Trichopoulou, Androniki Naska, Domenico Palli, Carlotta Sacerdote, Rosario Tumino, Amalia Mattiello, Valeria Pala, H. Bas Bueno-de-Mesquita, Marga C. Ocké, Petra H. Peeters, Dagrun Engeset, Gurie Skeie, Paula Jakszyn, Eva Ardanaz, J. Ramón Quirós, Maria Dolores Chirlaque, Carmen Martinez, Pilar Amiano, Goran Berglund, Richard Palmqvist, Bethany van Guelpen, Sheila Bingham, Timothy Key, Elio Riboli
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- Journal:
- British Journal of Nutrition / Volume 96 / Issue S2 / November 2006
- Published online by Cambridge University Press:
- 19 April 2007, pp. S12-S23
- Print publication:
- November 2006
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Tree nuts, peanuts and seeds are nutrient dense foods whose intake has been shown to be associated with reduced risk of some chronic diseases. They are regularly consumed in European diets either as whole, in spreads or from hidden sources (e.g. commercial products). However, little is known about their intake profiles or differences in consumption between European countries or geographic regions. The objective of this study was to analyse the population mean intake and average portion sizes in subjects reporting intake of nuts and seeds consumed as whole, derived from hidden sources or from spreads. Data was obtained from standardised 24-hour dietary recalls collected from 36 994 subjects in 10 different countries that are part of the European Prospective Investigation into Cancer and Nutrition (EPIC). Overall, for nuts and seeds consumed as whole, the percentage of subjects reporting intake on the day of the recall was: tree nuts = 4·4%, peanuts = 2·3% and seeds = 1·3%. The data show a clear northern (Sweden: mean intake = 0·15 g/d, average portion size = 15·1 g/d) to southern (Spain: mean intake = 2·99 g/d, average portion size = 34·7 g/d) European gradient of whole tree nut intake. The three most popular tree nuts were walnuts, almonds and hazelnuts, respectively. In general, tree nuts were more widely consumed than peanuts or seeds. In subjects reporting intake, men consumed a significantly higher average portion size of tree nuts (28·5 v. 23·1 g/d, P<0·01) and peanuts (46·1 v. 35·1 g/d, P<0·01) per day than women. These data may be useful in devising research initiatives and health policy strategies based on the intake of this food group.