Hostname: page-component-8448b6f56d-m8qmq Total loading time: 0 Render date: 2024-04-15T17:06:41.625Z Has data issue: false hasContentIssue false
  • English
  • Français

Meat consumption in the European Prospective Investigation into Cancer and Nutrition (EPIC) cohorts: results from 24-hour dietary recalls

Published online by Cambridge University Press:  02 January 2007

J Linseisen ,
E Kesse ,
N Slimani ,
HB Bueno-de-Mesquita ,
MC Ocké ,
G Skeie ,
M Kumle ,
M Dorronsoro Iraeta ,
P Morote Gómez  and
L Janzon
...Show all authors
J Linseisen*
Affiliation:
Unit of Human Nutrition and Cancer Prevention, Technical University of Munich, Alte Akademie 16, D-85405 Freising-Weihenstephan, Germany Division of Clinical Epidemiology, German Cancer Research Centre, Heidelberg, Germany
E Kesse
Affiliation:
INSERM, E3N–EPIC Group, Institute Gustave Roussy, Villejuif, France
N Slimani
Affiliation:
Unit of Nutrition, International Agency for Research on Cancer, Lyon, France
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
G Skeie
Affiliation:
Institute of Community Medicine, University of Tromsø, Norway
M Kumle
Affiliation:
Institute of Community Medicine, University of Tromsø, Norway
M Dorronsoro Iraeta
Affiliation:
Public Health Division of Gipuzkoa, Department of Health of the Basque Government, San Sebastian, Spain
P Morote Gómez
Affiliation:
Public Health Directorate, Health Council and Health Services Asturias, Oviedo, Spain
L Janzon
Affiliation:
Department of Community Medicine, Lund University, Malmö, Sweden
P Stattin
Affiliation:
Department of Urology and Andrology, Umeå University Hospital, Sweden
AA Welch
Affiliation:
Institute of Public Health, 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, 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
AB Miller
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
P Lagiou
Affiliation:
Department of Hygiene and Epidemiology, School of Medicine, University of Athens, Greece
V Kalapothaki
Affiliation:
Department of Hygiene and Epidemiology, School of Medicine, University of Athens, Greece
G Masala
Affiliation:
Molecular and Nutritional Epidemiology Unit, CSPO, Scientific Institute of Tuscany, Florence, Italy
MC Giurdanella
Affiliation:
Cancer Registry, ‘Civile – M.P. Arezzo’ Hospital, Ragusa, Italy
T Norat
Affiliation:
Unit of Nutrition, International Agency for Research on Cancer, Lyon, France
E Riboli
Affiliation:
Unit of Nutrition, International Agency for Research on Cancer, Lyon, France
*
*Corresponding author: Email j.linseisen@wzw.tum.de
Rights & Permissions [Opens in a new window]

Abstract

Core share and HTML view are 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 evaluate meat intake patterns in the European Prospective Investigation into Cancer and Nutrition (EPIC) cohorts.

Design and setting:

24-Hour dietary recalls were assessed within the framework of a prospective cohort study in 27 centres across 10 European countries by means of standardised computer-assisted interviews.

Subjects:

In total, 22 924 women and 13 031 men aged 35–74 years.

Results:

Mean total meat intake was lowest in the ‘health-conscious’ cohort in the UK (15 and 21 g day−1 in women and men, respectively) and highest in the north of Spain, especially in San Sebastian (124 and 234 g day−1, respectively). In the southern Spanish centres and in Naples (Italy), meat consumption was distinctly lower than in the north of these countries. Central and northern European centres/countries showed rather similar meat consumption patterns, except for the British and French cohorts. Differences in the intake of meat sub-groups (e.g. red meat, processed meat) across EPIC were even higher than found for total meat intake. With a few exceptions, the Mediterranean EPIC centres revealed a higher proportion of beef/veal and poultry and less pork or processed meat than observed in central or northern European centres. The highest sausage consumption was observed for the German EPIC participants, followed by the Norwegians, Swedish, Danish and Dutch.

Conclusions:

The results demonstrate distinct differences in meat consumption patterns between EPIC centres across Europe. This is an important prerequisite for obtaining further insight into the relationship between meat intake and the development of chronic diseases.

Keywords

EPIC study DietMeatProcessed meat24-Hour dietary recallEurope
Type
Research Article
Information
Public Health Nutrition , Volume 5 , Issue 6b , December 2002 , pp. 1243 - 1258
Copyright
Copyright © CABI Publishing 2002

References

1Mann, N. Dietary lean red meat and human evolution. Eur. J. Nutr. 2000; 39: 71–9.CrossRefGoogle ScholarPubMed
2Holm, L, Mohl, M. The role of meat in everyday food culture: an analysis of an interview study in Copenhagen. Appetite 2000; 34: 277–83.Google Scholar
3Sugimura, T. Nutrition and dietary carcinogens. Carcinogenesis 2000; 21: 387–95.CrossRefGoogle ScholarPubMed
4Kraus, RM, Eckel, RH, Howard, B, Appel, LJ, Daniels, SR, Deckelbaum, RJ, et al. AHA dietary guidelines. Revision 2000: a statement for healthcare professionals from the Nutrition Committee of the American Heart Association. Circulation 2000; 102: 2284–99.CrossRefGoogle Scholar
5Bingham, SA. Diet and colorectal cancer prevention. Biochem. Soc. Trans. 2000; 28: 12–6.Google Scholar
6World 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
7Committee on Medical Aspects of Food and Nutrition Policy (COMA). Nutritional Aspects of the Development of Cancer. Report of the Working Group on Diet and Cancer. Report on Health and Social Subjects No. 48: Norwich, UK: The Stationary Office, 1998.Google Scholar
8Norat, T, Riboli, E. Meat consumption and colorectal cancer: a review of epidemiologic evidence. Nutr. Rev. 2001; 59: 37–47.CrossRefGoogle ScholarPubMed
9Sandhu, MS, White, IR, McPherson, K. Systematic review of the prospective cohort studies on meat consumption and colorectal cancer risk: a meta-analytical approach. Cancer Epidemiol. Biomark. Prev. 2001; 10: 439–46.Google Scholar
10Truswell, AS. Report of an expert workshop on meat intake and colorectal cancer risk convened in December 1998 in Adelaide, South Australia. Eur. J. Cancer Prev. 1999; 8: 175–8.Google Scholar
11Sesink, AL, Termont, DS, Kleibeuker, JH, Van Der Meer, R. Red meat and colon cancer: dietary haem, but not fat, has cytotoxic and hyperproliferative effects on rat colonic epithelium. Carcinogenesis 2000; 21: 1909–15.CrossRefGoogle Scholar
12Bingham, SA. High-meat diets and cancer risk. Proc. Nutr. Soc. 1999; 58: 243–8.CrossRefGoogle ScholarPubMed
13Danesh, J, Appleby, P. Coronary heart disease and iron status. Meta-analyses of prospective studies. Circulation 1999; 99: 852–4.CrossRefGoogle ScholarPubMed
14Grant, WB. The role of meat in the expression of rheumatoid arthritis. Br. J. Nutr. 2000; 84: 589–95.CrossRefGoogle ScholarPubMed
15Trichopoulou, A, Lagiou, P. The DAFNE food data bank as a tool for monitoring food availability in Europe. Data Food Networking. Public Health Rev. 1998; 26: 65–71.Google Scholar
16World Health Organization (WHO). Diet, Nutrition and the Prevention of Chronic Diseases. Report of the WHO Study Group. Technical Report Series No. 797. Geneva: WHO, 1990.Google Scholar
17Schroll, K, Moreiras-Varela, O, Schlettwein-Gsell, D, Decarli, B, de Groot, L, van Staveren, W. Cross-cultural variations and changes in food-group intake among elderly women in Europe: results from the Survey in Europe on Nutrition and the Elderly: a Concerted Action (SENECA). Am. J. Clin. Nutr. 1997; 65(Suppl. 4): 1282S–9S.Google Scholar
18Riboli, E, Hunt, KJ, Slimani, N, Ferrari, P, Norat, T, Fahey, R, et al. European Prospective Investigation into Cancer and Nutrition (EPIC): study populations and data collection. Public Health Nutr. 2002; 5(6B): 1113–24.CrossRefGoogle Scholar
19Slimani, N, Kaaks, R, Ferrari, P, Casagrande, C, Clavel-Chapelon, 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
20Slimani, N, Deharveng, G, Charrondière, RU, van Kappel, AL, Ocke, MC, Welch, A, et al. Structure of the standardized computerized 24-h diet recall interview used as reference method in the 22 centres participating in the EPIC project. European Prospective Investigation into Cancer and Nutrition. Comput. Meth. Programs Biomed. 1999; 58: 251–66.CrossRefGoogle ScholarPubMed
21Slimani, N, Ferrari, P, Ocké, M, Welch, A, Boeing, H, van Liere, M, et al. Standardization of the 24-hour diet 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
22Voss, S, Charrondière, UR, Slimani, N, Kroke, A, Riboli, E, Wahrendorf, J, et al. EPIC-SOFT: a European computer program for 24-hour dietary protocols. Z. Ernahrungswiss. 1998; 37: 227–33.CrossRefGoogle ScholarPubMed
23Haftenberger, M, Schuit, AJ, Tormo, MJ, Boeing, H, Wareham, N, Bueno-de-Mesquita, HB, et al. Physical activity of subjects aged 50–64 years involved in the European Prospective Investigation into Cancer and Nutrition (EPIC). Public Health Nutr. 2002; 5(6B): 1163–77.CrossRefGoogle ScholarPubMed
24Ferrari, P, Slimani, N, Ciampi, A, Trichopoulos, D, Naska, A, Lauria, C, et al. Evaluation of under- and overreporting of energy intake in the 24-hour diet recalls in the European Prospective Investigation into Cancer and Nutrition (EPIC). Public Health Nutr. 2002; 5(6B): 1329–45.CrossRefGoogle ScholarPubMed
25Morabia, A, Bernstein, MS, Heritier, S, Beer-Borst, S. A Swiss population-based assessment of dietary habits before and after the March 1996 ‘mad cow’ crisis. Eur. J. Clin. Nutr. 1999; 53: 158–63.CrossRefGoogle Scholar
26Aldhous, P. Inquiry blames missed warning for scale of Britain's BSE crisis. Nature 2000; 408: 3–5.CrossRefGoogle ScholarPubMed
27Hill, M. Meat and colorectal cancer: a European perspective. Eur. J. Cancer Prev. 1999; 8: 183–4.Google Scholar
28Holdsworth, M, Gerber, M, Haslam, C, Scali, J, Beardsworth, A, Avallone, MH, et al. A comparison of dietary behaviour in Central England and a French Mediterranean region. Eur. J. Clin. Nutr. 2000; 54: 530–9.Google Scholar
29Haraldsdottir, J. Dietary guidelines and patterns of intake in Denmark. Br. J. Nutr. 1999; 81(Suppl. 2): S43–8.CrossRefGoogle ScholarPubMed
30Groth, MV, Fagt, S. Trends in dietary habits in Denmark and Sweden since the 1960s. Ugeskr. Laeger. 2001; 163: 425–9.Google ScholarPubMed
31Adolf, T, Scheider, R, Eberhardt, W, Hartmann, S, Herwig, A, Heseker, H, et al. Ergebnisse der Nationalen Verzehrsstudie (1995–1988) über die Lebensmittel- und Nährstoffaufnahme in der Bundesrepublik Deutschland. VERA-Schriftenreihe XI. Niederkleen, Germany: Wissenschaftlicher Fachverlag Dr. Fleck, 1995.Google Scholar
32Elmstahl, S, Holmqvist, O, Gullberg, B, Johansson, U, Berglund, G. Dietary patterns in high and low consumers of meat in a Swedish cohort. Appetite 1999; 32: 191–206.Google Scholar
33Osler, M, Heitmann, BL, Schroll, M. Ten-year trends in the dietary habits of Danish men and women. Cohort and cross-sectional data. Eur. J. Clin. Nutr. 1997; 51: 535–41.CrossRefGoogle ScholarPubMed
34Mensink, GBM, Thamm, M, Haas, K. Die Ernährung in Deutschland 1998. Gesundheitswesen 1999; 61(Suppl. 2): S200–6.Google ScholarPubMed
35Alberti-Fidanza, A, Fidanza, F, Chiuchiu, MP, Verducci, G, Fruttini, D. Dietary studies on two rural Italian population groups of the Seven Countries Study. 3. Trend of food and nutrient intake from 1960 to 1991. Eur. J. Clin. Nutr. 1999; 53: 854–60.CrossRefGoogle ScholarPubMed
36 Anonymous. Zo eet Nederland. Resultaten van den Voedselconseumptie-peiling 1997–1998. Den Haag, The Netherlands: Voedingscentrum, 1998; 15.Google Scholar
37Trichopoulou, A, Lagiou, P, Kuper, H, Trichopoulos, D. Cancer and Mediterranean dietary traditions. Cancer Epidemiol. Biomark. Prev. 2000; 9: 869–73.Google ScholarPubMed
38Trichopoulou, A, Vasilopoulou, E. Mediterranean diet and longevity. Br. J. Nutr. 2000; 84(Suppl. 2): S205–9.CrossRefGoogle Scholar
39Kushi, LH, Lenart, EB, Willett, WC. Health implications of Mediterranean diets in light of contemporary knowledge. 2. Meat, wine, fats, and oils. Am. J. Clin. Nutr. 1995; 61(Suppl.): 1416S–27S.Google Scholar
40Lea, E, Worsley, A. Influences on meat consumption in Australia. Appetite 2001; 36: 127–36.CrossRefGoogle ScholarPubMed
41Fagerli, RA, Wandel, M. Gender differences in opinions and practices with regard to a ‘healthy diet’. Appetite 1999; 32: 171–90.CrossRefGoogle ScholarPubMed
42Santos, MLS, Booth, DA. Influences on meat avoidance among British students. Appetite 1996; 27: 197–205.Google Scholar
43Winkler, G, Döring, A, Keil, U. Trends in dietary sources of nutrients among middle-aged men in southern Germany. Results of the MONICA Project Augsburg: dietary surveys 1984/1985 and 1994/1995. Appetite 2000; 34: 37–45.Google Scholar
44Cade, JE, Margetts, BM. Nutrient sources in the English diet: quantitative data from three English towns. Int. J. Epidemiol. 1988; 17: 844–8.Google Scholar
45Freudenheim, JL, Krogh, V, D'Amicis, A, Scaccini, C, Sette, S, Ferro-Luzzi, A, et al. Food sources of nutrients in the diet of elderly Italians: I. Macronutrients and lipids. Int. J. Epidemiol. 1993; 22: 855–68.Google Scholar
46Deharveng, G, Charrondière, UR, Slimani, N, Southgate, DA, Riboli, E. Comparison 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
47Slimani, N, Charrondière, UR, van Staveren, W, Riboli, E. Standardization of food composition databases for the European Investigation into Cancer and Nutrition (EPIC): general theoretical concept. J. Food Comp. Anal. 2000; 13: 567–84.CrossRefGoogle Scholar