Nina Roswall1, Anja Olsen1, Katja Boll1, Jane Christensen1, Jytte Halkjær1, Thorkild I A Sørensen2, Christina C Dahm3, Kim Overvad3, Françoise Clavel-Chapelon4, Marie C Boutron-Ruault4, Vanessa Cottet4, Birgit Teucher5, Rudolf Kaaks5, Heiner Boeing6, Anne von Ruesten6, Antonia Trichopoulou7, Eleni Oikonomou7, Effie Vasilopoulou7, Valeria Pala8, Carlotta Sacerdote9, Amalia Mattiello10, Giovanna Masala11, Petra H M Peeters12, H Bas Bueno-de-Mesquita13, Dagrun Engeset14, Guri Skeie14, Lene A Asli14, Pilar Amiano15, Paula Jakszyn16, Eva Ardanaz17, José M Huerta17, José R Quirós18, Esther Molina-Montes15, Lena M Nilsson19, Ingegerd Johansson20, Elisabet Wirfält21, Isabel Drake21, Angela A Mulligan22, Kay T Khaw22, Dora Romaguera23, Anne-Claire Vergnaud23, Tim Key24, Elio Riboli23, Anne Tjønneland1. 1. 1Danish Cancer Society Research Center,Strandboulevarden 49,DK-2100 Copenhagen Ø,Denmark. 2. 2The Novo Nordisk Foundation Center for Basic Metabolic Research, Faculty of Health and Medical Sciences,University of Copenhagen,Copenhagen,Denmark. 3. 4Section for Epidemiology,Department of Public Health,Aarhus University,Aarhus,Denmark. 4. 6Inserm,Centre for Research in Epidemiology and Population Health,U1018,Institut Gustave Roussy,Villejuif,France. 5. 8Division of Cancer Epidemiology,German Cancer Research Centre,Heidelberg,Germany. 6. 9Department of Epidemiology,German Institute of Human Nutrition,Nuthetal,Germany. 7. 10WHO Collaborating Center for Food and Nutrition Policies,Department of Hygiene,Epidemiology and Medical Statistics,University of Athens Medical School,Athens,Greece. 8. 12Epidemiology and Prevention Unit,Fondazione IRCCS Istituto Nazionale dei Tumori,Milan,Italy. 9. 13CPO-Piemonte and HuGeF Foundation,Turin,Italy. 10. 14Dipartimento di Medicina Clinica e Chirugica,Federico II University,Naples,Italy. 11. 15Molecular and Nutritional Epidemiology Unit,Cancer Research and Prevention Institute-ISPO,Florence,Italy. 12. 16Julius Center,University Medical Center Utrecht (UMCU),Utrecht,The Netherlands. 13. 18National Institute for Public Health and the Environment (RIVM),Bilthoven,The Netherlands. 14. 21Department of Community Medicine,University of Tromsø,Tromsø,Norway. 15. 22Public Health Division of Gipuzkoa,BioDonostia Research Institute,Health Department of Basque Region,San Sebastian,Spain. 16. 24Unit of Nutrition,Environment and Cancer,Cancer Epidemiology Research Programme,Catalan Institute of Oncology (ICO),Barcelona,Spain. 17. 23CIBER Epidemiología y Salud Pública (CIBERESP),Spain. 18. 27Public Health Directorate,Asturias,Spain. 19. 29Department of Public Health and Clinical Medicine,Nutritional Research,Umeå University,Umeå,Sweden. 20. 30Department of Odontology,Umeå University,Umeå,Sweden. 21. 31Department of Clinical Sciences in Malmö,Lund University,Malmö,Sweden. 22. 32Department of Public Health and Primary Care,University of Cambridge,Strangeways Research Laboratory,Cambridge,UK. 23. 17Department of Epidemiology and Biostatistics,School of Public Health, Faculty of Medicine,Imperial College London,London,UK. 24. 34Cancer Epidemiology Unit,University of Oxford,Oxford,UK.
Abstract
OBJECTIVE: Health-beneficial effects of adhering to a healthy Nordic diet index have been suggested. However, it has not been examined to what extent the included dietary components are exclusively related to the Nordic countries or if they are part of other European diets as well, suggesting a broader preventive potential. The present study describes the intake of seven a priori defined healthy food items (apples/pears, berries, cabbages, dark bread, shellfish, fish and root vegetables) across ten countries participating in the European Prospective Investigation into Cancer and Nutrition (EPIC) and examines their consumption across Europe. DESIGN: Cross-sectional study. A 24 h dietary recall was administered through a software program containing country-specific recipes. Sex-specific mean food intake was calculated for each centre/country, as well as percentage of overall food groups consumed as healthy Nordic food items. All analyses were weighted by day and season of data collection. SETTING: Multi-centre, European study. SUBJECTS: Persons (n 36 970) aged 35-74 years, constituting a random sample of 519 978 EPIC participants. RESULTS: The highest intakes of the included diet components were: cabbages and berries in Central Europe; apples/pears in Southern Europe; dark bread in Norway, Denmark and Greece; fish in Southern and Northern countries; shellfish in Spain; and root vegetables in Northern and Central Europe. Large inter-centre variation, however, existed in some countries. CONCLUSIONS: Dark bread, root vegetables and fish are strongly related to a Nordic dietary tradition. Apples/pears, berries, cabbages, fish, shellfish and root vegetables are broadly consumed in Europe, and may thus be included in regional public health campaigns.
OBJECTIVE: Health-beneficial effects of adhering to a healthy Nordic diet index have been suggested. However, it has not been examined to what extent the included dietary components are exclusively related to the Nordic countries or if they are part of other European diets as well, suggesting a broader preventive potential. The present study describes the intake of seven a priori defined healthy food items (apples/pears, berries, cabbages, dark bread, shellfish, fish and root vegetables) across ten countries participating in the European Prospective Investigation into Cancer and Nutrition (EPIC) and examines their consumption across Europe. DESIGN: Cross-sectional study. A 24 h dietary recall was administered through a software program containing country-specific recipes. Sex-specific mean food intake was calculated for each centre/country, as well as percentage of overall food groups consumed as healthy Nordic food items. All analyses were weighted by day and season of data collection. SETTING: Multi-centre, European study. SUBJECTS: Persons (n 36 970) aged 35-74 years, constituting a random sample of 519 978 EPIC participants. RESULTS: The highest intakes of the included diet components were: cabbages and berries in Central Europe; apples/pears in Southern Europe; dark bread in Norway, Denmark and Greece; fish in Southern and Northern countries; shellfish in Spain; and root vegetables in Northern and Central Europe. Large inter-centre variation, however, existed in some countries. CONCLUSIONS: Dark bread, root vegetables and fish are strongly related to a Nordic dietary tradition. Apples/pears, berries, cabbages, fish, shellfish and root vegetables are broadly consumed in Europe, and may thus be included in regional public health campaigns.
Authors: Ivar A Eide; Trond Jenssen; Anders Hartmann; Lien M Diep; Dag O Dahle; Anna V Reisæter; Kristian S Bjerve; Jeppe H Christensen; Erik B Schmidt; My Svensson Journal: Clin J Am Soc Nephrol Date: 2015-06-10 Impact factor: 8.237
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Authors: Camille Lassale; Marc J Gunter; Dora Romaguera; Linda M Peelen; Yvonne T Van der Schouw; Joline W J Beulens; Heinz Freisling; David C Muller; Pietro Ferrari; Inge Huybrechts; Guy Fagherazzi; Marie-Christine Boutron-Ruault; Aurélie Affret; Kim Overvad; Christina C Dahm; Anja Olsen; Nina Roswall; Konstantinos K Tsilidis; Verena A Katzke; Tilman Kühn; Brian Buijsse; José-Ramón Quirós; Emilio Sánchez-Cantalejo; Nerea Etxezarreta; José María Huerta; Aurelio Barricarte; Catalina Bonet; Kay-Tee Khaw; Timothy J Key; Antonia Trichopoulou; Christina Bamia; Pagona Lagiou; Domenico Palli; Claudia Agnoli; Rosario Tumino; Francesca Fasanelli; Salvatore Panico; H Bas Bueno-de-Mesquita; Jolanda M A Boer; Emily Sonestedt; Lena Maria Nilsson; Frida Renström; Elisabete Weiderpass; Guri Skeie; Eiliv Lund; Karel G M Moons; Elio Riboli; Ioanna Tzoulaki Journal: PLoS One Date: 2016-07-13 Impact factor: 3.240
Authors: T Hammer; S N Lophaven; K R Nielsen; M von Euler-Chelpin; P Weihe; P Munkholm; J Burisch; E Lynge Journal: Aliment Pharmacol Ther Date: 2017-02-08 Impact factor: 8.171