Use of dietary supplements in the European Prospective Investigation into Cancer and Nutrition calibration study

被引:197
作者
Skeie, G. [1 ]
Braaten, T. [1 ]
Hjartaker, A. [2 ]
Lentjes, M. [3 ]
Amiano, P. [4 ]
Jakszyn, P. [5 ]
Pala, V. [6 ]
Palanca, A. [6 ]
Niekerk, E. M. [7 ]
Verhagen, H. [7 ]
Avloniti, K. [8 ]
Psaltopoulou, T. [8 ]
Niravong, M. [9 ]
Touvier, M. [9 ,10 ]
Nimptsch, K. [11 ]
Haubrock, J. [12 ]
Walker, L. [13 ]
Spencer, E. A. [13 ]
Roswall, N. [14 ]
Olsen, A. [14 ]
Wallstrom, P. [15 ]
Nilsson, S. [16 ]
Casagrande, C. [17 ]
Deharveng, G. [17 ]
Hellstrom, V. [16 ]
Boutron-Ruault, M. C. [9 ]
Tjonneland, A. [14 ]
Joensen, A. M. [18 ]
Clavel-Chapelon, F. [9 ]
Trichopoulou, A. [8 ]
Martinez, C. [19 ]
Rodriguez, L. [20 ]
Frasca, G. [21 ]
Sacerdote, C. [22 ]
Peeters, P. H. M. [23 ]
Linseisen, J. [11 ]
Schienkiewitz, A. [12 ]
Welch, A. A. [3 ]
Manjer, J. [24 ]
Ferrari, P. [17 ]
Riboli, E. [25 ]
Bingham, S. [3 ,26 ]
Engeset, D. [1 ]
Lund, E. [1 ]
Slimani, N. [17 ]
机构
[1] Univ Tromso, Inst Community Med, N-9037 Tromso, Norway
[2] Canc Registry Norway, Oslo, Norway
[3] Univ Cambridge, Dept Publ Hlth & Primary Care, MRC Ctr Nutr Epidemiol Canc Prevent & Survival, Cambridge, England
[4] Basque Govt, Publ Hlth Dept Guipuzkoa, San Sebastian, Spain
[5] Catalan Inst Oncol, Unit Nutr Environm & Canc, Canc Epidemiol Res Programme, Barcelona, Spain
[6] Ist Nazl Tumori, Nutr Epidemiol Unit, Dept Prevent & Predict Med, Fdn IRCCS, I-20133 Milan, Italy
[7] Natl Inst Publ Hlth & Environm RIVM, Bilthoven, Netherlands
[8] Univ Athens, Sch Med, Dept Hyg Epidemiol & Med Stat, GR-11527 Athens, Greece
[9] Inst Gustave Roussy, INSERM, ERI 20, F-94805 Villejuif, France
[10] AFSSA French Food Safety Agcy, DERNS PASER, Maisons Alfort, France
[11] German Canc Res Ctr, Div Canc Epidemiol, Heidelberg, Germany
[12] German Inst Human Nutr, Dept Epidemiol, Potsdam, Germany
[13] Univ Oxford, Canc Epidemiol Unit, Oxford, England
[14] Danish Canc Soc, Inst Canc Epidemiol, Copenhagen, Denmark
[15] Lund Univ, Dept Clin Sci, Malmo, Sweden
[16] Umea Univ, Dept Nutr Res, Umea, Sweden
[17] Int Agcy Res Canc, Dietary Exposure Assessment Grp, F-69372 Lyon, France
[18] Aarhus Univ Hosp, Dept Cardiol, Aalborg Hosp, Cardiovasc Res Ctr, Aalborg, Denmark
[19] Andalusian Sch Publ Hlth, Granada, Spain
[20] Hlth & Hlth Care Serv Council, Publ Hlth & Participat Directorate, Asturias, Spain
[21] Azienda Osped Civile MP Arezzo, Canc Registry, Ragusa, Italy
[22] Inst Sci Interchange Fdn, Turin, Italy
[23] Univ Med Ctr, Julius Ctr Hlth Sci & Primary Care, Utrecht, Netherlands
[24] Malmo Univ Hosp, Dept Surg, Malmo, Sweden
[25] Univ London Imperial Coll Sci Technol & Med, Dept Epidemiol Publ Hlth & Primary Care, London, England
[26] MRC, Mitochondrial Biol Unit, Diet & Canc Grp, Cambridge, England
基金
英国惠康基金; 瑞典研究理事会; 英国医学研究理事会;
关键词
dietary supplements; Europe; EPIC; 24-h dietary recall; vitamins; minerals; LIFE-STYLE; ANTIOXIDANT SUPPLEMENTS; NORWEGIAN WOMEN; 10; COUNTRIES; MULTIVITAMIN; POPULATION; COLLECTION; PREVENTION; SURVIVORS; VITAMINS;
D O I
10.1038/ejcn.2009.83
中图分类号
R15 [营养卫生、食品卫生]; TS201 [基础科学];
学科分类号
100403 ;
摘要
Background: Dietary supplement use is increasing, but there are few comparable data on supplement intakes and how they affect the nutrition and health of European consumers. The aim of this study was to describe the use of dietary supplements in subsamples of the 10 countries participating in the European Prospective Investigation into Cancer and Nutrition (EPIC). Methods: Specific questions on dietary supplement use were asked as a part of single 24-h recalls performed on 36 034 men and women aged 35-74 years from 1995 to 2000. Results: Between countries, the mean percentage of dietary supplement use varied almost 10-fold among women and even more among men. There was a clear north-south gradient in use, with a higher consumption in northern countries. The lowest crude mean percentage of use was found in Greece (2.0% among men, 6.7% among women), and the highest was in Denmark (51.0% among men, 65.8% among women). Use was higher in women than in men. Vitamins, minerals or combinations of them were the predominant types of supplements reported, but there were striking differences between countries. Conclusions: This study indicates that there are wide variations in supplement use in Europe, which may affect individual and population nutrient intakes. The results underline the need to monitor consumption of dietary supplements in Europe, as well as to evaluate the risks and benefits. European Journal of Clinical Nutrition (2009) 63, S226-S238; doi: 10.1038/ejcn.2009.83
引用
收藏
页码:S226 / S238
页数:13
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