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Region-specific nutrient intake patterns exhibit a geographical gradient within and between European countries

Heinz Freisling, Michael T Fahey, Aurelie Moska, Marga C Ocke, Pietro Ferrari, Mazda Jenab, Teresa Norat, Androninki Naska, Ailsa A Welch, Carmen Navarro, et al.
(2010) JOURNAL OF NUTRITION. 140(7). p.1280-1286
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Abstract
Until recently, the study of nutrient patterns was hampered at an international level by a lack of standardization of both dietary methods and nutrient databases. We aimed to describe the diversity of nutrient patterns in the European Prospective Investigation into Cancer and Nutrition (EPIC) study at population level as a starting point for future nutrient pattern analyses and their associations with chronic diseases in multi-center studies. In this cross-sectional study, 36,034 persons aged 35-74 y were administered a single, standardized 24-h dietary recall. Intake of 25 nutrients (excluding intake from dietary supplements) was estimated using a standardized nutrient database. We used a graphic presentation of mean nutrient intakes by region and sex relative to the overall EPIC means to contrast patterns within and between 10 European countries. In Mediterranean regions, including Greece, Italy, and the southern centers of Spain, the nutrient pattern was dominated by relatively high intakes of vitamin E and monounsaturated fatty acids (MUFA), whereas intakes of retinol and vitamin D were relatively low. In contrast, in Nordic countries, including Norway, Sweden, and Denmark, reported intake of these same nutrients resulted in almost the opposite pattern. Population groups in Germany, The Netherlands, and the UK shared a fatty acid pattern of relatively high intakes of PUFA and SFA and relatively low intakes of MUFA, in combination with a relatively high intake of sugar. We confirmed large variability in nutrient intakes across the EPIC study populations and identified 3 main region-specific patterns with a geographical gradient within and between European countries. J. Nutr. 140: 1280-1286, 2010.
Keywords
CALIBRATION, NUTRITION, ERRORS, PROJECT, RATIONALE, POPULATIONS, COHORT, RISK, CANCER, DIETARY PATTERNS

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MLA
Freisling, Heinz, et al. “Region-Specific Nutrient Intake Patterns Exhibit a Geographical Gradient within and between European Countries.” JOURNAL OF NUTRITION, vol. 140, no. 7, 2010, pp. 1280–86, doi:10.3945/jn.110.121152.
APA
Freisling, H., Fahey, M. T., Moska, A., Ocke, M. C., Ferrari, P., Jenab, M., … Slimani, N. (2010). Region-specific nutrient intake patterns exhibit a geographical gradient within and between European countries. JOURNAL OF NUTRITION, 140(7), 1280–1286. https://doi.org/10.3945/jn.110.121152
Chicago author-date
Freisling, Heinz, Michael T Fahey, Aurelie Moska, Marga C Ocke, Pietro Ferrari, Mazda Jenab, Teresa Norat, et al. 2010. “Region-Specific Nutrient Intake Patterns Exhibit a Geographical Gradient within and between European Countries.” JOURNAL OF NUTRITION 140 (7): 1280–86. https://doi.org/10.3945/jn.110.121152.
Chicago author-date (all authors)
Freisling, Heinz, Michael T Fahey, Aurelie Moska, Marga C Ocke, Pietro Ferrari, Mazda Jenab, Teresa Norat, Androninki Naska, Ailsa A Welch, Carmen Navarro, Mandy Schulz, Elisabet Wirfalt, Corinne Casagrande, Pilar Amiano, Eva Ardanaz, Christine Parr, Dagrun Engeset, Sara Grioni, Francesko Sera, Bas Bueno-de-Mesquita, Yvonne T van der Schouw, Mathilde Touvier, Marie-Christine Boutron-Ruault, Jytte Halkjaer, Christina C Dahm, Kay-Tee Khaw, Franceska Crowe, Jakob Linseisen, Janine Kroger, Inge Huybrechts, Genevieve Deharveng, Jonas Manjer, Asa Agren, Antonia Trichopoulou, Kostas Tsiotas, Elio Riboli, Sheila Bingham, and Nadia Slimani. 2010. “Region-Specific Nutrient Intake Patterns Exhibit a Geographical Gradient within and between European Countries.” JOURNAL OF NUTRITION 140 (7): 1280–1286. doi:10.3945/jn.110.121152.
Vancouver
1.
Freisling H, Fahey MT, Moska A, Ocke MC, Ferrari P, Jenab M, et al. Region-specific nutrient intake patterns exhibit a geographical gradient within and between European countries. JOURNAL OF NUTRITION. 2010;140(7):1280–6.
IEEE
[1]
H. Freisling et al., “Region-specific nutrient intake patterns exhibit a geographical gradient within and between European countries,” JOURNAL OF NUTRITION, vol. 140, no. 7, pp. 1280–1286, 2010.
@article{1177543,
  abstract     = {{Until recently, the study of nutrient patterns was hampered at an international level by a lack of standardization of both dietary methods and nutrient databases. We aimed to describe the diversity of nutrient patterns in the European Prospective Investigation into Cancer and Nutrition (EPIC) study at population level as a starting point for future nutrient pattern analyses and their associations with chronic diseases in multi-center studies. In this cross-sectional study, 36,034 persons aged 35-74 y were administered a single, standardized 24-h dietary recall. Intake of 25 nutrients (excluding intake from dietary supplements) was estimated using a standardized nutrient database. We used a graphic presentation of mean nutrient intakes by region and sex relative to the overall EPIC means to contrast patterns within and between 10 European countries. In Mediterranean regions, including Greece, Italy, and the southern centers of Spain, the nutrient pattern was dominated by relatively high intakes of vitamin E and monounsaturated fatty acids (MUFA), whereas intakes of retinol and vitamin D were relatively low. In contrast, in Nordic countries, including Norway, Sweden, and Denmark, reported intake of these same nutrients resulted in almost the opposite pattern. Population groups in Germany, The Netherlands, and the UK shared a fatty acid pattern of relatively high intakes of PUFA and SFA and relatively low intakes of MUFA, in combination with a relatively high intake of sugar. We confirmed large variability in nutrient intakes across the EPIC study populations and identified 3 main region-specific patterns with a geographical gradient within and between European countries. J. Nutr. 140: 1280-1286, 2010.}},
  author       = {{Freisling, Heinz and Fahey, Michael T and Moska, Aurelie and Ocke, Marga C and Ferrari, Pietro and Jenab, Mazda and Norat, Teresa and Naska, Androninki and Welch, Ailsa A and Navarro, Carmen and Schulz, Mandy and Wirfalt, Elisabet and Casagrande, Corinne and Amiano, Pilar and Ardanaz, Eva and Parr, Christine and Engeset, Dagrun and Grioni, Sara and Sera, Francesko and Bueno-de-Mesquita, Bas and van der Schouw, Yvonne T and Touvier, Mathilde and Boutron-Ruault, Marie-Christine and Halkjaer, Jytte and Dahm, Christina C and Khaw, Kay-Tee and Crowe, Franceska and Linseisen, Jakob and Kroger, Janine and Huybrechts, Inge and Deharveng, Genevieve and Manjer, Jonas and Agren, Asa and Trichopoulou, Antonia and Tsiotas, Kostas and Riboli, Elio and Bingham, Sheila and Slimani, Nadia}},
  issn         = {{0022-3166}},
  journal      = {{JOURNAL OF NUTRITION}},
  keywords     = {{CALIBRATION,NUTRITION,ERRORS,PROJECT,RATIONALE,POPULATIONS,COHORT,RISK,CANCER,DIETARY PATTERNS}},
  language     = {{eng}},
  number       = {{7}},
  pages        = {{1280--1286}},
  title        = {{Region-specific nutrient intake patterns exhibit a geographical gradient within and between European countries}},
  url          = {{http://dx.doi.org/10.3945/jn.110.121152}},
  volume       = {{140}},
  year         = {{2010}},
}
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