Modified WCRF/AICR Score and All-Cause, Digestive System, Cardiovascular, Cancer and Other-Cause-Related Mortality: A Competing Risk Analysis of Two Cohort Studies Conducted in Southern Italy
Background: In real life, nutrition goes beyond purely biological domains. Primary prevention is the most efficient approach for reducing the risk of mortality. We aimed to study the association of lifestyle, as measured by a modified World Cancer Research Fund/American Institute for Cancer Research...
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2021
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oai:doaj.org-article:150027a0bad843a699813a6960aed7c82021-11-25T18:35:59ZModified WCRF/AICR Score and All-Cause, Digestive System, Cardiovascular, Cancer and Other-Cause-Related Mortality: A Competing Risk Analysis of Two Cohort Studies Conducted in Southern Italy10.3390/nu131140022072-6643https://doaj.org/article/150027a0bad843a699813a6960aed7c82021-11-01T00:00:00Zhttps://www.mdpi.com/2072-6643/13/11/4002https://doaj.org/toc/2072-6643Background: In real life, nutrition goes beyond purely biological domains. Primary prevention is the most efficient approach for reducing the risk of mortality. We aimed to study the association of lifestyle, as measured by a modified World Cancer Research Fund/American Institute for Cancer Research (mWCRF/AICR) scoring system with all-cause, digestive system disease-related (DSD-related), cardiovascular disease-related (CVD-related), cancer–related and other cause-related mortality using data from two population-based cohort studies conducted in Southern Italy. Methods: A random sample of 5271 subjects aged 18 years or older was enrolled in 2005–2006 and followed up until 2020. Usual food intakes were estimated using a validated dietary questionnaire. Competing risks survival models were applied. Results: High adherence to the mWCRF/AICR score was found to be statistically significant and negatively associated with all-cause mortality (HR 0.56, 95%CI 0.39; 0.82), DSD-related mortality (SHR 0.38, 95%CI 0.15; 0.97) and cancer-related mortality (SHR 0.43, 95%CI 0.19; 0.97) in the male sub-cohort and other-cause mortality (SHR 0.43, 95%CI 0.21; 0.88) only in the female group. Conclusions: This mWCRF/AICR score can be seen as a simple, easy tool for use in clinical practice to evaluate both qualitative and quantitative aspects of the diet.Antonella MirizziLaura R. AballayGiovanni MisciagnaMaria G. CarusoCaterina BonfiglioPaolo SorinoAntonella BiancoAngelo CampanellaIsabella FrancoRitanna CurciFilippo ProcinoAnna M. CisterninoMaria NotarnicolaPierina F. D’AprileAlberto R. OsellaMDPI AGarticlehigh adherencelifestyle scorerate of mortalitysub-distribution hazard ratioNutrition. Foods and food supplyTX341-641ENNutrients, Vol 13, Iss 4002, p 4002 (2021) |
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high adherence lifestyle score rate of mortality sub-distribution hazard ratio Nutrition. Foods and food supply TX341-641 |
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high adherence lifestyle score rate of mortality sub-distribution hazard ratio Nutrition. Foods and food supply TX341-641 Antonella Mirizzi Laura R. Aballay Giovanni Misciagna Maria G. Caruso Caterina Bonfiglio Paolo Sorino Antonella Bianco Angelo Campanella Isabella Franco Ritanna Curci Filippo Procino Anna M. Cisternino Maria Notarnicola Pierina F. D’Aprile Alberto R. Osella Modified WCRF/AICR Score and All-Cause, Digestive System, Cardiovascular, Cancer and Other-Cause-Related Mortality: A Competing Risk Analysis of Two Cohort Studies Conducted in Southern Italy |
description |
Background: In real life, nutrition goes beyond purely biological domains. Primary prevention is the most efficient approach for reducing the risk of mortality. We aimed to study the association of lifestyle, as measured by a modified World Cancer Research Fund/American Institute for Cancer Research (mWCRF/AICR) scoring system with all-cause, digestive system disease-related (DSD-related), cardiovascular disease-related (CVD-related), cancer–related and other cause-related mortality using data from two population-based cohort studies conducted in Southern Italy. Methods: A random sample of 5271 subjects aged 18 years or older was enrolled in 2005–2006 and followed up until 2020. Usual food intakes were estimated using a validated dietary questionnaire. Competing risks survival models were applied. Results: High adherence to the mWCRF/AICR score was found to be statistically significant and negatively associated with all-cause mortality (HR 0.56, 95%CI 0.39; 0.82), DSD-related mortality (SHR 0.38, 95%CI 0.15; 0.97) and cancer-related mortality (SHR 0.43, 95%CI 0.19; 0.97) in the male sub-cohort and other-cause mortality (SHR 0.43, 95%CI 0.21; 0.88) only in the female group. Conclusions: This mWCRF/AICR score can be seen as a simple, easy tool for use in clinical practice to evaluate both qualitative and quantitative aspects of the diet. |
format |
article |
author |
Antonella Mirizzi Laura R. Aballay Giovanni Misciagna Maria G. Caruso Caterina Bonfiglio Paolo Sorino Antonella Bianco Angelo Campanella Isabella Franco Ritanna Curci Filippo Procino Anna M. Cisternino Maria Notarnicola Pierina F. D’Aprile Alberto R. Osella |
author_facet |
Antonella Mirizzi Laura R. Aballay Giovanni Misciagna Maria G. Caruso Caterina Bonfiglio Paolo Sorino Antonella Bianco Angelo Campanella Isabella Franco Ritanna Curci Filippo Procino Anna M. Cisternino Maria Notarnicola Pierina F. D’Aprile Alberto R. Osella |
author_sort |
Antonella Mirizzi |
title |
Modified WCRF/AICR Score and All-Cause, Digestive System, Cardiovascular, Cancer and Other-Cause-Related Mortality: A Competing Risk Analysis of Two Cohort Studies Conducted in Southern Italy |
title_short |
Modified WCRF/AICR Score and All-Cause, Digestive System, Cardiovascular, Cancer and Other-Cause-Related Mortality: A Competing Risk Analysis of Two Cohort Studies Conducted in Southern Italy |
title_full |
Modified WCRF/AICR Score and All-Cause, Digestive System, Cardiovascular, Cancer and Other-Cause-Related Mortality: A Competing Risk Analysis of Two Cohort Studies Conducted in Southern Italy |
title_fullStr |
Modified WCRF/AICR Score and All-Cause, Digestive System, Cardiovascular, Cancer and Other-Cause-Related Mortality: A Competing Risk Analysis of Two Cohort Studies Conducted in Southern Italy |
title_full_unstemmed |
Modified WCRF/AICR Score and All-Cause, Digestive System, Cardiovascular, Cancer and Other-Cause-Related Mortality: A Competing Risk Analysis of Two Cohort Studies Conducted in Southern Italy |
title_sort |
modified wcrf/aicr score and all-cause, digestive system, cardiovascular, cancer and other-cause-related mortality: a competing risk analysis of two cohort studies conducted in southern italy |
publisher |
MDPI AG |
publishDate |
2021 |
url |
https://doaj.org/article/150027a0bad843a699813a6960aed7c8 |
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