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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Autores principales: 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
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Publicado: MDPI AG 2021
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Acceso en línea:https://doaj.org/article/150027a0bad843a699813a6960aed7c8
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spelling 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)
institution DOAJ
collection DOAJ
language EN
topic high adherence
lifestyle score
rate of mortality
sub-distribution hazard ratio
Nutrition. Foods and food supply
TX341-641
spellingShingle 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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