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Do eating habits differ according to alcohol consumption? Results of a study of the French cohort of the European Prospective Investigation into Cancer and Nutrition (E3N-EPIC).
Kesse E., Clavel-Chapelon F., Slimani N., Van Liere M. J.
Am J Clin Nutr 74, 3 (2001) 322-7 - http://www.hal.inserm.fr/inserm-00129648
(11522555)
Do eating habits differ according to alcohol consumption? Results of a study of the French cohort of the European Prospective Investigation into Cancer and Nutrition (E3N-EPIC).
Emmanuelle Kesse1, Françoise Clavel-Chapelon () 1, Nadia Slimani2, Marti Van Liere3
1:  E3N - Nutrition, hormones et cancer: épidémiologie et prévention
http://www.idf.inserm.fr/site/eri20/
INSERM : ERI20 – IFR69 – Université Paris XI - Paris Sud : EA4045
Institut Gustave-Roussy 39 rue Camille Desmoulins 94805 Villejuif CEDEX
France
2:  IACR - International Agency for Cancer Research
http://www.iarc.fr/
International Agency for Cancer Research,
150 Cours Albert Thomas, 69372 Lyon CEDEX 08
France
3:  KIT Health
The Royal Tropical Institute (KIT)
Amsterdam
France
BACKGROUND: The potential of dietary habits to confound the association between alcohol consumption and health needs further study. OBJECTIVE: We examined whether eating habits differed according to alcohol consumption in a large cohort of French women. DESIGN: This was a cross-sectional study of the French cohort of the European Prospective Investigation into Cancer and Nutrition (E3N-EPIC). The cohort was established in 1990 and includes 100000 women born between 1925 and 1950. Dietary data were obtained between 1993 and 1995 by using self-administered food-frequency questionnaires. About 73000 questionnaires were analyzed, and women were placed into 7 categories of alcohol consumption. RESULTS: After adjustment for energy derived from alcohol, increasing alcohol consumption was associated with a higher total energy intake, a higher percentage of energy intake as protein and lipids, and higher intakes of cholesterol, fatty acids, retinol, iron, and vitamin E. Conversely, energy provided by carbohydrates decreased with increasing alcohol consumption, as did beta-carotene intake. Increasing alcohol consumption was associated with higher consumption of animal products, cheese, potatoes, oil, bread, and breakfast cereals and with lower consumption of vegetables and dairy products. CONCLUSION: In this population of middle-aged, highly educated French women, marked differences in dietary patterns and nutrient intakes were found according to alcohol consumption. Part of the detrimental effect of alcohol on health may be due to the less healthy dietary habits of drinkers. This points to a confounding role of eating habits and nutrient intakes in the relation between alcohol and health.
Life Sciences/Health Care Sciences and Epidemiology
Life Sciences/Food and Nutrition
English
0002-9165

Article in peer-reviewed journal
Am J Clin Nutr
2001-09
74
3
322-7

Adult – Aged – Alcohol Drinking – Cohort Studies – Confounding Factors (Epidemiology) – Coronary Disease – Cross-Sectional Studies – Dietary Fats – Energy Intake – Female – Food Habits – France – Health Behavior – Humans – Middle Aged – Neoplasms – Prospective Studies – Q
The study is supported by the French League against Cancer, the European Community, the 3M Company, the Mutuelle Générale de l'Education Nationale, Institut Gustave Roussy, and the Institut National de la Santé et de la Recherche Médicale. E Kesse is supported by a grant from the Association for Research on Cancer.