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Ecological-level associations between highly processed food intakes and plasma phospholipid elaidic acid concentrations: results from a cross-sectional study within the European prospective investigation into cancer and nutrition (EPIC)
Authors:Chajès Véronique  Biessy Carine  Byrnes Graham  Deharveng Geneviève  Saadatian-Elahi Mitra  Jenab Mazda  Peeters Petra H M  Ocké Marga  Bueno-de-Mesquita H Bas  Johansson Ingegerd  Hallmans Göran  Manjer Jonas  Wirfält Elisabet  Jakszyn Paula  González Carlos A  Huerta Jose-Maria  Martinez Carmen  Amiano Pilar  Suárez Laudina Rodriguez  Ardanaz Eva  Tjønneland Anne  Halkjaer Jytte  Overvad Kim  Jakobsen Marianne Uhre  Berrino Franco  Pala Valeria  Palli Domenico  Tumino Rosario  Vineis Paolo  de Magistris Maria Santucci  Spencer Elisabeth A  Crowe Francesca L  Bingham Sheila  Khaw Kay-Tee  Linseisen Jakob  Rohrmann Sabine
Affiliation:The International Agency for Research on Cancer, Lyon, France.
Abstract:Elaidic acid is the main unnatural trans fatty acid isomer occurring during partial hydrogenation of vegetable oils used as ingredients for the formulation of processed foods. The main objective is to assess associations between processed food intakes and plasma phospholipid elaidic acid concentrations within the European Prospective Investigation into Cancer and Nutrition study. A cross-sectional study was used to determine fatty acid profiles in 3,003 subjects from 16 centers. Single 24-h dietary recalls (24-HDR) were collected using a standardized computerized interview program. Food intakes were computed according to their degree of processing (moderately/nonprocessed foods, processed staple foods, highly processed foods). Adjusted ecological and individual correlations were calculated between processed food intakes and plasma elaidic acid levels. At the population level, mean intakes of highly processed foods were strongly correlated with mean levels of plasma elaidic acid in men (P = 0.0016) and in women (P = 0.0012). At the individual level, these associations remained but at a much lower level in men (r = 0.08, P = 0.006) and in women (r = 0.09, P = 0.0001). The use of an averaged 24-HDR measure of highly processed food intakes is adequate for predicting mean levels of plasma elaidic acid among European populations.
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