Increased consumption of fruit and vegetables and future cancer incidence in selected European countries

Soerjomataram, Isabelle, Oomen, Dian, Lemmens, Valery, Oenema, Anke, Benetou, Vassiliki, Trichopoulou, Antonia, Coebergh, Jan Willem, Barendregt, Jan and de Vries, Esther (2010) Increased consumption of fruit and vegetables and future cancer incidence in selected European countries. European Journal of Cancer, 46 14: 2563-2580. doi:10.1016/j.ejca.2010.07.026

Author Soerjomataram, Isabelle
Oomen, Dian
Lemmens, Valery
Oenema, Anke
Benetou, Vassiliki
Trichopoulou, Antonia
Coebergh, Jan Willem
Barendregt, Jan
de Vries, Esther
Title Increased consumption of fruit and vegetables and future cancer incidence in selected European countries
Journal name European Journal of Cancer   Check publisher's open access policy
ISSN 0959-8049
Publication date 2010-09-01
Sub-type Article (original research)
DOI 10.1016/j.ejca.2010.07.026
Volume 46
Issue 14
Start page 2563
End page 2580
Total pages 18
Place of publication Oxford, England, U.K.
Publisher Pergamon Press
Language eng
Abstract Cancer is one of the major causes of death in western countries. Fruit and vegetable consumption may reduce the risk of cancers of the oropharynx, oesophagus, lung, stomach and colorectum. We investigated the potential effect of interventions aimed at increasing the intake of fruits and vegetables to the recommended level (500 g/d) on future cancer incidence in Europe. Data on cancer incidence and daily intake of fruit and vegetables were compiled for France, Germany, The Netherlands, Spain and Sweden. We also performed a meta-analysis of European observational studies to arrive at a quantitative estimate on the association between fruit and vegetable intake and cancer risk. Predictions on the future cancer incidence were modelled using PREVENT 3.01. Our study predicted 212,000 fruitand vegetable-related cancer cases in these countries in 2050, out of which 398 (0.19%)might be prevented if the 500 g/d fruit and vegetable intake were achieved in the aforementioned countries. The largest absolute impact was observed for lung cancer with 257 (out of 136,517) preventable cases if the intervention was successfully implemented. Sweden would benefit the most from intervention to increase fruit and vegetable consumption with a 2% reduction in expected cases. Increasing fruit and vegetable consumption has a small impact on reducing the burden of cancer in Europe. Health impact assessment tools such as PREVENT can provide the basis for decision making in chronic disease prevention. c 2010 Elsevier Ltd. All rights reserved.
Keyword Incidence
Prospective Cohort
Esophageal Cancer
Dietary Habits
Food Groups
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ
Additional Notes Received 25 March 2010; accepted 15 July 2010. Available online 16 September 2010.

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2011 Collection
School of Public Health Publications
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Created: Sun, 31 Oct 2010, 10:11:19 EST