The DOI matches its Crossref record; 52 of the 52 references it cites were found in a registry or an index.
Total dietary carbohydrate, sugar, starch and fibre intakes in the European Prospective Investigation into Cancer and Nutrition
Abstract
Objective To describe dietary carbohydrate intakes and their food sources among 27 centres in 10 countries participating in the European Prospective Investigation into Cancer and Nutrition (EPIC) study.Methods Between 1995 and 2000, 36 034 subjects, aged between 35-74 years, were administered a standardized, 24-h dietary recall using a computerized interview software programme (EPIC-SOFT). Intakes (g/day) of total carbohydrate, sugars, starch and fibre were estimated using the standardized EPIC Nutrient Database (ENDB). Mean intakes were adjusted for age, total energy intake, height and weight, and were weighted by season and day of recall.Results Adjusted mean total carbohydrate intakes were highest in Italy and in the UK health-conscious cohort, and were lowest in Spain, Greece and France. Total fibre intakes were highest in the UK health-conscious cohort and lowest in Sweden and the UK general population. Bread contributed the highest proportion of carbohydrates (mainly starches) in every centre. Fruit consumption contributed a greater proportion of total carbohydrates (mainly sugars) among women than among men, and in southern centres compared with northern centres. Bread, fruits and vegetables represented the largest sources of fibre, but food sources varied considerably between centres. In stratified analyses, carbohydrate intakes tended to be higher among subjects who were physically active, never-smokers or non-drinkers of alcohol.Conclusions Dietary carbohydrate intakes and in particular their food sources varied considerably between these 10 European countries. Intakes also varied according to gender and lifestyle factors. These data will form the basis for future aetiological analyses of the role of dietary carbohydrates in influencing health and disease.
Overview
Integrity signals
Registry
Cites
Statistics
Verification
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
In the citing paper
“A healthy dietary pattern of the subjects (omnivores included) was also supported by the higher intake of total carbohydrates, mainly starch and fibre, compared with the intakes recorded in the European Prospective Investigation into Cancer and Nutrition study.47”
From High-level adherence to a Mediterranean diet beneficially impacts the gut microbiota and associated metabolome (2016) · cites this paper as [47]
Citations
Cites
Willett, W. C. (1998) · doi:10.1093/acprof:oso/9780195122978.001.0001 · Cited by 4,541
Selwitz, R. H., Ismail, A. I., & Pitts, N. B. (2007) · The Lancet · doi:10.1016/s0140-6736(07)60031-2 · Cited by 2,617
Riboli, E., Hunt, K., Slimani, N., Ferrari, P., Norat, T., Fahey, M., Charrondière, U., Hémon, B., Casagrande, C., Vignat, J., et al. (2002) · Public Health Nutrition · doi:10.1079/phn2002394 · Cited by 1,866
Self-citationCarbohydrates, dietary fiber, and incident type 2 diabetes in older women
Meyer, K. A., Kushi, L. H., Jacobs, D. R., Slavin, J., Sellers, T. A., & Folsom, A. R. (2000) · The American Journal of Clinical Nutrition · doi:10.1093/ajcn/71.4.921 · Cited by 1,271
Vegetable, Fruit, and Cereal Fiber Intake and Risk of Coronary Heart Disease Among Men
Rimm, E. B. (1996) · JAMA · doi:10.1001/jama.1996.03530300031036 · Cited by 889
Diet and risk of type II diabetes: the role of types of fat and carbohydrate
Hu, F. B., Liu, S., & van Dam, R. M. (2001) · Diabetologia · doi:10.1007/s001250100547 · Cited by 758
Slimani, N., Kaaks, R., Ferrari, P., Casagrande, C., Clavel‐Chapelon, F., Lotze, G., Kroke, A., Trichopoulos, D., Trichopoulou, A., Lauria, C., et al. (2002) · Public Health Nutrition · doi:10.1079/phn2002395 · Cited by 390
Glycemic index in chronic disease: a review
Augustin, L. S. A., Franceschi, S., Jenkins, D., Kendall, C. W. C., & Vecchia, C. L. (2002) · European Journal of Clinical Nutrition · doi:10.1038/sj.ejcn.1601454 · Cited by 387
Slimani, N., Deharveng, G., Unwin, I. D., Southgate, D. A. T., Vignat, J., Skeie, G., Salvini, S., Parpinel, M. T., Møller, A., Ireland-Ripert, J., et al. (2007) · European Journal of Clinical Nutrition · doi:10.1038/sj.ejcn.1602679 · Cited by 373
Slimani, N., Ferrari, P., Ocké, M. C., Welch, A. A., Boeing, H., van Liere, M. J., Pala, V. M., Amiano, P., Lagiou, A., Mattisson, I., et al. (2000) · European Journal of Clinical Nutrition · doi:10.1038/sj.ejcn.1601107 · Cited by 360
An insulin index of foods: the insulin demand generated by 1000-kJ portions of common foods
Holt, S., Miller, J., & Petocz, P. (1997) · The American Journal of Clinical Nutrition · doi:10.1093/ajcn/66.5.1264 · Cited by 353
Dietary fat:carbohydrate ratio and obesity in middle-aged men
Dreon, D., Frey-Hewitt, B., Ellsworth, N., Williams, P., Terry, R., & Wood, P. (1988) · The American Journal of Clinical Nutrition · doi:10.1093/ajcn/47.6.995 · Cited by 340
Slimani, N., Deharveng, G., Charrondière, R. U., van Kappel, A. L., Ocké, M. C., Welch, A. A., Lagiou, A., van Liere, M. J., Agudo, A., Pala, V. M., et al. (1999) · Computer Methods and Programs in Biomedicine · doi:10.1016/s0169-2607(98)00088-1 · Cited by 330
Nutritional characterization and measurement of dietary carbohydrates
Englyst, K. N., Liu, S., & Englyst, H. N. (2007) · European Journal of Clinical Nutrition · doi:10.1038/sj.ejcn.1602937 · Cited by 280
FAO/WHO Scientific Update on carbohydrates in human nutrition: conclusions
Mann, J. I., Cummings, J. H., Englyst, H. N., Key, T. J. A., Liu, S., Riccardi, G., Summerbell, C., Uauy, R. D., van Dam, R. M., Venn, B. J., et al. (2007) · European Journal of Clinical Nutrition · doi:10.1038/sj.ejcn.1602943 · Cited by 279
Haftenberger, M., Lahmann, P. H., Panico, S., Gonzalez, C. A., Seidell, J. C., Boeing, H., Giurdanella, M., Krogh, V., Bueno-de-Mesquita, H. B., Peeters, P. H. M., et al. (2002) · Public Health Nutrition · doi:10.1079/phn2002396 · Cited by 276
Ferrari, P., Slimani, N., Ciampi, A., Trichopoulou, A., Naska, A., Lauria, C., Veglia, F., Bueno-de-Mesquita, H. B., Ocké, M., Brustad, M., et al. (2002) · Public Health Nutrition · doi:10.1079/phn2002409 · Cited by 264
Carbohydrate intake and obesity
van Dam, R. M., & Seidell, J. C. (2007) · European Journal of Clinical Nutrition · doi:10.1038/sj.ejcn.1602939 · Cited by 261
Slimani, N., Fahey, M. T., Welch, A., Wirfält, E., Stripp, C., Bergström, E., Linseisen, J., Schulze, M. B., Bamia, C., Chloptsios, Y., et al. (2002) · Public Health Nutrition · doi:10.1079/phn2002407 · Cited by 240
The nutrition transition in Spain: a European Mediterranean country
Moreno, L. A., Sarría, A., & Popkin, B. (2002) · European Journal of Clinical Nutrition · doi:10.1038/sj.ejcn.1601414 · Cited by 232
Deharveng, G., Charrondière, U. R., Slimani, N., Southgate, D. A. T., & Ríboli, E. (1999) · European Journal of Clinical Nutrition · doi:10.1038/sj.ejcn.1600677 · Cited by 191
Dietary carbohydrates and insulin sensitivity: a review of the evidence and clinical implications
Daly, M., Vale, C., Walker, M., Kg, A., & Mathers, J. C. (1997) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/66.5.1072 · Cited by 182
Henderson, L., Gregory, J., & Irving, K. E. (2003) · OpenGrey (Institut de l'Information Scientifique et Technique) · Cited by 166
Measuring food intake in studies of obesity
Lissner, L. (2002) · Public Health Nutrition · doi:10.1079/phn2002388 · Cited by 156
Troisi, R., Heinold, J., Vokonas, P., & Weiss, S. T. (1991) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/53.5.1104 · Cited by 153
Haftenberger, M., Schuit, A. J., Tormo, M., Boeing, H., Wareham, N. J., Bueno-de-Mesquita, H. B., Kumle, M. H., Hjartåker, A., Chirlaque, M., Ardanáz, E., et al. (2002) · Public Health Nutrition · doi:10.1079/phn2002397 · Cited by 152
Calibration of Dietary Intake Measurements in Prospective Cohort Studies
Kaaks, R., Ríboli, E., & van Staveren, W. (1995) · American Journal of Epidemiology · doi:10.1093/oxfordjournals.aje.a117673 · Cited by 127
Brustad, M., Skeie, G., Braaten, T., Slimani, N., & Lund, E. (2003) · European Journal of Clinical Nutrition · doi:10.1038/sj.ejcn.1601498 · Cited by 113
Sugars, insulin sensitivity, and the postprandial state
Daly, M. E. (2003) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/78.4.865s · Cited by 111
Sugars, energy metabolism, and body weight control
Saris, W. H. (2003) · The American Journal of Clinical Nutrition · doi:10.1093/ajcn/78.4.850s · Cited by 102
Slimani, N., Bingham, S. A., Runswick, S. A., Ferrari, P., Day, N., Welch, A. A., Key, T. J., Miller, A. B., Boeing, H., Sieri, S., et al. (2003) · PubMed · Cited by 96
Dietary habits among Norwegian men and women
Johansson, L., Solvoll, K., Bjoerneboe, G. E. A., & Drevon, C. A. (1997) · Cited by 77
Slimani, N., Valsta, L. M., & for the EFCOSUM Group (2002) · European Journal of Clinical Nutrition · doi:10.1038/sj.ejcn.1601430 · Cited by 74
Ferrari, P. (2004) · American Journal of Epidemiology · doi:10.1093/aje/kwh280 · Cited by 74
Energy density of the diet, food volume and energy intake by age and sex in a healthy population
Martí-Henneberg, C., Capdevila, F., Arija, V., Pérez, S., Cucó, G., Vizmanos-Lamotte, B., & Fernandez-Ballart, J. D. (1999) · European Journal of Clinical Nutrition · doi:10.1038/sj.ejcn.1600770 · Cited by 72
Kaaks, R., Plummer, M., Ríboli, E., Estève, J., & van Staveren, W. (1994) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/59.1.245s · Cited by 61
FAO/WHO Scientific Update on carbohydrates in human nutrition: introduction
Nishida, C., & Nocito, F. M. (2007) · European Journal of Clinical Nutrition · doi:10.1038/sj.ejcn.1602935 · Cited by 61
Food sources of carbohydrates in a European cohort of adults
Wirfält, E., McTaggart, A., Pala, V. M., Gullberg, B., Frasca, G., Panico, S., Bueno-de-Mesquita, H. B., Peeters, P. H. M., Engeset, D., Skeie, G., et al. (2002) · Public Health Nutrition · doi:10.1079/phn2002399 · Cited by 61
Cust, A. E., Slimani, N., Kaaks, R., van Bakel, M. M. E., Biessy, C., Ferrari, P., Laville, M., Tjønneland, A. M., Olsen, A., Overvad, K., et al. (2007) · American Journal of Epidemiology · doi:10.1093/aje/kwm161 · Cited by 60
Carbohydrates, fat, and insulin action
Smith, U. (1994) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/59.3.686s · Cited by 57
Recent national French food and nutrient intake data
Volatier, J., & Verger, P. (1999) · British Journal Of Nutrition · doi:10.1017/s0007114599000902 · Cited by 56
Stephen, A., Sieber, G., Gerster, Y., & Morgan, D. (1995) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/62.4.851s · Cited by 52
Dietary guidelines and patterns of food and nutrient intake in Sweden
Becker, W. (1999) · British Journal Of Nutrition · doi:10.1017/s0007114599000951 · Cited by 48
Carbohydrates and cancer: an overview of the epidemiological evidence
Key, T. J., & Spencer, E. A. (2007) · European Journal of Clinical Nutrition · doi:10.1038/sj.ejcn.1602941 · Cited by 48
Turrini, A., Leclercq, C., & D’Amicis, A. (1999) · British Journal Of Nutrition · doi:10.1017/s0007114599001762 · Cited by 40
Dietary guidelines and patterns of intake in Denmark
Haraldsdóttir, J. (1999) · British Journal Of Nutrition · doi:10.1017/s0007114599000884 · Cited by 38
Ocké, M., Larrañaga, N., Grioni, S., van den Berg, S. W., Ferrari, P., Salvini, S., Benetou, V., Linseisen, J., Wirfält, E., Rinaldi, S., et al. (2009) · European Journal of Clinical Nutrition · doi:10.1038/ejcn.2009.72 · Cited by 34
DeVries, J. W., & Rader, J. I. (2005) · Journal of AOAC International · doi:10.1093/jaoac/88.5.1349 · Cited by 32
Physiological aspects of exercise in weight cycling
Saris, W. H. M. (1989) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/49.5.1099 · Cited by 27
Ferrari, P., Roddam, A., Fahey, M. T., Jenab, M., Bamia, C., Ocké, M. C., Amiano, P., Hjartåker, A., Biessy, C., Rinaldi, S., et al. (2009) · European Journal of Clinical Nutrition · doi:10.1038/ejcn.2009.80 · Cited by 25
Mazlan, N., Horgan, G. W., Whybrow, S., & Stubbs, R. J. (2006) · British Journal Of Nutrition · doi:10.1079/bjn20061750 · Cited by 24
Commentary: Correlated errors and energy adjustment--where are the data?
Spiegelman, D. (2004) · International Journal of Epidemiology · doi:10.1093/ije/dyh315 · Cited by 14
Cited by
Sorted by citations
De Filippis, F., Pellegrini, N., Vannini, L., Jeffery, I. B., La Storia, A., Laghi, L., Serrazanetti, D. I., Di Cagno, R., Ferrocino, I., Lazzi, C., et al. (2016) · Gut · doi:10.1136/gutjnl-2015-309957 · Cited by 1,638
Augustin, L. S. A., Kendall, C. W. C., Jenkins, D. J. A., Willett, W. C., Astrup, A., Barclay, A. W., Björck, I., Brand-Miller, J. C., Brighenti, F., Buyken, A. E., et al. (2015) · Nutrition, Metabolism and Cardiovascular Diseases · doi:10.1016/j.numecd.2015.05.005 · Cited by 707
The InterAct Consortium (2015) · Diabetologia · doi:10.1007/s00125-015-3585-9 · Cited by 476
“The method for estimating total dietary fibre intake has previously been described [18].”
MethodAgeing of the human metaorganism: the microbial counterpart
Biagi, E., Candela, M., Fairweather‐Tait, S. J., Franceschi, C., & Brigidi, P. (2011) · AGE · doi:10.1007/s11357-011-9217-5 · Cited by 375
Bradbury, K. E., Appleby, P. N., & Key, T. J. (2014) · The American Journal of Clinical Nutrition · doi:10.3945/ajcn.113.071357 · Cited by 328
“The main sources of fiber in the EPIC cohort are cereals and cereal products, bread, fruit, and vegetables (32).”
Self-citation
Metadata
- Authors
- Cust, A. E., Skilton, M. R., van Bakel, M. M. E., Halkjær, J., Olsen, A., Agnoli, C., Psaltopoulou, T., Buurma, E., Sonestedt, E., Chirlaque, M. D., Rinaldi, S., Tjønneland, A., Jensen, M. K., Clavel-Chapelon, F., Boutron-Ruault, M. C., Kaaks, R., Nöthlings, U., Chloptsios, Y., Zylis, D., Mattiello, A., Caini, S., Ocké, M. C., van der Schouw, Y. T., Skeie, G., Parr, C. L., Molina-Montes, E., Manjer, J., Johansson, I., McTaggart, A., Key, T. J., Bingham, S., Riboli, E., & Slimani, N.
- Affiliations
- The University of Melbourne (AU)
- Lyon 1 Université (FR)
- Danish Cancer Society (DK)
- Fondazione IRCCS Istituto Nazionale dei Tumori (IT)
- National Institute for Public Health and the Environment (NL)
- Lund University (SE)
- Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública (ES)
- Centre international de recherche sur le cancer (FR)
- Aalborg University Hospital (DK)
- German Cancer Research Center (DE)
- Christian-Albrechts-Universität zu Kiel (DE)
- National and Kapodistrian University of Athens (GR)
- University of Naples Federico II (IT)
- Istituto per lo Studio e la Prevenzione Oncologica (IT)
- UiT The Arctic University of Norway (NO)
- University of Oslo (NO)
- Umeå University (SE)
- University of Cambridge (GB)
- University of Oxford (GB)
- Corresponding author
- Cust, A E
- ORCID
- Venue
- European Journal of Clinical Nutrition
- Published
- 2009-11
- Volume
- 63
- Issue
- S4
- Pages
- S37-S60
- ISSN
- 0954-3007 (ISSN-L)
- 1476-5640
- OpenAlex
- W2144414406
- Cited by
- 109
- References
- 52
- Citations by year
- 2026: 1 · 2025: 3 · 2024: 6 · 2023: 5 · 2022: 7 · 2021: 11 · 2020: 7 · 2019: 6 · 2018: 7 · 2017: 6 · 2016: 13 · 2015: 7 · 2014: 7 · 2013: 4 · 2012: 7
- FWCI
- 6.36
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- European Journal of Clinical Nutrition (publishedVersion)
- PubMed (publishedVersion)
- Lund University Publications (Lund University) (submittedVersion)
- Rivm Repository (Netherlands National Institute for Public Health and the Environment) (submittedVersion)
- University of Groningen research database (University of Groningen / Centre for Information Technology) (submittedVersion)
- Funders
- Wellcome Trust
- Cancer Research UK
- National Institute for Health and Care Research
- British Heart Foundation
- European Commission
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Nutritional Studies and Diet
- Health Sciences › Nursing › Nutrition and Dietetics › Food composition and properties
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diet, Metabolism, and Disease
- Keywords
- carbohydrate intake, dietary fiber intake, dietary sugar, dietary starch, bread consumption, fruit consumption, physical activity, smoking status, alcohol consumption, EPIC cohort
- MeSH terms
- Adult, Aged, Alcohol Drinking, Energy Intake, Diet, Diet Surveys, Dietary Carbohydrates, Dietary Fiber, Europe, Female, Humans, Male, Middle Aged, Prospective Studies, Sex Factors, Smoking, Starch, Exercise, Diet Records, Confounding Factors, Epidemiologic, Dietary Sucrose
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review