Methodological Challenges in the Application of the Glycemic Index in Epidemiological Studies Using Data from the European Prospective Investigation into Cancer and Nutrition
Identifieur interne : 008219 ( Main/Exploration ); précédent : 008218; suivant : 008220Methodological Challenges in the Application of the Glycemic Index in Epidemiological Studies Using Data from the European Prospective Investigation into Cancer and Nutrition
Auteurs : Marit M. E. Van Bakel [France] ; Nadia Slimani [France] ; Edith J. M. Feskens [Pays-Bas] ; HUAIDONG DU [Pays-Bas] ; Joline W. J. Beulens [Pays-Bas] ; Yvonne T. Van Der Schouw [Pays-Bas] ; Furio Brighenti [Italie] ; Jytte Halkjaer [Danemark] ; Anne E. Cust [France] ; Pietro Ferrari [France] ; Jennie Brand-Miller [Australie] ; H. Bas Bueno-De-Mesquita [Pays-Bas] ; Petra Peeters [Pays-Bas] ; Eva Ardanaz [Espagne] ; Miren Dorronsoro [Espagne] ; Francesca L. Crowe [Royaume-Uni] ; Sheila Bingham [Royaume-Uni] ; Sabine Rohrmann [Allemagne] ; Heiner Boeing [Allemagne] ; Ingegerd Johansson [Suède] ; Jonas Manjer [Suède] ; Anne Tjonneland [Danemark] ; Kim Overvad [Danemark] ; Eiliv Lund [Norvège] ; Guri Skeie [Norvège] ; Amalia Mattiello [Italie] ; Simonetta Salvini [Italie] ; Francoise Clavel-Chapelon [France] ; Rudolf Kaaks [Allemagne]Source :
- The Journal of nutrition [ 0022-3166 ] ; 2009.
Descripteurs français
- Pascal (Inist)
- Wicri :
- topic : Nutrition.
English descriptors
- KwdEn :
Abstract
Associations between the glycemic index (Gl) or glycemic load (GL) and diseases are heterogeneous in epidemiological studies. Differences in assigning Gl values to food items may contribute to this inconsistency. Our objective was to address methodological issues related to the use of current Gl and GL values in epidemiological studies. We performed ecological comparison and correlation studies by calculating dietary Gl and GL from country-specific dietary questionnaires (DQ) from 422,837 participants from 9 countries participating in the European Prospective Investigation into Cancer and Nutrition study and single standardized 24-h dietary recalls (24-HDR) obtained from a representative sample (n = 33,404) using mainly Foster Powell's international table as a reference source. Further, 2 inter-rater and 1 inter-method comparison were conducted, comparing DQ Gl values assigned by independent groups with values linked by us. The ecological correlation between DO and 24-HDR was good for GL (overall r= 0.76; P< 0.005) and moderate for GI (r= 0.57; P< 0.05). Mean GI/GL differences between DQ and 24-HDR were significant for most centers. GL but not GI from DO was highly correlated with total carbohydrate (r= 0.98 and 0.15, respectively; P< 0.0001) and this was higher for starch (r= 0.72; P < 0.0001) than for sugars (r = 0.36; P < 0.0001). The inter-rater and inter-method variations were considerable for Gl (weighted K coefficients of 0.49 and 0.65 for inter-rater and 0.25 for inter-method variation, respectively) but only mild for GL (weighted K coefficients > 0.80). A more consistent methodology to attribute GI values to foods and validated DQ is needed to derive meaningful GI/GL estimates for nutritional epidemiology.
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Affiliations:
- Allemagne, Australie, Danemark, Espagne, France, Italie, Norvège, Pays-Bas, Royaume-Uni, Suède
- Angleterre, Auvergne (région administrative), Auvergne-Rhône-Alpes, Bade-Wurtemberg, District de Karlsruhe, Gueldre (province), Hovedstaden, Nouvelle-Galles du Sud, Oxfordshire, Pays basque, Rhône-Alpes, Région de Murcie, Utrecht (province), Île-de-France
- Copenhague, Heidelberg, Lyon, Orsay, Oxford, Sydney, Utrecht, Wageningue
- Université Paris-Sud, Université d'Oxford, Université de Sydney, Université de Wageningue
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Crowe</name><affiliation wicri:level="4"><inist:fA14 i1="11"><s1>Cancer Epidemiology Unit, University of Oxford</s1><s2>OX3 7LF Oxford</s2><s3>GBR</s3><sZ>16 aut.</sZ></inist:fA14><country>Royaume-Uni</country><placeName><settlement type="city">Oxford</settlement><region type="nation">Angleterre</region><region type="région" nuts="1">Oxfordshire</region></placeName><orgName type="university">Université d'Oxford</orgName></affiliation></author><author><name sortKey="Bingham, Sheila" sort="Bingham, Sheila" uniqKey="Bingham S" first="Sheila" last="Bingham">Sheila Bingham</name><affiliation wicri:level="1"><inist:fA14 i1="12"><s1>Department of Public Health and Primary Care, MRC Centre for Nutritional Epidemiology in Cancer Prevention and Survival</s1><s2>CB1 8RN Cambridge</s2><s3>GBR</s3><sZ>17 aut.</sZ></inist:fA14><country>Royaume-Uni</country><wicri:noRegion>CB1 8RN Cambridge</wicri:noRegion></affiliation></author><author><name sortKey="Rohrmann, Sabine" sort="Rohrmann, Sabine" uniqKey="Rohrmann S" first="Sabine" last="Rohrmann">Sabine Rohrmann</name><affiliation wicri:level="3"><inist:fA14 i1="13"><s1>Division of Cancer Epidemiology, German Cancer Research Center</s1><s2>69120 Heidelberg</s2><s3>DEU</s3><sZ>18 aut.</sZ></inist:fA14><country>Allemagne</country><placeName><region type="land" nuts="1">Bade-Wurtemberg</region><region type="district" nuts="2">District de Karlsruhe</region><settlement type="city">Heidelberg</settlement></placeName></affiliation></author><author><name sortKey="Boeing, Heiner" sort="Boeing, Heiner" uniqKey="Boeing H" first="Heiner" last="Boeing">Heiner Boeing</name><affiliation wicri:level="1"><inist:fA14 i1="14"><s1>Deparment of Epidemiology, German Institute of Human Nutrition</s1><s2>Potsdam-Rehbrücke</s2><s3>DEU</s3><sZ>19 aut.</sZ></inist:fA14><country>Allemagne</country><wicri:noRegion>Potsdam-Rehbrücke</wicri:noRegion><wicri:noRegion>German Institute of Human Nutrition</wicri:noRegion><wicri:noRegion>Potsdam-Rehbrücke</wicri:noRegion></affiliation></author><author><name sortKey="Johansson, Ingegerd" sort="Johansson, Ingegerd" uniqKey="Johansson I" first="Ingegerd" last="Johansson">Ingegerd Johansson</name><affiliation wicri:level="1"><inist:fA14 i1="15"><s1>Department of Odontology, Cariology, UmeÅ University Hospital</s1><s2>30187 Umea</s2><s3>SWE</s3><sZ>20 aut.</sZ></inist:fA14><country>Suède</country><wicri:noRegion>30187 Umea</wicri:noRegion></affiliation></author><author><name sortKey="Manjer, Jonas" sort="Manjer, Jonas" uniqKey="Manjer J" first="Jonas" last="Manjer">Jonas Manjer</name><affiliation wicri:level="1"><inist:fA14 i1="16"><s1>Department of Surgery, Malmo University Hospital</s1><s2>20502 Malmo</s2><s3>SWE</s3><sZ>21 aut.</sZ></inist:fA14><country>Suède</country><wicri:noRegion>20502 Malmo</wicri:noRegion></affiliation></author><author><name sortKey="Tjonneland, Anne" sort="Tjonneland, Anne" uniqKey="Tjonneland A" first="Anne" last="Tjonneland">Anne Tjonneland</name><affiliation wicri:level="1"><inist:fA14 i1="07"><s1>Danish Cancer Society, Institute of Cancer Epidemiology</s1><s2>2100 Copenhagen</s2><s3>DNK</s3><sZ>8 aut.</sZ><sZ>22 aut.</sZ></inist:fA14><country>Danemark</country><placeName><settlement type="city">Copenhague</settlement><region type="région" nuts="2">Hovedstaden</region></placeName></affiliation></author><author><name sortKey="Overvad, Kim" sort="Overvad, Kim" uniqKey="Overvad K" first="Kim" last="Overvad">Kim Overvad</name><affiliation wicri:level="1"><inist:fA14 i1="17"><s1>Department of Cardiology and Department of Clinical Epidemiology, Aarhus University Hospital</s1><s2>8200 Aalborg</s2><s3>DNK</s3><sZ>23 aut.</sZ></inist:fA14><country>Danemark</country><wicri:noRegion>8200 Aalborg</wicri:noRegion></affiliation></author><author><name sortKey="Lund, Eiliv" sort="Lund, Eiliv" uniqKey="Lund E" first="Eiliv" last="Lund">Eiliv Lund</name><affiliation wicri:level="1"><inist:fA14 i1="18"><s1>Institute of Community Medicine, University of Tromsø</s1><s2>9037 Tromsø</s2><s3>NOR</s3><sZ>24 aut.</sZ><sZ>25 aut.</sZ></inist:fA14><country>Norvège</country><wicri:noRegion>9037 Tromsø</wicri:noRegion></affiliation></author><author><name sortKey="Skeie, Guri" sort="Skeie, Guri" uniqKey="Skeie G" first="Guri" last="Skeie">Guri Skeie</name><affiliation wicri:level="1"><inist:fA14 i1="18"><s1>Institute of Community Medicine, University of Tromsø</s1><s2>9037 Tromsø</s2><s3>NOR</s3><sZ>24 aut.</sZ><sZ>25 aut.</sZ></inist:fA14><country>Norvège</country><wicri:noRegion>9037 Tromsø</wicri:noRegion></affiliation></author><author><name sortKey="Mattiello, Amalia" sort="Mattiello, Amalia" uniqKey="Mattiello A" first="Amalia" last="Mattiello">Amalia Mattiello</name><affiliation wicri:level="1"><inist:fA14 i1="19"><s1>Department of Clinical and Experimental Medicine, Federico II University</s1><s2>80131 Naples</s2><s3>ITA</s3><sZ>26 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E." last="Van Bakel">Marit M. E. Van Bakel</name><affiliation wicri:level="3"><inist:fA14 i1="01"><s1>Nutritional and Database Resource Team, International Agency for Research on Cancer</s1><s2>63372 Lyon</s2><s3>FRA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>9 aut.</sZ><sZ>10 aut.</sZ></inist:fA14><country>France</country><placeName><region type="region" nuts="2">Auvergne-Rhône-Alpes</region><region type="old region" nuts="2">Auvergne (région administrative)</region><settlement type="city">Lyon</settlement></placeName></affiliation></author><author><name sortKey="Slimani, Nadia" sort="Slimani, Nadia" uniqKey="Slimani N" first="Nadia" last="Slimani">Nadia Slimani</name><affiliation wicri:level="3"><inist:fA14 i1="01"><s1>Nutritional and Database Resource Team, International Agency for Research on Cancer</s1><s2>63372 Lyon</s2><s3>FRA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>9 aut.</sZ><sZ>10 aut.</sZ></inist:fA14><country>France</country><placeName><region type="region" nuts="2">Auvergne-Rhône-Alpes</region><region type="old region" nuts="2">Auvergne (région administrative)</region><settlement type="city">Lyon</settlement></placeName></affiliation></author><author><name sortKey="Feskens, Edith J M" sort="Feskens, Edith J M" uniqKey="Feskens E" first="Edith J. M." last="Feskens">Edith J. M. Feskens</name><affiliation wicri:level="4"><inist:fA14 i1="02"><s1>Division of Human Nutrition, Wageningen University</s1><s2>6700 EV</s2><s3>NLD</s3><sZ>3 aut.</sZ></inist:fA14><country>Pays-Bas</country><placeName><settlement type="city">Wageningue</settlement><region nuts="2">Gueldre (province)</region></placeName><orgName type="university">Université de Wageningue</orgName></affiliation></author><author><name sortKey="Huaidong Du" sort="Huaidong Du" uniqKey="Huaidong Du" last="Huaidong Du">HUAIDONG DU</name><affiliation wicri:level="1"><inist:fA14 i1="03"><s1>Nutrition and Toxicology Research Institute of Maastricht, Maastricht University</s1><s2>Maastricht, 6200 MD</s2><s3>NLD</s3><sZ>4 aut.</sZ></inist:fA14><country>Pays-Bas</country><wicri:noRegion>Maastricht, 6200 MD</wicri:noRegion></affiliation><affiliation wicri:level="1"><inist:fA14 i1="04"><s1>National Institute for Public Health and the Environment</s1><s2>3721 MA Bilthoven</s2><s3>NLD</s3><sZ>4 aut.</sZ><sZ>12 aut.</sZ><sZ>13 aut.</sZ></inist:fA14><country>Pays-Bas</country><wicri:noRegion>National Institute for Public Health and the Environment</wicri:noRegion></affiliation></author><author><name sortKey="Beulens, Joline W J" sort="Beulens, Joline W J" uniqKey="Beulens J" first="Joline W. J." last="Beulens">Joline W. J. Beulens</name><affiliation wicri:level="1"><inist:fA14 i1="05"><s1>Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht</s1><s2>85550 Utrecht</s2><s3>NLD</s3><sZ>5 aut.</sZ><sZ>6 aut.</sZ></inist:fA14><country>Pays-Bas</country><placeName><settlement type="city">Utrecht</settlement><region nuts="2" type="province">Utrecht (province)</region></placeName></affiliation></author><author><name sortKey="Van Der Schouw, Yvonne T" sort="Van Der Schouw, Yvonne T" uniqKey="Van Der Schouw Y" first="Yvonne T." last="Van Der Schouw">Yvonne T. Van Der Schouw</name><affiliation wicri:level="1"><inist:fA14 i1="05"><s1>Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht</s1><s2>85550 Utrecht</s2><s3>NLD</s3><sZ>5 aut.</sZ><sZ>6 aut.</sZ></inist:fA14><country>Pays-Bas</country><placeName><settlement type="city">Utrecht</settlement><region nuts="2" type="province">Utrecht (province)</region></placeName></affiliation></author><author><name sortKey="Brighenti, Furio" sort="Brighenti, Furio" uniqKey="Brighenti F" first="Furio" last="Brighenti">Furio Brighenti</name><affiliation wicri:level="1"><inist:fA14 i1="06"><s1>Human Nutrition Unit, Department of Public Health, University of Parma</s1><s2>43100 Parma</s2><s3>ITA</s3><sZ>7 aut.</sZ></inist:fA14><country>Italie</country><wicri:noRegion>43100 Parma</wicri:noRegion></affiliation></author><author><name sortKey="Halkjaer, Jytte" sort="Halkjaer, Jytte" uniqKey="Halkjaer J" first="Jytte" last="Halkjaer">Jytte Halkjaer</name><affiliation wicri:level="1"><inist:fA14 i1="07"><s1>Danish Cancer Society, Institute of Cancer Epidemiology</s1><s2>2100 Copenhagen</s2><s3>DNK</s3><sZ>8 aut.</sZ><sZ>22 aut.</sZ></inist:fA14><country>Danemark</country><placeName><settlement type="city">Copenhague</settlement><region type="région" nuts="2">Hovedstaden</region></placeName></affiliation></author><author><name sortKey="Cust, Anne E" sort="Cust, Anne E" uniqKey="Cust A" first="Anne E." last="Cust">Anne E. Cust</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Nutritional and Database Resource Team, International Agency for Research on Cancer</s1><s2>63372 Lyon</s2><s3>FRA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>9 aut.</sZ><sZ>10 aut.</sZ></inist:fA14><country>France</country><wicri:noRegion>63372 Lyon</wicri:noRegion><placeName><settlement type="city">Lyon</settlement><region type="region" nuts="2">Auvergne-Rhône-Alpes</region><region type="old region" nuts="2">Rhône-Alpes</region></placeName></affiliation></author><author><name sortKey="Ferrari, Pietro" sort="Ferrari, Pietro" uniqKey="Ferrari P" first="Pietro" last="Ferrari">Pietro Ferrari</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Nutritional and Database Resource Team, International Agency for Research on Cancer</s1><s2>63372 Lyon</s2><s3>FRA</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>9 aut.</sZ><sZ>10 aut.</sZ></inist:fA14><country>France</country><wicri:noRegion>63372 Lyon</wicri:noRegion><placeName><settlement type="city">Lyon</settlement><region type="region" nuts="2">Auvergne-Rhône-Alpes</region><region type="old region" nuts="2">Rhône-Alpes</region></placeName></affiliation></author><author><name sortKey="Brand Miller, Jennie" sort="Brand Miller, Jennie" uniqKey="Brand Miller J" first="Jennie" last="Brand-Miller">Jennie Brand-Miller</name><affiliation wicri:level="4"><inist:fA14 i1="08"><s1>School of Molecular and Microbial Biosciences, University of Sydney</s1><s2>NSW 2006 Sydney</s2><s3>AUS</s3><sZ>11 aut.</sZ></inist:fA14><country>Australie</country><placeName><settlement type="city">Sydney</settlement><region type="état">Nouvelle-Galles du Sud</region></placeName><orgName type="university">Université de Sydney</orgName></affiliation></author><author><name sortKey="Bas Bueno De Mesquita, H" sort="Bas Bueno De Mesquita, H" uniqKey="Bas Bueno De Mesquita H" first="H." last="Bas Bueno-De-Mesquita">H. Bas Bueno-De-Mesquita</name><affiliation wicri:level="1"><inist:fA14 i1="04"><s1>National Institute for Public Health and the Environment</s1><s2>3721 MA Bilthoven</s2><s3>NLD</s3><sZ>4 aut.</sZ><sZ>12 aut.</sZ><sZ>13 aut.</sZ></inist:fA14><country>Pays-Bas</country><wicri:noRegion>National Institute for Public Health and the Environment</wicri:noRegion></affiliation></author><author><name sortKey="Peeters, Petra" sort="Peeters, Petra" uniqKey="Peeters P" first="Petra" last="Peeters">Petra Peeters</name><affiliation wicri:level="1"><inist:fA14 i1="04"><s1>National Institute for Public Health and the Environment</s1><s2>3721 MA Bilthoven</s2><s3>NLD</s3><sZ>4 aut.</sZ><sZ>12 aut.</sZ><sZ>13 aut.</sZ></inist:fA14><country>Pays-Bas</country><wicri:noRegion>National Institute for Public Health and the Environment</wicri:noRegion></affiliation></author><author><name sortKey="Ardanaz, Eva" sort="Ardanaz, Eva" uniqKey="Ardanaz E" first="Eva" last="Ardanaz">Eva Ardanaz</name><affiliation wicri:level="2"><inist:fA14 i1="09"><s1>Institute of Public Health of Navarra, Pamplona and CIBER en Epidemiología y Salud Pública</s1><s2>30008 Pamplona</s2><s3>ESP</s3><sZ>14 aut.</sZ></inist:fA14><country>Espagne</country><placeName><region nuts="2" type="communauté">Région de Murcie</region></placeName></affiliation></author><author><name sortKey="Dorronsoro, Miren" sort="Dorronsoro, Miren" uniqKey="Dorronsoro M" first="Miren" last="Dorronsoro">Miren Dorronsoro</name><affiliation wicri:level="2"><inist:fA14 i1="10"><s1>Public Health Division of Gipuzkoa</s1><s2>20013 San Sebastian</s2><s3>ESP</s3><sZ>15 aut.</sZ></inist:fA14><country>Espagne</country><placeName><region nuts="2" type="communauté">Pays basque</region></placeName></affiliation></author><author><name sortKey="Crowe, Francesca L" sort="Crowe, Francesca L" uniqKey="Crowe F" first="Francesca L." last="Crowe">Francesca L. Crowe</name><affiliation wicri:level="4"><inist:fA14 i1="11"><s1>Cancer Epidemiology Unit, University of Oxford</s1><s2>OX3 7LF Oxford</s2><s3>GBR</s3><sZ>16 aut.</sZ></inist:fA14><country>Royaume-Uni</country><placeName><settlement type="city">Oxford</settlement><region type="nation">Angleterre</region><region type="région" nuts="1">Oxfordshire</region></placeName><orgName type="university">Université d'Oxford</orgName></affiliation></author><author><name sortKey="Bingham, Sheila" sort="Bingham, Sheila" uniqKey="Bingham S" first="Sheila" last="Bingham">Sheila Bingham</name><affiliation wicri:level="1"><inist:fA14 i1="12"><s1>Department of Public Health and Primary Care, MRC Centre for Nutritional Epidemiology in Cancer Prevention and Survival</s1><s2>CB1 8RN Cambridge</s2><s3>GBR</s3><sZ>17 aut.</sZ></inist:fA14><country>Royaume-Uni</country><wicri:noRegion>CB1 8RN Cambridge</wicri:noRegion></affiliation></author><author><name sortKey="Rohrmann, Sabine" sort="Rohrmann, Sabine" uniqKey="Rohrmann S" first="Sabine" last="Rohrmann">Sabine Rohrmann</name><affiliation wicri:level="3"><inist:fA14 i1="13"><s1>Division of Cancer Epidemiology, German Cancer Research Center</s1><s2>69120 Heidelberg</s2><s3>DEU</s3><sZ>18 aut.</sZ></inist:fA14><country>Allemagne</country><placeName><region type="land" nuts="1">Bade-Wurtemberg</region><region type="district" nuts="2">District de Karlsruhe</region><settlement type="city">Heidelberg</settlement></placeName></affiliation></author><author><name sortKey="Boeing, Heiner" sort="Boeing, Heiner" uniqKey="Boeing H" first="Heiner" last="Boeing">Heiner Boeing</name><affiliation wicri:level="1"><inist:fA14 i1="14"><s1>Deparment of Epidemiology, German Institute of Human Nutrition</s1><s2>Potsdam-Rehbrücke</s2><s3>DEU</s3><sZ>19 aut.</sZ></inist:fA14><country>Allemagne</country><wicri:noRegion>Potsdam-Rehbrücke</wicri:noRegion><wicri:noRegion>German Institute of Human Nutrition</wicri:noRegion><wicri:noRegion>Potsdam-Rehbrücke</wicri:noRegion></affiliation></author><author><name sortKey="Johansson, Ingegerd" sort="Johansson, Ingegerd" uniqKey="Johansson I" first="Ingegerd" last="Johansson">Ingegerd Johansson</name><affiliation wicri:level="1"><inist:fA14 i1="15"><s1>Department of Odontology, Cariology, UmeÅ University Hospital</s1><s2>30187 Umea</s2><s3>SWE</s3><sZ>20 aut.</sZ></inist:fA14><country>Suède</country><wicri:noRegion>30187 Umea</wicri:noRegion></affiliation></author><author><name sortKey="Manjer, Jonas" sort="Manjer, Jonas" uniqKey="Manjer J" first="Jonas" last="Manjer">Jonas Manjer</name><affiliation wicri:level="1"><inist:fA14 i1="16"><s1>Department of Surgery, Malmo University Hospital</s1><s2>20502 Malmo</s2><s3>SWE</s3><sZ>21 aut.</sZ></inist:fA14><country>Suède</country><wicri:noRegion>20502 Malmo</wicri:noRegion></affiliation></author><author><name sortKey="Tjonneland, Anne" sort="Tjonneland, Anne" uniqKey="Tjonneland A" first="Anne" last="Tjonneland">Anne Tjonneland</name><affiliation wicri:level="1"><inist:fA14 i1="07"><s1>Danish Cancer Society, Institute of Cancer Epidemiology</s1><s2>2100 Copenhagen</s2><s3>DNK</s3><sZ>8 aut.</sZ><sZ>22 aut.</sZ></inist:fA14><country>Danemark</country><placeName><settlement type="city">Copenhague</settlement><region type="région" nuts="2">Hovedstaden</region></placeName></affiliation></author><author><name sortKey="Overvad, Kim" sort="Overvad, Kim" uniqKey="Overvad K" first="Kim" last="Overvad">Kim Overvad</name><affiliation wicri:level="1"><inist:fA14 i1="17"><s1>Department of Cardiology and Department of Clinical Epidemiology, Aarhus University Hospital</s1><s2>8200 Aalborg</s2><s3>DNK</s3><sZ>23 aut.</sZ></inist:fA14><country>Danemark</country><wicri:noRegion>8200 Aalborg</wicri:noRegion></affiliation></author><author><name sortKey="Lund, Eiliv" sort="Lund, Eiliv" uniqKey="Lund E" first="Eiliv" last="Lund">Eiliv Lund</name><affiliation wicri:level="1"><inist:fA14 i1="18"><s1>Institute of Community Medicine, University of Tromsø</s1><s2>9037 Tromsø</s2><s3>NOR</s3><sZ>24 aut.</sZ><sZ>25 aut.</sZ></inist:fA14><country>Norvège</country><wicri:noRegion>9037 Tromsø</wicri:noRegion></affiliation></author><author><name sortKey="Skeie, Guri" sort="Skeie, Guri" uniqKey="Skeie G" first="Guri" last="Skeie">Guri Skeie</name><affiliation wicri:level="1"><inist:fA14 i1="18"><s1>Institute of Community Medicine, University of Tromsø</s1><s2>9037 Tromsø</s2><s3>NOR</s3><sZ>24 aut.</sZ><sZ>25 aut.</sZ></inist:fA14><country>Norvège</country><wicri:noRegion>9037 Tromsø</wicri:noRegion></affiliation></author><author><name sortKey="Mattiello, Amalia" sort="Mattiello, Amalia" uniqKey="Mattiello A" first="Amalia" last="Mattiello">Amalia Mattiello</name><affiliation wicri:level="1"><inist:fA14 i1="19"><s1>Department of Clinical and Experimental Medicine, Federico II University</s1><s2>80131 Naples</s2><s3>ITA</s3><sZ>26 aut.</sZ></inist:fA14><country>Italie</country><wicri:noRegion>80131 Naples</wicri:noRegion></affiliation></author><author><name sortKey="Salvini, Simonetta" sort="Salvini, Simonetta" uniqKey="Salvini S" first="Simonetta" last="Salvini">Simonetta Salvini</name><affiliation wicri:level="1"><inist:fA14 i1="20"><s1>Molecular and Nutritional Epidemiology Unit, ISPO Cancer Prevention and Research Institute</s1><s2>50135 Florence</s2><s3>ITA</s3><sZ>27 aut.</sZ></inist:fA14><country>Italie</country><wicri:noRegion>50135 Florence</wicri:noRegion></affiliation></author><author><name sortKey="Clavel Chapelon, Francoise" sort="Clavel Chapelon, Francoise" uniqKey="Clavel Chapelon F" first="Francoise" last="Clavel-Chapelon">Francoise Clavel-Chapelon</name><affiliation wicri:level="4"><inist:fA14 i1="21"><s1>Inserm, ERI 20, Université Paris-Sud, EA 4045, IFR 69, Institut Gustave Roussy</s1><s2>94805 Villejuif</s2><s3>FRA</s3><sZ>28 aut.</sZ></inist:fA14><country>France</country><wicri:noRegion>94805 Villejuif</wicri:noRegion><wicri:noRegion>Institut Gustave Roussy</wicri:noRegion><wicri:noRegion>94805 Villejuif</wicri:noRegion><orgName type="university">Université Paris-Sud</orgName><placeName><settlement type="city">Orsay</settlement><region type="region" nuts="2">Île-de-France</region></placeName></affiliation></author><author><name sortKey="Kaaks, Rudolf" sort="Kaaks, Rudolf" uniqKey="Kaaks R" first="Rudolf" last="Kaaks">Rudolf Kaaks</name><affiliation wicri:level="3"><inist:fA14 i1="22"><s1>Division of Cancer Epidemiology, DKFZ</s1><s2>69120 Heidelberg</s2><s3>DEU</s3><sZ>29 aut.</sZ></inist:fA14><country>Allemagne</country><placeName><region type="land" nuts="1">Bade-Wurtemberg</region><region type="district" nuts="2">District de Karlsruhe</region><settlement type="city">Heidelberg</settlement></placeName></affiliation></author></analytic><series><title level="j" type="main">The Journal of nutrition</title><title level="j" type="abbreviated">J. nutr.</title><idno type="ISSN">0022-3166</idno><imprint><date when="2009">2009</date></imprint></series></biblStruct></sourceDesc><seriesStmt><title level="j" type="main">The Journal of nutrition</title><title level="j" type="abbreviated">J. nutr.</title><idno type="ISSN">0022-3166</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Epidemiology</term><term>Feeding</term><term>Glycemic index</term><term>Malignant tumor</term><term>Nutrition</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Index glycémique</term><term>Epidémiologie</term><term>Alimentation</term><term>Nutrition</term><term>Tumeur maligne</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Nutrition</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Associations between the glycemic index (Gl) or glycemic load (GL) and diseases are heterogeneous in epidemiological studies. Differences in assigning Gl values to food items may contribute to this inconsistency. Our objective was to address methodological issues related to the use of current Gl and GL values in epidemiological studies. We performed ecological comparison and correlation studies by calculating dietary Gl and GL from country-specific dietary questionnaires (DQ) from 422,837 participants from 9 countries participating in the European Prospective Investigation into Cancer and Nutrition study and single standardized 24-h dietary recalls (24-HDR) obtained from a representative sample (n = 33,404) using mainly Foster Powell's international table as a reference source. Further, 2 inter-rater and 1 inter-method comparison were conducted, comparing DQ Gl values assigned by independent groups with values linked by us. The ecological correlation between DO and 24-HDR was good for GL (overall r= 0.76; P< 0.005) and moderate for GI (r= 0.57; P< 0.05). Mean GI/GL differences between DQ and 24-HDR were significant for most centers. GL but not GI from DO was highly correlated with total carbohydrate (r= 0.98 and 0.15, respectively; P< 0.0001) and this was higher for starch (r= 0.72; P < 0.0001) than for sugars (r = 0.36; P < 0.0001). The inter-rater and inter-method variations were considerable for Gl (weighted K coefficients of 0.49 and 0.65 for inter-rater and 0.25 for inter-method variation, respectively) but only mild for GL (weighted K coefficients > 0.80). A more consistent methodology to attribute GI values to foods and validated DQ is needed to derive meaningful GI/GL estimates for nutritional epidemiology.</div></front></TEI><affiliations><list><country><li>Allemagne</li><li>Australie</li><li>Danemark</li><li>Espagne</li><li>France</li><li>Italie</li><li>Norvège</li><li>Pays-Bas</li><li>Royaume-Uni</li><li>Suède</li></country><region><li>Angleterre</li><li>Auvergne (région administrative)</li><li>Auvergne-Rhône-Alpes</li><li>Bade-Wurtemberg</li><li>District de Karlsruhe</li><li>Gueldre (province)</li><li>Hovedstaden</li><li>Nouvelle-Galles du Sud</li><li>Oxfordshire</li><li>Pays basque</li><li>Rhône-Alpes</li><li>Région de Murcie</li><li>Utrecht (province)</li><li>Île-de-France</li></region><settlement><li>Copenhague</li><li>Heidelberg</li><li>Lyon</li><li>Orsay</li><li>Oxford</li><li>Sydney</li><li>Utrecht</li><li>Wageningue</li></settlement><orgName><li>Université Paris-Sud</li><li>Université d'Oxford</li><li>Université de Sydney</li><li>Université de Wageningue</li></orgName></list><tree><country name="France"><region name="Auvergne-Rhône-Alpes"><name sortKey="Van Bakel, Marit M E" sort="Van Bakel, Marit M E" uniqKey="Van Bakel M" first="Marit M. E." last="Van Bakel">Marit M. E. Van Bakel</name></region><name sortKey="Clavel Chapelon, Francoise" sort="Clavel Chapelon, Francoise" uniqKey="Clavel Chapelon F" first="Francoise" last="Clavel-Chapelon">Francoise Clavel-Chapelon</name><name sortKey="Cust, Anne E" sort="Cust, Anne E" uniqKey="Cust A" first="Anne E." last="Cust">Anne E. Cust</name><name sortKey="Ferrari, Pietro" sort="Ferrari, Pietro" uniqKey="Ferrari P" first="Pietro" last="Ferrari">Pietro Ferrari</name><name sortKey="Slimani, Nadia" sort="Slimani, Nadia" uniqKey="Slimani N" first="Nadia" last="Slimani">Nadia Slimani</name></country><country name="Pays-Bas"><region name="Gueldre (province)"><name sortKey="Feskens, Edith J M" sort="Feskens, Edith J M" uniqKey="Feskens E" first="Edith J. M." last="Feskens">Edith J. M. Feskens</name></region><name sortKey="Bas Bueno De Mesquita, H" sort="Bas Bueno De Mesquita, H" uniqKey="Bas Bueno De Mesquita H" first="H." last="Bas Bueno-De-Mesquita">H. Bas Bueno-De-Mesquita</name><name sortKey="Beulens, Joline W J" sort="Beulens, Joline W J" uniqKey="Beulens J" first="Joline W. J." last="Beulens">Joline W. J. Beulens</name><name sortKey="Huaidong Du" sort="Huaidong Du" uniqKey="Huaidong Du" last="Huaidong Du">HUAIDONG DU</name><name sortKey="Huaidong Du" sort="Huaidong Du" uniqKey="Huaidong Du" last="Huaidong Du">HUAIDONG DU</name><name sortKey="Peeters, Petra" sort="Peeters, Petra" uniqKey="Peeters P" first="Petra" last="Peeters">Petra Peeters</name><name sortKey="Van Der Schouw, Yvonne T" sort="Van Der Schouw, Yvonne T" uniqKey="Van Der Schouw Y" first="Yvonne T." last="Van Der Schouw">Yvonne T. 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Crowe</name></region><name sortKey="Bingham, Sheila" sort="Bingham, Sheila" uniqKey="Bingham S" first="Sheila" last="Bingham">Sheila Bingham</name></country><country name="Allemagne"><region name="Bade-Wurtemberg"><name sortKey="Rohrmann, Sabine" sort="Rohrmann, Sabine" uniqKey="Rohrmann S" first="Sabine" last="Rohrmann">Sabine Rohrmann</name></region><name sortKey="Boeing, Heiner" sort="Boeing, Heiner" uniqKey="Boeing H" first="Heiner" last="Boeing">Heiner Boeing</name><name sortKey="Kaaks, Rudolf" sort="Kaaks, Rudolf" uniqKey="Kaaks R" first="Rudolf" last="Kaaks">Rudolf Kaaks</name></country><country name="Suède"><noRegion><name sortKey="Johansson, Ingegerd" sort="Johansson, Ingegerd" uniqKey="Johansson I" first="Ingegerd" last="Johansson">Ingegerd Johansson</name></noRegion><name sortKey="Manjer, Jonas" sort="Manjer, Jonas" uniqKey="Manjer J" first="Jonas" last="Manjer">Jonas Manjer</name></country><country name="Norvège"><noRegion><name sortKey="Lund, Eiliv" sort="Lund, Eiliv" uniqKey="Lund E" first="Eiliv" last="Lund">Eiliv Lund</name></noRegion><name sortKey="Skeie, Guri" sort="Skeie, Guri" uniqKey="Skeie G" first="Guri" last="Skeie">Guri Skeie</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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