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@ARTICLE{Andersen:132453,
author = {V. Andersen and S. Chan and R. Luben and K.-T. Khaw and A.
Olsen and A. Tjonneland and R. Kaaks$^*$ and O. Grip and M.
M. Bergmann and H. Boeing and J. Hultdin and P. Karling and
K. Overvad and B. Oldenburg and J. Opstelten and M.-C.
Boutron-Ruault and F. Carbonnel and A. Racine and T. Key and
G. Masala and D. Palli and R. Tumino and A. Trichopoulou and
E. Riboli and A. Hart},
title = {{F}ibre intake and the development of inflammatory bowel
disease: {A} {E}uropean prospective multi-centre cohort
study ({EPIC}-{IBD}).},
journal = {Journal of Crohn's and Colitis},
volume = {12},
number = {2},
issn = {1876-4479},
address = {Oxford},
publisher = {Oxford Univ. Press},
reportid = {DKFZ-2018-00141},
pages = {129 - 136},
year = {2018},
abstract = {Population-based prospective cohort studies investigating
fibre intake and development of inflammatory bowel disease
are lacking. Our aim was to investigate the association
between fibre intake and the development of Crohn's disease
[CD] and ulcerative colitis [UC] in a large European
population.In total, 401326 participants, aged 20-80 years,
were recruited in eight countries in Europe between 1991 and
1998. At baseline, fibre intake [total fibres, fibres from
fruit, vegetables and cereals] was recorded using food
frequency questionnaires. The cohort was monitored for the
development of inflammatory bowel disease. Each case was
matched with four controls and odds ratios [ORs] for the
exposures were calculated using conditional logistic
regression. Sensitivity analyses according to smoking status
were computed.In total, 104 and 221 participants developed
incident CD and UC, respectively. For both CD and UC, there
were no statistically significant associations with either
quartiles, or trends across quartiles, for total fibre or
any of the individual sources. The associations were not
affected by adjusting for smoking and energy intake.
Stratification according to smoking status showed null
findings apart from an inverse association with cereal fibre
and CD in non-smokers [Quartile 4 vs 1 OR = 0.12, $95\%$
confidence interval = 0.02-0.75, p = 0.023, OR trend across
quartiles = 0.50, $95\%$ confidence interval = 0.29-0.86, p
= 0.017].The results do not support the hypothesis that
dietary fibre is involved in the aetiology of UC, although
future work should investigate whether there may be a
protective effect of specific types of fibre according to
smoking status in CD.},
cin = {C020},
ddc = {610},
cid = {I:(DE-He78)C020-20160331},
pnm = {313 - Cancer risk factors and prevention (POF3-313)},
pid = {G:(DE-HGF)POF3-313},
typ = {PUB:(DE-HGF)16},
pubmed = {pmid:29373726},
doi = {10.1093/ecco-jcc/jjx136},
url = {https://inrepo02.dkfz.de/record/132453},
}