PMID- 26887577 OWN - NLM STAT- MEDLINE DCOM- 20170823 LR - 20181113 IS - 1436-6215 (Electronic) IS - 1436-6207 (Linking) VI - 56 IP - 3 DP - 2017 Apr TI - Dietary antioxidant capacity and all-cause and cause-specific mortality in the E3N/EPIC cohort study. PG - 1233-1243 LID - 10.1007/s00394-016-1172-6 [doi] AB - PURPOSE: The cellular oxidative stress (balance between pro-oxidant and antioxidant) may be a major risk factor for chronic diseases. Antioxidant capacity of human diet can be globally assessed through the dietary non-enzymatic antioxidant capacity (NEAC). Our aim was to investigate the relationship between the NEAC and all-cause and cause-specific mortality, and to test potential interactions with smoking status, a well-known pro-oxidant factor. METHODS: Among the French women of the E3N prospective cohort study initiated in 1990, including 4619 deaths among 1,199,011 persons-years of follow-up. A validated dietary history questionnaire assessed usual food intake; NEAC intake was estimated using a food composition table from two different methods: ferric ion reducing antioxidant power (FRAP) and total radical-trapping antioxidant parameter (TRAP). Hazard ratio (HR) estimates and 95 % confidence intervals (CI) were derived from Cox proportional hazards regression models. RESULTS: In multivariate analyses, FRAP dietary equivalent intake was inversely associated with mortality from all-causes (HR for the fourth vs. the first quartile: HR(4) = 0.75, 95 % CI 0.67, 0.83, p (trend) < 0.0001), cancer, and cardiovascular diseases. Similar results were obtained with TRAP. There was an interaction between NEAC dietary equivalent intake and smoking status for all-cause and cardiovascular disease mortality, but not cancer mortality (respectively, for FRAP, p (inter) = 0.002; 0.013; 0.113, results were similar with TRAP), and the association was the strongest among current smokers. CONCLUSION: This prospective cohort study highlights the importance of antioxidant consumption for mortality prevention, especially among current smokers. FAU - Bastide, Nadia AU - Bastide N AD - CESP, Team 9, UMR-S 1018: INSERM, Gustave Roussy, Universite Paris-Sud, Espace Maurice Tubiana, 114 rue Edouard Vaillant, 94805, Villejuif Cedex, France. FAU - Dartois, Laureen AU - Dartois L AD - CESP, Team 9, UMR-S 1018: INSERM, Gustave Roussy, Universite Paris-Sud, Espace Maurice Tubiana, 114 rue Edouard Vaillant, 94805, Villejuif Cedex, France. FAU - Dyevre, Valerie AU - Dyevre V AD - CESP, Team 9, UMR-S 1018: INSERM, Gustave Roussy, Universite Paris-Sud, Espace Maurice Tubiana, 114 rue Edouard Vaillant, 94805, Villejuif Cedex, France. FAU - Dossus, Laure AU - Dossus L AD - CESP, Team 9, UMR-S 1018: INSERM, Gustave Roussy, Universite Paris-Sud, Espace Maurice Tubiana, 114 rue Edouard Vaillant, 94805, Villejuif Cedex, France. FAU - Fagherazzi, Guy AU - Fagherazzi G AD - CESP, Team 9, UMR-S 1018: INSERM, Gustave Roussy, Universite Paris-Sud, Espace Maurice Tubiana, 114 rue Edouard Vaillant, 94805, Villejuif Cedex, France. FAU - Serafini, Mauro AU - Serafini M AD - Functional Foods and Metabolic Stress Prevention Laboratory, Center of Nutrition, Council for Agricultural Research and Economics, Center of Food and Nutrition, Rome, Italy. FAU - Boutron-Ruault, Marie-Christine AU - Boutron-Ruault MC AD - CESP, Team 9, UMR-S 1018: INSERM, Gustave Roussy, Universite Paris-Sud, Espace Maurice Tubiana, 114 rue Edouard Vaillant, 94805, Villejuif Cedex, France. Marie-christine.BOUTRON@gustaveroussy.fr. LA - eng PT - Journal Article DEP - 20160218 PL - Germany TA - Eur J Nutr JT - European journal of nutrition JID - 100888704 RN - 0 (Antioxidants) RN - 0 (Reactive Oxygen Species) SB - IM MH - Antioxidants/*administration & dosage MH - Cardiovascular Diseases/*mortality/prevention & control MH - Cohort Studies MH - *Diet MH - Female MH - Follow-Up Studies MH - Humans MH - Middle Aged MH - Multivariate Analysis MH - Neoplasms/*mortality/prevention & control MH - Proportional Hazards Models MH - Prospective Studies MH - Reactive Oxygen Species/metabolism MH - Reproducibility of Results MH - Risk Factors MH - Smoking MH - Surveys and Questionnaires OTO - NOTNLM OT - All-cause and cause-specific mortality OT - E3N study OT - FRAP OT - Non-enzymatic antioxidant capacity OT - TRAP EDAT- 2016/02/19 06:00 MHDA- 2017/08/24 06:00 CRDT- 2016/02/19 06:00 PHST- 2015/09/25 00:00 [received] PHST- 2016/02/02 00:00 [accepted] PHST- 2016/02/19 06:00 [pubmed] PHST- 2017/08/24 06:00 [medline] PHST- 2016/02/19 06:00 [entrez] AID - 10.1007/s00394-016-1172-6 [pii] AID - 10.1007/s00394-016-1172-6 [doi] PST - ppublish SO - Eur J Nutr. 2017 Apr;56(3):1233-1243. doi: 10.1007/s00394-016-1172-6. Epub 2016 Feb 18.