Evidence map›Paper›PMID 25075436›Full record

ArticlePublic health nutrition2015

Opposites don't attract: high spouse concordance for dietary supplement use in the European Prospective Investigation into Cancer in Norfolk (EPIC-Norfolk) cohort study.

Marleen A H Lentjes, Ailsa A Welch, Ruth H Keogh, Robert N Luben, Kay-Tee Khaw

Abstract readAddressComparative Study
In one paragraph

Article in Public health nutrition, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Marleen A H Lentjes1University of Cambridge,Department of Public Health and Primary Care, EPIC-Norfolk Study,2 Worts Causeway,Strangeways Research Laboratories,Cambridge CB1 8RN,UK.
Ailsa A Welch2University of East Anglia,Norwich Medical School,Department of Population Health and Primary Care,Norwich,UK.
Ruth H Keogh3London School of Hygiene and Tropical Medicine, Department of Medical Statistics and Faculty of Epidemiology and Public Health,London,UK.
Robert N Luben1University of Cambridge,Department of Public Health and Primary Care, EPIC-Norfolk Study,2 Worts Causeway,Strangeways Research Laboratories,Cambridge CB1 8RN,UK.
Kay-Tee Khaw4University of Cambridge,School of Clinical Medicine,Clinical Gerontology Unit,Cambridge,UK.

Funding

Cancer Research UK 14136Cancer Research UK SP2024-0201Cancer Research UK SP2024-0204Medical Research Council G0401527Medical Research Council G1000143Medical Research Council G9502233
6 · The paper itself

Abstract

objectiveDietary supplements are commonly consumed but may not be beneficial for everyone. It is known that supplement users have healthy behaviour characteristics but until now concordance between spouses living in the same household has not been investigated and concordance may be an important behavioural determinant.

designProspective cohort study, cross-sectional data analysis.

settingEuropean Prospective Investigation into Cancer in Norfolk (EPIC-Norfolk) in the UK, recruitment between 1993 and 1998. SUBJECTS: Married (or living as married) participants sharing a household, who attended a health examination and completed a 7 d diet diary were included in the analysis (n 11 060). The age range was 39-79 years.

resultsNearly 75 % of the households in EPIC-Norfolk were concordant in their supplement use, with 46·7 % not using supplements and 27·0 % using supplements. Concordance increased with age; the percentage of concordant couples varied less by other sociodemographic characteristics. Participants who had a spouse who used a supplement were nearly nine times more likely to use a supplement (unadjusted). Depending on participants' sex and type of supplement used, odds ratios for 'supplement use by spouse' in the prediction of participants' supplement use varied between 6·2 and 11·7 adjusted for participants' age, smoking status, BMI, social class, education level and physical activity.

conclusions'Supplement use by spouse' is an independent and the strongest predictor of participants' supplement use. This phenomenon can be useful in the design of studies and health interventions; or when assessing risk of excessive intake from dietary supplements.

Indexed as

Dietary SupplementsFamily RelationsModels, PsychologicalSpousesAdultAgedAnticarcinogenic AgentsCohort StudiesCross-Sectional StudiesDiet RecordsEnglandFemaleHumansMaleMiddle AgedMotor ActivityAnticarcinogenic AgentsSociodemographic variables

Identifiers

PMID25075436
PMCPMC10271335

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