A nutrient-wide association study for risk of prostate cancer in the European Prospective Investigation into Cancer and Nutrition and the ... View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2019-11-08

AUTHORS

Nikos Papadimitriou, David Muller, Piet A. van den Brandt, Milan Geybels, Chirag J. Patel, Marc J. Gunter, David S. Lopez, Timothy J. Key, Aurora Perez-Cornago, Pietro Ferrari, Paolo Vineis, Elisabete Weiderpass, Heiner Boeing, Antonio Agudo, María-José Sánchez, Kim Overvad, Tilman Kühn, Renee T. Fortner, Domenico Palli, Isabel Drake, Anders Bjartell, Carmen Santiuste, Bas H. Bueno-de-Mesquita, Vittorio Krogh, Anne Tjønneland, Dorthe Furstrand Lauritzen, Aurelio Barricarte Gurrea, José Ramón Quirós, Pär Stattin, Antonia Trichopoulou, Georgia Martimianaki, Anna Karakatsani, Elin Thysell, Ingegerd Johansson, Fulvio Ricceri, Rosario Tumino, Nerea Larrañaga, Kay Tee Khaw, Elio Riboli, Ioanna Tzoulaki, Konstantinos K. Tsilidis

ABSTRACT

PURPOSE: The evidence from the literature regarding the association of dietary factors and risk of prostate cancer is inconclusive. METHODS: A nutrient-wide association study was conducted to systematically and comprehensively evaluate the associations between 92 foods or nutrients and risk of prostate cancer in the European Prospective Investigation into Cancer and Nutrition (EPIC). Cox proportional hazard regression models adjusted for total energy intake, smoking status, body mass index, physical activity, diabetes and education were used to estimate hazard ratios and 95% confidence intervals for standardized dietary intakes. As in genome-wide association studies, correction for multiple comparisons was applied using the false discovery rate (FDR < 5%) method and suggested results were replicated in an independent cohort, the Netherlands Cohort Study (NLCS). RESULTS: A total of 5916 and 3842 incident cases of prostate cancer were diagnosed during a mean follow-up of 14 and 20 years in EPIC and NLCS, respectively. None of the dietary factors was associated with the risk of total prostate cancer in EPIC (minimum FDR-corrected P, 0.37). Null associations were also observed by disease stage, grade and fatality, except for positive associations observed for intake of dry cakes/biscuits with low-grade and butter with aggressive prostate cancer, respectively, out of which the intake of dry cakes/biscuits was replicated in the NLCS. CONCLUSIONS: Our findings provide little support for an association for the majority of the 92 examined dietary factors and risk of prostate cancer. The association of dry cakes/biscuits with low-grade prostate cancer warrants further replication given the scarcity in the literature. More... »

PAGES

2929-2937

Journal

TITLE

European Journal of Nutrition

ISSUE

7

VOLUME

59

Author Affiliations

  • International Agency for Research on Cancer, Lyon, France
  • Department of Epidemiology and Biostatistics, School of Public Health, Imperial College London, St Mary’s Campus, London, W2 1PG UK
  • Department of Epidemiology, GROW School for Oncology and Developmental Biology, Care and Public Health Research Institute (CAPHRI), Maastricht University, Maastricht, The Netherlands
  • Department of Biomedical Informatics, Harvard Medical School, Boston, MA USA
  • Division of Urology, UTHealth McGovern Medical School, Houston, TX USA
  • Nuffield Department of Population Health, Cancer Epidemiology Unit, University of Oxford, Oxford, UK
  • Italian Institute for Genomic Medicine (IIGM), Turin, Italy
  • Department of Epidemiology, German Institute for Human Nutrition Potsdam-Rehbrücke, Nuthetal, Germany
  • Unit of Nutrition and Cancer, Cancer Epidemiology Research Program, Catalan Institute of Oncology-IDIBELL, L’Hospitalet de Llobregat, Barcelona, Spain
  • CIBER de Epidemiología y Salud Pública (CIBERESP), Madrid, Spain
  • Department of Public Health, Aarhus University, Aarhus, Denmark
  • Division of Cancer Epidemiology, German Cancer Research Center (DKFZ), Heidelberg, Germany
  • Cancer Risk Factors and Life-Style Epidemiology Unit, Institute for Cancer Research, Prevention and Clinical Network, ISPRO, Florence, Italy
  • Department of Clinical Sciences in Malmö, Lund University, Malmö, Sweden
  • Department of Clinical Sciences, Lund University, Malmö, Sweden
  • Department of Epidemiology, Murcia Regional Health Council, IMIB-Arrixaca, Murcia, Spain
  • Department of Social and Preventive Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia
  • Epidemiology and Prevention Unit, Fondazione IRCCS Istituto Nazionale dei Tumori di Milano, Milan, Italy
  • Department of Public Health, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark
  • Navarra Institute for Health Research (IdiSNA), Pamplona, Spain
  • Public Health Directorate, Asturias, Spain
  • Department of Surgical Sciences, Uppsala University, Uppsala, Sweden
  • WHO Collaborating Center for Nutrition and Health, Unit of Nutritional Epidemiology and Nutrition in Public Health, Department of Hygiene, Epidemiology and Medical Statistics, School of Medicine, National and Kapodistrian University of Athens, Athens, Greece
  • Hellenic Health Foundation, Athens, Greece
  • Pulmonary Medicine Department, School of Medicine, National and Kapodistrian University of Athens, “ATTIKON” University Hospital, Haidari, Greece
  • Department of Medical Biosciences, Pathology, Department of Biobank Research, Umeå University, Umeå, Sweden
  • Departments of Odontology, Section of Cardiology, Biobank Research, Public Health and Clinical Medicine, Umeå University, Umeå, Sweden
  • Department of Clinical and Biological Sciences, University of Turin, Orbassano, Italy
  • Cancer Registry and Histopathology Unit, “M.P.Arezzo” Hospital, Ragusa, Italy
  • Epidemiology and Health Information, Public Health Division of Gipuzkoa, Basque Regional Health Department, San Sebastian, Spain
  • Clinical Gerontology Unit, School of Clinical Medicine, Addenbrooke’s Hospital, University of Cambridge, Cambridge, UK
  • Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1007/s00394-019-02132-z

    DOI

    http://dx.doi.org/10.1007/s00394-019-02132-z

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1122411478

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/31705265


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