Diet-wide association study of 92 foods and nutrients and lung cancer risk in the European Prospective Investigation into Cancer and Nutrition study and the Netherlands Cohort Study

It is unclear whether diet, and in particular certain foods or nutrients, are associated with lung cancer risk. We assessed associations of 92 dietary factors with lung cancer risk in 327 790 participants in the European Prospective Investigation into Cancer and Nutrition (EPIC). Cox regression yielded adjusted hazard ratios (HRs) and 95% confidence intervals (CIs) per SD higher intake/day of each food/nutrient. Correction for multiple comparisons was performed using the false discovery rate and identified associations were evaluated in the Netherlands Cohort Study (NLCS). In EPIC, 2420 incide... Mehr ...

Verfasser: Heath, Alicia K.
Muller, David C.
van den Brandt, Piet A.
Critselis, Elena
Gunter, Marc
Vineis, Paolo
Weiderpass, Elisabete
Boeing, Heiner
Ferrari, Pietro
Merritt, Melissa A.
Rostgaard-Hansen, Agnetha L.
Tjønneland, Anne
Overvad, Kim
Katzke, Verena
Srour, Bernard
Masala, Giovanna
Sacerdote, Carlotta
Ricceri, Fulvio
Pasanisi, Fabrizio
Bueno-de-Mesquita, Bas
Downward, George S.
Skeie, Guri
Sandanger, Torkjel M.
Crous-Bou, Marta
Rodríguez-Barranco, Miguel
Amiano, Pilar
Huerta, José María
Ardanaz, Eva
Drake, Isabel
Johansson, Mikael
Johansson, Ingegerd
Key, Tim
Papadimitriou, Nikos
Riboli, Elio
Tzoulaki, Ioanna
Tsilidis, Konstantinos K.
Dokumenttyp: article in journal
Erscheinungsdatum: 2022
Verlag/Hrsg.: Umeå universitet
Onkologi
Schlagwörter: cohort study / diet / foods / lung cancer / nutrients / Cancer and Oncology / Cancer och onkologi
Sprache: Englisch
Permalink: https://search.fid-benelux.de/Record/base-29188051
Datenquelle: BASE; Originalkatalog
Powered By: BASE
Link(s) : http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-198616

It is unclear whether diet, and in particular certain foods or nutrients, are associated with lung cancer risk. We assessed associations of 92 dietary factors with lung cancer risk in 327 790 participants in the European Prospective Investigation into Cancer and Nutrition (EPIC). Cox regression yielded adjusted hazard ratios (HRs) and 95% confidence intervals (CIs) per SD higher intake/day of each food/nutrient. Correction for multiple comparisons was performed using the false discovery rate and identified associations were evaluated in the Netherlands Cohort Study (NLCS). In EPIC, 2420 incident lung cancer cases were identified during a median of 15 years of follow-up. Higher intakes of fibre (HR per 1 SD higher intake/day = 0.91, 95% CI 0.87-0.96), fruit (HR = 0.91, 95% CI 0.86-0.96) and vitamin C (HR = 0.91, 95% CI 0.86-0.96) were associated with a lower risk of lung cancer, whereas offal (HR = 1.08, 95% CI 1.03-1.14), retinol (HR = 1.06, 95% CI 1.03-1.10) and beer/cider (HR = 1.04, 95% CI 1.02-1.07) intakes were positively associated with lung cancer risk. Associations did not differ by sex and there was less evidence for associations among never smokers. None of the six associations with overall lung cancer risk identified in EPIC were replicated in the NLCS (2861 cases), however in analyses of histological subtypes, inverse associations of fruit and vitamin C with squamous cell carcinoma were replicated in the NLCS. Overall, there is little evidence that intakes of specific foods and nutrients play a major role in primary lung cancer risk, but fruit and vitamin C intakes seem to be inversely associated with squamous cell lung cancer.