Flavonoid and lignan intake and pancreatic cancer risk in the European prospective investigation into cancer and nutrition cohort

被引:16
|
作者
Molina-Montes, Esther [1 ,2 ]
Sanchez, Maria-Jose [1 ,2 ]
Zamora-Ros, Raul [3 ]
Bueno-de-Mesquita, H. B [4 ,5 ,6 ,7 ]
Wark, Petra A. [8 ]
Obon-Santacana, Mireia [9 ]
Kuehn, Tilman [10 ]
Katzke, Verena [10 ]
Travis, Ruth C. [11 ]
Ye, Weimin [12 ,13 ]
Sund, Malin [12 ,13 ]
Naccarati, Alessio [14 ]
Mattiello, Amalia [15 ]
Krogh, Vittorio [16 ]
Martorana, Caterina [17 ]
Masala, Giovanna [18 ]
Amiano, Pilar [2 ,19 ]
Huerta, Jose-Maria [2 ,20 ]
Barricarte, Aurelio [2 ,21 ]
Quiros, Jose-Ramon [22 ]
Weiderpass, Elisabete [12 ,23 ,24 ,25 ,26 ]
Asli, Lene Angell [23 ]
Skeie, Guri [23 ]
Ericson, Ulrika [27 ]
Sonestedt, Emily [27 ]
Peeters, Petra H. [6 ,28 ]
Romieu, Isabelle [3 ]
Scalbert, Augustin [3 ]
Overvad, Kim [29 ]
Clemens, Matthias [30 ]
Boeing, Heiner [30 ]
Trichopoulou, Antonia [31 ,32 ]
Peppa, Eleni [31 ]
Vidalis, Pavlos [31 ]
Khaw, Kay-Tee [33 ]
Wareham, Nick [34 ]
Olsen, Anja [35 ]
Tjonneland, Anne [35 ]
Boutroun-Rualt, Marie-Christine [36 ]
Clavel-Chapelon, Francoise [36 ]
Cross, Amanda J. [6 ]
Lu, Yunxia [6 ]
Riboli, Elio [6 ]
Duell, Eric J. [9 ]
机构
[1] Univ Granada, Hosp Univ Granada, GRANADA, Andalusian Sch Publ Hlth,Inst Invest Biosanitaria, Granada, Spain
[2] CIBERESP, CIBER Epidemiol & Salud Publ, Barcelona, Spain
[3] Int Agcy Res Canc, Sect Nutr & Metab, Lyon, France
[4] Natl Inst Publ Hlth & Environm RIVM, Bilthoven, Netherlands
[5] Univ Med Ctr, Dept Gastroenterol & Hepatol, Utrecht, Netherlands
[6] Imperial Coll London, Sch Publ Hlth, Dept Epidemiol & Biostat, London, England
[7] Univ Malaya, Dept Social & Prevent Med, Fac Med, Kuala Lumpur, Malaysia
[8] Imperial Coll London, Sch Publ Hlth, Dept Primary Care & Publ Hlth, Global eHlth Unit, London, England
[9] Catalan Inst Oncol ICO Idibell, Unit Nutr & Canc, Barcelona, Spain
[10] German Canc Res Ctr, Div Canc Epidemiol, Heidelberg, Germany
[11] Univ Oxford, Nuffield Dept Populat Hlth, Canc Epidemiol Unit, Oxford, England
[12] Karolinska Inst, Dept Med Epidemiol & Biostat, Stockholm, Sweden
[13] Umea Univ, Med Biobank, Umea, Sweden
[14] HuGeF Human Genet Fdn, Mol & Genet Epidemiol Unit, Turin, Italy
[15] Univ Naples Federico II, Dipartimento Med Clin & Chirurg, Naples, Italy
[16] Fdn IRCCS Ist Nazl Tumori, Epidemiol & Prevent Unit, Milan, Italy
[17] Canc Registry ASP, Ragusa, Italy
[18] Canc Res & Prevent Inst ISPO, Mol & Nutr Epidemiol Unit, Florence, Italy
[19] BioDonostia Res Inst, Publ Hlth Div Gipuzkoa, San Sebastian, Spain
[20] Murcia Reg Hlth Council, Dept Epidemiol, IMIB Arrixaca, Murcia, Spain
[21] Publ Hlth Inst Navarra, Pamplona, Spain
[22] Publ Hlth Directorate, Asturias, Spain
[23] Univ Tromso, Arctic Univ Norway, Fac Hlth Sci, Dept Community Med, Tromso, Norway
[24] Canc Registry Norway, Dept Res, Oslo, Norway
[25] Karolinska Inst, Dept Med Epidemiol & Biostat, Stockholm, Sweden
[26] Folkhalsan Res Ctr, Genet Epidemiol Grp, Helsinki, Finland
[27] Lund Univ, Dept Clin Sci Malmo, Lund, Sweden
[28] Univ Med Ctr, Julius Ctr Hlth Sci & Primary Care, Dept Epidemiol, Utrecht, Netherlands
[29] Aarhus Univ, Epidemiol Sect, Dept Publ Hlth, Aarhus, Denmark
[30] German Inst Human Nutr Potsdam Rehbrucke, Dept Epidemiol, Nuthetal, Germany
[31] Hellen Hlth Fdn, Athens, Greece
[32] Univ Athens, Sch Med, Dept Hyg Epidemiol & Med Stat, WHO Collaborating Ctr Nutr & Hlth,Unit Nutr Epide, Athens, Greece
[33] Univ Cambridge, Sch Clin Med, Cambridge, England
[34] MRC, Epidemiol Unit, Cambridge, England
[35] Danish Canc Soc, Res Ctr, Copenhagen, Denmark
[36] INSERM, CESP Ctr Res Epidemiol & Populat Hlth, Paris, France
基金
瑞典研究理事会; 英国医学研究理事会;
关键词
diet; flavonoids; lignans; pancreatic cancer; cohort; POSTMENOPAUSAL WOMEN; DIETARY FLAVONOIDS; POOLED ANALYSIS; EPIC PROJECT; COUNTRIES; POPULATIONS; CATECHINS; HEALTH; COFFEE; TEA;
D O I
10.1002/ijc.30190
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Despite the potential cancer preventive effects of flavonoids and lignans, their ability to reduce pancreatic cancer risk has not been demonstrated in epidemiological studies. Our aim was to examine the association between dietary intakes of flavonoids and lignans and pancreatic cancer risk in the European Prospective Investigation into Cancer and Nutrition (EPIC) cohort. A total of 865 exocrine pancreatic cancer cases occurred after 11.3 years of follow-up of 477,309 cohort members. Dietary flavonoid and lignan intake was estimated through validated dietary questionnaires and the US Department of Agriculture (USDA) and Phenol Explorer databases. Hazard ratios (HR) and 95% confidence intervals (CIs) were calculated using age, sex and center-stratified Cox proportional hazards models, adjusted for energy intake, body mass index (BMI), smoking, alcohol and diabetes status. Our results showed that neither overall dietary intake of flavonoids nor of lignans were associated with pancreatic cancer risk (multivariable-adjusted HR for a doubling of intake=1.03, 95% CI: 0.95-1.11 and 1.02; 95% CI: 0.89-1.17, respectively). Statistically significant associations were also not observed by flavonoid subclasses. An inverse association between intake of flavanones and pancreatic cancer risk was apparent, without reaching statistical significance, in microscopically confirmed cases (HR for a doubling of intake=0.96, 95% CI: 0.91-1.00). In conclusion, we did not observe an association between intake of flavonoids, flavonoid subclasses or lignans and pancreatic cancer risk in the EPIC cohort. What's new? Flavonoids and lignans found in plant-based foods are potent cancer chemopreventive agents but little is known about their effects on pancreatic cancer risk. Here the authors address this question in a large prospective epidemiological study using comprehensively derived dietary data. Their results support growing evidence that there is no association between food-based consumption of both substances with pancreatic cancer risk.
引用
收藏
页码:1480 / 1492
页数:13
相关论文
共 50 条
  • [21] Dietary fat intake and risk of epithelial ovarian cancer in the European Prospective Investigation into Cancer and Nutrition
    Merritt, Melissa A.
    Riboli, Elio
    Weiderpass, Elisabete
    Tsilidis, Konstantinos K.
    Overvad, Kim
    Tjonneland, Anne
    Hansen, Louise
    Dossus, Laure
    Fagherazzi, Guy
    Baglietto, Laura
    Fortner, Renee T.
    Ose, Jennifer
    Steffen, Annika
    Boeing, Heiner
    Trichopoulou, Antonia
    Trichopoulos, Dimitrios
    Lagiou, Pagona
    Masala, Giovanna
    Sieri, Sabina
    Mattiello, Amalia
    Tumino, Rosario
    Sacerdote, Carlotta
    Bueno-de-Mesquita, H. B
    Onland-Moret, N. Charlotte
    Peeters, Petra H.
    Hjartaker, Anette
    Gram, Inger Torhild
    Ramon Quiros, J.
    Obon-Santacana, Mireia
    Molina-Montes, Esther
    Huerta Castano, Jose Maria
    Ardanaz, Eva
    Chamosa, Saioa
    Sonestedt, Emily
    Idahl, Annika
    Lundin, Eva
    Khaw, Kay-Tee
    Wareham, Nicholas
    Travis, Ruth C.
    Rinaldi, Sabina
    Romieu, Isabelle
    Chajes, Veronique
    Gunter, Marc J.
    CANCER EPIDEMIOLOGY, 2014, 38 (05) : 528 - 537
  • [22] Dietary intake of acrylamide and endometrial cancer risk in the European Prospective Investigation into Cancer and Nutrition cohort
    Obon-Santacana, M.
    Kaaks, R.
    Slimani, N.
    Lujan-Barroso, L.
    Freisling, H.
    Ferrari, P.
    Dossus, L.
    Chabbert-Buffet, N.
    Baglietto, L.
    Fortner, R. T.
    Boeing, H.
    Tjonneland, A.
    Olsen, A.
    Overvad, K.
    Menendez, V.
    Molina-Montes, E.
    Larranaga, N.
    Chirlaque, M-D
    Ardanaz, E.
    Khaw, K-T
    Wareham, N.
    Travis, R. C.
    Lu, Y.
    Merritt, M. A.
    Trichopoulou, A.
    Benetou, V.
    Trichopoulos, D.
    Saieva, C.
    Sieri, S.
    Tumino, R.
    Sacerdote, C.
    Galasso, R.
    Bueno-de-Mesquita, H. B.
    Wirfalt, E.
    Ericson, U.
    Idahl, A.
    Ohlson, N.
    Skeie, G.
    Gram, I. T.
    Weiderpass, E.
    Onland-Moret, N. C.
    Riboli, E.
    Duell, E. J.
    BRITISH JOURNAL OF CANCER, 2014, 111 (05) : 987 - 997
  • [23] Dietary intake of acrylamide and esophageal cancer risk in the European Prospective Investigation into Cancer and Nutrition cohort
    Lujan-Barroso, Leila
    Alberto Gonzalez, Carlos
    Slimani, Nadia
    Obon-Santacana, Mireia
    Ferrari, Pietro
    Freisling, Heinz
    Overvad, Kim
    Clavel-Chapelon, Francoise
    Boutron-Ruault, Marie-Christine
    Racine, Antoine
    Katzke, Verena
    Kuehn, Tilman
    Tjonneland, Anne
    Olsen, Anja
    Ramon Quiros, J.
    Sanchez-Cantalejo, Emilio
    Amiano, Pilar
    Navarro, Carmen
    Barricarte, Aurelio
    Khaw, Kay-Tee
    Wareham, Nick
    Travis, Ruth C.
    Trichopoulou, Antonia
    Bamia, Christina
    Benetou, Vassiliki
    Saieva, Calogero
    Grioni, Sara
    Tumino, Rosario
    Vineis, Paolo
    Mattiello, Amalia
    Bueno-de-Mesquita, H. Bas
    Siersema, Peter D.
    Numans, Mattijs E.
    Peeters, Petra H.
    Ericson, Ulrika
    Wirfaelt, Elisabet
    Sund, Malin
    Johansson, Mattias
    Weiderpass, Elisabete
    Skeie, Guri
    Riboli, Elio
    Boeing, Heiner
    Duell, Eric J.
    CANCER CAUSES & CONTROL, 2014, 25 (05) : 639 - 646
  • [24] Dietary intake of total polyphenol and polyphenol classes and the risk of colorectal cancer in the European Prospective Investigation into Cancer and Nutrition (EPIC) cohort
    Zamora-Ros, Raul
    Cayssials, Valerie
    Jenab, Mazda
    Rothwell, Joseph A.
    Fedirko, Veronika
    Aleksandrova, Krasimira
    Tjonneland, Anne
    Kyro, Cecilie
    Overvad, Kim
    Boutron-Ruault, Marie-Christine
    Carbonnel, Franck
    Mahamat-Saleh, Yahya
    Kaaks, Rudolf
    Kuehn, Tilman
    Boeing, Heiner
    Trichopoulou, Antonia
    Valanou, Elissavet
    Vasilopoulou, Effie
    Masala, Giovanna
    Pala, Valeria
    Panico, Salvatore
    Tumino, Rosario
    Ricceri, Fulvio
    Weiderpass, Elisabete
    Lukic, Marko
    Sandanger, Torkjel M.
    Lasheras, Cristina
    Agudo, Antonio
    Sanchez, Maria-Jose
    Amiano, Pilar
    Navarro, Carmen
    Ardanaz, Eva
    Sonestedt, Emily
    Ohlsson, Bodil
    Nilsson, Lena Maria
    Rutegard, Martin
    Bueno-de-Mesquita, Bas
    Peeters, Petra H.
    Khaw, Kay-Thee
    Wareham, Nicholas J.
    Bradbury, Kathryn
    Freisling, Heinz
    Romieu, Isabelle
    Cross, Amanda J.
    Vineis, Paolo
    Scalbert, Augustin
    EUROPEAN JOURNAL OF EPIDEMIOLOGY, 2018, 33 (11) : 1063 - 1075
  • [25] Polyphenol Intake and Epithelial Ovarian Cancer Risk in the European Prospective Investigation into Cancer and Nutrition (EPIC) Study
    Londono, Catalina
    Cayssials, Valerie
    de Villasante, Izar
    Crous-Bou, Marta
    Scalbert, Augustin
    Weiderpass, Elisabete
    Agudo, Antonio
    Tjonneland, Anne
    Olsen, Anja
    Overvad, Kim
    Katzke, Verena
    Schulze, Matthias
    Palli, Domenico
    Krogh, Vittorio
    de Magistris, Maria Santucci
    Tumino, Rosario
    Ricceri, Fulvio
    Gram, Inger T.
    Rylander, Charlotta
    Skeie, Guri
    Sanchez, Maria-Jose
    Amiano, Pilar
    Maria Huerta, Jose
    Barricarte, Aurelio
    Sartor, Hanna
    Sonestedt, Emily
    Esberg, Anders
    Idahl, Annika
    Mahamat-Saleh, Yahya
    Laouali, Nasser
    Kvaskoff, Marina
    Turzanski-Fortner, Renee
    Zamora-Ros, Raul
    ANTIOXIDANTS, 2021, 10 (08)
  • [26] Haem iron intake and risk of lung cancer in the European Prospective Investigation into Cancer and Nutrition (EPIC) cohort
    Ward, Heather A.
    Whitman, Julia
    Muller, David C.
    Johansson, Mattias
    Jakszyn, Paula
    Weiderpass, Elisabete
    Palli, Domenico
    Fanidi, Anouar
    Vermeulen, Roel
    Tjonneland, Anne
    Hansen, Louise
    Dahm, Christina C.
    Overvad, Kim
    Severi, Gianluca
    Boutron-Ruault, Marie-Christine
    Affret, Aurelie
    Kaaks, Rudolf
    Fortner, Renee
    Boeing, Heiner
    Trichopoulou, Antonia
    La Vecchia, Carlo
    Kotanidou, Anastasia
    Berrino, Franco
    Krogh, Vittorio
    Tumino, Rosario
    Ricceri, Fulvio
    Panico, Salvatore
    Bueno-de-Mesquita, H. Bas
    Peeters, Petra H.
    Nost, Therese Haugdahl
    Sandanger, Torkjel M.
    Ramon Quiros, Jose
    Agudo, Antonio
    Rodriguez-Barranco, Miguel
    Larranaga, Nerea
    Maria Huerta, Jose
    Ardanaz, Eva
    Drake, Isabel
    Brunnstrom, Hans
    Johansson, Mikael
    Grankvist, Kjell
    Travis, Ruth C.
    Freisling, Heinz
    Stepien, Magdalena
    Merritt, Melissa A.
    Riboli, Elio
    Cross, Amanda J.
    EUROPEAN JOURNAL OF CLINICAL NUTRITION, 2019, 73 (08) : 1122 - 1132
  • [27] Fruit and vegetable consumption and pancreatic cancer risk in the European Prospective Investigation into Cancer and Nutrition
    Vrieling, Alina
    Verhage, Bas A. J.
    van Duijnhoven, Franzel J. B.
    Jenab, Mazda
    Overvad, Kim
    Tjonneland, Anne
    Olsen, Anja
    Clavel-Chapelon, Francoise
    Boutron-Ruault, Marie-Christine
    Kaaks, Rudolf
    Rohrmann, Sabine
    Boeing, Heiner
    Noethlings, Ute
    Trichopoulou, Antonia
    John, Tountas
    Dimosthenes, Zilis
    Palli, Domenico
    Sieri, Sabina
    Mattielllo, Amalia
    Tumino, Rosario
    Vineis, Paolo
    van Gils, Carla H.
    Peeters, Petra H. M.
    Engeset, Dagrun
    Lund, Eiliv
    Rodriguez Suarez, Laudina
    Jakszyn, Paula
    Larranaga, Nerea
    Sanchez, Maria-Jose
    Chirlaque, Maria-Dolores
    Ardana, Eva
    Manjer, Jonas
    Lindkvist, Bjoern
    Hallmans, Goeran
    Ye, Weimin
    Bingham, Sheila
    Khaw, Kay-Tee
    Roddam, Andrew
    Key, Tim
    Boffetta, Paolo
    Duell, Eric J.
    Michaud, Dominique S.
    Riboli, Elio
    Bueno-de-Mesquita, H. Bas
    INTERNATIONAL JOURNAL OF CANCER, 2009, 124 (08) : 1926 - 1934
  • [28] Fruit and vegetable intake and prostate cancer risk in the European Prospective Investigation into Cancer and Nutrition (EPIC)
    Perez-Cornago, Aurora
    Travis, Ruth C.
    Appleby, Paul N.
    Tsilidis, Konstantinos K.
    Tjonneland, Anne
    Olsen, Anja
    Overvad, Kim
    Katzke, Verena
    Kuehn, Tilman
    Trichopoulou, Antonia
    Peppa, Eleni
    Kritikou, Maria
    Sieri, Sabina
    Palli, Domenico
    Sacerdote, Carlotta
    Tumino, Rosario
    Bueno-de-Mesquita, H. B.
    Agudo, Antonio
    Larranaga, Nerea
    Molina-Portillo, Elena
    Ardanaz, Eva
    Chirlaque, Maria-Dolores
    Lasheras, Cristina
    Stattin, Par
    Wennberg, Maria
    Drake, Isabel
    Malm, Johan
    Schmidt, Julie A.
    Khaw, Kay-Tee
    Gunter, Marc
    Freisling, Heinz
    Huybrechts, Inge
    Aune, Dagfinn
    Cross, Amanda J.
    Riboli, Elio
    Key, Timothy J.
    INTERNATIONAL JOURNAL OF CANCER, 2017, 141 (02) : 287 - 297
  • [29] DIETARY INTAKE OF ACRYLAMIDE AND OESOPHAGEAL CANCER (OC) RISK IN THE EUROPEAN PROSPECTIVE INVESTIGATION INTO CANCER AND NUTRITION (EPIC) COHORT
    Lujan-Barroso, L.
    Duell, E. J.
    Obon-Santacana, M.
    Slimani, N.
    Boeing, H.
    Gonzalez, C. A.
    ANNALS OF NUTRITION AND METABOLISM, 2013, 63 : 1203 - 1203
  • [30] Pre-diagnostic polyphenol intake and breast cancer survival: the European Prospective Investigation into Cancer and Nutrition (EPIC) cohort
    Kyro, Cecilie
    Zamora-Ros, Raul
    Scalbert, Augustin
    Tjonneland, Anne
    Dossus, Laure
    Johansen, Christoffer
    Bidstrup, Pernille Envold
    Weiderpass, Elisabete
    Christensen, Jane
    Ward, Heather
    Aune, Dagfinn
    Riboli, Elio
    His, Mathilde
    Clavel-Chapelon, Francoise
    Baglietto, Laura
    Katzke, Verena
    Kuehn, Tilman
    Boeing, Heiner
    Floegel, Anna
    Overvad, Kim
    Lasheras, Cristina
    Travier, Noemie
    Sanchez, Maria-Jose
    Amiano, Pilar
    Chirlaque, Maria-Dolores
    Ardanaz, Eva
    Khaw, Kay-Tee
    Wareham, Nick
    Perez-Cornago, Aurora
    Trichopoulou, Antonia
    Lagiou, Pagona
    Vasilopoulou, Effie
    Masala, Giovanna
    Grioni, Sara
    Berrino, Franco
    Tumino, Rosario
    Sacerdote, Carlotta
    Mattiello, Amalia
    Bueno-de-Mesquita, H. B.
    Peeters, Petra H.
    van Gils, Carla
    Borgquist, Signe
    Butt, Salma
    Zeleniuch-Jacquotte, Anne
    Sund, Malin
    Hjartaker, Anette
    Skeie, Guri
    Olsen, Anja
    Romieu, Isabelle
    BREAST CANCER RESEARCH AND TREATMENT, 2015, 154 (02) : 389 - 401