Fruit and vegetable intake and prostate cancer risk in the European Prospective Investigation into Cancer and Nutrition (EPIC)

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Fruit and vegetable intake and prostate cancer risk in the European Prospective Investigation into Cancer and Nutrition (EPIC)

Perez-Cornago, Aurora (författare): Univ Oxford, Nuffield Dept Populat Hlth, Canc Epidemiol Unit, Oxford, England.,University of Oxford

Travis, Ruth C. (författare): Univ Oxford, Nuffield Dept Populat Hlth, Canc Epidemiol Unit, Oxford, England.,University of Oxford

Appleby, Paul N. (författare): Univ Oxford, Nuffield Dept Populat Hlth, Canc Epidemiol Unit, Oxford, England.,University of Oxford

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Tsilidis, Konstantinos K. (författare): Univ Ioannina, Sch Med, Dept Hyg & Epidemiol, Ioannina, Greece.;Imperial Coll London, Sch Publ Hlth, Dept Epidemiol & Biostat, London, England.,Imperial College London,University of Ioannina

Tjonneland, Anne (författare): Danish Canc Soc Res Ctr, Copenhagen, Denmark.,Danish Cancer Society

Olsen, Anja (författare): Danish Canc Soc Res Ctr, Copenhagen, Denmark.,Danish Cancer Society

Overvad, Kim (författare): Aarhus Univ, Sect Epidemiol, Dept Publ Hlth, Aarhus C, Denmark.,Aarhus University

Katzke, Verena (författare): German Canc Res Ctr, Div Canc Epidemiol, Heidelberg, Germany.,German Cancer Research Centre

Kuehn, Tilman (författare): German Canc Res Ctr, Div Canc Epidemiol, Heidelberg, Germany.,German Cancer Research Centre

Trichopoulou, Antonia (författare): Hellen Hlth Fdn, Athens, Greece.;Univ Athens, Med Sch, Unit Nutr Epidemiol & Nutr Publ Hlth,WHO, Collaborating Ctr Nutr & Hlth,Dept Hyg Epidemiol, Athens, Greece.,Hellenic Health Foundation, Athens,National and Kapodistrian University of Athens

Peppa, Eleni (författare): Hellen Hlth Fdn, Athens, Greece.,Hellenic Health Foundation, Athens

Kritikou, Maria (författare): Hellen Hlth Fdn, Athens, Greece.,Hellenic Health Foundation, Athens

Sieri, Sabina (författare): Fdn IRCCS Ist Nazl Tumori, Epidemiol & Prevent Unit, Milan, Italy.,Istituto Nazionale dei Tumori

Palli, Domenico (författare): Canc Res & Prevent Inst ISPO, Canc Risk Factors & Life Style Epidemiol Unit, Florence, Italy.,Cancer Research and Prevention Institute (ISPO)

Sacerdote, Carlotta (författare): Univ Turin, AO Citta Salute & Sci, Unit Canc Epidemiol, Turin, Italy.;Ctr Canc Prevent CPO Piemonte, Turin, Italy.,Citta' della Salute e della Scienza Hospital-University of Turin

Tumino, Rosario (författare): Civ MP Arezzo Hosp ASP Ragusa, Canc Registry & Histopathol Unit, Ragusa, Italy.,Civic and M.P Arezzo Hospital

Bueno-de-Mesquita, H. B. (as) (författare): Imperial Coll London, Sch Publ Hlth, Dept Epidemiol & Biostat, London, England.;Natl Inst Publ Hlth & Environm RIVM, Dept Determinants Chron Dis DCD, Bilthoven, Netherlands.;Univ Malaya, Fac Med, Dept Social & Prevent Med, Kuala Lumpur, Malaysia.,Imperial College London,University of Malaya

Agudo, Antonio (författare): Catalan Inst Oncol IDIBELL, Canc Epidemiol Res Program, Unit Nutr & Canc, Barcelona, Spain.,Bellvitge University Hospital-IDIBELL,University of Oxford

Larranaga, Nerea (författare): Reg Govt Basque Country, Publ Hlth Div Gipuzkoa, Vitoria, Spain.;CIBER Epidemiol & Publ Hlth CIBERESP, Madrid, Spain.,Public Health Division of Gipuzkoa,CIBER Epidemiology and Public Health (CIBERESP)

Molina-Portillo, Elena (författare): CIBER Epidemiol & Publ Hlth CIBERESP, Madrid, Spain.;Univ Granada, Hosp Univ Granada, GRANADA, Escuela Andaluza Salud Publ,Inst Invest Biosanita, Granada, Spain.,CIBER Epidemiology and Public Health (CIBERESP),University of Granada

Ardanaz, Eva (författare): CIBER Epidemiol & Publ Hlth CIBERESP, Madrid, Spain.;Navarra Publ Hlth Inst, Pamplona, Spain.;Navarra Inst Hlth Res IdiSNA Pamplona, Pamplona, Spain.,Health Research Institute of Navarra (IDISNA),CIBER Epidemiology and Public Health (CIBERESP)

Chirlaque, Maria-Dolores (författare): CIBER Epidemiol & Publ Hlth CIBERESP, Madrid, Spain.;IMIB Arrixaca, Reg Hlth Council, Dept Epidemiol, Murcia, Spain.;Univ Murcia, Dept Hlth & Social Sci, Murcia, Spain.,CIBER Epidemiology and Public Health (CIBERESP),Murcia Regional Health Council,University of Murcia

Lasheras, Cristina (författare): Univ Oviedo, Fac Med, Dept Funct Biol, Asturias, Spain.,University of Oviedo

Stattin, Pär (författare): Uppsala University,Umeå University,Umeå universitet,Uppsala universitet,Urologkirurgi,Umea Univ, Dept Surg & Perioperat Sci, Urol & Androl, Umea, Sweden.,Urologi och andrologi,Department of Surgical Sciences, Uppsala University, Uppsala, Sweden

Wennberg, Maria (författare): Umeå University,Umeå universitet,Näringsforskning

Drake, Isabel (författare): Lund University,Lunds universitet,Diabetes - kardiovaskulär sjukdom,Forskargrupper vid Lunds universitet,Diabetes - Cardiovascular Disease,Lund University Research Groups

Malm, Johan (författare): Lund University,Lunds universitet,Institutionen för translationell medicin,Medicinska fakulteten,Klinisk kemi, Malmö,Forskargrupper vid Lunds universitet,Department of Translational Medicine,Faculty of Medicine,Clinical Chemistry, Malmö,Lund University Research Groups,Skåne University Hospital

Schmidt, Julie A. (författare): Univ Oxford, Nuffield Dept Populat Hlth, Canc Epidemiol Unit, Oxford, England.

Khaw, Kay-Tee (författare): Univ Cambridge, Sch Clin Med, Cambridge, England.,University of Cambridge

Gunter, Marc (författare): Int Agcy Res Canc, Sect Nutr & Metab, Lyon, France.,International Agency for Research on Cancer, World Health Organization

Freisling, Heinz (författare): Int Agcy Res Canc, Sect Nutr & Metab, Lyon, France.,International Agency for Research on Cancer, World Health Organization

Huybrechts, Inge (författare): Int Agcy Res Canc, Sect Nutr & Metab, Lyon, France.,International Agency for Research on Cancer, World Health Organization

Aune, Dagfinn (författare): Imperial Coll London, Sch Publ Hlth, Dept Epidemiol & Biostat, London, England.,Imperial College London

Cross, Amanda J. (författare): Imperial Coll London, Sch Publ Hlth, Dept Epidemiol & Biostat, London, England.,Imperial College London

Riboli, Elio (författare): Imperial Coll London, Sch Publ Hlth, Dept Epidemiol & Biostat, London, England.,Imperial College London

Key, Timothy J. (författare): Univ Oxford, Nuffield Dept Populat Hlth, Canc Epidemiol Unit, Oxford, England.,University of Oxford

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Univ Oxford, Nuffield Dept Populat Hlth, Canc Epidemiol Unit, Oxford, England University of Oxford (creator_code:org_t)

2017-05-15
2017
Engelska.
Ingår i: International Journal of Cancer. - : Wiley. - 0020-7136 .- 1097-0215. ; 141:2, s. 287-297

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Tidskriftsartikel (refereegranskat)

Abstract Ämnesord

Stäng

Several dietary factors have been studied in relation to prostate cancer; however, most studies have not reported on subtypes of fruit and vegetables or tumor characteristics, and results obtained so far are inconclusive. This study aimed to examine the prospective association of total and subtypes of fruit and vegetable intake with the incidence of prostate cancer overall, by grade and stage of disease, and prostate cancer death. Lifestyle information for 142,239 men participating in the European Prospective Investigation into Cancer and Nutrition from 8 European countries was collected at baseline. Multivariable Cox regression models were used to estimate hazard ratios (HRs) and 95% confidence intervals (CIs). After an average follow-up time of 13.9 years, 7,036 prostate cancer cases were identified. Compared with the lowest fifth, those in the highest fifth of total fruit intake had a significantly reduced prostate cancer risk (HR = 0.91; 95% CI = 0.83-0.99; p-trend = 0.01). No associations between fruit subtypes and prostate cancer risk were observed, except for citrus fruits, where a significant trend was found (HR = 0.94; 95% CI = 0.86-1.02; p-trend = 0.01). No associations between total and subtypes of vegetables and prostate cancer risk were observed. We found no evidence of heterogeneity in these associations by tumor grade and stage, with the exception of significant heterogeneity by tumor grade (pheterogeneity<0.001) for leafy vegetables. No significant associations with prostate cancer death were observed. The main finding of this prospective study was that a higher fruit intake was associated with a small reduction in prostate cancer risk. Whether this association is causal remains unclear. What's new? The role of diet in prostate-cancer etiology is uncertain, and associations may vary by tumor characteristics. In this prospective, longitudinal study, the authors examined the association of total and subtypes of fruit and vegetable intake with the overall incidence of prostate cancer. They then analyzed incidence by grade, stage of disease, and prostate-cancer death. They found that higher fruit intake was associated with a small reduction in prostate cancer risk, and that this association did not differ by tumor characteristics.

Ämnesord

MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Cancer och onkologi (hsv//swe)
MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Cancer and Oncology (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Näringslära (hsv//swe)
MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Nutrition and Dietetics (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi (hsv//swe)
MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Public Health, Global Health, Social Medicine and Epidemiology (hsv//eng)

Nyckelord

prostate cancer
fruit
vegetable
tumor subtypes
prospective
fruit
prospective
prostate cancer
tumor subtypes
vegetable

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Av lärosätet: Uppsala universitet; Umeå universitet; Lunds universitet

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