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Dietary polychlorin...
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Donat-Vargas, CarolinaKarolinska Institutet
(författare)
Dietary polychlorinated biphenyls, long-chain n-3 polyunsaturated fatty acids and incidence of malignant melanoma.
- Artikel/kapitelEngelska2017
Förlag, utgivningsår, omfång ...
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Elsevier BV,2017
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printrdacarrier
Nummerbeteckningar
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LIBRIS-ID:oai:DiVA.org:uu-337249
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https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-337249URI
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https://doi.org/10.1016/j.ejca.2016.11.016DOI
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http://kipublications.ki.se/Default.aspx?queryparsed=id:135202627URI
Kompletterande språkuppgifter
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Språk:engelska
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Sammanfattning på:engelska
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Klassifikation
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Ämneskategori:ref swepub-contenttype
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Ämneskategori:art swepub-publicationtype
Anmärkningar
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BACKGROUND: For malignant melanoma, other risk factors aside from sun exposure have been hardly explored. Polychlorinated biphenyls (PCBs)-mainly from fatty fish- may affect melanogenesis and promote melanoma progression, while long-chain n-3 polyunsaturated fatty acids seem to exert antineoplastic actions in melanoma cells.OBJECTIVES: We aimed to assess the association of validated estimates of dietary PCB exposure as well as the intake of eicosapentaenoic acid and docosahexaenoic acid (EPA-DHA), accounting for sun habits and skin type, with the risk of malignant melanoma in middle-aged and elderly women.METHODS: We included 20,785 women at baseline in 2009 from the prospective population-based Swedish Mammography Cohort. Validated estimates of dietary PCB exposure and EPA-DHA intake were obtained via a food frequency questionnaire. Incident melanoma cases were ascertained through register-linkage.RESULTS: During 4.5 years of follow-up, we ascertained 67 incident cases of melanoma. After multivariable adjustments, exposure to dietary PCBs was associated with four-fold increased risk of malignant melanoma (hazard ratio [HR], 4.0 [95% confidence interval {CI}, 1.2-13; P for trend = 0.02]), while EPA-DHA intake was associated with 80% lower risk (HR, 0.2 [95% CI, 0.1-0.8; P for trend = 0.03]), comparing the highest exposure tertiles with the lowest.CONCLUSION: While we found a direct association between dietary PCB exposure and risk of melanoma, EPA-DHA intake showed to have a substantial protective association. Question of benefits and risk from fish consumption is very relevant and further prospective studies in the general population verifying these findings are warranted.
Ämnesord och genrebeteckningar
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Cancer prevention
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Cutaneous malignant melanoma
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Long-chain n-3 polyunsaturated fatty acids (LC n-3 PUFAs)
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Nutritional epidemiology
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Polychlorinated biphenyls (PCBs)
Biuppslag (personer, institutioner, konferenser, titlar ...)
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Berglund, MarikaKarolinska Institutet
(författare)
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Glynn, Anders
(författare)
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Wolk, AlicjaKarolinska Institutet,Uppsala universitet,Ortopedi(Swepub:uu)alwol516
(författare)
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Åkesson, AgnetaKarolinska Institutet
(författare)
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Karolinska InstitutetOrtopedi
(creator_code:org_t)
Sammanhörande titlar
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Ingår i:European Journal of Cancer: Elsevier BV72, s. 137-1430959-80491879-0852
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