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  • Ros, Martine M. (author)

Fruit and vegetable consumption and risk of aggressive and non-aggressive urothelial cell carcinomas in the European Prospective Investigation into Cancer and Nutrition

  • Article/chapterEnglish2012

Publisher, publication year, extent ...

  • Elsevier BV,2012

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  • LIBRIS-ID:oai:lup.lub.lu.se:286c6739-cd21-48c9-add8-160375f8d1f9
  • https://lup.lub.lu.se/record/3283524URI
  • https://doi.org/10.1016/j.ejca.2012.05.026DOI
  • https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-61957URI
  • http://kipublications.ki.se/Default.aspx?queryparsed=id:125508009URI

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  • Language:English
  • Summary in:English

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  • Subject category:art swepub-publicationtype
  • Subject category:ref swepub-contenttype

Notes

  • Background: Many epidemiological studies have examined fruit and vegetable consumption in relation to the risk of urothelial cell carcinoma (UCC) of the bladder, but results are inconsistent. The association between fruit and vegetable consumption and UCC risk may vary by bladder tumour aggressiveness. Therefore, we examined the relation between fruit and vegetable consumption and the risk of aggressive and non-aggressive UCC in the European Prospective Investigation into Cancer and Nutrition (EPIC). Methods: After 8.9 years of follow-up, 947 UCC were diagnosed among 468,656 EPIC participants. Of these, 421 could be classified as aggressive UCC and 433 as non-aggressive UCC cases. At recruitment, fruit and vegetable consumption was assessed by validated dietary questionnaires. Multivariable hazard ratios were estimated using Cox regression stratified by age, sex and center and adjusted for smoking status, duration and intensity of smoking, and energy intake. Results: Total consumption of fruits and vegetables was not associated with aggressive UCC nor with non-aggressive UCC. A 25 g/day increase in leafy vegetables and grapes consumption was associated with a reduced risk of non-aggressive UCC (hazard ratio (HR) 0.88; 95% confidence interval (CI) 0.78-1.00 and HR 0.87; 95% CI 0.77-0.98, respectively), while the intake of root vegetables was inversely associated with risk of aggressive UCC (HR 0.87; 95% CI 0.77-0.98). Conclusion: Our study did not confirm a protective effect of total fruit and/or vegetable consumption on aggressive or non-aggressive UCC. High consumption of certain types of vegetables and of fruits may reduce the risk of aggressive or non-aggressive UCC; however chance findings cannot be excluded. (C) 2012 Elsevier Ltd. All rights reserved.

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  • Bueno-de-Mesquita, H. Bas (author)
  • Kampman, Ellen (author)
  • Buchner, Frederike L. (author)
  • Aben, Katja K. H. (author)
  • Egevad, LarsKarolinska Institutet (author)
  • Overvad, Kim (author)
  • Tjonneland, Anne (author)
  • Roswall, Nina (author)
  • Clavel-Chapelon, Francoise (author)
  • Boutron-Ruault, Marie Christine (author)
  • Morois, Sophie (author)
  • Kaaks, Rudolf (author)
  • Teucher, Birgit (author)
  • Weikert, Steffen (author)
  • von Ruesten, Anne (author)
  • Trichopoulou, Antonia (author)
  • Naska, Androniki (author)
  • Benetou, Vassiliki (author)
  • Saieva, Calogero (author)
  • Pala, Valeria (author)
  • Ricceri, Fulvio (author)
  • Tumino, Rosario (author)
  • Mattiello, Amalia (author)
  • Peeters, Petra H. M. (author)
  • van Gils, Carla H. (author)
  • Gram, Inger T. (author)
  • Engeset, Dagrun (author)
  • Chirlaque, Maria-Dolores (author)
  • Ardanazx, Eva (author)
  • Rodriguez, Laudina (author)
  • Amanio, Pilar (author)
  • Gonzalez, Carlos A. (author)
  • Jose Sanchez, Maria (author)
  • Ulmert, DavidLund University,Lunds universitet,Urologisk cancerforskning, Malmö,Forskargrupper vid Lunds universitet,Urological cancer, Malmö,Lund University Research Groups(Swepub:lu)klke-dul (author)
  • Ernstrom, Roy (author)
  • Ljungberg, BörjeUmeå universitet,Urologi och andrologi,Njutrcancer(Swepub:umu)bolj0001 (author)
  • Allen, Naomi E. (author)
  • Key, Timothy J. (author)
  • Khaw, Kee-Tee (author)
  • Wareham, Nick (author)
  • Slimani, Nadia (author)
  • Romieu, Isabelle (author)
  • Kiemeney, Lambertus A. (author)
  • Riboli, Elio (author)
  • Karolinska InstitutetUrologisk cancerforskning, Malmö (creator_code:org_t)

Related titles

  • In:European Journal of Cancer: Elsevier BV48:17, s. 3267-32771879-08520959-8049

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