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Food biodiversity and gastrointestinal cancer risk in nine European countries : analysis within a prospective cohort study

Huybrechts, Inge (författare)
Nutrition and Metabolism Branch, International Agency for Research on Cancer, Lyon, France
Chimera, Bernadette (författare)
Nutrition and Metabolism Branch, International Agency for Research on Cancer, Lyon, France
Hanley-Cook, Giles T. (författare)
Department of Food Technology, Safety and Health, Faculty of Bioscience Engineering, Ghent University, Ghent, Belgium
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Biessy, Carine (författare)
Nutrition and Metabolism Branch, International Agency for Research on Cancer, Lyon, France
Deschasaux-Tanguy, Mélanie (författare)
Sorbonne Paris Nord University, INSERM U1153, INRAE U1125, CNAM, Nutritional Epidemiology Research Team (EREN), Epidemiology and Statistics Research Center, University Paris Cité (CRESS), Bobigny, France
Touvier, Mathilde (författare)
Sorbonne Paris Nord University, INSERM U1153, INRAE U1125, CNAM, Nutritional Epidemiology Research Team (EREN), Epidemiology and Statistics Research Center, University Paris Cité (CRESS), Bobigny, France
Kesse-Guyot, Emmanuelle (författare)
Sorbonne Paris Nord University, INSERM U1153, INRAE U1125, CNAM, Nutritional Epidemiology Research Team (EREN), Epidemiology and Statistics Research Center, University Paris Cité (CRESS), Bobigny, France
Srour, Bernard (författare)
Sorbonne Paris Nord University, INSERM U1153, INRAE U1125, CNAM, Nutritional Epidemiology Research Team (EREN), Epidemiology and Statistics Research Center, University Paris Cité (CRESS), Bobigny, France
Baudry, Julia (författare)
Sorbonne Paris Nord University, INSERM U1153, INRAE U1125, CNAM, Nutritional Epidemiology Research Team (EREN), Epidemiology and Statistics Research Center, University Paris Cité (CRESS), Bobigny, France
Berlivet, Justine (författare)
Sorbonne Paris Nord University, INSERM U1153, INRAE U1125, CNAM, Nutritional Epidemiology Research Team (EREN), Epidemiology and Statistics Research Center, University Paris Cité (CRESS), Bobigny, France
Casagrande, Corinne (författare)
Nutrition and Metabolism Branch, International Agency for Research on Cancer, Lyon, France
Nicolas, Geneviève (författare)
Nutrition and Metabolism Branch, International Agency for Research on Cancer, Lyon, France
Lopez, Jessica Blanco (författare)
Nutrition and Metabolism Branch, International Agency for Research on Cancer, Lyon, France
Millett, Christopher J. (författare)
Public Health Policy Evaluation Unit, School of Public Health, Imperial College London, United Kingdom; NOVA National School of Public Health, Public Health Research Centre, Comprehensive Health Research Center, CHRC, NOVA University Lisbon, Lisbon, Portugal
Cakmak, Emine Koc (författare)
Department of Epidemiology and Biostatistics, School of Public Health, Imperial College London, United Kingdom
Robinson, Oliver J.K. (författare)
Department of Epidemiology and Biostatistics, School of Public Health, Imperial College London, United Kingdom
Murray, Kris A. (författare)
Centre on Climate Change and Planetary Health, MRC Unit The Gambia at London School of Hygiene and Tropical Medicine, Atlantic Boulevard, Fajara, Gambia
Schulze, Matthias B. (författare)
Department of Molecular Epidemiology, German Institute of Human Nutrition Potsdam-Rehbruecke, Nuthetal, Germany; Institute of Nutritional Science, University of Potsdam, Nuthetal, Germany
Masala, Giovanna (författare)
Clinical Epidemiology Unit, Institute for Cancer Research, Prevention and Clinical Network, Florence, Italy
Guevara, Marcela (författare)
Instituto de Salud Pública y Laboral de Navarra, Pamplona, Spain; Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública (CIBERESP), Madrid, Spain; Navarra Institute for Health Research (IdiSNA), Pamplona, Spain
Bodén, Stina (författare)
Umeå universitet,Pediatrik
Cross, Amanda J. (författare)
Department of Epidemiology and Biostatistics, School of Public Health, Imperial College London, United Kingdom
Tsilidis, Kostas (författare)
Department of Epidemiology and Biostatistics, School of Public Health, Imperial College London, United Kingdom
Heath, Alicia K. (författare)
Department of Epidemiology and Biostatistics, School of Public Health, Imperial College London, United Kingdom
Panico, Salvatore (författare)
Dipartimento Di Medicina Clinica E Chirurgia, Federico Ii University, Naples, Italy
Amiano, Pilar (författare)
BioGipuzkoa Health Research Institute, Epidemiology of Chronic and Communicable Diseases Group, San Sebastián, Spain; Ministry of Health of the Basque Government, Sub Directorate for Public Health and Addictions of Gipuzkoa, Epidemiology of Chronic and Communicable Diseases Group, San Sebastián, Spain
Huerta, José Ma (författare)
Department of Epidemiology, Murcia Regional Health Council-IMIB, Murcia, Spain; CIBER Epidemiología y Salud Pública (CIBERESP), Madrid, Spain
Key, Tim (författare)
Cancer Epidemiology Unit, Nuffield Department of Population Health, University of Oxford, United Kingdom
Ericson, Ulrika (författare)
Department of Clinical Sciences in Malmö, Lund University, Malmö, Sweden
Stocks, Tanja (författare)
Department of Translational Medicine, Lund University, Malmö, Sweden
Lundblad, Marie Wasmuth (författare)
Department of Community Medicine, Faculty of Health Sciences, UiT The Arctic University of Norway, Tromsø, Norway
Skeie, Guri (författare)
Department of Community Medicine, Faculty of Health Sciences, UiT The Arctic University of Norway, Tromsø, Norway
Sacerdote, Carlotta (författare)
Unit of Cancer Epidemiology, Città della Salute e della Scienza University-Hospital and Centre for Cancer Prevention (CPO), Turin, Italy
Katzke, Verena (författare)
Division of Cancer Epidemiology, German Cancer Research Center (DKFZ), Im Neuenheimer Feld 280, DE, Heidelberg, Germany
Playdon, Mary C. (författare)
Department of Nutrition and Integrative Physiology, University of Utah, UT, Salt Lake City, United States; Cancer Control and Population Sciences, Huntsman Cancer Institute, UT, Salt Lake City, United States
Ferrari, Pietro (författare)
Nutrition and Metabolism Branch, International Agency for Research on Cancer, Lyon, France
Vineis, Paolo (författare)
Department of Epidemiology and Biostatistics, School of Public Health, Imperial College London, United Kingdom
Lachat, Carl (författare)
Department of Food Technology, Safety and Health, Faculty of Bioscience Engineering, Ghent University, Ghent, Belgium
Gunter, Marc J. (författare)
Nutrition and Metabolism Branch, International Agency for Research on Cancer, Lyon, France; Department of Epidemiology and Biostatistics, School of Public Health, Imperial College London, United Kingdom
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 (creator_code:org_t)
Elsevier, 2024
2024
Engelska.
Ingår i: European Journal of Cancer. - : Elsevier. - 0959-8049 .- 1879-0852. ; 210
Relaterad länk:
https://urn.kb.se/re...
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https://doi.org/10.1...
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  • Tidskriftsartikel (refereegranskat)
Abstract Ämnesord
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  • Background: Food biodiversity in human diets has potential co-benefits for both public health and sustainable food systems. However, current evidence on the potential relationship between food biodiversity and cancer risk, and particularly gastrointestinal cancers typically related to diet, remains limited. This study evaluated how dietary species richness (DSR) was associated with gastrointestinal cancer risk in a pan-European population.Methods: Associations between DSR and subsequent gastrointestinal cancer risk were examined among 450,111 adults enrolled in the European Prospective Investigation into Cancer and Nutrition cohort (EPIC, initiated in 1992), free of cancer at baseline. Usual dietary intakes were assessed at recruitment with country-specific dietary questionnaires. DSR of an individual's yearly diet was calculated based on the absolute number of unique biological species in each food and drink item. Associations between DSR and cancer risk were assessed by multivariable Cox proportional hazards regression models.Findings: During a median follow-up time of 14.1 years (SD=3.9), 10,705 participants were diagnosed with gastrointestinal cancer. Hazard ratios (HRs) and 95 % confidence intervals (CIs) comparing overall gastrointestinal cancer risk in the highest versus lowest quintiles of DSR indicated inverse associations in multivariable-adjusted models [HR (95 % CI): 0.77 (0.69–0.87); P-value < 0·0001] (Table 2). Specifically, inverse associations were observed between DSR and oesophageal squamous cell carcinoma, proximal colon, colorectal, and liver cancer risk (p-trend<0.05 for all cancer types).Interpretation: Greater food biodiversity in the diet may lower the risk of certain gastrointestinal cancers. Further research is needed to replicate these novel findings and to understand potential mechanisms.

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)

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