Adherence to the mediterranean diet and lymphoma risk in the european prospective investigation into cancer and nutrition

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Adherence to the mediterranean diet and lymphoma risk in the european prospective investigation into cancer and nutrition

Solans, Marta (author): Catalan Institute of Oncology,University of Girona,CIBER Epidemiology and Public Health (CIBERESP)

Benavente, Yolanda (author): CIBER Epidemiology and Public Health (CIBERESP),Catalan Institute of Oncology

Saez, Marc (author): University of Girona,CIBER Epidemiology and Public Health (CIBERESP)

Agudo, Antonio (author): Catalan Institute of Oncology,University of Oxford

Naudin, Sabine (author): International Agency for Research on Cancer, World Health Organization

Hosnijeh, Fatemeh Saberi (author): Utrecht University,Erasmus University Medical Center

Noh, Hwayoung (author): International Agency for Research on Cancer, World Health Organization

Freisling, Heinz (author): International Agency for Research on Cancer, World Health Organization

Ferrari, Pietro (author): International Agency for Research on Cancer, World Health Organization

Besson, Caroline (author): Stabilite genetique et oncogenese,University of Paris-Saclay,Centre Hospitalier de Versailles

Mahamat-Saleh, Yahya (author): University of Paris-Saclay,Stabilite genetique et oncogenese

Boutron-Ruault, Marie Christine (author): University of Paris-Saclay,Stabilite genetique et oncogenese

Kühn, Tilman (author): German Cancer Research Centre

Kaaks, Rudolf (author): German Cancer Research Centre

Boeing, Heiner (author): German Institute of Human Nutrition

Lasheras, Cristina (author): University of Oviedo

Rodríguez-Barranco, Miguel (author): Andalusian School Of Public Health (EASP),CIBER Epidemiology and Public Health (CIBERESP)

Amiano, Pilar (author): CIBER Epidemiology and Public Health (CIBERESP),Public Health Division of Gipuzkoa

Huerta, Jose Maria (author): CIBER Epidemiology and Public Health (CIBERESP),Murcia Regional Health Council

Barricarte, Aurelio (author): Health Research Institute of Navarra (IDISNA),CIBER Epidemiology and Public Health (CIBERESP)

Schmidt, Julie A. (author): University of Oxford

Vineis, Paolo (author): Imperial College London

Riboli, Elio (author): Imperial College London

Trichopoulou, Antonia (author): National and Kapodistrian University of Athens,Hellenic Health Foundation, Athens

Bamia, Christina (author): Hellenic Health Foundation, Athens,National and Kapodistrian University of Athens

Peppa, Eleni (author): National and Kapodistrian University of Athens,Hellenic Health Foundation, Athens

Masala, Giovanna (author)

Agnoli, Claudia (author): Istituto Nazionale dei Tumori

Tumino, Rosario (author): Civic and M.P Arezzo Hospital

Sacerdote, Carlotta (author): Citta' della Salute e della Scienza Hospital-University of Turin

Panico, Salvatore (author): University of Naples Federico II

Skeie, Guri (author): UiT The Arctic University of Norway, Tromsø

Weiderpass, Elisabete (author): Karolinska Institutet,Karolinska Institute,University of Helsinki,Cancer Registry of Norway, Institute of Population-Based Cancer Research,UiT The Arctic University of Norway, Tromsø

Jerkeman, Mats (author): Lund University,Lunds universitet,Tumörmikromiljö,Sektion I,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Bröstcancer-genetik,Institutionen för kliniska vetenskaper, Lund,Lymfom - Klinisk forskning,Forskargrupper vid Lunds universitet,Tumor microenvironment,Section I,Department of Clinical Sciences, Lund,Faculty of Medicine,Breastcancer-genetics,Department of Clinical Sciences, Lund,Lymphoma - Clinical Research,Lund University Research Groups

Ericson, Ulrika (author): Lund University,Lunds universitet,Diabetes - kardiovaskulär sjukdom,Forskargrupper vid Lunds universitet,Diabetes - Cardiovascular Disease,Lund University Research Groups

Späth, Florentin, 1980- (author): Umeå universitet,Umeå University,Onkologi

Nilsson, Lena Maria, 1965- (author): Umeå universitet,Umeå University,Arktiskt centrum vid Umeå universitet (Arcum),Näringsforskning

Dahm, Christina C. (author): Aarhus University

Overvad, Kim (author): Aarhus University

Bolvig, Anne Katrine (author): Danish Cancer Society

Tjønneland, Anne (author): Danish Cancer Society,University of Copenhagen

de Sanjose, Silvia (author): Catalan Institute of Oncology,PATH (global health organization),CIBER Epidemiology and Public Health (CIBERESP)

Buckland, Genevieve (author)

Vermeulen, Roel (author): Utrecht University

Nieters, Alexandra (author): Albert-Ludwigs University Freiburg

Casabonne, Delphine (author): CIBER Epidemiology and Public Health (CIBERESP),Catalan Institute of Oncology

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(creator_code:org_t)

2019-02-05
2019
English.
In: International Journal of Cancer. - : Wiley. - 0020-7136 .- 1097-0215. ; 145:1, s. 122-131

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Journal article (peer-reviewed)

Abstract Subject headings

There is a growing evidence of the protective role of the Mediterranean diet (MD) on cancer. However, no prospective study has yet investigated its influence on lymphoma. We evaluated the association between adherence to the MD and risk of lymphoma and its subtypes in the European Prospective Investigation into Cancer and Nutrition (EPIC) study. The analysis included 476,160 participants, recruited from 10 European countries between 1991 and 2001. Adherence to the MD was estimated through the adapted relative MD (arMED) score excluding alcohol. Cox proportional hazards regression models were used while adjusting for potential confounders. During an average follow-up of 13.9 years, 3,136 lymphomas (135 Hodgkin lymphoma [HL], 2,606 non-HL and 395 lymphoma not otherwise specified) were identified. Overall, a 1-unit increase in the arMED score was associated with a 2% lower risk of lymphoma (95% CI: 0.97; 1.00, p-trend = 0.03) while a statistically nonsignificant inverse association between a high versus low arMED score and risk of lymphoma was observed (hazard ratio [HR]: 0.91 [95% CI 0.80; 1.03], p-trend = 0.12). Analyses by lymphoma subtype did not reveal any statistically significant associations. Albeit with small numbers of cases (N = 135), a suggestive inverse association was found for HL (HR 1-unit increase = 0.93 [95% CI: 0.86; 1.01], p-trend = 0.07). However, the study may have lacked statistical power to detect small effect sizes for lymphoma subtype. Our findings suggest that an increasing arMED score was inversely related to the risk of overall lymphoma in EPIC but not by subtypes. Further large prospective studies are warranted to confirm these findings.

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By the author/editor: Solans, Marta; Benavente, Yolan ...; Saez, Marc; Agudo, Antonio; Naudin, Sabine; Hosnijeh, Fateme ...; show more...; Noh, Hwayoung; Freisling, Heinz; Ferrari, Pietro; Besson, Caroline; Mahamat-Saleh, Y ...; Boutron-Ruault, ...; Kühn, Tilman; Kaaks, Rudolf; Boeing, Heiner; Lasheras, Cristi ...; Rodríguez-Barran ...; Amiano, Pilar; Huerta, Jose Mar ...; Barricarte, Aure ...; Schmidt, Julie A ...; Vineis, Paolo; Riboli, Elio; Trichopoulou, An ...; Bamia, Christina; Peppa, Eleni; Masala, Giovanna; Agnoli, Claudia; Tumino, Rosario; Sacerdote, Carlo ...; Panico, Salvator ...; Skeie, Guri; Weiderpass, Elis ...; Jerkeman, Mats; Ericson, Ulrika; Späth, Florentin ...; Nilsson, Lena Ma ...; Dahm, Christina ...; Overvad, Kim; Bolvig, Anne Kat ...; Tjønneland, Anne; de Sanjose, Silv ...; Buckland, Genevi ...; Vermeulen, Roel; Nieters, Alexand ...; Casabonne, Delph ...; show less...

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MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Health Sciences; and Nutrition and Di ...

MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Clinical Medicin ...; and Cancer and Oncol ...

Articles in the publication: International Jo ...

By the university: Lund University; Umeå University; Karolinska Institutet

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Adherence to the mediterranean diet and lymphoma risk in the european prospective investigation into cancer and nutrition

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