Fruit and vegetable intake and the risk of gastric adenocarcinoma: A reanalysis of the european prospective investigation into cancer and nutrition (EPIC-EURGAST) study after a longer follow-up

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MARC

Gonzalez, Carlos A. (author)

Fruit and vegetable intake and the risk of gastric adenocarcinoma: A reanalysis of the european prospective investigation into cancer and nutrition (EPIC-EURGAST) study after a longer follow-up

Article/chapterEnglish2012

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2012-04-26
Wiley,2012

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LIBRIS-ID:oai:lup.lub.lu.se:dab4f5ef-1cb4-476e-b2d5-4d7e0d66d607
https://lup.lub.lu.se/record/3283297URI
https://doi.org/10.1002/ijc.27565DOI

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Language:English
Summary in:English

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SwePubSwePub

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

Notes

In a previous European prospective investigation into cancer and nutrition (EPIC) analysis, we found an inverse association between total intake of vegetables, onion and garlic, and risk of intestinal gastric cancer (GC) and between citrus fruit and risk of cardia GC. The aim of this study is to reanalyze the effect of fruit and vegetables (F&V), based on a longer follow-up and twice the number of GC cases. Subjects are 477,312 men and women mostly aged 35 to 70 years participating in the EPIC cohort, including 683 gastric adenocarcinomas with 11 years of follow-up. Information on diet and lifestyle was collected at baseline. A calibration study in a subsample was used to correct for dietary measurement errors. When comparing the highest vs. lowest quintile of intake, we found an inverse association between total intake of V&F and GC risk [hazard ratio (HR) 0.77; 95% confidence interval (CI) 0.571.04; p for trend 0.02], between fresh fruit and risk of the diffuse type (HR 0.59; 95% CI 0.360.97; p for trend 0.03) and an inverse association between citrus fruit and risk of cardia cancer (HR 0.61; 95% CI 0.381.00, p for trend 0.01). Although calibration revealed somewhat stronger inverse associations, none of the risks reached statistical significance. There was no association between total or specific vegetables intake and GC risk. The inverse association between fresh fruit and citrus fruits and risk of GC seems to be restricted to smokers and the Northern European countries. Fresh fruit and citrus fruit consumption may protect against diffuse and cardia GC, respectively.

Subject headings and genre

MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Cancer och onkologi hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine Cancer and Oncology hsv//eng
gastric cancer
fruit and vegetables
cohort study

Added entries (persons, corporate bodies, meetings, titles ...)

Lujan-Barroso, Leila (author)
Bueno-de-Mesquita, H. B. (as) (author)
Jenab, Mazda (author)
Duell, Eric J. (author)
Agudo, Antonio (author)
Tjonneland, Anne (author)
Boutron-Ruault, Marie Christine (author)
Clavel-Chapelon, Francoise (author)
Touillaud, Marina (author)
Teucher, Birgit (author)
Kaaks, Rudolf (author)
Boeing, Heiner (author)
Steffen, Annika (author)
Trichopoulou, Antonia (author)
Roukos, Dimitrios (author)
Karapetyan, Tina (author)
Palli, Domenico (author)
Tagliabue, Giovanna (author)
Mattiello, Amalia (author)
Tumino, Rosario (author)
Ricceri, Fulvio (author)
Siersema, Peter D. (author)
Numans, Mattijs E. (author)
Peeters, Petra P. H. (author)
Parr, Christine L. (author)
Skeie, Guri (author)
Lund, Eiliv (author)
Ramon Quiros, J. (author)
Sanchez-Cantalejo, Emilio (author)
Navarro, Carmen (author)
Barricarte, Aurelio (author)
Dorronsoro, Miren (author)
Ehrnstrom, Roy (author)
Regnér, SaraLund University,Lunds universitet,Kirurgi,Forskargrupper vid Lunds universitet,Surgery,Lund University Research Groups(Swepub:lu)kir-sre (author)
Khaw, Kay-Tee (author)
Wareham, Nick (author)
Key, Timothy J. (author)
Crowe, Francesca L. (author)
Blaker, Hendrik (author)
Romieu, Isabelle (author)
Riboli, Elio (author)
KirurgiForskargrupper vid Lunds universitet (creator_code:org_t)

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In:International Journal of Cancer: Wiley131:12, s. 2910-29190020-7136

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By the author/editor: Gonzalez, Carlos ...; Lujan-Barroso, L ...; Bueno-de-Mesquit ...; Jenab, Mazda; Duell, Eric J.; Agudo, Antonio; show more...; Tjonneland, Anne; Boutron-Ruault, ...; Clavel-Chapelon, ...; Touillaud, Marin ...; Teucher, Birgit; Kaaks, Rudolf; Boeing, Heiner; Steffen, Annika; Trichopoulou, An ...; Roukos, Dimitrio ...; Karapetyan, Tina; Palli, Domenico; Tagliabue, Giova ...; Mattiello, Amali ...; Tumino, Rosario; Ricceri, Fulvio; Siersema, Peter ...; Numans, Mattijs ...; Peeters, Petra P ...; Parr, Christine ...; Skeie, Guri; Lund, Eiliv; Ramon Quiros, J.; Sanchez-Cantalej ...; Navarro, Carmen; Barricarte, Aure ...; Dorronsoro, Mire ...; Ehrnstrom, Roy; Regnér, Sara; Khaw, Kay-Tee; Wareham, Nick; Key, Timothy J.; Crowe, Francesca ...; Blaker, Hendrik; Romieu, Isabelle; Riboli, Elio; show less...

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

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