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1. Associations of Physical Activity Level and Variability With 6-Month Weight Change Among 26,935 Users of Connected Devices: Observational Real-Life Study

Author

El Fatouhi, Douae, Delrieu, Lidia, Goetzinger, Catherine, Malisoux, Laurent, Affret, Aurélie, Campo, David, and Fagherazzi, Guy

Subjects
Information technology, T58.5-58.64, Public aspects of medicine, RA1-1270
Abstract

BackgroundPhysical activity (PA) is a modifiable lifestyle factor that can be targeted to increase energy expenditure and promote weight loss. However, the amount of PA required for weight loss remains inconsistent. Wearable activity trackers constitute a valuable opportunity to obtain objective measurements of PA and study large populations in real-life settings. ObjectiveWe aim to study the associations of initial device-assessed PA characteristics (average step counts and step count variability) and their evolution with 6-month weight change. MethodsWe analyzed data from 26,935 Withings-connected device users (wearable activity trackers and digital scales). To assess the initial PA characteristics and their 6-month changes, we used data recorded during the first and sixth 30-day periods of activity tracker use. For each of these periods, we used the monthly mean of daily step values as a proxy for PA level and derived the monthly coefficient of variation (CV) of daily step values to estimate PA level variability. Associations between initial PA characteristics and 6-month weight change were assessed using multivariable linear regression analyses controlled for age, sex, blood pressure, heart rate, and the predominant season. Restricted cubic spline regression was performed to better characterize the continuous shape of the associations between PA characteristics and weight change. Secondary analyses were performed by analyzing the 6-month evolution of PA characteristics in relation to weight change. ResultsOur results revealed that both a greater PA level and lower PA level variability were associated with weight loss. Compared with individuals who were initially in the sedentary category (63%, users whose PA level CV ranged from 51% to 63%, 40% to 51%, and was ≤40%, had a 0.19-kg, a 0.23-kg, and a 0.33-kg greater decrease in weight, respectively (95% CI −0.38 to −0.01, −0.41 to −0.04, and −0.53 to −0.13, respectively). We also observed that each 1000 steps/day increase in PA level over the 6-month follow-up was associated with a 0.26-kg (95% CI −0.29 to −0.23) decrease in weight. No association was found between the 6-month changes in PA level variability and weight change. ConclusionsOur results add to the current body of knowledge that health benefits can be observed below the 10,000 steps/day threshold and suggest that not only increased mean PA level but also greater regularity of the PA level may play important roles in short-term weight loss.

Published
2021
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4. Inflammatory potential of the diet and risk of gastric cancer in the European Prospective Investigation into Cancer and Nutrition (EPIC) study

Author

Agudo, Antonio, Cayssials, Valerie, Bonet, Catalina, Tjønneland, Anne, Overvad, Kim, Boutron-Ruault, Marie-Christine, Affret, Aurélie, Fagherazzi, Guy, Katzke, Verena, Schübel, Ruth, Trichopoulou, Antonia, Karakatsani, Anna, La Vecchia, Carlo, Palli, Domenico, Grioni, Sara, Tumino, Rosario, Ricceri, Fulvio, Panico, Salvatore, Bueno-de-Mesquita, Bas, Peeters, Petra H, Weiderpass, Elisabete, Skeie, Guri, Nøst, Theresa H, Lasheras, Cristina, Rodríguez-Barranco, Miguel, Amiano, Pilar, Chirlaque, María-Dolores, Ardanaz, Eva, Ohlsson, Bodil, Dias, Joana A, Nilsson, Lena M, Myte, Robin, Khaw, Kay-Tee, Perez-Cornago, Aurora, Gunter, Marc, Huybrechts, Inge, Cross, Amanda J, Tsilidis, Kostas, Riboli, Elio, and Jakszyn, Paula

Published
2018
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5. Haem iron intake and risk of lung cancer in the European Prospective Investigation into Cancer and Nutrition (EPIC) cohort

Author

Ward, Heather A., Whitman, Julia, Muller, David C., Johansson, Mattias, Jakszyn, Paula, Weiderpass, Elisabete, Palli, Domenico, Fanidi, Anouar, Vermeulen, Roel, Tjønneland, Anne, Hansen, Louise, Dahm, Christina C., Overvad, Kim, Severi, Gianluca, Boutron-Ruault, Marie-Christine, Affret, Aurélie, Kaaks, Rudolf, Fortner, Renee, Boeing, Heiner, Trichopoulou, Antonia, La Vecchia, Carlo, Kotanidou, Anastasia, Berrino, Franco, Krogh, Vittorio, Tumino, Rosario, Ricceri, Fulvio, Panico, Salvatore, Bueno-de-Mesquita, H. Bas, Peeters, Petra H., Nøst, Therese Haugdahl, Sandanger, Torkjel M., Quirós, Jose Ramón, Agudo, Antonio, Rodríguez-Barranco, Miguel, Larrañaga, Nerea, Huerta, Jose Maria, Ardanaz, Eva, Drake, Isabel, Brunnström, Hans, Johansson, Mikael, Grankvist, Kjell, Travis, Ruth C., Freisling, Heinz, Stepien, Magdalena, Merritt, Melissa A., Riboli, Elio, and Cross, Amanda J.

Published
2019
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8. Prediagnostic selenium status and hepatobiliary cancer risk in the European Prospective Investigation into Cancer and Nutrition cohort

Author

Hughes, David J, Duarte-Salles, Talita, Hybsier, Sandra, Trichopoulou, Antonia, Stepien, Magdalena, Aleksandrova, Krasimira, Overvad, Kim, Tjønneland, Anne, Olsen, Anja, Affret, Aurélie, Fagherazzi, Guy, Boutron-Ruault, Marie-Christine, Katzke, Verena, Kaaks, Rudolf, Boeing, Heiner, Bamia, Christina, Lagiou, Pagona, Peppa, Eleni, Palli, Domenico, Krogh, Vittorio, Panico, Salvatore, Tumino, Rosario, Sacerdote, Carlotta, Bueno-de-Mesquita, Hendrik Bastiaan, Peeters, Petra H, Engeset, Dagrun, Weiderpass, Elisabete, Lasheras, Cristina, Agudo, Antonio, Sánchez, Maria-José, Navarro, Carmen, Ardanaz, Eva, Dorronsoro, Miren, Hemmingsson, Oskar, Wareham, Nicholas J, Khaw, Kay-Tee, Bradbury, Kathryn E, Cross, Amanda J, Gunter, Marc, Riboli, Elio, Romieu, Isabelle, Schomburg, Lutz, and Jenab, Mazda

Published
2016
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10. Supplemental Tables S1-S3 from Serum Endotoxins and Flagellin and Risk of Colorectal Cancer in the European Prospective Investigation into Cancer and Nutrition (EPIC) Cohort

Author

Kong, So Yeon, primary, Tran, Hao Quang, primary, Gewirtz, Andrew T., primary, McKeown-Eyssen, Gail, primary, Fedirko, Veronika, primary, Romieu, Isabelle, primary, Tjønneland, Anne, primary, Olsen, Anja, primary, Overvad, Kim, primary, Boutron-Ruault, Marie-Christine, primary, Bastide, Nadia, primary, Affret, Aurélie, primary, Kühn, Tilman, primary, Kaaks, Rudolf, primary, Boeing, Heiner, primary, Aleksandrova, Krasimira, primary, Trichopoulou, Antonia, primary, Kritikou, Maria, primary, Vasilopoulou, Effie, primary, Palli, Domenico, primary, Krogh, Vittorio, primary, Mattiello, Amalia, primary, Tumino, Rosario, primary, Naccarati, Alessio, primary, Bueno-de-Mesquita, H.B., primary, Peeters, Petra H., primary, Weiderpass, Elisabete, primary, Quirós, J. Ramón, primary, Sala, Núria, primary, Sánchez, María-José, primary, Castaño, José María Huerta, primary, Barricarte, Aurelio, primary, Dorronsoro, Miren, primary, Werner, Mårten, primary, Wareham, Nicholas J., primary, Khaw, Kay-Tee, primary, Bradbury, Kathryn E., primary, Freisling, Heinz, primary, Stavropoulou, Faidra, primary, Ferrari, Pietro, primary, Gunter, Marc J., primary, Cross, Amanda J., primary, Riboli, Elio, primary, Bruce, W. Robert, primary, and Jenab, Mazda, primary

Published
2023
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12. Consumption of fruits, vegetables and fruit juices and differentiated thyroid carcinoma risk in the European Prospective Investigation into Cancer and Nutrition (EPIC) study

Author

Zamora‐Ros, Raul, Béraud, Virginie, Franceschi, Silvia, Cayssials, Valerie, Tsilidis, Konstantinos K., Boutron‐Ruault, Marie‐Christine, Weiderpass, Elisabete, Overvad, Kim, Tjønneland, Anne, Eriksen, Anne K., Bonnet, Fabrice, Affret, Aurélie, Katzke, Verena, Kühn, Tilman, Boeing, Heiner, Trichopoulou, Antonia, Valanou, Elisavet, Karakatsani, Anna, Masala, Giovanna, Grioni, Sara, Santucci de Magistris, Maria, Tumino, Rosario, Ricceri, Fulvio, Skeie, Guri, Parr, Christine L, Merino, Susana, Salamanca‐Fernández, Elena, Chirlaque, Maria‐Dolores, Ardanaz, Eva, Amiano, Pilar, Almquist, Martin, Drake, Isabel, Hennings, Joakim, Sandström, Maria, Bueno‐de‐Mesquita, H. B(as), Peeters, Petra H., Khaw, Kay‐Thee, Wareham, Nicholas J., Schmidt, Julie A., Perez‐Cornago, Aurora, Aune, Dagfinn, Riboli, Elio, Slimani, Nadia, Scalbert, Augustin, Romieu, Isabelle, Agudo, Antonio, and Rinaldi, Sabina

Published
2018
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13. Nutritional quality of food as represented by the FSAm-NPS nutrient profiling system underlying the Nutri-Score label and cancer risk in Europe: Results from the EPIC prospective cohort study

Author

Deschasaux, Mélanie, Huybrechts, Inge, Murphy, Neil, Julia, Chantal, Hercberg, Serge, Srour, Bernard, Kesse-Guyot, Emmanuelle, Latino-Martel, Paule, Biessy, Carine, Casagrande, Corinne, Jenab, Mazda, Ward, Heather, Weiderpass, Elisabete, Dahm, Christina C., Overvad, Kim, Kyrø, Cecilie, Olsen, Anja, Affret, Aurélie, Boutron-Ruault, Marie-Christine, Mahamat-Saleh, Yahya, Kaaks, Rudolf, Kühn, Tilman, Boeing, Heiner, Schwingshackl, Lukas, Bamia, Christina, Peppa, Eleni, Trichopoulou, Antonia, Masala, Giovanna, Krogh, Vittorio, Panico, Salvatore, Tumino, Rosario, Sacerdote, Carlotta, Bueno-de-Mesquita, Bas, Peeters, Petra H., Hjartåker, Anette, Rylander, Charlotta, Skeie, Guri, Ramón Quirós, J., Jakszyn, Paula, Salamanca-Fernández, Elena, Huerta, José María, Ardanaz, Eva, Amiano, Pilar, Ericson, Ulrika, Sonestedt, Emily, Huseinovic, Ena, Johansson, Ingegerd, Khaw, Kay-Tee, Wareham, Nick, Bradbury, Kathryn E., Perez-Cornago, Aurora, Tsilidis, Konstantinos K., Ferrari, Pietro, Riboli, Elio, Gunter, Marc J., and Touvier, Mathilde

Subjects
Standards, Nutritional aspects, Labeling, Risk factors, Nutritional assessment -- Standards -- Labeling, Cancer -- Risk factors, Food -- Nutritional aspects -- Standards -- Labeling
Abstract

Author(s): Mélanie Deschasaux 1,*, Inge Huybrechts 2, Neil Murphy 2, Chantal Julia 1,3, Serge Hercberg 1,3, Bernard Srour 1, Emmanuelle Kesse-Guyot 1, Paule Latino-Martel 1, Carine Biessy 2, Corinne Casagrande [...], Background Helping consumers make healthier food choices is a key issue for the prevention of cancer and other diseases. In many countries, political authorities are considering the implementation of a simplified labelling system to reflect the nutritional quality of food products. The Nutri-Score, a five-colour nutrition label, is derived from the Nutrient Profiling System of the British Food Standards Agency (modified version) (FSAm-NPS). How the consumption of foods with high/low FSAm-NPS relates to cancer risk has been studied in national/regional cohorts but has not been characterized in diverse European populations. Methods and findings This prospective analysis included 471,495 adults from the European Prospective Investigation into Cancer and Nutrition (EPIC, 1992-2014, median follow-up: 15.3 y), among whom there were 49,794 incident cancer cases (main locations: breast, n = 12,063; prostate, n = 6,745; colon-rectum, n = 5,806). Usual food intakes were assessed with standardized country-specific diet assessment methods. The FSAm-NPS was calculated for each food/beverage using their 100-g content in energy, sugar, saturated fatty acid, sodium, fibres, proteins, and fruits/vegetables/legumes/nuts. The FSAm-NPS scores of all food items usually consumed by a participant were averaged to obtain the individual FSAm-NPS Dietary Index (DI) scores. Multi-adjusted Cox proportional hazards models were computed. A higher FSAm-NPS DI score, reflecting a lower nutritional quality of the food consumed, was associated with a higher risk of total cancer (HR.sub.Q5 versus .sub.Q1 = 1.07; 95% CI 1.03-1.10, P-trend < 0.001). Absolute cancer rates in those with high and low (quintiles 5 and 1) FSAm-NPS DI scores were 81.4 and 69.5 cases/10,000 person-years, respectively. Higher FSAm-NPS DI scores were specifically associated with higher risks of cancers of the colon-rectum, upper aerodigestive tract and stomach, lung for men, and liver and postmenopausal breast for women (all P < 0.05). The main study limitation is that it was based on an observational cohort using self-reported dietary data obtained through a single baseline food frequency questionnaire; thus, exposure misclassification and residual confounding cannot be ruled out. Conclusions In this large multinational European cohort, the consumption of food products with a higher FSAm-NPS score (lower nutritional quality) was associated with a higher risk of cancer. This supports the relevance of the FSAm-NPS as underlying nutrient profiling system for front-of-pack nutrition labels, as well as for other public health nutritional measures.

Published
2018
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17. Association of Plasma Phospholipid n-3 and n-6 Polyunsaturated Fatty Acids with Type 2 Diabetes: The EPIC-InterAct Case-Cohort Study

Author

Forouhi, Nita G., Imamura, Fumiaki, Sharp, Stephen J., Koulman, Albert, Schulze, Matthias B., Zheng, Jusheng, Ye, Zheng, Sluijs, Ivonne, Guevara, Marcela, Huerta, José María, Kröger, Janine, Wang, Laura Yun, Summerhill, Keith, Griffin, Julian L., Feskens, Edith J. M., Affret, Aurélie, Amiano, Pilar, Boeing, Heiner, Dow, Courtney, Fagherazzi, Guy, Franks, Paul W., Gonzalez, Carlos, Kaaks, Rudolf, Key, Timothy J., Khaw, Kay Tee, Kühn, Tilman, Mortensen, Lotte Maxild, Nilsson, Peter M., Overvad, Kim, Pala, Valeria, Palli, Domenico, Panico, Salvatore, Quirós, J. Ramón, Rodriguez-Barranco, Miguel, Rolandsson, Olov, Sacerdote, Carlotta, Scalbert, Augustin, Slimani, Nadia, Spijkerman, Annemieke M. W., Tjonneland, Anne, Tormo, Maria-Jose, Tumino, Rosario, van der A, Daphne L., van der Schouw, Yvonne T., Langenberg, Claudia, Riboli, Elio, and Wareham, Nicholas J.

Subjects
Research, Health aspects, Unsaturated fatty acids -- Research, Phospholipids -- Research, Type 2 diabetes -- Health aspects
Abstract

Author(s): Nita G. Forouhi 1,*, Fumiaki Imamura 1, Stephen J. Sharp 1, Albert Koulman 2, Matthias B. Schulze 3, Jusheng Zheng 1, Zheng Ye 1, Ivonne Sluijs 4, Marcela Guevara [...], Background Whether and how n-3 and n-6 polyunsaturated fatty acids (PUFAs) are related to type 2 diabetes (T2D) is debated. Objectively measured plasma PUFAs can help to clarify these associations. Methods and Findings Plasma phospholipid PUFAs were measured by gas chromatography among 12,132 incident T2D cases and 15,919 subcohort participants in the European Prospective Investigation into Cancer and Nutrition (EPIC)-InterAct study across eight European countries. Country-specific hazard ratios (HRs) were estimated using Prentice-weighted Cox regression and pooled by random-effects meta-analysis. We also systematically reviewed published prospective studies on circulating PUFAs and T2D risk and pooled the quantitative evidence for comparison with results from EPIC-InterAct. In EPIC-InterAct, among long-chain n-3 PUFAs, [alpha]-linolenic acid (ALA) was inversely associated with T2D (HR per standard deviation [SD] 0.93; 95% CI 0.88-0.98), but eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA) were not significantly associated. Among n-6 PUFAs, linoleic acid (LA) (0.80; 95% CI 0.77-0.83) and eicosadienoic acid (EDA) (0.89; 95% CI 0.85-0.94) were inversely related, and arachidonic acid (AA) was not significantly associated, while significant positive associations were observed with [gamma]-linolenic acid (GLA), dihomo-GLA, docosatetraenoic acid (DTA), and docosapentaenoic acid (n6-DPA), with HRs between 1.13 to 1.46 per SD. These findings from EPIC-InterAct were broadly similar to comparative findings from summary estimates from up to nine studies including between 71 to 2,499 T2D cases. Limitations included potential residual confounding and the inability to distinguish between dietary and metabolic influences on plasma phospholipid PUFAs. Conclusions These large-scale findings suggest an important inverse association of circulating plant-origin n-3 PUFA (ALA) but no convincing association of marine-derived n3 PUFAs (EPA and DHA) with T2D. Moreover, they highlight that the most abundant n6-PUFA (LA) is inversely associated with T2D. The detection of associations with previously less well-investigated PUFAs points to the importance of considering individual fatty acids rather than focusing on fatty acid class.

Published
2016
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18. Relative Validity and Reproducibility of a New 44-Item Diet and Food Frequency Questionnaire Among Adults: Online Assessment

Author

Affret, Aurélie, El Fatouhi, Douae, Dow, Courtney, Correia, Emmanuelle, Boutron-Ruault, Marie-Christine, and Fagherazzi, Guy

Subjects
Male, Original Paper, validity, Internet, Reproducibility of Results, Middle Aged, Short Food Frequency e-Questionnaire, Diet Records, Diet, Food, Surveys and Questionnaires, Humans, Female, Web-based, online dietary assessment tool, Energy Intake, reproducibility
Abstract

Background Dietary questionnaires currently available which can assess the habitual diet are timely, costly, or not adapted well to the modern diet; thus, there is a need for a shorter food frequency e-Questionnaire (FFeQ) adapted to Western diets, in order to properly estimate energy and macronutrient intakes or rank individuals according to food and nutrient intakes. Objective The aim of this study was to evaluate the relative validity and reproducibility of a 30-minute and 44-item FFeQ in a sample of adults obtained from the general population. Methods A sample of French adults was recruited through social media and an advertising campaign. A total of 223 volunteers completed the FFeQ twice at one-year intervals and were included in the reproducibility study. During that interval, 92 participants completed three-to-six 24-hour recalls and were included in the validity study. Nutrient and dietary intakes were computed for all validity and reproducibility participants. The level of agreement between the two methods was evaluated for nutrient and food group intakes using classification into quintiles of daily intake, correlation coefficients and Bland-Altman plots. Results For relative validity, correlation coefficients ranged from 0.09 to 0.88 (unadjusted correlation coefficients, median: 0.48) and 0.02 to 0.68 (deattenuated and energy adjusted correlation coefficients, median: 0.50) for food group and nutrient intakes, respectively. The median proportion of subjects classified into the same or adjacent quintile was 73% and 66% for food and nutrient intakes, respectively. Bland-Altman plots showed good agreement across the range of intakes. Regarding reproducibility, intraclass correlation coefficients ranged from 0.33 to 0.72 (median: 0.60) and 0.55 to 0.73 (median: 0.64), for food and nutrient intakes, respectively. Conclusions The FFeQ showed acceptable validity and reproducibility in a sample of adults based on their food and nutrient intakes. The FFeQ is a promising and low-cost tool that can be used in large-scale online epidemiological studies or clinical routines and could be integrated into evidence-based smartphone apps for assessing diet components.

Published
2018

19. Haem iron intake and risk of lung cancer in the European Prospective Investigation into Cancer and Nutrition (EPIC) cohort

Author

Public Health Practice, MS MDL 1, Epi Methoden Team 3, Cancer, JC onderzoeksprogramma Kanker, Ward, Heather A., Whitman, Julia, Muller, David C., Johansson, Mattias, Jakszyn, Paula, Weiderpass, Elisabete, Palli, Domenico, Fanidi, Anouar, Vermeulen, Roel, Tjønneland, Anne, Hansen, Louise, Dahm, Christina C., Overvad, Kim, Severi, Gianluca, Boutron-Ruault, Marie Christine, Affret, Aurélie, Kaaks, Rudolf, Fortner, Renee, Boeing, Heiner, Trichopoulou, Antonia, La Vecchia, Carlo, Kotanidou, Anastasia, Berrino, Franco, Krogh, Vittorio, Tumino, Rosario, Ricceri, Fulvio, Panico, Salvatore, Bueno-de-Mesquita, H. Bas, Peeters, Petra H., Nøst, Therese Haugdahl, Sandanger, Torkjel M., Quirós, Jose Ramón, Agudo, Antonio, Rodríguez-Barranco, Miguel, Larrañaga, Nerea, Huerta, Jose Maria, Ardanaz, Eva, Drake, Isabel, Brunnström, Hans, Johansson, Mikael, Grankvist, Kjell, Travis, Ruth C., Freisling, Heinz, Stepien, Magdalena, Merritt, Melissa A., Riboli, Elio, Cross, Amanda J., Public Health Practice, MS MDL 1, Epi Methoden Team 3, Cancer, JC onderzoeksprogramma Kanker, Ward, Heather A., Whitman, Julia, Muller, David C., Johansson, Mattias, Jakszyn, Paula, Weiderpass, Elisabete, Palli, Domenico, Fanidi, Anouar, Vermeulen, Roel, Tjønneland, Anne, Hansen, Louise, Dahm, Christina C., Overvad, Kim, Severi, Gianluca, Boutron-Ruault, Marie Christine, Affret, Aurélie, Kaaks, Rudolf, Fortner, Renee, Boeing, Heiner, Trichopoulou, Antonia, La Vecchia, Carlo, Kotanidou, Anastasia, Berrino, Franco, Krogh, Vittorio, Tumino, Rosario, Ricceri, Fulvio, Panico, Salvatore, Bueno-de-Mesquita, H. Bas, Peeters, Petra H., Nøst, Therese Haugdahl, Sandanger, Torkjel M., Quirós, Jose Ramón, Agudo, Antonio, Rodríguez-Barranco, Miguel, Larrañaga, Nerea, Huerta, Jose Maria, Ardanaz, Eva, Drake, Isabel, Brunnström, Hans, Johansson, Mikael, Grankvist, Kjell, Travis, Ruth C., Freisling, Heinz, Stepien, Magdalena, Merritt, Melissa A., Riboli, Elio, and Cross, Amanda J.

Published
2019

20. Évaluation de l’alimentation en épidémiologie et étude de l’évolution de l’alimentation selon l’environnement socio-économique et la survenue de cancer

Author

Affret, Aurélie, Centre de recherche en épidémiologie et santé des populations (CESP), Université de Versailles Saint-Quentin-en-Yvelines (UVSQ) - Université Paris-Sud - Paris 11 (UP11) - Assistance publique - Hôpitaux de Paris (AP-HP) - Hôpital Paul Brousse - Institut National de la Santé et de la Recherche Médicale (INSERM), Université Paris-Saclay, Guy Fagherazzi, Françoise Clavel-Chapelon, Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Université Paris-Sud - Paris 11 (UP11)-Hôpital Paul Brousse-Institut National de la Santé et de la Recherche Médicale (INSERM)-Université de Versailles Saint-Quentin-en-Yvelines (UVSQ), and Université Paris Saclay (COmUE)

Subjects
Epidemiology, Cohort, Évaluation de l'alimentaiton, Cohorte, Épidémiologie, [SDV.AEN] Life Sciences [q-bio]/Food and Nutrition, Socio-economic inequities, [SDV.SPEE] Life Sciences [q-bio]/Santé publique et épidémiologie, Dietary assessment, [SDV.SPEE]Life Sciences [q-bio]/Santé publique et épidémiologie, Dietary patterns, [SDV.AEN]Life Sciences [q-bio]/Food and Nutrition, Inégalités socio-économiques, Nutrition, Cancer, Profils alimentaires
Abstract

The number of cancer survivors is increasing worldwide. Several studies have demonstrated a potential beneficial impact of healthy lifestyle factors, including the diet, on cancer survival, but only a few studies have evaluated the influence of a cancer diagnosis on the long-term evolution of the diet, taking into account the socioeconomic environment of individuals as well as cancer characteristics such as the site and stage at diagnosis. Moreover, considering that the diet is one of the main determinants of health, an increasing number of epidemiological studies aim to collect dietary data but are limited by the fact that dietary data collection is very time-consuming for participants as well as for researchers. The objective of this project was 1) to better characterize the complex relations between diet and socio-economic environment among women who had cancer and 2) to develop and validate a short tool able to quickly assess the diet in several French population subgroups, and standardize dietary data collection at a national level. We used data from over 50 000 women in the prospective E3N-EPIC cohort study and considered fruit and vegetable consumption as a proxy for overall diet quality. Compared with healthy and non-cancer women, an increase in fruit and vegetable consumption was only observed in women who had an advanced stage of breast cancer (stages II-III-IV). This increase was also only observed in certain socioeconomic groups (e.g. women with high level of education and women living in the South of France). A short food frequency questionnaire (SFFQ) was also developed, both a paper and online version, to easily and quickly assess diet. Both versions were validated in a sample of 127 patients with chronic kidney disease and a sample of 92 adults selected among the general population, respectively. Our results help to understand the complex influence of the socioeconomic environment on the evolution of the diet among patients who had cancer. Further studies are required to better understand the factors that prevent cancer survivors from the adoption of healthy dietary patterns. Dietary guidelines should adapt to the socioeconomic environment of individuals, in order to reduce socioeconomic inequities in diet and cancer. Finally, within the framework of the present study, a standardized, validated, short and modern tool has been developed to quickly assess diet in French clinical and epidemiological studies. Diet and dietary patterns will therefore be comparable between several French population subgroups.; Le nombre de personnes ayant eu un cancer, dans le monde, n’a jamais était aussi élevé. Même si le bénéfice de l’adoption de comportements favorables à la santé, notamment en termes d’alimentation, suite à un diagnostic de cancer a été suggéré, peu d’études se sont spécifiquement intéressées à l’influence d’un diagnostic de cancer sur l’évolution à long terme de l’alimentation, ainsi qu’à l’impact de l’environnement socio-économique et du type de cancer (localisation et stade au diagnostic) dans cette relation. Par ailleurs, l’alimentation étant un des déterminants majeurs de la santé, de nombreuses études épidémiologiques ou cliniques souhaitent recueillir de plus en plus fréquemment les habitudes alimentaires de leurs sujets mais redoutent la durée de recueil avec les outils existants. L’objectif de ce travail doctoral était de 1) mieux caractériser les relations entre alimentation, environnement socio-économique et survenue de cancer, notamment chez les patients ayant eu un cancer, et 2) de créer et valider un outil de recueil alimentaire court, adapté au régime français, afin d’harmoniser le recueil des données alimentaires sur le plan national. À partir des données de plus de 50 000 femmes de la cohorte E3N, une augmentation de la consommation de fruits et légumes, utilisés ici comme marqueur de la qualité de l’alimentation, a été observée uniquement chez les femmes ayant eu un cancer du sein de stade avancé (II-III-IV). Cette augmentation était davantage prononcée dans certaines strates socio-économiques (chez les femmes à niveau d’éducation élevée et chez celles vivant dans le Sud, par exemple). En parallèle, un questionnaire de fréquence alimentaire court, capable d’évaluer rapidement l’alimentation des individus, a été développé en format papier et en ligne. La version papier de ce questionnaire a été validée dans une population de 127 patients atteints de maladie rénale chronique et la version numérique sur 92 adultes issus de la population générale. Ce travail précise l’influence complexe de l’environnement socio-économique sur l’évolution de l’alimentation chez les patients ayant eu un cancer. Des études complémentaires seront nécessaires pour comprendre les freins à l’adoption de comportements alimentaires favorables à la santé. Les recommandations nécessiteraient d’être modulées en fonction du niveau socio-économique des individus afin de réduire les inégalités socio-économiques en lien avec l’alimentation et la survenue de cancer. Finalement, ce travail doctoral va permettre de mettre à disposition de la communauté scientifique un outil de recueil alimentaire court, fiable et actualisé, qui sera commun à l’ensemble des groupes de population française.

Published
2017

21. An International Study on the Determinants of Poor Sleep Amongst 15,000 Users of Connected Devices

Author

Fagherazzi, Guy, El Fatouhi, Douae, Bellicha, Alice, El Gareh, Amin, Affret, Aurélie, Dow, Courtney, Delrieu, Lidia, Vegreville, Matthieu, Normand, Alexis, Oppert, Jean-Michel, Severi, Gianluca, Centre de recherche en épidémiologie et santé des populations (CESP), Université de Versailles Saint-Quentin-en-Yvelines (UVSQ)-Université Paris-Sud - Paris 11 (UP11)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Hôpital Paul Brousse-Institut National de la Santé et de la Recherche Médicale (INSERM), Equipe 3: EREN- Equipe de Recherche en Epidémiologie Nutritionnelle (CRESS - U1153), Université Paris 13 (UP13)-Institut National de la Recherche Agronomique (INRA)-Conservatoire National des Arts et Métiers [CNAM] (CNAM), HESAM Université - Communauté d'universités et d'établissements Hautes écoles Sorbonne Arts et métiers université (HESAM)-HESAM Université - Communauté d'universités et d'établissements Hautes écoles Sorbonne Arts et métiers université (HESAM)-Centre de Recherche Épidémiologie et Statistique Sorbonne Paris Cité (CRESS (U1153 / UMR_A_1125 / UMR_S_1153)), Institut National de la Recherche Agronomique (INRA)-Université Paris Diderot - Paris 7 (UPD7)-Université Paris Descartes - Paris 5 (UPD5)-Université Sorbonne Paris Cité (USPC)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Institut National de la Recherche Agronomique (INRA)-Université Paris Diderot - Paris 7 (UPD7)-Université Paris Descartes - Paris 5 (UPD5)-Université Sorbonne Paris Cité (USPC)-Institut National de la Santé et de la Recherche Médicale (INSERM), Centre Léon Bérard [Lyon], NOKIA Research Center, Nokia, Unité de Recherche sur les Maladies Cardiovasculaires, du Métabolisme et de la Nutrition = Research Unit on Cardiovascular and Metabolic Diseases (ICAN), Université Pierre et Marie Curie - Paris 6 (UPMC)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Institut National de la Santé et de la Recherche Médicale (INSERM)-CHU Pitié-Salpêtrière [AP-HP], Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Sorbonne Université (SU)-Sorbonne Université (SU), Université Paris-Est Créteil Val-de-Marne - Paris 12 (UPEC UP12), Unité de Recherche sur les Maladies Cardiovasculaires, du Métabolisme et de la Nutrition = Institute of cardiometabolism and nutrition (ICAN), Sorbonne Université (SU)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Sorbonne Université (SU), HAL UPMC, Gestionnaire, and Bellicha, Alice

Subjects
Male, Withings, Internet of Things, steps, connected devices, 0302 clinical medicine, Quality of life, Sleep Initiation and Maintenance Disorders, Epidemiology, heart rate, 030212 general & internal medicine, Slow-wave sleep, [SDV.MHEP] Life Sciences [q-bio]/Human health and pathology, blood pressure, determinants, Middle Aged, 3. Good health, wearables, Nokia, Female, epidemiology, Sleep (system call), Adult, Sleep Wake Disorders, medicine.medical_specialty, lifestyle, Adolescent, Health Informatics, Wearable Electronic Devices, Young Adult, 03 medical and health sciences, Heart rate, medicine, Humans, sleep, Life Style, Simulation, Original Paper, business.industry, weight, Odds ratio, [SDV.AEN] Life Sciences [q-bio]/Food and Nutrition, Blood pressure, Quality of Life, business, [SDV.AEN]Life Sciences [q-bio]/Food and Nutrition, [SDV.MHEP]Life Sciences [q-bio]/Human health and pathology, 030217 neurology & neurosurgery, Demography
Abstract

Background: Sleep is a modifiable lifestyle factor that can be a target for efficient intervention studies to improve the quality of life and decrease the risk or burden of some chronic conditions. Knowing the profiles of individuals with poor sleep patterns is therefore a prerequisite. Wearable devices have recently opened new areas in medical research as potential efficient tools to measure lifestyle factors such as sleep quantity and quality. Objectives: The goal of our research is to identify the determinants of poor sleep based on data from a large population of users of connected devices. Methods: We analyzed data from 15,839 individuals (13,658 males and 2181 females) considered highly connected customers having purchased and used at least 3 connected devices from the consumer electronics company Withings (now Nokia). Total and deep sleep durations as well as the ratio of deep/total sleep as a proxy of sleep quality were analyzed in association with available data on age, sex, weight, heart rate, steps, and diastolic and systolic blood pressures. Results: With respect to the deep/total sleep duration ratio used as a proxy of sleep quality, we have observed that those at risk of having a poor ratio (≤0.40) were more frequently males (odds ratio [OR]female vs male=0.45, 95% CI 0.38-0.54), younger individuals (OR>60 years vs 18-30 years=0.47, 95% CI 0.35-0.63), and those with elevated heart rate (OR>78 bpm vs ≤61 bpm=1.18, 95% CI 1.04-1.34) and high systolic blood pressure (OR>133 mm Hg vs ≤116 mm Hg=1.22, 95% CI 1.04-1.43). A direct association with weight was observed for total sleep duration exclusively. Conclusions: Wearables can provide useful information to target individuals at risk of poor sleep. Future alert or mobile phone notification systems based on poor sleep determinants measured with wearables could be tested in intervention studies to evaluate the benefits. [J Med Internet Res 2017;19(10):e363]

Published
2017
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22. Consumption of fruits, vegetables and fruit juices and differentiated thyroid carcinoma risk in the European Prospective Investigation into Cancer and Nutrition (EPIC) study

Author

Zamora-Ros, Raul, Béraud, Virginie, Franceschi, Silvia, Cayssials, Valerie, Tsilidis, Konstantinos K, Boutron-Ruault, Marie-Christine, Weiderpass, Elisabete, Overvad, Kim, Tjønneland, Anne, Eriksen, Anne K, Bonnet, Fabrice, Affret, Aurélie, Katzke, Verena, Kühn, Tilman, Boeing, Heiner, Trichopoulou, Antonia, Valanou, Elisavet, Karakatsani, Anna, Masala, Giovanna, Grioni, Sara, Santucci De Magistris, Maria, Tumino, Rosario, Ricceri, Fulvio, Skeie, Guri, Parr, Christine L, Merino, Susana, Salamanca-Fernández, Elena, Chirlaque, Maria-Dolores, Ardanaz, Eva, Amiano, Pilar, Almquist, Martin, Drake, Isabel, Hennings, Joakim, Sandström, Maria, Bueno-De-Mesquita, HB As, Peeters, Petra H, Khaw, Kay-Thee, Wareham, Nicholas J, Schmidt, Julie A, Perez-Cornago, Aurora, Aune, Dagfinn, Riboli, Elio, Slimani, Nadia, Scalbert, Augustin, Romieu, Isabelle, Agudo, Antonio, Rinaldi, Sabina, Zamora-Ros, Raul [0000-0002-6236-6804], Masala, Giovanna [0000-0002-5758-9069], Drake, Isabel [0000-0002-6500-6310], Perez-Cornago, Aurora [0000-0002-5652-356X], and Apollo - University of Cambridge Repository

Subjects
Adult, Male, vegetables, EPIC, fruit juices, fruits, intake, thyroid cancer, Aged, Cohort Studies, Diet, Diet, Healthy, Europe, Female, Fruit, Fruit and Vegetable Juices, Humans, Middle Aged, Prospective Studies, Thyroid Neoplasms, Vegetables, Cancer Research, Healthy Diet, Thyroid Neoplasms/epidemiology, Article, Europe/epidemiology, Healthy Diet/statistics & numerical data, Diet/statistics & numerical data, Healthy, Oncology
Abstract

Fruit and vegetable (F&V) intake is considered as probably protective against overall cancer risk, but results in previous studies are not consistent for thyroid cancer (TC). The purpose of this study is to examine the association between the consumption of fruits, vegetables, fruit juices and differentiated thyroid cancer risk within the European Prospective Investigation into Cancer and Nutrition (EPIC) study. The EPIC study is a cohort including over half a million participants, recruited between 1991 and 2000. During a mean follow-up of 14 years, 748 incident first primary differentiated TC cases were identified. F&V and fruit juice intakes were assessed through validated country-specific dietary questionnaires. Hazard ratios (HRs) and 95% confidence intervals (CIs) were estimated using Cox regression models adjusted for potential confounding factors. Comparing the highest versus lowest quartile of intake, differentiated TC risk was not associated with intakes of total F&V (HR: 0.89; 95% CI: 0.68–1.15; p-trend = 0.44), vegetables (HR: 0.89; 95% CI: 0.69–1.14; p-trend = 0.56), or fruit (HR: 1.00; 95% CI: 0.79–1.26; p-trend = 0.64). No significant association was observed with any individual type of vegetable or fruit. However, there was a positive borderline trend with fruit juice intake (HR: 1.23; 95% CI: 0.98–1.53; p-trend = 0.06). This study did not find any significant association between F&V intakes and differentiated TC risk; however a positive trend with fruit juice intake was observed, possibly related to its high sugar content.

Published
2017
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23. Haem iron intake and risk of lung cancer in the European Prospective Investigation into Cancer and Nutrition (EPIC) cohort

Author

Ward, Heather A., primary, Whitman, Julia, additional, Muller, David C., additional, Johansson, Mattias, additional, Jakszyn, Paula, additional, Weiderpass, Elisabete, additional, Palli, Domenico, additional, Fanidi, Anouar, additional, Vermeulen, Roel, additional, Tjønneland, Anne, additional, Hansen, Louise, additional, Dahm, Christina C., additional, Overvad, Kim, additional, Severi, Gianluca, additional, Boutron-Ruault, Marie-Christine, additional, Affret, Aurélie, additional, Kaaks, Rudolf, additional, Fortner, Renee, additional, Boeing, Heiner, additional, Trichopoulou, Antonia, additional, La Vecchia, Carlo, additional, Kotanidou, Anastasia, additional, Berrino, Franco, additional, Krogh, Vittorio, additional, Tumino, Rosario, additional, Ricceri, Fulvio, additional, Panico, Salvatore, additional, Bueno-de-Mesquita, H. Bas, additional, Peeters, Petra H., additional, Nøst, Therese Haugdahl, additional, Sandanger, Torkjel M., additional, Quirós, Jose Ramón, additional, Agudo, Antonio, additional, Rodríguez-Barranco, Miguel, additional, Larrañaga, Nerea, additional, Huerta, Jose Maria, additional, Ardanaz, Eva, additional, Drake, Isabel, additional, Brunnström, Hans, additional, Johansson, Mikael, additional, Grankvist, Kjell, additional, Travis, Ruth C., additional, Freisling, Heinz, additional, Stepien, Magdalena, additional, Merritt, Melissa A., additional, Riboli, Elio, additional, and Cross, Amanda J., additional

Published
2018
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25. Influence of a cancer diagnosis on changes in fruit and vegetable consumption according to cancer site, stage at diagnosis and socioeconomic factors: Results from the large E3N‐EPIC study

Author

Affret, Aurélie, primary, His, Mathilde, additional, Severi, Gianluca, additional, Mancini, Francesca Romana, additional, Arveux, Patrick, additional, Clavel‐Chapelon, Françoise, additional, Boutron‐Ruault, Marie‐Christine, additional, and Fagherazzi, Guy, additional

Published
2018
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26. Coffee and Tea Consumption and the Contribution of Their Added Ingredients to Total Energy and Nutrient Intakes in 10 European Countries: Benchmark Data from the Late 1990s

Author

Landais, Edwige, primary, Moskal, Aurélie, additional, Mullee, Amy, additional, Nicolas, Geneviève, additional, Gunter, Marc, additional, Huybrechts, Inge, additional, Overvad, Kim, additional, Roswall, Nina, additional, Affret, Aurélie, additional, Fagherazzi, Guy, additional, Mahamat-Saleh, Yahya, additional, Katzke, Verena, additional, Kühn, Tilman, additional, La Vecchia, Carlo, additional, Trichopoulou, Antonia, additional, Valanou, Elissavet, additional, Saieva, Calogero, additional, Santucci de Magistris, Maria, additional, Sieri, Sabina, additional, Braaten, Tonje, additional, Skeie, Guri, additional, Weiderpass, Elisabete, additional, Ardanaz, Eva, additional, Chirlaque, Maria-Dolores, additional, Garcia, Jose, additional, Jakszyn, Paula, additional, Rodríguez-Barranco, Miguel, additional, Brunkwall, Louise, additional, Huseinovic, Ena, additional, Nilsson, Lena, additional, Wallström, Peter, additional, Bueno-de-Mesquita, Bas, additional, Peeters, Petra, additional, Aune, Dagfinn, additional, Key, Tim, additional, Lentjes, Marleen, additional, Riboli, Elio, additional, Slimani, Nadia, additional, and Freisling, Heinz, additional

Published
2018
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27. Micronutrient dietary patterns associated with type 2 diabetes mellitus among women of the E3N‐EPIC (Etude Epidémiologique auprès de femmes de l'Education Nationale) cohort study

Author

Mancini, Francesca Romana, primary, Dow, Courtney, additional, Affret, Aurélie, additional, Rajaobelina, Kalina, additional, Dartois, Laureen, additional, Balkau, Beverley, additional, Bonnet, Fabrice, additional, Boutron‐Ruault, Marie‐Christine, additional, and Fagherazzi, Guy, additional

Published
2018
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28. Haem iron intake and risk of lung cancer in the European Prospective Investigation into Cancer and Nutrition (EPIC) cohort

Author

Ward, Heather A., Whitman, Julia, Muller, David C., Johansson, Mattias, Jakszyn, Paula, Weiderpass, Elisabete, Palli, Domenico, Fanidi, Anouar, Vermeulen, Roel, Tjønneland, Anne, Hansen, Louise, Dahm, Christina C., Overvad, Kim, Severi, Gianluca, Boutron-Ruault, Marie Christine, Affret, Aurélie, Kaaks, Rudolf, Fortner, Renee, Boeing, Heiner, Trichopoulou, Antonia, La Vecchia, Carlo, Kotanidou, Anastasia, Berrino, Franco, Krogh, Vittorio, Tumino, Rosario, Ricceri, Fulvio, Panico, Salvatore, Bueno-de-Mesquita, H. Bas, Peeters, Petra H., Nøst, Therese Haugdahl, Sandanger, Torkjel M., Quirós, Jose Ramón, Agudo, Antonio, Rodríguez-Barranco, Miguel, Larrañaga, Nerea, Huerta, Jose Maria, Ardanaz, Eva, Drake, Isabel, Brunnström, Hans, Johansson, Mikael, Grankvist, Kjell, Travis, Ruth C., Freisling, Heinz, Stepien, Magdalena, Merritt, Melissa A., Riboli, Elio, Cross, Amanda J., Ward, Heather A., Whitman, Julia, Muller, David C., Johansson, Mattias, Jakszyn, Paula, Weiderpass, Elisabete, Palli, Domenico, Fanidi, Anouar, Vermeulen, Roel, Tjønneland, Anne, Hansen, Louise, Dahm, Christina C., Overvad, Kim, Severi, Gianluca, Boutron-Ruault, Marie Christine, Affret, Aurélie, Kaaks, Rudolf, Fortner, Renee, Boeing, Heiner, Trichopoulou, Antonia, La Vecchia, Carlo, Kotanidou, Anastasia, Berrino, Franco, Krogh, Vittorio, Tumino, Rosario, Ricceri, Fulvio, Panico, Salvatore, Bueno-de-Mesquita, H. Bas, Peeters, Petra H., Nøst, Therese Haugdahl, Sandanger, Torkjel M., Quirós, Jose Ramón, Agudo, Antonio, Rodríguez-Barranco, Miguel, Larrañaga, Nerea, Huerta, Jose Maria, Ardanaz, Eva, Drake, Isabel, Brunnström, Hans, Johansson, Mikael, Grankvist, Kjell, Travis, Ruth C., Freisling, Heinz, Stepien, Magdalena, Merritt, Melissa A., Riboli, Elio, and Cross, Amanda J.

Abstract

BACKGROUND: Epidemiological studies suggest that haem iron, which is found predominantly in red meat and increases endogenous formation of carcinogenic N-nitroso compounds, may be positively associated with lung cancer. The objective was to examine the relationship between haem iron intake and lung cancer risk using detailed smoking history data and serum cotinine to control for potential confounding. METHODS: In the European Prospective Investigation into Cancer and Nutrition (EPIC), 416,746 individuals from 10 countries completed demographic and dietary questionnaires at recruitment. Cox proportional hazards models were used to estimate hazard ratios (HRs) and 95% confidence intervals (CIs) for incident lung cancer (n = 3731) risk relative to haem iron, non-haem iron, and total dietary iron intake. A corresponding analysis was conducted among a nested subset of 800 lung cancer cases and 1489 matched controls for whom serum cotinine was available. RESULTS: Haem iron was associated with lung cancer risk, including after adjustment for details of smoking history (time since quitting, number of cigarettes per day): as a continuous variable (HR per 0.3 mg/1000 kcal 1.03, 95% CI 1.00-1.07), and in the highest versus lowest quintile (HR 1.16, 95% CI 1.02-1.32; trend across quintiles: P = 0.035). In contrast, non-haem iron intake was related inversely with lung cancer risk; however, this association attenuated after adjustment for smoking history. Additional adjustment for serum cotinine did not considerably alter the associations detected in the nested case-control subset. CONCLUSIONS: Greater haem iron intake may be modestly associated with lung cancer risk.

Published
2018

29. Coffee and tea consumption and the contribution of their added ingredients to total energy and nutrient intakes in 10 European countries : Benchmark data from the late 1990s

Author

Landais, Edwige, Moskal, Aurélie, Mullee, Amy, Nicolas, Geneviève, Gunter, Marc J., Huybrechts, Inge, Overvad, Kim, Roswall, Nina, Affret, Aurélie, Fagherazzi, Guy, Mahamat-Saleh, Yahya, Katzke, Verena, Kühn, Tilman, la Vecchia, Carlo, Trichopoulou, Antonia, Valanou, Elissavet, Saieva, Calogero, de Magistris, Maria Santucci, Sieri, Sabina, Braaten, Tonje, Skeie, Guri, Weiderpass, Elisabete, Ardanaz, Eva, Chirlaque, Maria Dolores, Garcia, Jose Ramon, Jakszyn, Paula, Rodríguez-Barranco, Miguel, Brunkwall, Louise, Huseinovic, Ena, Nilsson, Lena, Wallström, Peter, Bueno-De-Mesquita, Bas, Peeters, Petra H., Aune, Dagfinn, Key, Tim, Lentjes, Marleen, Riboli, Elio, Slimani, Nadia, Freisling, Heinz, Landais, Edwige, Moskal, Aurélie, Mullee, Amy, Nicolas, Geneviève, Gunter, Marc J., Huybrechts, Inge, Overvad, Kim, Roswall, Nina, Affret, Aurélie, Fagherazzi, Guy, Mahamat-Saleh, Yahya, Katzke, Verena, Kühn, Tilman, la Vecchia, Carlo, Trichopoulou, Antonia, Valanou, Elissavet, Saieva, Calogero, de Magistris, Maria Santucci, Sieri, Sabina, Braaten, Tonje, Skeie, Guri, Weiderpass, Elisabete, Ardanaz, Eva, Chirlaque, Maria Dolores, Garcia, Jose Ramon, Jakszyn, Paula, Rodríguez-Barranco, Miguel, Brunkwall, Louise, Huseinovic, Ena, Nilsson, Lena, Wallström, Peter, Bueno-De-Mesquita, Bas, Peeters, Petra H., Aune, Dagfinn, Key, Tim, Lentjes, Marleen, Riboli, Elio, Slimani, Nadia, and Freisling, Heinz

Published
2018

30. Consumption of fruits, vegetables and fruit juices and differentiated thyroid carcinoma risk in the European Prospective Investigation into Cancer and Nutrition (EPIC) study

Author

Zamora-Ros, Raul, Béraud, Virginie, Franceschi, Silvia, Cayssials, Valerie, Tsilidis, Konstantinos K., Boutron-Ruault, Marie Christine, Weiderpass, Elisabete, Overvad, Kim, Tjønneland, Anne, Eriksen, Anne K., Bonnet, Fabrice, Affret, Aurélie, Katzke, Verena, Kühn, Tilman, Boeing, Heiner, Trichopoulou, Antonia, Valanou, Elisavet, Karakatsani, Anna, Masala, Giovanna, Grioni, Sara, Santucci de Magistris, Maria, Tumino, Rosario, Ricceri, Fulvio, Skeie, Guri, Parr, Christine L., Merino, Susana, Salamanca-Fernández, Elena, Chirlaque, Maria-Dolores, Ardanaz, Eva, Amiano, Pilar, Almquist, Martin, Drake, Isabel, Hennings, Joakim, Sandström, Maria, Bueno-de-Mesquita, H. Bas, Peeters, Petra H., Khaw, Kay-Thee, Wareham, Nicholas J., Schmidt, Julie A., Perez-Cornago, Aurora, Aune, Dagfinn, Riboli, Elio, Slimani, Nadia, Scalbert, Augustin, Romieu, Isabelle, Agudo, Antonio, Rinaldi, Sabina, Zamora-Ros, Raul, Béraud, Virginie, Franceschi, Silvia, Cayssials, Valerie, Tsilidis, Konstantinos K., Boutron-Ruault, Marie Christine, Weiderpass, Elisabete, Overvad, Kim, Tjønneland, Anne, Eriksen, Anne K., Bonnet, Fabrice, Affret, Aurélie, Katzke, Verena, Kühn, Tilman, Boeing, Heiner, Trichopoulou, Antonia, Valanou, Elisavet, Karakatsani, Anna, Masala, Giovanna, Grioni, Sara, Santucci de Magistris, Maria, Tumino, Rosario, Ricceri, Fulvio, Skeie, Guri, Parr, Christine L., Merino, Susana, Salamanca-Fernández, Elena, Chirlaque, Maria-Dolores, Ardanaz, Eva, Amiano, Pilar, Almquist, Martin, Drake, Isabel, Hennings, Joakim, Sandström, Maria, Bueno-de-Mesquita, H. Bas, Peeters, Petra H., Khaw, Kay-Thee, Wareham, Nicholas J., Schmidt, Julie A., Perez-Cornago, Aurora, Aune, Dagfinn, Riboli, Elio, Slimani, Nadia, Scalbert, Augustin, Romieu, Isabelle, Agudo, Antonio, and Rinaldi, Sabina

Published
2018

31. Haem iron intake and risk of lung cancer in the European Prospective Investigation into Cancer and Nutrition (EPIC) cohort

Author

One Health Chemisch, dIRAS RA-2, Ward, Heather A., Whitman, Julia, Muller, David C., Johansson, Mattias, Jakszyn, Paula, Weiderpass, Elisabete, Palli, Domenico, Fanidi, Anouar, Vermeulen, Roel, Tjønneland, Anne, Hansen, Louise, Dahm, Christina C., Overvad, Kim, Severi, Gianluca, Boutron-Ruault, Marie Christine, Affret, Aurélie, Kaaks, Rudolf, Fortner, Renee, Boeing, Heiner, Trichopoulou, Antonia, La Vecchia, Carlo, Kotanidou, Anastasia, Berrino, Franco, Krogh, Vittorio, Tumino, Rosario, Ricceri, Fulvio, Panico, Salvatore, Bueno-de-Mesquita, H. Bas, Peeters, Petra H., Nøst, Therese Haugdahl, Sandanger, Torkjel M., Quirós, Jose Ramón, Agudo, Antonio, Rodríguez-Barranco, Miguel, Larrañaga, Nerea, Huerta, Jose Maria, Ardanaz, Eva, Drake, Isabel, Brunnström, Hans, Johansson, Mikael, Grankvist, Kjell, Travis, Ruth C., Freisling, Heinz, Stepien, Magdalena, Merritt, Melissa A., Riboli, Elio, Cross, Amanda J., One Health Chemisch, dIRAS RA-2, Ward, Heather A., Whitman, Julia, Muller, David C., Johansson, Mattias, Jakszyn, Paula, Weiderpass, Elisabete, Palli, Domenico, Fanidi, Anouar, Vermeulen, Roel, Tjønneland, Anne, Hansen, Louise, Dahm, Christina C., Overvad, Kim, Severi, Gianluca, Boutron-Ruault, Marie Christine, Affret, Aurélie, Kaaks, Rudolf, Fortner, Renee, Boeing, Heiner, Trichopoulou, Antonia, La Vecchia, Carlo, Kotanidou, Anastasia, Berrino, Franco, Krogh, Vittorio, Tumino, Rosario, Ricceri, Fulvio, Panico, Salvatore, Bueno-de-Mesquita, H. Bas, Peeters, Petra H., Nøst, Therese Haugdahl, Sandanger, Torkjel M., Quirós, Jose Ramón, Agudo, Antonio, Rodríguez-Barranco, Miguel, Larrañaga, Nerea, Huerta, Jose Maria, Ardanaz, Eva, Drake, Isabel, Brunnström, Hans, Johansson, Mikael, Grankvist, Kjell, Travis, Ruth C., Freisling, Heinz, Stepien, Magdalena, Merritt, Melissa A., Riboli, Elio, and Cross, Amanda J.

Published
2018

32. Nutritional quality of food as represented by the FSAm-NPS nutrient profiling system underlying the Nutri-Score label and cancer risk in Europe: Results from the EPIC prospective cohort study

Author

MS MDL 1, Epi Methoden Team 2, Cancer, JC onderzoeksprogramma Kanker, Deschasaux, Mélanie, Huybrechts, Inge, Murphy, Neil, Julia, Chantal, Hercberg, Serge, Srour, Bernard, Kesse-Guyot, Emmanuelle, Latino-Martel, Paule, Biessy, Carine, Casagrande, Corinne, Jenab, Mazda, Ward, Heather, Weiderpass, Elisabete, Dahm, Christina C., Overvad, Kim, Kyrø, Cecilie, Olsen, Anja, Affret, Aurélie, Boutron-Ruault, Marie Christine, Mahamat-Saleh, Yahya, Kaaks, Rudolf, Kühn, Tilman, Boeing, Heiner, Schwingshackl, Lukas, Bamia, Christina, Peppa, Eleni, Trichopoulou, Antonia, Masala, Giovanna, Krogh, Vittorio, Panico, Salvatore, Tumino, Rosario, Sacerdote, Carlotta, Bueno-de-Mesquita, Bas, Peeters, Petra H., Hjartåker, Anette, Rylander, Charlotta, Skeie, Guri, Ramón Quirós, J., Jakszyn, Paula, Salamanca-Fernández, Elena, Huerta, José María, Ardanaz, Eva, Amiano, Pilar, Ericson, Ulrika, Sonestedt, Emily, Huseinovic, Ena, Johansson, Ingegerd, Khaw, Kay Tee, Wareham, Nick, Bradbury, Kathryn E., Perez-Cornago, Aurora, Tsilidis, Konstantinos K., Ferrari, Pietro, Riboli, Elio, Gunter, Marc J., Touvier, Mathilde, MS MDL 1, Epi Methoden Team 2, Cancer, JC onderzoeksprogramma Kanker, Deschasaux, Mélanie, Huybrechts, Inge, Murphy, Neil, Julia, Chantal, Hercberg, Serge, Srour, Bernard, Kesse-Guyot, Emmanuelle, Latino-Martel, Paule, Biessy, Carine, Casagrande, Corinne, Jenab, Mazda, Ward, Heather, Weiderpass, Elisabete, Dahm, Christina C., Overvad, Kim, Kyrø, Cecilie, Olsen, Anja, Affret, Aurélie, Boutron-Ruault, Marie Christine, Mahamat-Saleh, Yahya, Kaaks, Rudolf, Kühn, Tilman, Boeing, Heiner, Schwingshackl, Lukas, Bamia, Christina, Peppa, Eleni, Trichopoulou, Antonia, Masala, Giovanna, Krogh, Vittorio, Panico, Salvatore, Tumino, Rosario, Sacerdote, Carlotta, Bueno-de-Mesquita, Bas, Peeters, Petra H., Hjartåker, Anette, Rylander, Charlotta, Skeie, Guri, Ramón Quirós, J., Jakszyn, Paula, Salamanca-Fernández, Elena, Huerta, José María, Ardanaz, Eva, Amiano, Pilar, Ericson, Ulrika, Sonestedt, Emily, Huseinovic, Ena, Johansson, Ingegerd, Khaw, Kay Tee, Wareham, Nick, Bradbury, Kathryn E., Perez-Cornago, Aurora, Tsilidis, Konstantinos K., Ferrari, Pietro, Riboli, Elio, Gunter, Marc J., and Touvier, Mathilde

Published
2018

33. Inflammatory potential of the diet and risk of gastric cancer in the European Prospective Investigation into Cancer and Nutrition (EPIC) study

Author

MS MDL 1, Epi Methoden Team 2, Cancer, JC onderzoeksprogramma Kanker, Agudo, Antonio, Cayssials, Valerie, Bonet, Catalina, Tjønneland, Anne, Overvad, Kim, Boutron-Ruault, Marie Christine, Affret, Aurélie, Fagherazzi, Guy, Katzke, Verena, Schübel, Ruth, Trichopoulou, Antonia, Karakatsani, Anna, La Vecchia, Carlo, Palli, Domenico, Grioni, Sara, Tumino, Rosario, Ricceri, Fulvio, Panico, Salvatore, Bueno-De-Mesquita, Bas, Peeters, Petra H., Weiderpass, Elisabete, Skeie, Guri, Nøst, Theresa H., Lasheras, Cristina, Rodríguez-Barranco, Miguel, Amiano, Pilar, Chirlaque, María Dolores, Ardanaz, Eva, Ohlsson, Bodil, Dias, Joana A., Nilsson, Lena M., Myte, Robin, Khaw, Kay Tee, Perez-Cornago, Aurora, Gunter, Marc, Huybrechts, Inge, Cross, Amanda J., Tsilidis, Kostas, Riboli, Elio, Jakszyn, Paula, MS MDL 1, Epi Methoden Team 2, Cancer, JC onderzoeksprogramma Kanker, Agudo, Antonio, Cayssials, Valerie, Bonet, Catalina, Tjønneland, Anne, Overvad, Kim, Boutron-Ruault, Marie Christine, Affret, Aurélie, Fagherazzi, Guy, Katzke, Verena, Schübel, Ruth, Trichopoulou, Antonia, Karakatsani, Anna, La Vecchia, Carlo, Palli, Domenico, Grioni, Sara, Tumino, Rosario, Ricceri, Fulvio, Panico, Salvatore, Bueno-De-Mesquita, Bas, Peeters, Petra H., Weiderpass, Elisabete, Skeie, Guri, Nøst, Theresa H., Lasheras, Cristina, Rodríguez-Barranco, Miguel, Amiano, Pilar, Chirlaque, María Dolores, Ardanaz, Eva, Ohlsson, Bodil, Dias, Joana A., Nilsson, Lena M., Myte, Robin, Khaw, Kay Tee, Perez-Cornago, Aurora, Gunter, Marc, Huybrechts, Inge, Cross, Amanda J., Tsilidis, Kostas, Riboli, Elio, and Jakszyn, Paula

Published
2018

34. Coffee and tea consumption and the contribution of their added ingredients to total energy and nutrient intakes in 10 European countries: Benchmark data from the late 1990s

Author

MS MDL 1, Epi Kanker Team 1, Cancer, JC onderzoeksprogramma Kanker, Landais, Edwige, Moskal, Aurélie, Mullee, Amy, Nicolas, Geneviève, Gunter, Marc J., Huybrechts, Inge, Overvad, Kim, Roswall, Nina, Affret, Aurélie, Fagherazzi, Guy, Mahamat-Saleh, Yahya, Katzke, Verena, Kühn, Tilman, la Vecchia, Carlo, Trichopoulou, Antonia, Valanou, Elissavet, Saieva, Calogero, de Magistris, Maria Santucci, Sieri, Sabina, Braaten, Tonje, Skeie, Guri, Weiderpass, Elisabete, Ardanaz, Eva, Chirlaque, Maria Dolores, Garcia, Jose Ramon, Jakszyn, Paula, Rodríguez-Barranco, Miguel, Brunkwall, Louise, Huseinovic, Ena, Nilsson, Lena, Wallström, Peter, Bueno-De-Mesquita, Bas, Peeters, Petra H., Aune, Dagfinn, Key, Tim, Lentjes, Marleen, Riboli, Elio, Slimani, Nadia, Freisling, Heinz, MS MDL 1, Epi Kanker Team 1, Cancer, JC onderzoeksprogramma Kanker, Landais, Edwige, Moskal, Aurélie, Mullee, Amy, Nicolas, Geneviève, Gunter, Marc J., Huybrechts, Inge, Overvad, Kim, Roswall, Nina, Affret, Aurélie, Fagherazzi, Guy, Mahamat-Saleh, Yahya, Katzke, Verena, Kühn, Tilman, la Vecchia, Carlo, Trichopoulou, Antonia, Valanou, Elissavet, Saieva, Calogero, de Magistris, Maria Santucci, Sieri, Sabina, Braaten, Tonje, Skeie, Guri, Weiderpass, Elisabete, Ardanaz, Eva, Chirlaque, Maria Dolores, Garcia, Jose Ramon, Jakszyn, Paula, Rodríguez-Barranco, Miguel, Brunkwall, Louise, Huseinovic, Ena, Nilsson, Lena, Wallström, Peter, Bueno-De-Mesquita, Bas, Peeters, Petra H., Aune, Dagfinn, Key, Tim, Lentjes, Marleen, Riboli, Elio, Slimani, Nadia, and Freisling, Heinz

Published
2018

35. Consumption of fruits, vegetables and fruit juices and differentiated thyroid carcinoma risk in the European Prospective Investigation into Cancer and Nutrition (EPIC) study

Author

MS MDL 1, Epi Methoden Team 2, UMC Utrecht, Cancer, JC onderzoeksprogramma Kanker, Zamora-Ros, Raul, Béraud, Virginie, Franceschi, Silvia, Cayssials, Valerie, Tsilidis, Konstantinos K., Boutron-Ruault, Marie Christine, Weiderpass, Elisabete, Overvad, Kim, Tjønneland, Anne, Eriksen, Anne K., Bonnet, Fabrice, Affret, Aurélie, Katzke, Verena, Kühn, Tilman, Boeing, Heiner, Trichopoulou, Antonia, Valanou, Elisavet, Karakatsani, Anna, Masala, Giovanna, Grioni, Sara, Santucci de Magistris, Maria, Tumino, Rosario, Ricceri, Fulvio, Skeie, Guri, Parr, Christine L., Merino, Susana, Salamanca-Fernández, Elena, Chirlaque, Maria-Dolores, Ardanaz, Eva, Amiano, Pilar, Almquist, Martin, Drake, Isabel, Hennings, Joakim, Sandström, Maria, Bueno-de-Mesquita, H. Bas, Peeters, Petra H., Khaw, Kay-Thee, Wareham, Nicholas J., Schmidt, Julie A., Perez-Cornago, Aurora, Aune, Dagfinn, Riboli, Elio, Slimani, Nadia, Scalbert, Augustin, Romieu, Isabelle, Agudo, Antonio, Rinaldi, Sabina, MS MDL 1, Epi Methoden Team 2, UMC Utrecht, Cancer, JC onderzoeksprogramma Kanker, Zamora-Ros, Raul, Béraud, Virginie, Franceschi, Silvia, Cayssials, Valerie, Tsilidis, Konstantinos K., Boutron-Ruault, Marie Christine, Weiderpass, Elisabete, Overvad, Kim, Tjønneland, Anne, Eriksen, Anne K., Bonnet, Fabrice, Affret, Aurélie, Katzke, Verena, Kühn, Tilman, Boeing, Heiner, Trichopoulou, Antonia, Valanou, Elisavet, Karakatsani, Anna, Masala, Giovanna, Grioni, Sara, Santucci de Magistris, Maria, Tumino, Rosario, Ricceri, Fulvio, Skeie, Guri, Parr, Christine L., Merino, Susana, Salamanca-Fernández, Elena, Chirlaque, Maria-Dolores, Ardanaz, Eva, Amiano, Pilar, Almquist, Martin, Drake, Isabel, Hennings, Joakim, Sandström, Maria, Bueno-de-Mesquita, H. Bas, Peeters, Petra H., Khaw, Kay-Thee, Wareham, Nicholas J., Schmidt, Julie A., Perez-Cornago, Aurora, Aune, Dagfinn, Riboli, Elio, Slimani, Nadia, Scalbert, Augustin, Romieu, Isabelle, Agudo, Antonio, and Rinaldi, Sabina

Published
2018

37. Additional file 2: of Validity and reproducibility of a short food frequency questionnaire among patients with chronic kidney disease

Author

Affret, Aurélie, Wagner, Sandra, Douae Fatouhi, Dow, Courtney, Correia, Emmanuelle, Niravong, Maryvonne, Clavel-Chapelon, Françoise, Chefdebien, Julie, Fouque, Denis, Stengel, Bénédicte, Marie-Christine Boutron-Ruault, and Fagherazzi, Guy

Abstract

SFFQ items used to obtain nutritional data (n = 49). (DOCX 20 kb)

Published
2017
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38. Additional file 4: of Validity and reproducibility of a short food frequency questionnaire among patients with chronic kidney disease

Author

Affret, Aurélie, Wagner, Sandra, Douae Fatouhi, Dow, Courtney, Correia, Emmanuelle, Niravong, Maryvonne, Clavel-Chapelon, Françoise, Chefdebien, Julie, Fouque, Denis, Stengel, Bénédicte, Marie-Christine Boutron-Ruault, and Fagherazzi, Guy

Abstract

Distribution of EI/BMR according to dietary method and reproducibility/validity study. (DOCX 16 kb)

Published
2017
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39. Additional file 1: Table S1. of Ability of ecological deprivation indices to measure social inequalities in a French cohort

Author

Temam, Sofia, Varraso, Raphaëlle, Pornet, Carole, Sanchez, Margaux, Affret, Aurélie, Jacquemin, Bénédicte, Clavel-Chapelon, Françoise, Rey, Grégoire, Rican, Stéphane, and Moual, Nicole Le

Abstract

Variables included in each area-based deprivation index (n=44,709 IRIS). Table S2. Associations between individual- and area-level SEP with smoking initiation and overweight among women who did not move between 1991 and 2005 (n=39,130). Figure S1. Flow-chart: selection of the study population (n=63,888). Figure S2. Distribution of the E3N population in the whole France deprivation indices quintiles. Figure S3. Associations between individual-level and three area-based deprivation indices with smoking status stratified by age. Figure S4. Comparison of the associations between three area-based deprivations indices with smoking status according to weighted and unweighted quintiles. Figure S5. Comparison of associations between three area-based deprivation indices with overweight status according to weighted and unweighted quintiles. Figure S6. Geographical distribution of the three deprivation indices at IRIS level in France. (DOCX 922 kb)

Published
2017
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42. Short Food Frequency e-Questionnaire

Author

Affret, Aurélie, primary, El Fatouhi, Douae, additional, Dow, Courtney, additional, Correia, Emmanuelle, additional, Boutron-Ruault, Marie-Christine, additional, and Fagherazzi, Guy, additional

Published
2018
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46. Identification of Urinary Polyphenol Metabolite Patterns Associated with Polyphenol-Rich Food Intake in Adults from Four European Countries

Author

Noh, Hwayoung, primary, Freisling, Heinz, additional, Assi, Nada, additional, Zamora-Ros, Raul, additional, Achaintre, David, additional, Affret, Aurélie, additional, Mancini, Francesca, additional, Boutron-Ruault, Marie-Christine, additional, Flögel, Anna, additional, Boeing, Heiner, additional, Kühn, Tilman, additional, Schübel, Ruth, additional, Trichopoulou, Antonia, additional, Naska, Androniki, additional, Kritikou, Maria, additional, Palli, Domenico, additional, Pala, Valeria, additional, Tumino, Rosario, additional, Ricceri, Fulvio, additional, Santucci de Magistris, Maria, additional, Cross, Amanda, additional, Slimani, Nadia, additional, Scalbert, Augustin, additional, and Ferrari, Pietro, additional

Published
2017
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50. Circulating copper and zinc levels and risk of hepatobiliary cancers in Europeans

Author

Stepien, Magdalena, Hughes, David J., Hybsier, Sandra, Bamia, Christina, Tjønneland, Anne, Overvad, Kim, Affret, Aurélie, His, Mathilde, Boutron-Ruault, Marie-Christine, Katzke, Verena, Kuehn, Tilman, Aleksandrova, Krasimira, Trichopoulou, Antonia, Lagiou, Pagona, Orfanos, Phlippos, Palli, Domenico, Sieri, Sabina, Tumino, Rosario, Ricceri, Fulvio, Panico, Salvatore, Bueno-de-Mesquita, H. B. (as), Peeters, Petra H., Weiderpass, Elisabete, Lasheras, Cristina, Bonet Bonet, Catalina, Molina-Portillo, Elena, Dorronsoro, Miren, Maria Huerta, José, Barricarte, Aurelio, Ohlsson, Bodil, Sjöberg, Klas, Werner, Mårten, Shungin, Dmitry, Wareham, Nick, Khaw, Kay-Tee, Travis, Ruth C., Freisling, Heinz, Cross, Amanda J., Schomburg, Lutz, Jenab, Mazda, Stepien, Magdalena, Hughes, David J., Hybsier, Sandra, Bamia, Christina, Tjønneland, Anne, Overvad, Kim, Affret, Aurélie, His, Mathilde, Boutron-Ruault, Marie-Christine, Katzke, Verena, Kuehn, Tilman, Aleksandrova, Krasimira, Trichopoulou, Antonia, Lagiou, Pagona, Orfanos, Phlippos, Palli, Domenico, Sieri, Sabina, Tumino, Rosario, Ricceri, Fulvio, Panico, Salvatore, Bueno-de-Mesquita, H. B. (as), Peeters, Petra H., Weiderpass, Elisabete, Lasheras, Cristina, Bonet Bonet, Catalina, Molina-Portillo, Elena, Dorronsoro, Miren, Maria Huerta, José, Barricarte, Aurelio, Ohlsson, Bodil, Sjöberg, Klas, Werner, Mårten, Shungin, Dmitry, Wareham, Nick, Khaw, Kay-Tee, Travis, Ruth C., Freisling, Heinz, Cross, Amanda J., Schomburg, Lutz, and Jenab, Mazda

Abstract

Background: Copper and zinc are essential micronutrients and cofactors of many enzymatic reactions that may be involved in liver-cancer development. We aimed to assess pre-diagnostic circulating levels of copper, zinc and their ratio (Cu/Zn) in relation to hepatocellular carcinoma (HCC), intrahepatic bile duct (IHBD) and gall bladder and biliary tract (GBTC) cancers. Methods: A nested case-control study was conducted within the European Prospective Investigation into Cancer and Nutrition cohort. Serum zinc and copper levels were measured in baseline blood samples by total reflection X-ray fluorescence in cancer cases (HCC n = 106, IHDB n = 34, GBTC n = 96) and their matched controls (1: 1). The Cu/Zn ratio, an indicator of the balance between the micronutrients, was computed. Multivariable adjusted odds ratios and 95% confidence intervals (OR; 95% CI) were used to estimate cancer risk. Results: For HCC, the highest vs lowest tertile showed a strong inverse association for zinc (OR = 0.36; 95% CI: 0.13-0.98, Ptrend = 0.0123), but no association for copper (OR = 1.06; 95% CI: 0.45-2.46, Ptrend = 0.8878) in multivariable models. The calculated Cu/ Zn ratio showed a positive association for HCC (OR = 4.63; 95% CI: 1.41-15.27, Ptrend = 0.0135). For IHBC and GBTC, no significant associations were observed. Conclusions: Zinc may have a role in preventing liver-cancer development, but this finding requires further investigation in other settings.

Published
2017
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