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Title: | Dietary folate intake and pancreatic cancer risk: Results from the European prospective investigation into cancer and nutrition |
Author: | Park, Jing Young Bueno de Mesquita, H. Bas Ferrari, Pietro Weiderpass, Elisabete Batlle, Jordi de Tjønneland, Anne Kyro, Cecilie Rebours, Vinciane Boutron-Ruault, Marie-Christine Mancini, Francesca Romana Katzke, Verena Kuhn, Tilman Boeing, Heiner Trichopoulou, Antonia La Vecchia, Carlo Kritikou, Maria Masala, Giovanna Pala, Valeria Tumino, Rosario Panico, Salvatore Peeters, Petra H. M. Skeie, Guri Merino, Susana Duell, Eric J. Rodríguez Barranco, Miguel Dorronsoro, Miren Chirlaque, María Dolores Ardanaz, Eva Gylling, Björn Schneede, Jörn Ericson, Ulrika Sternby, Hanna Khaw, Kay Tee Bradbury, Kathryn E. Huybrechts, Inge Aune, Dagfinn Vineis, Paolo Slimani, Nadia |
Keywords: | Càncer de pàncrees Assaigs clínics Pancreas cancer Clinical trials |
Issue Date: | 1-Apr-2019 |
Publisher: | Wiley |
Abstract: | Pancreatic cancer (PC) has an exceptionally low survival rate and primary prevention strategies are limited. Folate plays an important role in one-carbon metabolism and has been associated with the risk of several cancers, but not consistently with PC risk. We aimed to investigate the association between dietary folate intake and PC risk, using the standardised folate database across 10 European countries. A total of 477,206 participants were followed up for 11 years, during which 865 incident primary PC cases were recorded. Folate intake was energy-adjusted using the residual method. Hazard ratios (HRs) and 95% confidence intervals (CIs) were estimated using Cox proportional hazards models. In multivariable analyses stratified by age, sex, study centre and adjusted for energy intake, smoking status, BMI, educational level, diabetes status, supplement use and dietary fibre intake, we found no significant association between folate intake and PC risk: the HR of PC risk for those in the highest quartile of folate intake (>= 353 mu g/day) compared to the lowest (<241 mu g/day) was 0.81 (95% CI: 0.51, 1.31; p(trend) = 0.38). In current smokers, a positive trend was observed in PC risk across folate quartiles [HR = 4.42 (95% CI: 1.05, 18.62) for >= 353 mu g/day vs. <241 mu g/day, p(trend) = 0.01]. Nonetheless, there was no significant interaction between smoking and dietary folate intake (p(interaction) = 0.99). We found no association between dietary folate intake and PC risk in this large European study. |
Note: | Reproducció del document publicat a: https://doi.org/10.1002/ijc.31830 |
It is part of: | International Journal Of Cancer, 2019-04-01, Vol. 144, Issue 7, P. 1511-1521 |
URI: | http://hdl.handle.net/2445/171592 |
Related resource: | https://doi.org/10.1002/ijc.31830 |
Appears in Collections: | Articles publicats en revistes (Institut d'lnvestigació Biomèdica de Bellvitge (IDIBELL)) |
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