TY - JOUR
T1 - Inflammatory potential of diet and pancreatic cancer risk in the EPIC study
AU - Cayssials, Valerie
AU - Buckland, Genevieve
AU - Crous-Bou, Marta
AU - Bonet, Catalina
AU - Weiderpass, Elisabete
AU - Skie, Guri
AU - Aune, Dagfinn
AU - Heath, Alicia
AU - Nøst, Therese Haugdahl
AU - Masala, Giovanna
AU - Agnoli, Claudia
AU - De Magistris, Maria Santucci
AU - Bueno-de-Mesquita, Bas
AU - Derksen, Jeroen
AU - Huybrechts, Inge
AU - Ferrari, Pietro
AU - Franklin, Oscar
AU - Bodén, Stina
AU - Schulze, Matthias
AU - Huerta, Jose Maria
AU - Barricarte, Aurelio
AU - Sacerdote, Carlotta
AU - Amiano, Pilar
AU - Tumino, Rosario
AU - Molina-Montes, Esther
AU - Tjønneland, Anne
AU - Kyrø, Cecilie
AU - Severi, Gianluca
AU - Boutron-Ruault, Marie Christine
AU - Rebours, Vinciane
AU - Katzke, Verena
AU - Agudo, Antonio
AU - Jakszyn, Paula
N1 - Publisher Copyright:
© 2022, The Author(s), under exclusive licence to Springer-Verlag GmbH Germany.
PY - 2022/8/1
Y1 - 2022/8/1
N2 - Purpose: There is existing evidence on the potential role of chronic inflammation in the pathogenesis of pancreatic cancer (PC) and on how risk may be modulated by dietary factors. Pro-inflammatory diets are suggested to be associated with increased risk of PC but, so far, evidence remains not conclusive. We examined the association between the dietary inflammatory potential and PC risk within the European Prospective Investigation into Cancer and Nutrition (EPIC) study, which includes 450,112 participants. Methods: After a 14-year follow-up, a total of 1239 incident PC cases were included in this study. The inflammatory potential of the diet was estimated using an Inflammatory Score of the Diet (ISD). Hazard ratios (HRs) and 95% confidence intervals (CIs) for the association between the ISD and PC were estimated using multivariable Cox regression models, adjusted for known risk factors for PC. Results: Participants with higher ISDs had a higher risk of developing PCs. In the fully adjusted multivariate model, the risk of PC increased by 11% (HR 1.11, 95% CI 1.02–1.22) for 1 point each standard deviation increase in the ISD score. Neither obesity nor any other known risk factor for PC showed statistically significant interactions. Conclusion: To the best of our knowledge, this is the first prospective study reporting a positive relationship between the inflammatory potential of diet and PC. Since early diagnosis and treatment of pancreatic cancer might be challenging, prevention remains the major hope for reducing the burden of this disease.
AB - Purpose: There is existing evidence on the potential role of chronic inflammation in the pathogenesis of pancreatic cancer (PC) and on how risk may be modulated by dietary factors. Pro-inflammatory diets are suggested to be associated with increased risk of PC but, so far, evidence remains not conclusive. We examined the association between the dietary inflammatory potential and PC risk within the European Prospective Investigation into Cancer and Nutrition (EPIC) study, which includes 450,112 participants. Methods: After a 14-year follow-up, a total of 1239 incident PC cases were included in this study. The inflammatory potential of the diet was estimated using an Inflammatory Score of the Diet (ISD). Hazard ratios (HRs) and 95% confidence intervals (CIs) for the association between the ISD and PC were estimated using multivariable Cox regression models, adjusted for known risk factors for PC. Results: Participants with higher ISDs had a higher risk of developing PCs. In the fully adjusted multivariate model, the risk of PC increased by 11% (HR 1.11, 95% CI 1.02–1.22) for 1 point each standard deviation increase in the ISD score. Neither obesity nor any other known risk factor for PC showed statistically significant interactions. Conclusion: To the best of our knowledge, this is the first prospective study reporting a positive relationship between the inflammatory potential of diet and PC. Since early diagnosis and treatment of pancreatic cancer might be challenging, prevention remains the major hope for reducing the burden of this disease.
KW - Dietary patterns
KW - Epidemiology
KW - Inflammatory potential of diet
KW - Pancreatic cancer
KW - Prospective cohort
UR - http://www.scopus.com/inward/record.url?scp=85123866321&partnerID=8YFLogxK
U2 - 10.1007/s00394-022-02809-y
DO - 10.1007/s00394-022-02809-y
M3 - Article
C2 - 35091827
AN - SCOPUS:85123866321
SN - 1436-6207
VL - 61
SP - 2313
EP - 2320
JO - European Journal of Nutrition
JF - European Journal of Nutrition
IS - 5
ER -