Sweetened beverages are associated with a higher risk of differentiated thyroid cancer in the EPIC cohort: a dietary pattern approach
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Sweetened beverages are associated with a higher risk of differentiated thyroid cancer in the EPIC cohort : a dietary pattern approach. / Zamora-Ros, Raul; Cayssials, Valerie; Cleries, Ramon; Torrents, Maria; Byrnes, Graham; Weiderpass, Elisabete; Sandstrom, Maria; Almquist, Martin; Boutron-Ruault, Marie-Christine; Tjonneland, Anne; Kyro, Cecilie; Katzke, Verena A.; Le Cornet, Charlotte; Masala, Giovanna; Krogh, Vittorio; Iannuzzo, Gabriella; Tumino, Rosario; Milani, Lorenzo; Skeie, Guri; Ubago-Guisado, Esther; Amiano, Pilar; Chirlaque, Maria-Dolores; Ardanaz, Eva; Janzi, Suzanne; Eriksson, Linda; Freisling, Heinz; Heath, Alicia K.; Rinaldi, Sabina; Agudo, Antonio.
I: European Journal of Nutrition, Bind 62, 2023, s. 105-114.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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TY - JOUR
T1 - Sweetened beverages are associated with a higher risk of differentiated thyroid cancer in the EPIC cohort
T2 - a dietary pattern approach
AU - Zamora-Ros, Raul
AU - Cayssials, Valerie
AU - Cleries, Ramon
AU - Torrents, Maria
AU - Byrnes, Graham
AU - Weiderpass, Elisabete
AU - Sandstrom, Maria
AU - Almquist, Martin
AU - Boutron-Ruault, Marie-Christine
AU - Tjonneland, Anne
AU - Kyro, Cecilie
AU - Katzke, Verena A.
AU - Le Cornet, Charlotte
AU - Masala, Giovanna
AU - Krogh, Vittorio
AU - Iannuzzo, Gabriella
AU - Tumino, Rosario
AU - Milani, Lorenzo
AU - Skeie, Guri
AU - Ubago-Guisado, Esther
AU - Amiano, Pilar
AU - Chirlaque, Maria-Dolores
AU - Ardanaz, Eva
AU - Janzi, Suzanne
AU - Eriksson, Linda
AU - Freisling, Heinz
AU - Heath, Alicia K.
AU - Rinaldi, Sabina
AU - Agudo, Antonio
PY - 2023
Y1 - 2023
N2 - Background Dietary pattern analysis has gained particular interest, because it reflects the complexity of dietary intake. The aim of this study was to explore the associations between a posteriori dietary patterns, derived using a data-driven approach, and the risk of differentiated thyroid cancer (TC) in Europe. Methods This investigation included 450,064 adults from the European Prospective Investigation into Cancer and Nutrition (EPIC) cohort. Dietary intake was assessed using validated country-specific dietary questionnaires. A posteriori dietary patterns were computed using principal component analyses. Cox regression was used to calculate multivariable adjusted hazard ratios (HRs) and 95% confidence intervals (CIs). Results After a mean follow-up time of 14 years, 712 first differentiated TCs were diagnosed. In the fully adjusted model, a dietary pattern characterized by alcohol consumption (basically beer and wine) was negatively associated with differentiated TC risk (HRQ4vs.Q1 = 0.75; 95% CI:0.60-0.94, P-trend = 0.005), while a dietary pattern rich in sweetened beverages was positively associated with differentiated TC risk (HRQ4vs.Q1 = 1.26; 95% CI:0.99-1.61; P-trend = 0.07). The remaining 8 dietary patterns were not related to differentiated TC risk. The intake of sweetened beverages was positively associated with differentiated TC risk (HR100mL/d = 1.05; 95% CI:1.00-1.11), especially with papillary TC risk (HR100mL/d = 1.07; 95% CI:1.01-1.13). Similar results were observed with sugary and artificially sweetened beverages. Conclusions The investigation of dietary patterns detected that the consumption of sweetened beverages was associated with a higher risk of differentiated thyroid cancer. Our results are in line with the general dietary recommendations of reducing the consumption of sweetened beverages.
AB - Background Dietary pattern analysis has gained particular interest, because it reflects the complexity of dietary intake. The aim of this study was to explore the associations between a posteriori dietary patterns, derived using a data-driven approach, and the risk of differentiated thyroid cancer (TC) in Europe. Methods This investigation included 450,064 adults from the European Prospective Investigation into Cancer and Nutrition (EPIC) cohort. Dietary intake was assessed using validated country-specific dietary questionnaires. A posteriori dietary patterns were computed using principal component analyses. Cox regression was used to calculate multivariable adjusted hazard ratios (HRs) and 95% confidence intervals (CIs). Results After a mean follow-up time of 14 years, 712 first differentiated TCs were diagnosed. In the fully adjusted model, a dietary pattern characterized by alcohol consumption (basically beer and wine) was negatively associated with differentiated TC risk (HRQ4vs.Q1 = 0.75; 95% CI:0.60-0.94, P-trend = 0.005), while a dietary pattern rich in sweetened beverages was positively associated with differentiated TC risk (HRQ4vs.Q1 = 1.26; 95% CI:0.99-1.61; P-trend = 0.07). The remaining 8 dietary patterns were not related to differentiated TC risk. The intake of sweetened beverages was positively associated with differentiated TC risk (HR100mL/d = 1.05; 95% CI:1.00-1.11), especially with papillary TC risk (HR100mL/d = 1.07; 95% CI:1.01-1.13). Similar results were observed with sugary and artificially sweetened beverages. Conclusions The investigation of dietary patterns detected that the consumption of sweetened beverages was associated with a higher risk of differentiated thyroid cancer. Our results are in line with the general dietary recommendations of reducing the consumption of sweetened beverages.
KW - Sweetened beverages
KW - Dietary pattern
KW - Intake
KW - Thyroid cancer
KW - EPIC
KW - CARDIOMETABOLIC HEALTH
KW - CARCINOMA
KW - CONSUMPTION
U2 - 10.1007/s00394-022-02953-5
DO - 10.1007/s00394-022-02953-5
M3 - Journal article
C2 - 35907037
VL - 62
SP - 105
EP - 114
JO - European Journal of Nutrition
JF - European Journal of Nutrition
SN - 1436-6207
ER -
ID: 315761349