Adherence to mediterranean diet and the risk of differentiated thyroid cancer in a European cohort: The EPIC study

BackgroundThe Mediterranean diet (MD) has been proposed as a healthy diet with a potential to lower the incidence of several types of cancer, but there is no data regarding thyroid cancer (TC). We investigated the association between MD adherence, and its components, and the differentiated TC risk w...

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Autores: Llaha, Fjorida, Cayssials, Valerie, Farràs, Marta, Agudo, Antonio, Sandström, Maria, Eriksen, Anne Kirstine, Tjønneland, Anne, Boutron-Ruault, Marie-Christine, Laouali, Nasser, Truong, Thérèse, Le Cornet, Charlotte, Katzke, Verena, Schulze, Matthias B., Palli, Domenico, Krogh, Vittorio, Signoriello, Simona, Tumino, Rosario, Ricceri, Fulvio, Skeie, Guri, Jensen, Torill Miriam Enget, Chen, Sairah Lai Fa, Lasheras, Cristina, Rodriguez Barranco, Miguel, Amiano, Pilar, Huerta, José María, Guevara, Marcela, Almquist, Martin, Nilson, Lena Maria, Hennings, Joakim, Papier, Keren, Heath, Alicia K., Weiderpass, Elisabete, Rinaldi, Sabina, Zamora-Ros, Raul
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2022
País:España
Institución:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
Repositorio:Recercat. Dipósit de la Recerca de Catalunya
OAI Identifier:oai:recercat.cat:2445/189564
Acceso en línea:https://hdl.handle.net/2445/189564
Access Level:acceso abierto
Palabra clave:Cuina mediterrània
Càncer de tiroide
Mediterranean cooking
Thyroid gland cancer
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spelling Adherence to mediterranean diet and the risk of differentiated thyroid cancer in a European cohort: The EPIC studyLlaha, FjoridaCayssials, ValerieFarràs, MartaAgudo, AntonioSandström, MariaEriksen, Anne KirstineTjønneland, AnneBoutron-Ruault, Marie-ChristineLaouali, NasserTruong, ThérèseLe Cornet, CharlotteKatzke, VerenaSchulze, Matthias B.Palli, DomenicoKrogh, VittorioSignoriello, SimonaTumino, RosarioRicceri, FulvioSkeie, GuriJensen, Torill Miriam EngetChen, Sairah Lai FaLasheras, CristinaRodriguez Barranco, MiguelAmiano, PilarHuerta, José MaríaGuevara, MarcelaAlmquist, MartinNilson, Lena MariaHennings, JoakimPapier, KerenHeath, Alicia K.Weiderpass, ElisabeteRinaldi, SabinaZamora-Ros, RaulCuina mediterràniaCàncer de tiroideMediterranean cookingThyroid gland cancerBackgroundThe Mediterranean diet (MD) has been proposed as a healthy diet with a potential to lower the incidence of several types of cancer, but there is no data regarding thyroid cancer (TC). We investigated the association between MD adherence, and its components, and the differentiated TC risk within the European Prospective Investigation into Cancer and Nutrition (EPIC) cohort. MethodsOver 450,000 men and women from nine European countries were followed up for a mean of 14.1 years, during which 712 differentiated TC cases were identified. Adherence to MD was estimated using the relative MD (rMED) score, an 18-point scale including alcohol, and the adapted rMED (arMED) score, a 16-point scale excluding alcohol. Hazard ratios (HRs) and 95% confidence intervals (CIs) were estimated using Cox regression models adjusted for potential confounding factors. ResultsAdherence to the arMED score was not associated with the risk of differentiated TC (HRhigh vs. low adherence = 0.94, 95% CI: 0.70-1.25; p-trend 0.27), while a suggestive, but non-statistically significant inverse relationship was observed with rMED (HRhigh vs. low adherence = 0.88, 95% CI: 0.68-1.14; p-trend 0.17). Low meat (HRlow vs. high meat intake = 0.81, 95% CI: 0.67-0.99; p-trend = 0.04) and moderate alcohol (HRmoderate vs. non-moderate intake = 0.88, 95% CI: 0.75-1.03) intake were related with lower differentiated TC risk. ConclusionsOur study shows that a high adherence to MD is not strongly related to differentiated TC risk, although further research is required to confirm the impact of MD and, especially, meat intake in TC risk.Frontiers Media SA2022202220222022info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersion10 p.application/pdfapplication/pdfhttps://hdl.handle.net/2445/189564Articles publicats en revistes (Institut d'lnvestigació Biomèdica de Bellvitge (IDIBELL))reponame:Recercat. Dipósit de la Recerca de Catalunyainstname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)InglésReproducció del document publicat a: https://doi.org/10.3389/fnut.2022.982369Frontiers in Nutrition, 2022, vol. 9https://doi.org/10.3389/fnut.2022.982369cc by (c) Llaha, Fjorida et al., 2022http://creativecommons.org/licenses/by/3.0/es/info:eu-repo/semantics/openAccessoai:recercat.cat:2445/1895642026-05-29T05:05:01Z
dc.title.none.fl_str_mv Adherence to mediterranean diet and the risk of differentiated thyroid cancer in a European cohort: The EPIC study
title Adherence to mediterranean diet and the risk of differentiated thyroid cancer in a European cohort: The EPIC study
spellingShingle Adherence to mediterranean diet and the risk of differentiated thyroid cancer in a European cohort: The EPIC study
Llaha, Fjorida
Cuina mediterrània
Càncer de tiroide
Mediterranean cooking
Thyroid gland cancer
title_short Adherence to mediterranean diet and the risk of differentiated thyroid cancer in a European cohort: The EPIC study
title_full Adherence to mediterranean diet and the risk of differentiated thyroid cancer in a European cohort: The EPIC study
title_fullStr Adherence to mediterranean diet and the risk of differentiated thyroid cancer in a European cohort: The EPIC study
title_full_unstemmed Adherence to mediterranean diet and the risk of differentiated thyroid cancer in a European cohort: The EPIC study
title_sort Adherence to mediterranean diet and the risk of differentiated thyroid cancer in a European cohort: The EPIC study
dc.creator.none.fl_str_mv Llaha, Fjorida
Cayssials, Valerie
Farràs, Marta
Agudo, Antonio
Sandström, Maria
Eriksen, Anne Kirstine
Tjønneland, Anne
Boutron-Ruault, Marie-Christine
Laouali, Nasser
Truong, Thérèse
Le Cornet, Charlotte
Katzke, Verena
Schulze, Matthias B.
Palli, Domenico
Krogh, Vittorio
Signoriello, Simona
Tumino, Rosario
Ricceri, Fulvio
Skeie, Guri
Jensen, Torill Miriam Enget
Chen, Sairah Lai Fa
Lasheras, Cristina
Rodriguez Barranco, Miguel
Amiano, Pilar
Huerta, José María
Guevara, Marcela
Almquist, Martin
Nilson, Lena Maria
Hennings, Joakim
Papier, Keren
Heath, Alicia K.
Weiderpass, Elisabete
Rinaldi, Sabina
Zamora-Ros, Raul
author Llaha, Fjorida
author_facet Llaha, Fjorida
Cayssials, Valerie
Farràs, Marta
Agudo, Antonio
Sandström, Maria
Eriksen, Anne Kirstine
Tjønneland, Anne
Boutron-Ruault, Marie-Christine
Laouali, Nasser
Truong, Thérèse
Le Cornet, Charlotte
Katzke, Verena
Schulze, Matthias B.
Palli, Domenico
Krogh, Vittorio
Signoriello, Simona
Tumino, Rosario
Ricceri, Fulvio
Skeie, Guri
Jensen, Torill Miriam Enget
Chen, Sairah Lai Fa
Lasheras, Cristina
Rodriguez Barranco, Miguel
Amiano, Pilar
Huerta, José María
Guevara, Marcela
Almquist, Martin
Nilson, Lena Maria
Hennings, Joakim
Papier, Keren
Heath, Alicia K.
Weiderpass, Elisabete
Rinaldi, Sabina
Zamora-Ros, Raul
author_role author
author2 Cayssials, Valerie
Farràs, Marta
Agudo, Antonio
Sandström, Maria
Eriksen, Anne Kirstine
Tjønneland, Anne
Boutron-Ruault, Marie-Christine
Laouali, Nasser
Truong, Thérèse
Le Cornet, Charlotte
Katzke, Verena
Schulze, Matthias B.
Palli, Domenico
Krogh, Vittorio
Signoriello, Simona
Tumino, Rosario
Ricceri, Fulvio
Skeie, Guri
Jensen, Torill Miriam Enget
Chen, Sairah Lai Fa
Lasheras, Cristina
Rodriguez Barranco, Miguel
Amiano, Pilar
Huerta, José María
Guevara, Marcela
Almquist, Martin
Nilson, Lena Maria
Hennings, Joakim
Papier, Keren
Heath, Alicia K.
Weiderpass, Elisabete
Rinaldi, Sabina
Zamora-Ros, Raul
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv Cuina mediterrània
Càncer de tiroide
Mediterranean cooking
Thyroid gland cancer
topic Cuina mediterrània
Càncer de tiroide
Mediterranean cooking
Thyroid gland cancer
description BackgroundThe Mediterranean diet (MD) has been proposed as a healthy diet with a potential to lower the incidence of several types of cancer, but there is no data regarding thyroid cancer (TC). We investigated the association between MD adherence, and its components, and the differentiated TC risk within the European Prospective Investigation into Cancer and Nutrition (EPIC) cohort. MethodsOver 450,000 men and women from nine European countries were followed up for a mean of 14.1 years, during which 712 differentiated TC cases were identified. Adherence to MD was estimated using the relative MD (rMED) score, an 18-point scale including alcohol, and the adapted rMED (arMED) score, a 16-point scale excluding alcohol. Hazard ratios (HRs) and 95% confidence intervals (CIs) were estimated using Cox regression models adjusted for potential confounding factors. ResultsAdherence to the arMED score was not associated with the risk of differentiated TC (HRhigh vs. low adherence = 0.94, 95% CI: 0.70-1.25; p-trend 0.27), while a suggestive, but non-statistically significant inverse relationship was observed with rMED (HRhigh vs. low adherence = 0.88, 95% CI: 0.68-1.14; p-trend 0.17). Low meat (HRlow vs. high meat intake = 0.81, 95% CI: 0.67-0.99; p-trend = 0.04) and moderate alcohol (HRmoderate vs. non-moderate intake = 0.88, 95% CI: 0.75-1.03) intake were related with lower differentiated TC risk. ConclusionsOur study shows that a high adherence to MD is not strongly related to differentiated TC risk, although further research is required to confirm the impact of MD and, especially, meat intake in TC risk.
publishDate 2022
dc.date.none.fl_str_mv 2022
2022
2022
2022
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://hdl.handle.net/2445/189564
url https://hdl.handle.net/2445/189564
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Reproducció del document publicat a: https://doi.org/10.3389/fnut.2022.982369
Frontiers in Nutrition, 2022, vol. 9
https://doi.org/10.3389/fnut.2022.982369
dc.rights.none.fl_str_mv cc by (c) Llaha, Fjorida et al., 2022
http://creativecommons.org/licenses/by/3.0/es/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv cc by (c) Llaha, Fjorida et al., 2022
http://creativecommons.org/licenses/by/3.0/es/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv 10 p.
application/pdf
application/pdf
dc.publisher.none.fl_str_mv Frontiers Media SA
publisher.none.fl_str_mv Frontiers Media SA
dc.source.none.fl_str_mv Articles publicats en revistes (Institut d'lnvestigació Biomèdica de Bellvitge (IDIBELL))
reponame:Recercat. Dipósit de la Recerca de Catalunya
instname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
instname_str Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
reponame_str Recercat. Dipósit de la Recerca de Catalunya
collection Recercat. Dipósit de la Recerca de Catalunya
repository.name.fl_str_mv
repository.mail.fl_str_mv
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