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Consumption of nuts and seeds and pancreatic ductal adenocarcinoma risk in the European Prospective Investigation into Cancer and Nutrition.

Mireia Obon-SantacanaLeila Luján-BarrosoHeinz FreislingSabine NaudinMarie-Christine Boutron-RuaultFrancesca Romana ManciniVinciane ReboursTilman KühnVerena KatzkeHeiner BoeingAnne TjønnelandAnja OlsenKim OvervadCristina LasherasMiguel Rodríguez-BarrancoPilar AmianoCarmen SantiusteEva ArdanazKay-Thee KhawNicholas J WarehamJulie A SchmidtDagfinn AuneAntonia TrichopoulouPaschalis ThriskosEleni PeppaGiovanna MasalaSara GrioniRosario TuminoSalvatore PanicoBas Bueno-de-MesquitaVeronica SciannameoRoel VermeulenEmily SonestedtMalin SundElisabete WeiderpassGuri SkeieCarlos A GonzálezElio RiboliEric Jeffrey Duell
Published in: International journal of cancer (2019)
Four epidemiologic studies have assessed the association between nut intake and pancreatic cancer risk with contradictory results. The present study aims to investigate the relation between nut intake (including seeds) and pancreatic ductal adenocarcinoma (PDAC) risk in the European Prospective Investigation into Cancer and Nutrition (EPIC) study. Cox proportional hazards models were used to estimate hazards ratio (HR) and 95% confidence intervals (95% CI) for nut intake and PDAC risk. Information on intake of nuts was obtained from the EPIC country-specific dietary questionnaires. After a mean follow-up of 14 years, 476,160 participants were eligible for the present study and included 1,283 PDAC cases. No association was observed between consumption of nuts and PDAC risk (highest intake vs nonconsumers: HR, 0.89; 95% CI, 0.72-1.10; p-trend = 0.70). Furthermore, no evidence for effect-measure modification was observed when different subgroups were analyzed. Overall, in EPIC, the highest intake of nuts was not statistically significantly associated with PDAC risk.
Keyphrases
  • weight gain
  • body mass index
  • health information