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@ARTICLE{Park:137587,
author = {J. Y. Park and H. B. Bueno-de-Mesquita and P. Ferrari and
E. Weiderpass and J. de Batlle and A. Tjønneland and C.
Kyro and V. Rebours and M.-C. Boutron-Ruault and F. R.
Mancini and V. Katzke$^*$ and T. Kühn$^*$ and H. Boeing and
A. Trichopoulou and C. La Vecchia and M. Kritikou and G.
Masala and V. Pala and R. Tumino and S. Panico and P. H.
Peeters and G. Skeie and S. Merino and E. J. Duell and M.
Rodríguez-Barranco and M. Dorronsoro and M.-D. Chirlaque
and E. Ardanaz and B. Gylling and J. Schneede and U. Ericson
and H. Sternby and K.-T. Khaw and K. E. Bradbury and I.
Huybrechts and D. Aune and P. Vineis and N. Slimani},
title = {{D}ietary folate intake and pancreatic cancer risk:
{R}esults from the {E}uropean {P}rospective {I}nvestigation
into {C}ancer and {N}utrition.},
journal = {International journal of cancer},
volume = {144},
number = {7},
issn = {0020-7136},
address = {Bognor Regis},
publisher = {Wiley-Liss},
reportid = {DKFZ-2018-01467},
pages = {1511-1521},
year = {2019},
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 μg/d) compared with the lowest (<241 μg/d) was
0.81 $(95\%$ CI: 0.51, 1.31; Ptrend = 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 μg/d vs. <241 μg/d, Ptrend = 0.01). Nonetheless,
there was no significant interaction between smoking and
dietary folate intake (Pinteraction = 0.99). We found no
association between dietary folate intake and PC risk in
this large European study. This article is protected by
copyright. All rights reserved.},
cin = {C020},
ddc = {610},
cid = {I:(DE-He78)C020-20160331},
pnm = {313 - Cancer risk factors and prevention (POF3-313)},
pid = {G:(DE-HGF)POF3-313},
typ = {PUB:(DE-HGF)16},
pubmed = {pmid:30178496},
doi = {10.1002/ijc.31830},
url = {https://inrepo02.dkfz.de/record/137587},
}