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000180923 0247_ $$2doi$$a10.1007/s00394-022-02953-5
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000180923 0247_ $$2ISSN$$a1436-6207
000180923 0247_ $$2ISSN$$a1436-6215
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000180923 1001_ $$00000-0002-6236-6804$$aZamora-Ros, Raul$$b0
000180923 245__ $$aSweetened beverages are associated with a higher risk of differentiated thyroid cancer in the EPIC cohort: a dietary pattern approach.
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000180923 500__ $$a2023 Feb;62(1):105-114
000180923 520__ $$aDietary 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.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).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.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.
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000180923 650_7 $$2Other$$aDietary pattern
000180923 650_7 $$2Other$$aEPIC
000180923 650_7 $$2Other$$aIntake
000180923 650_7 $$2Other$$aSweetened beverages
000180923 650_7 $$2Other$$aThyroid cancer
000180923 7001_ $$00000-0003-4155-298X$$aCayssials, Valerie$$b1
000180923 7001_ $$00000-0002-3637-4747$$aClèries, Ramon$$b2
000180923 7001_ $$aTorrents, Maria$$b3
000180923 7001_ $$00000-0003-3893-7539$$aByrnes, Graham$$b4
000180923 7001_ $$00000-0003-2237-0128$$aWeiderpass, Elisabete$$b5
000180923 7001_ $$aSandström, Maria$$b6
000180923 7001_ $$00000-0002-0953-1188$$aAlmquist, Martin$$b7
000180923 7001_ $$00000-0002-5956-5693$$aBoutron-Ruault, Marie-Christine$$b8
000180923 7001_ $$00000-0003-4385-2097$$aTjønneland, Anne$$b9
000180923 7001_ $$00000-0002-9083-8960$$aKyrø, Cecilie$$b10
000180923 7001_ $$0P:(DE-He78)fb68a9386399d72d84f7f34cfc6048b4$$aKatzke, Verena$$b11$$udkfz
000180923 7001_ $$0P:(DE-He78)2d4cac0f4bf270325b98fe07036dc6c6$$aLe Cornet, Charlotte$$b12$$udkfz
000180923 7001_ $$00000-0002-5758-9069$$aMasala, Giovanna$$b13
000180923 7001_ $$00000-0003-0122-8624$$aKrogh, Vittorio$$b14
000180923 7001_ $$00000-0002-7392-5544$$aIannuzzo, Gabriella$$b15
000180923 7001_ $$00000-0003-2666-414X$$aTumino, Rosario$$b16
000180923 7001_ $$aMilani, Lorenzo$$b17
000180923 7001_ $$00000-0003-2476-4251$$aSkeie, Guri$$b18
000180923 7001_ $$00000-0002-9397-2399$$aUbago-Guisado, Esther$$b19
000180923 7001_ $$00000-0003-3986-7026$$aAmiano, Pilar$$b20
000180923 7001_ $$00000-0001-9242-3040$$aChirlaque, María-Dolores$$b21
000180923 7001_ $$00000-0001-8434-2013$$aArdanaz, Eva$$b22
000180923 7001_ $$00000-0003-4382-5689$$aJanzi, Suzanne$$b23
000180923 7001_ $$aEriksson, Linda$$b24
000180923 7001_ $$00000-0001-8648-4998$$aFreisling, Heinz$$b25
000180923 7001_ $$00000-0001-6517-1300$$aHeath, Alicia K$$b26
000180923 7001_ $$00000-0002-6846-1204$$aRinaldi, Sabina$$b27
000180923 7001_ $$00000-0001-9900-5677$$aAgudo, Antonio$$b28
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