001     285526
005     20240229155111.0
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024 7 _ |a 1436-6207
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037 _ _ |a DKFZ-2023-02406
041 _ _ |a English
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100 1 _ |a Morales-Berstein, Fernanda
|0 0000-0002-8237-2021
|b 0
245 _ _ |a Ultra-processed foods, adiposity and risk of head and neck cancer and oesophageal adenocarcinoma in the European Prospective Investigation into Cancer and Nutrition study: a mediation analysis.
260 _ _ |a Heidelberg
|c 2024
|b Springer
336 7 _ |a article
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500 _ _ |a 2024 Mar;63(2):377-396
520 _ _ |a To investigate the role of adiposity in the associations between ultra-processed food (UPF) consumption and head and neck cancer (HNC) and oesophageal adenocarcinoma (OAC) in the European Prospective Investigation into Cancer and Nutrition (EPIC) cohort.Our study included 450,111 EPIC participants. We used Cox regressions to investigate the associations between the consumption of UPFs and HNC and OAC risk. A mediation analysis was performed to assess the role of body mass index (BMI) and waist-to-hip ratio (WHR) in these associations. In sensitivity analyses, we investigated accidental death as a negative control outcome.During a mean follow-up of 14.13 ± 3.98 years, 910 and 215 participants developed HNC and OAC, respectively. A 10% g/d higher consumption of UPFs was associated with an increased risk of HNC (hazard ratio [HR] = 1.23, 95% confidence interval [CI] 1.14-1.34) and OAC (HR = 1.24, 95% CI 1.05-1.47). WHR mediated 5% (95% CI 3-10%) of the association between the consumption of UPFs and HNC risk, while BMI and WHR, respectively, mediated 13% (95% CI 6-53%) and 15% (95% CI 8-72%) of the association between the consumption of UPFs and OAC risk. UPF consumption was positively associated with accidental death in the negative control analysis.We reaffirmed that higher UPF consumption is associated with greater risk of HNC and OAC in EPIC. The proportion mediated via adiposity was small. Further research is required to investigate other mechanisms that may be at play (if there is indeed any causal effect of UPF consumption on these cancers).
536 _ _ |a 313 - Krebsrisikofaktoren und Prävention (POF4-313)
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650 _ 7 |a Adiposity
|2 Other
650 _ 7 |a Epidemiology
|2 Other
650 _ 7 |a Food processing
|2 Other
650 _ 7 |a Head and neck cancer
|2 Other
650 _ 7 |a Mediation analysis
|2 Other
650 _ 7 |a NOVA classification
|2 Other
650 _ 7 |a Oesophageal cancer
|2 Other
700 1 _ |a Biessy, Carine
|b 1
700 1 _ |a Viallon, Vivian
|b 2
700 1 _ |a Goncalves-Soares, Ana
|b 3
700 1 _ |a Casagrande, Corinne
|b 4
700 1 _ |a Hémon, Bertrand
|b 5
700 1 _ |a Kliemann, Nathalie
|b 6
700 1 _ |a Cairat, Manon
|b 7
700 1 _ |a Blanco Lopez, Jessica
|b 8
700 1 _ |a Al Nahas, Aline
|b 9
700 1 _ |a Chang, Kiara
|b 10
700 1 _ |a Vamos, Eszter
|b 11
700 1 _ |a Rauber, Fernanda
|b 12
700 1 _ |a Bertazzi Levy, Renata
|b 13
700 1 _ |a Barbosa Cunha, Diana
|b 14
700 1 _ |a Jakszyn, Paula
|b 15
700 1 _ |a Ferrari, Pietro
|b 16
700 1 _ |a Vineis, Paolo
|b 17
700 1 _ |a Masala, Giovanna
|b 18
700 1 _ |a Catalano, Alberto
|0 0000-0003-2597-2060
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700 1 _ |a Sonestedt, Emily
|b 20
700 1 _ |a Borné, Yan
|b 21
700 1 _ |a Katzke, Verena
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700 1 _ |a Bajracharya, Rashmita
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700 1 _ |a Agnoli, Claudia
|b 24
700 1 _ |a Guevara, Marcela
|b 25
700 1 _ |a Heath, Alicia
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700 1 _ |a Radoï, Loredana
|b 27
700 1 _ |a Mancini, Francesca
|b 28
700 1 _ |a Weiderpass, Elisabete
|b 29
700 1 _ |a Huerta, José María
|b 30
700 1 _ |a Sánchez, María-José
|b 31
700 1 _ |a Tjønneland, Anne
|b 32
700 1 _ |a Kyrø, Cecilie
|b 33
700 1 _ |a Schulze, Matthias B
|b 34
700 1 _ |a Skeie, Guri
|b 35
700 1 _ |a Lukic, Marko
|b 36
700 1 _ |a Braaten, Tonje
|b 37
700 1 _ |a Gunter, Marc
|b 38
700 1 _ |a Millett, Christopher
|b 39
700 1 _ |a Agudo, Antonio
|b 40
700 1 _ |a Brennan, Paul
|b 41
700 1 _ |a Borges, M Carolina
|b 42
700 1 _ |a Richmond, Rebecca C
|b 43
700 1 _ |a Richardson, Tom G
|b 44
700 1 _ |a Davey Smith, George
|b 45
700 1 _ |a Relton, Caroline L
|b 46
700 1 _ |a Huybrechts, Inge
|b 47
700 1 _ |a Network, EPIC
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773 _ _ |a 10.1007/s00394-023-03270-1
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