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000292355 1001_ $$aHuybrechts, Inge$$b0
000292355 245__ $$aFood biodiversity and gastrointestinal cancer risk in nine European countries: Analysis within a prospective cohort study.
000292355 260__ $$aAmsterdam [u.a.]$$bElsevier$$c2024
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000292355 520__ $$aFood biodiversity in human diets has potential co-benefits for both public health and sustainable food systems. However, current evidence on the potential relationship between food biodiversity and cancer risk, and particularly gastrointestinal cancers typically related to diet, remains limited. This study evaluated how dietary species richness (DSR) was associated with gastrointestinal cancer risk in a pan-European population.Associations between DSR and subsequent gastrointestinal cancer risk were examined among 450,111 adults enrolled in the European Prospective Investigation into Cancer and Nutrition cohort (EPIC, initiated in 1992), free of cancer at baseline. Usual dietary intakes were assessed at recruitment with country-specific dietary questionnaires. DSR of an individual's yearly diet was calculated based on the absolute number of unique biological species in each food and drink item. Associations between DSR and cancer risk were assessed by multivariable Cox proportional hazards regression models.During a median follow-up time of 14.1 years (SD=3.9), 10,705 participants were diagnosed with gastrointestinal cancer. Hazard ratios (HRs) and 95 % confidence intervals (CIs) comparing overall gastrointestinal cancer risk in the highest versus lowest quintiles of DSR indicated inverse associations in multivariable-adjusted models [HR (95 % CI): 0.77 (0.69-0.87); P-value < 0·0001] (Table 2). Specifically, inverse associations were observed between DSR and oesophageal squamous cell carcinoma, proximal colon, colorectal, and liver cancer risk (p-trend<0.05 for all cancer types).Greater food biodiversity in the diet may lower the risk of certain gastrointestinal cancers. Further research is needed to replicate these novel findings and to understand potential mechanisms.
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000292355 7001_ $$aChimera, Bernadette$$b1
000292355 7001_ $$aHanley-Cook, Giles T$$b2
000292355 7001_ $$aBiessy, Carine$$b3
000292355 7001_ $$aDeschasaux-Tanguy, Mélanie$$b4
000292355 7001_ $$aTouvier, Mathilde$$b5
000292355 7001_ $$aKesse-Guyot, Emmanuelle$$b6
000292355 7001_ $$aSrour, Bernard$$b7
000292355 7001_ $$aBaudry, Julia$$b8
000292355 7001_ $$aBerlivet, Justine$$b9
000292355 7001_ $$aCasagrande, Corinne$$b10
000292355 7001_ $$aNicolas, Geneviève$$b11
000292355 7001_ $$aLopez, Jessica Blanco$$b12
000292355 7001_ $$aMillett, Christopher J$$b13
000292355 7001_ $$aCakmak, Emine Koc$$b14
000292355 7001_ $$aRobinson, Oliver J K$$b15
000292355 7001_ $$aMurray, Kris A$$b16
000292355 7001_ $$aSchulze, Matthias B$$b17
000292355 7001_ $$aMasala, Giovanna$$b18
000292355 7001_ $$aGuevara, Marcela$$b19
000292355 7001_ $$aBodén, Stina$$b20
000292355 7001_ $$aCross, Amanda J$$b21
000292355 7001_ $$aTsilidis, Kostas$$b22
000292355 7001_ $$aHeath, Alicia K$$b23
000292355 7001_ $$aPanico, Salvatore$$b24
000292355 7001_ $$aAmiano, Pilar$$b25
000292355 7001_ $$aHuerta, José Ma$$b26
000292355 7001_ $$aKey, Tim$$b27
000292355 7001_ $$aEricson, Ulrika$$b28
000292355 7001_ $$aStocks, Tanja$$b29
000292355 7001_ $$aLundblad, Marie Wasmuth$$b30
000292355 7001_ $$aSkeie, Guri$$b31
000292355 7001_ $$aSacerdote, Carlotta$$b32
000292355 7001_ $$0P:(DE-He78)fb68a9386399d72d84f7f34cfc6048b4$$aKatzke, Verena$$b33$$udkfz
000292355 7001_ $$aPlaydon, Mary C$$b34
000292355 7001_ $$aFerrari, Pietro$$b35
000292355 7001_ $$aVineis, Paolo$$b36
000292355 7001_ $$aLachat, Carl$$b37
000292355 7001_ $$aGunter, Marc J$$b38
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