Evidence map›Paper›PMID 35830197›Full record

ArticleInternational journal of cancer2022

Diet-wide association study of 92 foods and nutrients and lung cancer risk in the European Prospective Investigation into Cancer and Nutrition study and the Netherlands Cohort Study.

Alicia K Heath, David C Muller, Piet A van den Brandt, Elena Critselis, Marc Gunter, Paolo Vineis, Elisabete Weiderpass, Heiner Boeing, Pietro Ferrari, Melissa A Merritt and 26 more

Open access · hybridAbstract read
In one paragraph

Article in International journal of cancer, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
4.0field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Review
  18. Article
  19. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

36 authors at 20 institutions in 12 countries.

Alicia K HeathDepartment of Epidemiology and Biostatistics, School of Public Health, Imperial College London, London, UK.ORCID 0000-0001-6517-1300
David C MullerDepartment of Epidemiology and Biostatistics, School of Public Health, Imperial College London, London, UK.
Piet A van den BrandtDepartment of Epidemiology, Maastricht University Medical Centre, Maastricht, The Netherlands.ORCID 0000-0001-8781-8099
Elena CritselisBiomedical Research Foundation of the Academy of Athens, Athens, Greece.
Marc GunterInternational Agency for Research on Cancer, World Health Organization, Lyon, France.
Paolo VineisDepartment of Epidemiology and Biostatistics, School of Public Health, Imperial College London, London, UK.
Elisabete WeiderpassInternational Agency for Research on Cancer, World Health Organization, Lyon, France.ORCID 0000-0003-2237-0128
Heiner BoeingDepartment of Epidemiology, German Institute of Human Nutrition Potsdam-Rehbrücke, Bergholz-Rehbrücke, Germany.
Pietro FerrariInternational Agency for Research on Cancer, World Health Organization, Lyon, France.ORCID 0000-0001-9358-7338
Melissa A MerrittCancer Epidemiology Program, University of Hawaii Cancer Center, Honolulu, Hawaii, USA.
Agnetha L Rostgaard-HansenDanish Cancer Society Research Center, Copenhagen, Denmark.
Anne TjønnelandDanish Cancer Society Research Center, Copenhagen, Denmark.
Kim OvervadDepartment of Public Health, Aarhus University, Aarhus, Denmark.
Verena KatzkeDivision of Cancer Epidemiology, German Cancer Research Center (DKFZ), Heidelberg, Germany.
Bernard SrourDivision of Cancer Epidemiology, German Cancer Research Center (DKFZ), Heidelberg, Germany.
Giovanna MasalaInstitute of Cancer Research, Prevention and Clinical Network (ISPRO), Florence, Italy.
Carlotta SacerdoteUnit of Cancer Epidemiology, Città della Salute e della Scienza University-Hospital, Turin, Italy.ORCID 0000-0002-8008-5096
Fulvio RicceriDepartment of Clinical and Biological Sciences, University of Turin, Turin, Italy.ORCID 0000-0001-8749-9737
Fabrizio PasanisiDipartimento di Medicina Clinica e Chirurgia, Federico II University, Naples, Italy.
Bas Bueno-de-MesquitaCentre for Nutrition, Prevention and Health Services, National Institute for Public Health and the Environment (RIVM), Bilthoven, The Netherlands.
George S DownwardInstitute for Risk Assessment Sciences, Division of Environmental Epidemiology, Utrecht University, Utrecht, The Netherlands.
Guri SkeieDepartment of Community Medicine, Faculty of Health Sciences, UiT-The Arctic University of Norway, Tromsø, Norway.
Torkjel M SandangerDepartment of Community Medicine, Faculty of Health Sciences, UiT-The Arctic University of Norway, Tromsø, Norway.
Marta Crous-BouUnit of Nutrition and Cancer, Cancer Epidemiology Research Program, Catalan Institute of Oncology (ICO), Bellvitge Biomedical Research Institute (IDIBELL), L'Hospitalet de Llobregat, Barcelona, Spain.
Miguel Rodríguez-BarrancoEscuela Andaluza de Salud Pública (EASP), Granada, Spain.
Pilar AmianoMinistry of Health of the Basque Government, Sub-Directorate for Public Health and Addictions of Gipuzkoa, San Sebastián, Spain.
José María HuertaCentro de Investigación Biomédica en Red de Epidemiología y Salud Pública (CIBERESP), Madrid, Spain.
Eva ArdanazCentro de Investigación Biomédica en Red de Epidemiología y Salud Pública (CIBERESP), Madrid, Spain.
Isabel DrakeDepartment of Clinical Sciences in Malmö, Lund University, Malmö, Sweden.ORCID 0000-0002-6500-6310
Mikael JohanssonDepartment of Radiation Sciences, Oncology, Umeå University, Umeå, Sweden.
Ingegerd JohanssonDepartment of Odontology, Section of Cardiology, Umeå University, Umeå, Sweden.
Tim KeyCancer Epidemiology Unit, Nuffield Department of Population Health, University of Oxford, Oxford, UK.
Nikos PapadimitriouNutrition and Metabolism Branch, International Agency for Research on Cancer, Lyon, France.
Elio RiboliDepartment of Epidemiology and Biostatistics, School of Public Health, Imperial College London, London, UK.
Ioanna TzoulakiDepartment of Epidemiology and Biostatistics, School of Public Health, Imperial College London, London, UK.
Konstantinos K TsilidisDepartment of Epidemiology and Biostatistics, School of Public Health, Imperial College London, London, UK.ORCID 0000-0002-8452-8472
Centre international de recherche sur le cancer · FRImperial College London · GBDanish Cancer Society · DKGerman Cancer Research Center · DEUiT The Arctic University of Norway · NOUmeå University · SEUniversity of Ioannina · GRAarhus University · DKAzienda Ospedaliera Citta' della Salute e della Scienza di Torino · ITBasque Government · ESFederico II University Hospital · ITGerman Institute of Human Nutrition · DEHarvard University · USInstituto de Investigación Biosanitaria de Granada · ESInstituto de Salud Pública de Navarra · ESInstituto Murciano de Investigación Biosanitaria · ESLund University · SEMaastricht University Medical Centre · NLMay Institute · USPrevention Institute · US

Funding

Cancer Research UK 14136Cancer Research UK 24390Cancer Research UK C8221/A29017Medical Research Council 1000143Medical Research Council G0401527Medical Research Council G1000143Medical Research Council MR/M012190/1Medical Research Council MR/N003284/1World Health Organization 001
6 · The paper itself

Abstract

It is unclear whether diet, and in particular certain foods or nutrients, are associated with lung cancer risk. We assessed associations of 92 dietary factors with lung cancer risk in 327 790 participants in the European Prospective Investigation into Cancer and Nutrition (EPIC). Cox regression yielded adjusted hazard ratios (HRs) and 95% confidence intervals (CIs) per SD higher intake/day of each food/nutrient. Correction for multiple comparisons was performed using the false discovery rate and identified associations were evaluated in the Netherlands Cohort Study (NLCS). In EPIC, 2420 incident lung cancer cases were identified during a median of 15 years of follow-up. Higher intakes of fibre (HR per 1 SD higher intake/day = 0.91, 95% CI 0.87-0.96), fruit (HR = 0.91, 95% CI 0.86-0.96) and vitamin C (HR = 0.91, 95% CI 0.86-0.96) were associated with a lower risk of lung cancer, whereas offal (HR = 1.08, 95% CI 1.03-1.14), retinol (HR = 1.06, 95% CI 1.03-1.10) and beer/cider (HR = 1.04, 95% CI 1.02-1.07) intakes were positively associated with lung cancer risk. Associations did not differ by sex and there was less evidence for associations among never smokers. None of the six associations with overall lung cancer risk identified in EPIC were replicated in the NLCS (2861 cases), however in analyses of histological subtypes, inverse associations of fruit and vitamin C with squamous cell carcinoma were replicated in the NLCS. Overall, there is little evidence that intakes of specific foods and nutrients play a major role in primary lung cancer risk, but fruit and vitamin C intakes seem to be inversely associated with squamous cell lung cancer.

Indexed as

Lung NeoplasmsVitamin AAscorbic AcidCohort StudiesDietEuropeHumansNetherlandsNutrientsProspective StudiesRisk FactorsAscorbic AcidNutrientsVitamin Acohort studydietfoodslung cancernutrients

Identifiers

PMID35830197
PMCPMC9804326
OpenAlexW4285085907

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.