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    Consumption of Fish Is Not Associated with Risk of Differentiated Thyroid Carcinoma in the European Prospective Investigation into Cancer and Nutrition (EPIC) Study.

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    Authors
    Zamora-Ros, Raul
    Castañeda, Jazmín
    Rinaldi, Sabina
    Cayssials, Valerie
    Slimani, Nadia
    Weiderpass, Elisabete
    Tsilidis, Konstantinos K
    Boutron-Ruault, Marie-Christine
    Overvad, Kim
    Eriksen, Anne K
    Tjønneland, Anne
    Kühn, Tilman
    Katzke, Verena
    Boeing, Heiner
    Trichopoulou, Antonia
    La Vecchia, Carlo
    Kotanidou, Anastasia
    Palli, Domenico
    Grioni, Sara
    Mattiello, Amalia
    Tumino, Rosario
    Sciannameo, Veronica
    Lund, Eiliv
    Merino, Susana
    Salamanca-Fernández, Elena
    Amiano, Pilar
    Huerta, José María
    Barricarte, Aurelio
    Ericson, Ulrika
    Almquist, Martin
    Hennings, Joakim
    Sandström, Maria
    Bueno-de-Mesquita, H Bas
    Peeters, Petra H
    Khaw, Kay-Tee
    Wareham, Nicholas J
    Schmidt, Julie A
    Cross, Amanda J
    Riboli, Elio
    Scalbert, Augustin
    Romieu, Isabelle
    Agudo, Antonio
    Franceschi, Silvia
    Show allShow less
    Type
    Article
    Language
    en
    
    Metadata
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    Title
    Consumption of Fish Is Not Associated with Risk of Differentiated Thyroid Carcinoma in the European Prospective Investigation into Cancer and Nutrition (EPIC) Study.
    Published in
    J Nutr 2017; 47(7):1366-73
    Publiekssamenvatting
    Background: Differentiated thyroid cancer (TC) is the most common endocrine cancer. Fish can be an important source of iodine and other micronutrients and contaminants that may affect the thyroid gland and TC risk.Objective: We prospectively evaluated the relations between the consumption of total fish and different fish types and shellfish and TC risk in the EPIC (European Prospective Investigation into Cancer and Nutrition) study.Methods: EPIC is a cohort of >500,000 men and women, mostly aged 35-70 y, who were recruited in 10 European countries. After a mean follow-up of 14 y, 748 primary differentiated TC cases were diagnosed; 666 were in women and 601 were papillary TC. Data on intakes of lean fish, fatty fish, fish products, and shellfish were collected by using country-specific validated dietary questionnaires at recruitment. Multivariable Cox regression was used to calculate HRs and 95% CIs adjusted for many potential confounders, including dietary and nondietary factors.Results: No significant association was observed between total fish consumption and differentiated TC risk for the highest compared with the lowest quartile (HR: 1.03; 95% CI: 0.81, 1.32; P-trend = 0.67). Likewise, no significant association was observed with the intake of any specific type of fish, fish product, or shellfish. No significant heterogeneity was found by TC subtype (papillary or follicular tumors), by sex, or between countries with low and high TC incidence.Conclusion: This large study shows that the intake of fish and shellfish was not associated with differentiated TC risk in Europe, a region in which iodine deficiency or excess is rare.
    DOI
    10.3945/jn.117.247874
    PMID
    28592517
    URI
    http://hdl.handle.net/10029/621325
    ae974a485f413a2113503eed53cd6c53
    10.3945/jn.117.247874
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