Inflammatory potential of diet and risk of pancreatic cancer in the Prostate, Lung, Colorectal and Ovarian (PLCO) Cancer Screening Trial
Inflammation plays a central role in pancreatic cancer etiology and can be modulated by diet. We aimed to examine the association between the inflammatory potential of diet, assessed with the Dietary Inflammatory Index (DII®), and pancreatic cancer risk in the Prostate, Lung, Colorectal and Ovarian...
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| Veröffentlicht in: | International journal of cancer 2018-06, Vol.142 (12), p.2461-2470 |
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| creator | Zheng, Jiali Merchant, Anwar T. Wirth, Michael D. Zhang, Jiajia Antwi, Samuel O. Shoaibi, Azza Shivappa, Nitin Stolzenberg‐Solomon, Rachael Z. Hebert, James R. Steck, Susan E. |
| description | Inflammation plays a central role in pancreatic cancer etiology and can be modulated by diet. We aimed to examine the association between the inflammatory potential of diet, assessed with the Dietary Inflammatory Index (DII®), and pancreatic cancer risk in the Prostate, Lung, Colorectal and Ovarian Cancer Screening Trial prospective cohort. Our study included 101,449 participants aged 52–78 years at baseline who completed both baseline questionnaire and a diet history questionnaire. Energy‐adjusted DII (E‐DII) scores were computed based on food and supplement intake. Cox proportional hazards models and time dependent Cox models were used to estimate hazard ratios (HRs) and 95% confidence intervals (CIs) with participants in the lowest E‐DII quintile (most anti‐inflammatory scores) as referent. After a median 8.5 years of follow‐up, 328 pancreatic cancer cases were identified. E‐DII scores were not associated with pancreatic cancer risk in the multivariable model (HRQ5vsQ1 = 0.94; 95% CI = 0.66–1.35; p‐trend = 0.43). Time significantly modified the association (p‐interaction = 0.01). During follow up |
| doi_str_mv | 10.1002/ijc.31271 |
| format | Article |
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What's new?
Inflammatory conditions including chronic pancreatitis and obesity are risk factors for pancreatic cancer, and diet can modulate inflammation. While the inflammatory potential of diet has previously been associated with pancreatic cancer in two case–control studies, possible recall and selection biases cannot be excluded. Here, the authors examined the association between the inflammatory potential of diet as assessed with the Dietary Inflammatory Index and pancreatic cancer risk in the Prostate, Lung, Colorectal and Ovarian Cancer Screening Trial prospective cohort. No association was found between inflammatory potential of diet and pancreatic cancer risk; however, heterogeneous results were obtained with different follow‐up times.</description><identifier>ISSN: 0020-7136</identifier><identifier>EISSN: 1097-0215</identifier><identifier>DOI: 10.1002/ijc.31271</identifier><identifier>PMID: 29355939</identifier><language>eng</language><publisher>United States: Wiley Subscription Services, Inc</publisher><subject>Aged ; Cancer ; Cancer screening ; Cohort analysis ; Cohort Studies ; cohort study ; Colorectal cancer ; Diet ; Diet - adverse effects ; dietary inflammatory index ; dietary patterns ; Etiology ; Female ; Food intake ; Health risk assessment ; Health risks ; Humans ; incidence ; Inflammation ; Inflammation - etiology ; Male ; Medical research ; Medical screening ; Middle Aged ; Ovarian cancer ; Pancreatic cancer ; Pancreatic Neoplasms - epidemiology ; Proportional Hazards Models ; Prostate cancer ; Risk Factors ; Statistical models ; Surveys and Questionnaires</subject><ispartof>International journal of cancer, 2018-06, Vol.142 (12), p.2461-2470</ispartof><rights>2018 UICC</rights><rights>2018 UICC.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4431-90499c4aa419071335d21ca43f4bf24235f89e47c40d8fe74c34525d36a5a54d3</citedby><cites>FETCH-LOGICAL-c4431-90499c4aa419071335d21ca43f4bf24235f89e47c40d8fe74c34525d36a5a54d3</cites><orcidid>0000-0003-0441-8896 ; 0000-0003-1434-2856 ; 0000-0003-2372-9489</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fijc.31271$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fijc.31271$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>230,314,777,781,882,1412,27905,27906,45555,45556</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29355939$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Zheng, Jiali</creatorcontrib><creatorcontrib>Merchant, Anwar T.</creatorcontrib><creatorcontrib>Wirth, Michael D.</creatorcontrib><creatorcontrib>Zhang, Jiajia</creatorcontrib><creatorcontrib>Antwi, Samuel O.</creatorcontrib><creatorcontrib>Shoaibi, Azza</creatorcontrib><creatorcontrib>Shivappa, Nitin</creatorcontrib><creatorcontrib>Stolzenberg‐Solomon, Rachael Z.</creatorcontrib><creatorcontrib>Hebert, James R.</creatorcontrib><creatorcontrib>Steck, Susan E.</creatorcontrib><title>Inflammatory potential of diet and risk of pancreatic cancer in the Prostate, Lung, Colorectal and Ovarian (PLCO) Cancer Screening Trial</title><title>International journal of cancer</title><addtitle>Int J Cancer</addtitle><description>Inflammation plays a central role in pancreatic cancer etiology and can be modulated by diet. We aimed to examine the association between the inflammatory potential of diet, assessed with the Dietary Inflammatory Index (DII®), and pancreatic cancer risk in the Prostate, Lung, Colorectal and Ovarian Cancer Screening Trial prospective cohort. Our study included 101,449 participants aged 52–78 years at baseline who completed both baseline questionnaire and a diet history questionnaire. Energy‐adjusted DII (E‐DII) scores were computed based on food and supplement intake. Cox proportional hazards models and time dependent Cox models were used to estimate hazard ratios (HRs) and 95% confidence intervals (CIs) with participants in the lowest E‐DII quintile (most anti‐inflammatory scores) as referent. After a median 8.5 years of follow‐up, 328 pancreatic cancer cases were identified. E‐DII scores were not associated with pancreatic cancer risk in the multivariable model (HRQ5vsQ1 = 0.94; 95% CI = 0.66–1.35; p‐trend = 0.43). Time significantly modified the association (p‐interaction = 0.01). During follow up <4 years, there was suggestive evidence of an inverse association between E‐DII and pancreatic cancer (HRQ5vsQ1 = 0.60; 95% CI = 0.35–1.02; p‐trend = 0.20) while there was a significant positive trend in the follow up ≥4 years (HRQ5vsQ1 = 1.31; 95% CI = 0.83–2.08; p‐trend = 0.03). Similar results were observed for E‐DII from food only. Our study does not support an association between inflammatory potential of diet and pancreatic cancer risk; however, heterogeneous results were obtained with different follow‐up times. These divergent associations may result from the influences of undetected disease in the short‐term.
What's new?
Inflammatory conditions including chronic pancreatitis and obesity are risk factors for pancreatic cancer, and diet can modulate inflammation. While the inflammatory potential of diet has previously been associated with pancreatic cancer in two case–control studies, possible recall and selection biases cannot be excluded. Here, the authors examined the association between the inflammatory potential of diet as assessed with the Dietary Inflammatory Index and pancreatic cancer risk in the Prostate, Lung, Colorectal and Ovarian Cancer Screening Trial prospective cohort. No association was found between inflammatory potential of diet and pancreatic cancer risk; however, heterogeneous results were obtained with different follow‐up times.</description><subject>Aged</subject><subject>Cancer</subject><subject>Cancer screening</subject><subject>Cohort analysis</subject><subject>Cohort Studies</subject><subject>cohort study</subject><subject>Colorectal cancer</subject><subject>Diet</subject><subject>Diet - adverse effects</subject><subject>dietary inflammatory index</subject><subject>dietary patterns</subject><subject>Etiology</subject><subject>Female</subject><subject>Food intake</subject><subject>Health risk assessment</subject><subject>Health risks</subject><subject>Humans</subject><subject>incidence</subject><subject>Inflammation</subject><subject>Inflammation - etiology</subject><subject>Male</subject><subject>Medical research</subject><subject>Medical screening</subject><subject>Middle Aged</subject><subject>Ovarian cancer</subject><subject>Pancreatic cancer</subject><subject>Pancreatic Neoplasms - epidemiology</subject><subject>Proportional Hazards Models</subject><subject>Prostate cancer</subject><subject>Risk Factors</subject><subject>Statistical models</subject><subject>Surveys and Questionnaires</subject><issn>0020-7136</issn><issn>1097-0215</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kdtq3DAQhkVpabZpL_oCRdCbBOJEx7V1Uwimhw0LG2h6LSayvNHWlraynLBvkMeOtk5DU-iVhOabjxn9CL2n5JQSws7cxpxyykr6As0oUWVBGJUv0SzXSFFSPj9Ab4ZhQwilkojX6IApLqXiaobuF77toO8hhbjD25CsTw46HFrcOJsw-AZHN_zcP2zBm2ghOYNNvtqIncfpxuLLGIYEyZ7g5ejXJ7gOXYjWpOzZ969uITrw-OhyWa-OcT31fs8u651f46tc7d6iVy10g333eB6iH18-X9XfiuXq66I-XxZGCE4LRYRSRgAIqkhejcuGUQOCt-K6ZYJx2VbKitII0lStLYXhQjLZ8DlIkKLhh-jT5N2O171tTN43Qqe30fUQdzqA088r3t3odbjVUpGq5CwLjh4FMfwa7ZB07wZjuw68DeOgqaqUooJWJKMf_0E3YYw-r6cZyXEJVdJ5po4nyuRvHKJtn4ahRO_z1Tlf_TvfzH74e_on8k-gGTibgDvX2d3_TXpxUU_KBz2ors0</recordid><startdate>20180615</startdate><enddate>20180615</enddate><creator>Zheng, Jiali</creator><creator>Merchant, Anwar T.</creator><creator>Wirth, Michael D.</creator><creator>Zhang, Jiajia</creator><creator>Antwi, Samuel O.</creator><creator>Shoaibi, Azza</creator><creator>Shivappa, Nitin</creator><creator>Stolzenberg‐Solomon, Rachael Z.</creator><creator>Hebert, James R.</creator><creator>Steck, Susan E.</creator><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>7TO</scope><scope>7U9</scope><scope>H94</scope><scope>K9.</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0003-0441-8896</orcidid><orcidid>https://orcid.org/0000-0003-1434-2856</orcidid><orcidid>https://orcid.org/0000-0003-2372-9489</orcidid></search><sort><creationdate>20180615</creationdate><title>Inflammatory potential of diet and risk of pancreatic cancer in the Prostate, Lung, Colorectal and Ovarian (PLCO) Cancer Screening Trial</title><author>Zheng, Jiali ; Merchant, Anwar T. ; Wirth, Michael D. ; Zhang, Jiajia ; Antwi, Samuel O. ; Shoaibi, Azza ; Shivappa, Nitin ; Stolzenberg‐Solomon, Rachael Z. ; Hebert, James R. ; Steck, Susan E.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4431-90499c4aa419071335d21ca43f4bf24235f89e47c40d8fe74c34525d36a5a54d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Aged</topic><topic>Cancer</topic><topic>Cancer screening</topic><topic>Cohort analysis</topic><topic>Cohort Studies</topic><topic>cohort study</topic><topic>Colorectal cancer</topic><topic>Diet</topic><topic>Diet - adverse effects</topic><topic>dietary inflammatory index</topic><topic>dietary patterns</topic><topic>Etiology</topic><topic>Female</topic><topic>Food intake</topic><topic>Health risk assessment</topic><topic>Health risks</topic><topic>Humans</topic><topic>incidence</topic><topic>Inflammation</topic><topic>Inflammation - etiology</topic><topic>Male</topic><topic>Medical research</topic><topic>Medical screening</topic><topic>Middle Aged</topic><topic>Ovarian cancer</topic><topic>Pancreatic cancer</topic><topic>Pancreatic Neoplasms - epidemiology</topic><topic>Proportional Hazards Models</topic><topic>Prostate cancer</topic><topic>Risk Factors</topic><topic>Statistical models</topic><topic>Surveys and Questionnaires</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Zheng, Jiali</creatorcontrib><creatorcontrib>Merchant, Anwar T.</creatorcontrib><creatorcontrib>Wirth, Michael D.</creatorcontrib><creatorcontrib>Zhang, Jiajia</creatorcontrib><creatorcontrib>Antwi, Samuel O.</creatorcontrib><creatorcontrib>Shoaibi, Azza</creatorcontrib><creatorcontrib>Shivappa, Nitin</creatorcontrib><creatorcontrib>Stolzenberg‐Solomon, Rachael Z.</creatorcontrib><creatorcontrib>Hebert, James R.</creatorcontrib><creatorcontrib>Steck, Susan E.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>Oncogenes and Growth Factors Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>International journal of cancer</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Zheng, Jiali</au><au>Merchant, Anwar T.</au><au>Wirth, Michael D.</au><au>Zhang, Jiajia</au><au>Antwi, Samuel O.</au><au>Shoaibi, Azza</au><au>Shivappa, Nitin</au><au>Stolzenberg‐Solomon, Rachael Z.</au><au>Hebert, James R.</au><au>Steck, Susan E.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Inflammatory potential of diet and risk of pancreatic cancer in the Prostate, Lung, Colorectal and Ovarian (PLCO) Cancer Screening Trial</atitle><jtitle>International journal of cancer</jtitle><addtitle>Int J Cancer</addtitle><date>2018-06-15</date><risdate>2018</risdate><volume>142</volume><issue>12</issue><spage>2461</spage><epage>2470</epage><pages>2461-2470</pages><issn>0020-7136</issn><eissn>1097-0215</eissn><abstract>Inflammation plays a central role in pancreatic cancer etiology and can be modulated by diet. We aimed to examine the association between the inflammatory potential of diet, assessed with the Dietary Inflammatory Index (DII®), and pancreatic cancer risk in the Prostate, Lung, Colorectal and Ovarian Cancer Screening Trial prospective cohort. Our study included 101,449 participants aged 52–78 years at baseline who completed both baseline questionnaire and a diet history questionnaire. Energy‐adjusted DII (E‐DII) scores were computed based on food and supplement intake. Cox proportional hazards models and time dependent Cox models were used to estimate hazard ratios (HRs) and 95% confidence intervals (CIs) with participants in the lowest E‐DII quintile (most anti‐inflammatory scores) as referent. After a median 8.5 years of follow‐up, 328 pancreatic cancer cases were identified. E‐DII scores were not associated with pancreatic cancer risk in the multivariable model (HRQ5vsQ1 = 0.94; 95% CI = 0.66–1.35; p‐trend = 0.43). Time significantly modified the association (p‐interaction = 0.01). During follow up <4 years, there was suggestive evidence of an inverse association between E‐DII and pancreatic cancer (HRQ5vsQ1 = 0.60; 95% CI = 0.35–1.02; p‐trend = 0.20) while there was a significant positive trend in the follow up ≥4 years (HRQ5vsQ1 = 1.31; 95% CI = 0.83–2.08; p‐trend = 0.03). Similar results were observed for E‐DII from food only. Our study does not support an association between inflammatory potential of diet and pancreatic cancer risk; however, heterogeneous results were obtained with different follow‐up times. These divergent associations may result from the influences of undetected disease in the short‐term.
What's new?
Inflammatory conditions including chronic pancreatitis and obesity are risk factors for pancreatic cancer, and diet can modulate inflammation. While the inflammatory potential of diet has previously been associated with pancreatic cancer in two case–control studies, possible recall and selection biases cannot be excluded. Here, the authors examined the association between the inflammatory potential of diet as assessed with the Dietary Inflammatory Index and pancreatic cancer risk in the Prostate, Lung, Colorectal and Ovarian Cancer Screening Trial prospective cohort. No association was found between inflammatory potential of diet and pancreatic cancer risk; however, heterogeneous results were obtained with different follow‐up times.</abstract><cop>United States</cop><pub>Wiley Subscription Services, Inc</pub><pmid>29355939</pmid><doi>10.1002/ijc.31271</doi><tpages>10</tpages><orcidid>https://orcid.org/0000-0003-0441-8896</orcidid><orcidid>https://orcid.org/0000-0003-1434-2856</orcidid><orcidid>https://orcid.org/0000-0003-2372-9489</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Aged Cancer Cancer screening Cohort analysis Cohort Studies cohort study Colorectal cancer Diet Diet - adverse effects dietary inflammatory index dietary patterns Etiology Female Food intake Health risk assessment Health risks Humans incidence Inflammation Inflammation - etiology Male Medical research Medical screening Middle Aged Ovarian cancer Pancreatic cancer Pancreatic Neoplasms - epidemiology Proportional Hazards Models Prostate cancer Risk Factors Statistical models Surveys and Questionnaires |
| title | Inflammatory potential of diet and risk of pancreatic cancer in the Prostate, Lung, Colorectal and Ovarian (PLCO) Cancer Screening Trial |
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