Dietary and Circulating Fatty Acids and Ovarian Cancer Risk in the European Prospective Investigation into Cancer and Nutrition
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Dietary and Circulating Fatty Acids and Ovarian Cancer Risk in the European Prospective Investigation into Cancer and Nutrition. / Yammine, Sahar; Huybrechts, Inge; Biessy, Carine; Dossus, Laure; Aglago, Elom K.; Naudin, Sabine; Ferrari, Pietro; Weiderpass, Elisabete; Tjønneland, Anne; Hansen, Louise; Overvad, Kim; Mancini, Francesca R.; Boutron-Ruault, Marie-Christine; Kvaskoff, Marina; Fortner, Renee T.; Kaaks, Rudolf; Schulze, Matthias B.; Boeing, Heiner; Trichopoulou, Antonia; Karakatsani, Anna; La Vecchia, Carlo; Benetou, Vassiliki; Masala, Giovanna; Krogh, Vittorio; Mattiello, Amalia; Macciotta, Alessandra; Gram, Inger T.; Skeie, Guri; Quiros, Jose R.; Agudo, Antonio; Sanchez, Maria-Jose; Chirlaque, Maria-Dolores; Ardanaz, Eva; Gil, Leire; Sartor, Hanna; Drake, Isabel; Idahl, Annika; Lundin, Eva; Aune, Dagfinn; Ward, Heather; Merritt, Melissa A.; Allen, Naomi E.; Gunter, Marc J.; Chajes, Veronique.
In: Cancer Epidemiology, Biomarkers & Prevention, Vol. 29, No. 9, 2020, p. 1739-1749.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - Dietary and Circulating Fatty Acids and Ovarian Cancer Risk in the European Prospective Investigation into Cancer and Nutrition
AU - Yammine, Sahar
AU - Huybrechts, Inge
AU - Biessy, Carine
AU - Dossus, Laure
AU - Aglago, Elom K.
AU - Naudin, Sabine
AU - Ferrari, Pietro
AU - Weiderpass, Elisabete
AU - Tjønneland, Anne
AU - Hansen, Louise
AU - Overvad, Kim
AU - Mancini, Francesca R.
AU - Boutron-Ruault, Marie-Christine
AU - Kvaskoff, Marina
AU - Fortner, Renee T.
AU - Kaaks, Rudolf
AU - Schulze, Matthias B.
AU - Boeing, Heiner
AU - Trichopoulou, Antonia
AU - Karakatsani, Anna
AU - La Vecchia, Carlo
AU - Benetou, Vassiliki
AU - Masala, Giovanna
AU - Krogh, Vittorio
AU - Mattiello, Amalia
AU - Macciotta, Alessandra
AU - Gram, Inger T.
AU - Skeie, Guri
AU - Quiros, Jose R.
AU - Agudo, Antonio
AU - Sanchez, Maria-Jose
AU - Chirlaque, Maria-Dolores
AU - Ardanaz, Eva
AU - Gil, Leire
AU - Sartor, Hanna
AU - Drake, Isabel
AU - Idahl, Annika
AU - Lundin, Eva
AU - Aune, Dagfinn
AU - Ward, Heather
AU - Merritt, Melissa A.
AU - Allen, Naomi E.
AU - Gunter, Marc J.
AU - Chajes, Veronique
PY - 2020
Y1 - 2020
N2 - Background: Fatty acids impact obesity, estrogens, and inflammation, which are risk factors for ovarian cancer. Few epidemiologic studies have investigated the association of fatty acids with ovarian cancer.Methods: Within the European Prospective Investigation into Cancer and Nutrition (EPIC), 1,486 incident ovarian cancer cases were identified. Cox proportional hazard models with adjustment for ovarian cancer risk factors were used to estimate HRs of ovarian cancer across quintiles of intake of fatty acids. False discovery rate was computed to control for multiple testing. Multivariable conditional logistic regression models were used to estimate ORs of ovarian cancer across tertiles of plasma fatty acids among 633 cases and two matched controls in a nested case-control analysis.Results: Apositive association was found between ovarian cancer and intake of industrial trans elaidic acid [HR comparing fifth with first quintile(Q5-Q1) = 1.29; 95% confidence interval (CI) = 1.03-1.62; P-trend = 0.02, q-value = 0.06]. Dietary intakes of n-6 linoleic acid (HRQ5-Q1 = 1.10; 95% CI = 1.01-1.21; P-trend = 0.03) and n-3 alpha-linolenic acid (HRQ5-Q1 = 1.18; 95% CI = 1.05-1.34; P-trend = 0.007) from deep-frying fats were also positively associated with ovarian cancer. Suggestive associations were reported for circulating elaidic (OR comparing third with first tertile(T3-T1) = 1.39; 95% CI = 0.99-1.94; P-trend = 0.06) anda-linolenic acids (ORT3-T1 = 1.30; 95% CI = 0.98-1.72; P-trend = 0.06).Conclusions: Our results suggest that higher intakes and circulating levels of industrial trans elaidic acid, and higher intakes of linoleic acid and alpha-linolenic acid from deep-frying fat, may be associated with greater risk of ovarian cancer.Impact: If causal, eliminating industrial trans-fatty acids could offer a straightforward public health action for reducing ovarian cancer risk.
AB - Background: Fatty acids impact obesity, estrogens, and inflammation, which are risk factors for ovarian cancer. Few epidemiologic studies have investigated the association of fatty acids with ovarian cancer.Methods: Within the European Prospective Investigation into Cancer and Nutrition (EPIC), 1,486 incident ovarian cancer cases were identified. Cox proportional hazard models with adjustment for ovarian cancer risk factors were used to estimate HRs of ovarian cancer across quintiles of intake of fatty acids. False discovery rate was computed to control for multiple testing. Multivariable conditional logistic regression models were used to estimate ORs of ovarian cancer across tertiles of plasma fatty acids among 633 cases and two matched controls in a nested case-control analysis.Results: Apositive association was found between ovarian cancer and intake of industrial trans elaidic acid [HR comparing fifth with first quintile(Q5-Q1) = 1.29; 95% confidence interval (CI) = 1.03-1.62; P-trend = 0.02, q-value = 0.06]. Dietary intakes of n-6 linoleic acid (HRQ5-Q1 = 1.10; 95% CI = 1.01-1.21; P-trend = 0.03) and n-3 alpha-linolenic acid (HRQ5-Q1 = 1.18; 95% CI = 1.05-1.34; P-trend = 0.007) from deep-frying fats were also positively associated with ovarian cancer. Suggestive associations were reported for circulating elaidic (OR comparing third with first tertile(T3-T1) = 1.39; 95% CI = 0.99-1.94; P-trend = 0.06) anda-linolenic acids (ORT3-T1 = 1.30; 95% CI = 0.98-1.72; P-trend = 0.06).Conclusions: Our results suggest that higher intakes and circulating levels of industrial trans elaidic acid, and higher intakes of linoleic acid and alpha-linolenic acid from deep-frying fat, may be associated with greater risk of ovarian cancer.Impact: If causal, eliminating industrial trans-fatty acids could offer a straightforward public health action for reducing ovarian cancer risk.
KW - EPIC PROJECT
KW - DATABASE
U2 - 10.1158/1055-9965.EPI-19-1477
DO - 10.1158/1055-9965.EPI-19-1477
M3 - Journal article
C2 - 32616494
VL - 29
SP - 1739
EP - 1749
JO - Cancer Epidemiology, Biomarkers & Prevention
JF - Cancer Epidemiology, Biomarkers & Prevention
SN - 1055-9965
IS - 9
ER -
ID: 248848553