Ultra-processed foods, adiposity and risk of head and neck cancer and oesophageal adenocarcinoma in the European Prospective Investigation into Cancer and Nutrition study: a mediation analysis

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dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorMORALES-BERSTEIN, Fernanda
dc.contributor.authorBIESSY, Carine
dc.contributor.authorVIALLON, Vivian
dc.contributor.authorGONCALVES-SOARES, Ana
dc.contributor.authorCASAGRANDE, Corinne
dc.contributor.authorHEMON, Bertrand
dc.contributor.authorKLIEMANN, Nathalie
dc.contributor.authorCAIRAT, Manon
dc.contributor.authorLOPEZ, Jessica Blanco
dc.contributor.authorNAHAS, Aline Al
dc.contributor.authorCHANG, Kiara
dc.contributor.authorVAMOS, Eszter
dc.contributor.authorRAUBER, Fernanda
dc.contributor.authorLEVY, Renata Bertazzi
dc.contributor.authorCUNHA, Diana Barbosa
dc.contributor.authorJAKSZYN, Paula
dc.contributor.authorFERRARI, Pietro
dc.contributor.authorVINEIS, Paolo
dc.contributor.authorMASALA, Giovanna
dc.contributor.authorCATALANO, Alberto
dc.contributor.authorSONESTEDT, Emily
dc.contributor.authorBORNE, Yan
dc.contributor.authorKATZKE, Verena
dc.contributor.authorBAJRACHARYA, Rashmita
dc.contributor.authorAGNOLI, Claudia
dc.contributor.authorGUEVARA, Marcela
dc.contributor.authorHEATH, Alicia
dc.contributor.authorRADOI, Loredana
dc.contributor.authorMANCINI, Francesca
dc.contributor.authorWEIDERPASS, Elisabete
dc.contributor.authorHUERTA, Jose Maria
dc.contributor.authorSANCHEZ, Maria-Jose
dc.contributor.authorTJONNELAND, Anne
dc.contributor.authorKYRO, Cecilie
dc.contributor.authorSCHULZE, Matthias B.
dc.contributor.authorSKEIE, Guri
dc.contributor.authorLUKIC, Marko
dc.contributor.authorBRAATEN, Tonje
dc.contributor.authorGUNTER, Marc
dc.contributor.authorMILLETT, Christopher
dc.contributor.authorAGUDO, Antonio
dc.contributor.authorBRENNAN, Paul
dc.contributor.authorBORGES, M. Carolina
dc.contributor.authorRICHMOND, Rebecca C.
dc.contributor.authorRICHARDSON, Tom G.
dc.contributor.authorSMITH, George Davey
dc.contributor.authorRELTON, Caroline L.
dc.contributor.authorHUYBRECHTS, Inge
dc.contributor.groupauthorEPIC Network
dc.date.accessioned2024-04-05T19:36:25Z
dc.date.available2024-04-05T19:36:25Z
dc.date.issued2024
dc.description.abstractPurposeTo investigate the role of adiposity in the associations between ultra-processed food (UPF) consumption and head and neck cancer (HNC) and oesophageal adenocarcinoma (OAC) in the European Prospective Investigation into Cancer and Nutrition (EPIC) cohort.MethodsOur study included 450,111 EPIC participants. We used Cox regressions to investigate the associations between the consumption of UPFs and HNC and OAC risk. A mediation analysis was performed to assess the role of body mass index (BMI) and waist-to-hip ratio (WHR) in these associations. In sensitivity analyses, we investigated accidental death as a negative control outcome.ResultsDuring a mean follow-up of 14.13 +/- 3.98 years, 910 and 215 participants developed HNC and OAC, respectively. A 10% g/d higher consumption of UPFs was associated with an increased risk of HNC (hazard ratio [HR] = 1.23, 95% confidence interval [CI] 1.14-1.34) and OAC (HR = 1.24, 95% CI 1.05-1.47). WHR mediated 5% (95% CI 3-10%) of the association between the consumption of UPFs and HNC risk, while BMI and WHR, respectively, mediated 13% (95% CI 6-53%) and 15% (95% CI 8-72%) of the association between the consumption of UPFs and OAC risk. UPF consumption was positively associated with accidental death in the negative control analysis.ConclusionsWe reaffirmed that higher UPF consumption is associated with greater risk of HNC and OAC in EPIC. The proportion mediated via adiposity was small. Further research is required to investigate other mechanisms that may be at play (if there is indeed any causal effect of UPF consumption on these cancers).eng
dc.description.indexMEDLINE
dc.description.indexPubMed
dc.description.indexScopus
dc.description.indexDimensions
dc.description.indexWoS
dc.description.sponsorshipWellcome Trust
dc.description.sponsorshipAsturias Government
dc.description.sponsorshipNational Institute for Public Health and the Environment (RIVM), Bilthoven in the Netherlands
dc.identifier.citationEUROPEAN JOURNAL OF NUTRITION, v.63, n.2, p.377-396, 2024
dc.identifier.doi10.1007/s00394-023-03270-1
dc.identifier.eissn1436-6215
dc.identifier.issn1436-6207
dc.identifier.urihttps://observatorio.fm.usp.br/handle/OPI/59092
dc.language.isoeng
dc.publisherSPRINGER HEIDELBERGeng
dc.relation.ispartofEuropean Journal of Nutrition
dc.rightsrestrictedAccesseng
dc.rights.holderCopyright SPRINGER HEIDELBERGeng
dc.subjectEpidemiologyeng
dc.subjectFood processingeng
dc.subjectNOVA classificationeng
dc.subjectOesophageal cancereng
dc.subjectHead and neck cancereng
dc.subjectAdiposityeng
dc.subjectMediation analysiseng
dc.subject.other24-hour diet recalleng
dc.subject.otherpooled analysiseng
dc.subject.othergastric adenocarcinomaeng
dc.subject.otherinternational headeng
dc.subject.otherurinary nitrogeneng
dc.subject.otherconsumptioneng
dc.subject.otherobesityeng
dc.subject.othervalidityeng
dc.subject.othervalidationeng
dc.subject.otherproteineng
dc.subject.wosNutrition & Dieteticseng
dc.titleUltra-processed foods, adiposity and risk of head and neck cancer and oesophageal adenocarcinoma in the European Prospective Investigation into Cancer and Nutrition study: a mediation analysiseng
dc.typearticleeng
dc.type.categoryoriginal articleeng
dc.type.versionpublishedVersioneng
dspace.entity.typePublication
hcfmusp.affiliation.countryItália
hcfmusp.affiliation.countryInglaterra
hcfmusp.affiliation.countryFrança
hcfmusp.affiliation.countryEspanha
hcfmusp.affiliation.countrySuécia
hcfmusp.affiliation.countryAlemanha
hcfmusp.affiliation.countryDinamarca
hcfmusp.affiliation.countryNoruega
hcfmusp.affiliation.countryPortugal
hcfmusp.affiliation.countryisogb
hcfmusp.affiliation.countryisofr
hcfmusp.affiliation.countryisoes
hcfmusp.affiliation.countryisoit
hcfmusp.affiliation.countryisose
hcfmusp.affiliation.countryisode
hcfmusp.affiliation.countryisodk
hcfmusp.affiliation.countryisono
hcfmusp.affiliation.countryisopt
hcfmusp.author.externalMORALES-BERSTEIN, Fernanda:Univ Bristol, MRC Integrat Epidemiol Unit, Bristol, Avon, England; Univ Bristol, Populat Hlth Sci, Bristol Med Sch, Bristol, Avon, England
hcfmusp.author.externalBIESSY, Carine:World Hlth Org, Nutr & Metab Branch, Int Agcy Res Canc, Lyon, France
hcfmusp.author.externalVIALLON, Vivian:World Hlth Org, Nutr & Metab Branch, Int Agcy Res Canc, Lyon, France
hcfmusp.author.externalGONCALVES-SOARES, Ana:Univ Bristol, MRC Integrat Epidemiol Unit, Bristol, Avon, England; Univ Bristol, Populat Hlth Sci, Bristol Med Sch, Bristol, Avon, England
hcfmusp.author.externalCASAGRANDE, Corinne:World Hlth Org, Nutr & Metab Branch, Int Agcy Res Canc, Lyon, France
hcfmusp.author.externalHEMON, Bertrand:World Hlth Org, Nutr & Metab Branch, Int Agcy Res Canc, Lyon, France
hcfmusp.author.externalKLIEMANN, Nathalie:World Hlth Org, Nutr & Metab Branch, Int Agcy Res Canc, Lyon, France; CEPON, Canc Res Ctr Santa Catarina, Florianopolis, SC, Brazil
hcfmusp.author.externalCAIRAT, Manon:World Hlth Org, Nutr & Metab Branch, Int Agcy Res Canc, Lyon, France; Paris Saclay Univ, UVSQ, Exposome Hered Canc & Hlth Team, Inserm,CESP U1018,Gustave Roussy, Villejuif, France
hcfmusp.author.externalLOPEZ, Jessica Blanco:World Hlth Org, Nutr & Metab Branch, Int Agcy Res Canc, Lyon, France
hcfmusp.author.externalNAHAS, Aline Al:World Hlth Org, Nutr & Metab Branch, Int Agcy Res Canc, Lyon, France
hcfmusp.author.externalCHANG, Kiara:Imperial Coll London, Publ Hlth Policy Evaluat Unit, Sch Publ Hlth, London, England
hcfmusp.author.externalVAMOS, Eszter:Imperial Coll London, Publ Hlth Policy Evaluat Unit, Sch Publ Hlth, London, England
hcfmusp.author.externalCUNHA, Diana Barbosa:Univ Estado Rio De Janeiro, Hesio Cordeiro Inst Social Med, Dept Epidemiol, Rio De Janeiro, RJ, Brazil
hcfmusp.author.externalJAKSZYN, Paula:Catalan Inst Oncol, Unit Nutr & Canc, Lhospitalet De Llobregat, Spain; Bellvitge Biomed Res Inst IDIBELL, Nutr & Canc Grp, Lhospitalet De Llobregat, Spain; Bellvitge Biomed Res Inst IDIBELL, Epidemiol Publ Hlth Canc Prevent & Palliat Care P, Lhospitalet De Llobregat, Spain; Ramon Llull Univ, Blanquerna Fac Hlth Sci, Barcelona, Spain
hcfmusp.author.externalFERRARI, Pietro:World Hlth Org, Nutr & Metab Branch, Int Agcy Res Canc, Lyon, France
hcfmusp.author.externalVINEIS, Paolo:Imperial Coll London, Sch Publ Hlth, MRC Ctr Environm & Hlth, Norfolk Pl, London W2 1PG, England; Italian Inst Technol, Genoa, Italy
hcfmusp.author.externalMASALA, Giovanna:Inst Canc Res Prevent & Clin Network ISPRO, Florence, Italy
hcfmusp.author.externalCATALANO, Alberto:Univ Turin, Ctr Biostat Epidemiol & Publ Hlth, Dept Clin & Biol Sci, I-10043 Orbassano, TO, Italy
hcfmusp.author.externalSONESTEDT, Emily:Lund Univ, Dept Clin Sci Malmo, Nutr Epidemiol, Fac Med, Lund, Sweden
hcfmusp.author.externalBORNE, Yan:Lund Univ, Dept Clin Sci Malmo, Nutr Epidemiol, Fac Med, Lund, Sweden
hcfmusp.author.externalKATZKE, Verena:German Canc Res Ctr, Dept Canc Epidemiol, Heidelberg, Germany
hcfmusp.author.externalBAJRACHARYA, Rashmita:German Canc Res Ctr, Dept Canc Epidemiol, Heidelberg, Germany
hcfmusp.author.externalAGNOLI, Claudia:Fdn IRCCS Ist Nazl Tumori, Epidemiol & Prevent Unit, Milan, Italy
hcfmusp.author.externalGUEVARA, Marcela:Inst Salud Publ & Laboral Navarra, Pamplona 31003, Spain; Ctr Invest Biomed Red Epidemiol & Salud Publ CIBE, Madrid 28029, Spain; Navarra Inst Hlth Res IdiSNA, Pamplona 31008, Spain
hcfmusp.author.externalHEATH, Alicia:Imperial Coll London, Sch Publ Hlth, Dept Epidemiol & Biostat, London, England
hcfmusp.author.externalRADOI, Loredana:Paris Saclay Univ, UVSQ, Exposome Hered Canc & Hlth Team, Inserm,CESP U1018,Gustave Roussy, Villejuif, France
hcfmusp.author.externalMANCINI, Francesca:Paris Saclay Univ, UVSQ, Exposome Hered Canc & Hlth Team, Inserm,CESP U1018,Gustave Roussy, Villejuif, France
hcfmusp.author.externalWEIDERPASS, Elisabete:World Hlth Org, Int Agcy Res Canc, Lyon, France
hcfmusp.author.externalHUERTA, Jose Maria:Murcia Reg Hlth Council IMIB Murcia, Dept Epidemiol, Murcia, Spain
hcfmusp.author.externalSANCHEZ, Maria-Jose:Ctr Invest Biomed Red Epidemiol & Salud Publ CIBE, Madrid 28029, Spain; EASP, Granada 18011, Spain; Inst Invest Biosanitaria Ibs GRANADA, Granada 18012, Spain; Univ Granada, Dept Prevent Med & Publ Hlth, Granada 18071, Spain
hcfmusp.author.externalTJONNELAND, Anne:Danish Canc Soc Res Ctr, Diet Canc & Hlth, Strandblvd 49, DK-2100 Copenhagen, Denmark; Univ Copenhagen, Dept Publ Hlth, DK-2200 Copenhagen, Denmark
hcfmusp.author.externalKYRO, Cecilie:Danish Canc Soc Res Ctr, Diet Canc & Hlth, Strandblvd 49, DK-2100 Copenhagen, Denmark
hcfmusp.author.externalSCHULZE, Matthias B.:German Inst Human Nutr Potsdam Rehbrucke, Dept Mol Epidemiol, Nuthetal, Germany; Univ Potsdam, Inst Nutr Sci, Nuthetal, Germany
hcfmusp.author.externalSKEIE, Guri:UiT Arctic Univ Norway, Dept Community Med, Fac Hlth Sci, Tromso, Norway
hcfmusp.author.externalLUKIC, Marko:UiT Arctic Univ Norway, Dept Community Med, Fac Hlth Sci, Tromso, Norway
hcfmusp.author.externalBRAATEN, Tonje:UiT Arctic Univ Norway, Dept Community Med, Fac Hlth Sci, Tromso, Norway
hcfmusp.author.externalGUNTER, Marc:World Hlth Org, Nutr & Metab Branch, Int Agcy Res Canc, Lyon, France
hcfmusp.author.externalMILLETT, Christopher:Imperial Coll London, Publ Hlth Policy Evaluat Unit, Sch Publ Hlth, London, England; NOVA Univ Lisbon, NOVA Natl Sch Publ Hlth, Publ Hlth Res Ctr, Comprehens Hlth Res Ctr, Lisbon, Portugal
hcfmusp.author.externalAGUDO, Antonio:Catalan Inst Oncol, Unit Nutr & Canc, Lhospitalet De Llobregat, Spain; Bellvitge Biomed Res Inst IDIBELL, Nutr & Canc Grp, Lhospitalet De Llobregat, Spain; Bellvitge Biomed Res Inst IDIBELL, Epidemiol Publ Hlth Canc Prevent & Palliat Care P, Lhospitalet De Llobregat, Spain
hcfmusp.author.externalBRENNAN, Paul:World Hlth Org, Genet Epidemiol Grp, Int Agcy Res Canc, Lyon, France
hcfmusp.author.externalBORGES, M. Carolina:Univ Bristol, MRC Integrat Epidemiol Unit, Bristol, Avon, England; Univ Bristol, Populat Hlth Sci, Bristol Med Sch, Bristol, Avon, England
hcfmusp.author.externalRICHMOND, Rebecca C.:Univ Bristol, MRC Integrat Epidemiol Unit, Bristol, Avon, England; Univ Bristol, Populat Hlth Sci, Bristol Med Sch, Bristol, Avon, England
hcfmusp.author.externalRICHARDSON, Tom G.:Univ Bristol, MRC Integrat Epidemiol Unit, Bristol, Avon, England; Univ Bristol, Populat Hlth Sci, Bristol Med Sch, Bristol, Avon, England
hcfmusp.author.externalSMITH, George Davey:Univ Bristol, MRC Integrat Epidemiol Unit, Bristol, Avon, England; Univ Bristol, Populat Hlth Sci, Bristol Med Sch, Bristol, Avon, England
hcfmusp.author.externalRELTON, Caroline L.:Univ Bristol, MRC Integrat Epidemiol Unit, Bristol, Avon, England; Univ Bristol, Populat Hlth Sci, Bristol Med Sch, Bristol, Avon, England
hcfmusp.author.externalHUYBRECHTS, Inge:World Hlth Org, Nutr & Metab Branch, Int Agcy Res Canc, Lyon, France
hcfmusp.citation.scopus3
hcfmusp.contributor.author-fmusphcFERNANDA RAUBER
hcfmusp.contributor.author-fmusphcRENATA BERTAZZI LEVY
hcfmusp.description.beginpage377
hcfmusp.description.endpage396
hcfmusp.description.issue2
hcfmusp.description.volume63
hcfmusp.origemWOS
hcfmusp.origem.dimensionspub.1166227492
hcfmusp.origem.pubmed37989797
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hcfmusp.origem.wosWOS:001107208700001
hcfmusp.publisher.cityHEIDELBERGeng
hcfmusp.publisher.countryGERMANYeng
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relation.isAuthorOfPublication.latestForDiscovery341b4e72-ba57-4b91-a384-ad5449bb48c8
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