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Main nutrient patterns and colorectal cancer risk in the European Prospective Investigation into Cancer and Nutrition study

  • Aurélie Moskal
  • Heinz Freisling
  • Graham Byrnes
  • Nada Assi
  • Michael T. Fahey
  • Mazda Jenab
  • Pietro Ferrari
  • Anne Tjønneland
  • Kristina E N Petersen
  • Christina C. Dahm
  • Camilla Plambeck Hansen
  • Aurélie Affret
  • Marie Christine Boutron-Ruault
  • Claire Cadeau
  • Tilman Kühn
  • Verena Katzke
  • Khalid Iqbal
  • Heiner Boeing
  • Antonia Trichopoulou
  • Christina Bamia
  • Androniki Naska
  • Giovanna Masala
  • Maria Santucci De Magistris
  • Sabina Sieri
  • Rosario Tumino
  • Carlotta Sacerdote
  • Petra H. Peeters
  • Bas H. Bueno-De-Mesquita
  • Dagrun Engeset
  • Idlir Licaj
  • Guri Skeie
  • Eva Ardanaz
  • Genevieve Buckland
  • José M Huerta Castaño
  • José R. Quirós
  • Pilar Amiano
  • Elena Molina-Portillo
  • Anna Winkvist
  • Robin Myte
  • Ulrika Ericson
  • Emily Sonestedt
  • Aurora Perez-Cornago
  • Nick Wareham
  • Kay Tee Khaw
  • Inge Huybrechts
  • Konstantinos K. Tsilidis
  • Heather Ward
  • Marc J. Gunter
  • Nadia Slimani
Publishing year: 2016-11-22
Language: English
Pages: 1430-1440
Publication/Series: British Journal of Cancer
Volume: 115
Issue: 11
Document type: Journal article
Publisher: Nature Publishing Group

Abstract english

Background:Much of the current literature on diet-colorectal cancer (CRC) associations focused on studies of single foods/nutrients, whereas less is known about nutrient patterns. We investigated the association between major nutrient patterns and CRC risk in participants of the European Prospective Investigation into Cancer and Nutrition (EPIC) study.Methods:Among 477 312 participants, intakes of 23 nutrients were estimated from validated dietary questionnaires. Using results from a previous principal component (PC) analysis, four major nutrient patterns were identified. Hazard ratios (HRs) and 95% confidence intervals (CIs) were computed for the association of each of the four patterns and CRC incidence using multivariate Cox proportional hazards models with adjustment for established CRC risk factors.Results:During an average of 11 years of follow-up, 4517 incident cases of CRC were documented. A nutrient pattern characterised by high intakes of vitamins and minerals was inversely associated with CRC (HR per 1 s.d.=0.94, 95% CI: 0.92-0.98) as was a pattern characterised by total protein, riboflavin, phosphorus and calcium (HR (1 s.d.)=0.96, 95% CI: 0.93-0.99). The remaining two patterns were not significantly associated with CRC risk.Conclusions:Analysing nutrient patterns may improve our understanding of how groups of nutrients relate to CRC.


  • Cancer and Oncology
  • Nutrition and Dietetics


  • Diabetes - Cardiovascular Disease
  • ISSN: 0007-0920
Emily Sonestedt
E-mail: emily [dot] sonestedt [at] med [dot] lu [dot] se

Associate senior lecturer

Nutrition Epidemiology

+46 40 39 13 25

+46 73 700 71 45


Jan Waldenströms gata 35, CRC 60:13, Malmö


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