European Prospective Investigation into Cancer and Nutrition (EPIC): study populations and data collection
Open accessAbstract
The European Prospective Investigation into Cancer and Nutrition (EPIC) is an ongoing multi-centre prospective cohort study designed to investigate the relationship between nutrition and cancer, with the potential for studying other diseases as well. The study currently includes 519 978 participants (366 521 women and 153 457 men, mostly aged 35–70 years) in 23 centres located in 10 European countries, to be followed for cancer incidence and cause-specific mortality for several decades. At enrolment, which took place between 1992 and 2000 at each of the different centres, information was collected through a non-dietary questionnaire on lifestyle variables and through a dietary questionnaire addressing usual diet. Anthropometric measurements were performed and blood samples taken, from which plasma, serum, red cells and buffy coat fractions were separated and aliquoted for long-term storage, mostly in liquid nitrogen. To calibrate dietary measurements, a standardised, computer-assisted 24-hour dietary recall was implemented at each centre on stratified random samples of the participants, for a total of 36 900 subjects. EPIC represents the largest single resource available today world-wide for prospective investigations on the aetiology of cancers (and other diseases) that can integrate questionnaire data on lifestyle and diet, biomarkers of diet and of endogenous metabolism (e.g. hormones and growth factors) and genetic polymorphisms. First results of case–control studies nested within the cohort are expected early in 2003. The present paper provides a description of the EPIC study, with the aim of simplifying reference to it in future papers reporting substantive or methodological studies carried out in the EPIC cohort.
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Large population-based cohorts such as UKCTOCS and EPIC contain patient samples that precede diagnosis of pancreatic ductal adenocarcinoma, but crucial information such as family history and comorbidity data are not consistently available.
“Although large population-based cohorts that have recruited healthy individuals (such as UKCTOCS72 and EPIC73) contain patient samples that precede diagnosis of pancreatic ductal adenocarcinoma, crucial information—such as family history and comorbidity data, including the presence of chronic pancreatitis or diabetes—are not consistently available.”
From Early detection of pancreatic cancer (2020) · cites this paper as [73]
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- Authors
- Riboli, E., Hunt, K., Slimani, N., Ferrari, P., Norat, T., Fahey, M., Charrondière, U., Hémon, B., Casagrande, C., Vignat, J., Overvad, K., Tjønneland, A., Clavel-Chapelon, F., Thiébaut, A., Wahrendorf, J., Boeing, H., Trichopoulos, D., Trichopoulou, A., Vineis, P., Palli, D., Bueno-de-Mesquita, H., Peeters, P., Lund, E., Engeset, D., González, C., Barricarte, A., Berglund, G., Hallmans, G., Day, N., Key, T., Kaaks, R., & Saracci, R.
- Affiliations
- Centre international de recherche sur le cancer (FR)
- Aarhus University (DK)
- Danish Cancer Society (DK)
- Inserm (FR)
- German Cancer Research Center (DE)
- German Institute of Human Nutrition (DE)
- Harvard University (US)
- National and Kapodistrian University of Athens (GR)
- University of Turin (IT)
- National Institute for Public Health and the Environment (NL)
- UiT The Arctic University of Norway (NO)
- Instituto de Salud Pública de Navarra (ES)
- Lund University (SE)
- University Hospital of Umeå (SE)
- University of Cambridge (GB)
- Cancer Research UK (GB)
- Istituto di Fisiologia Clinica (IT)
- ORCID
- Venue
- Public Health Nutrition
- Publisher
- Cambridge University Press (CUP)
- Published
- 2002-12
- Volume
- 5
- Issue
- 6b
- Pages
- 1113-1124
- ISSN
- 1368-9800 (ISSN-L)
- 1475-2727
- OpenAlex
- W2157043395
- Cited by
- 1,866
- References
- 38
- Citations by year
- 2026: 61 · 2025: 89 · 2024: 75 · 2023: 97 · 2022: 93 · 2021: 102 · 2020: 97 · 2019: 85 · 2018: 84 · 2017: 70 · 2016: 81 · 2015: 102 · 2014: 107 · 2013: 93 · 2012: 107
- FWCI
- 34.86
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Public Health Nutrition (publishedVersion)
- PubMed (publishedVersion)
- Lund University Publications (Lund University) (submittedVersion)
- Swinburne figshare (Swinburne University of Technology) (submittedVersion)
- Rivm Repository (Netherlands National Institute for Public Health and the Environment) (submittedVersion)
- INFM-OAR (INFN Catania) (submittedVersion, other-oa)
- Funders
- Wellcome Trust
- Cancer Research UK
- British Heart Foundation
- Institut National de la Santé et de la Recherche Médicale
- Bundesministerium für Bildung und Forschung
- Cancerfonden
- Ligue Contre le Cancer
- Norges Forskningsråd
- Deutsche Krebshilfe
- Institut Gustave-Roussy
- Medical Research Council
- World Cancer Research Fund
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Nutritional Studies and Diet
- Health Sciences › Medicine › Oncology › Cancer Risks and Factors
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Nutrition, Genetics, and Disease
- Keywords
- EPIC cohort, nutrition and cancer, cancer incidence, cancer mortality, dietary assessment, 24-hour dietary recall, dietary biomarkers, endogenous hormones, genetic polymorphism, lifestyle factors, anthropometry, blood sample storage
- MeSH terms
- Adult, Aged, Anthropometry, Diet Surveys, Europe, Female, Humans, Life Style, Male, Middle Aged, Neoplasms, Nutritional Physiological Phenomena, Population Surveillance, Prospective Studies, Surveys and Questionnaires, Registries
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