A cohort study of adolescent and midlife diet and pancreatic cancer risk in the NIH-AARP Diet and Health Study
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Given the long latency period of pancreatic cancer, exploring the influence of early and midlife exposures will further advance our understanding of the disease. We assessed associations between diet and pancreatic cancer incidence in the National Institutes of Health (NIH)-AARP (formerly American Association of Retired Persons) Diet and Health Study. In 1996, a total of 303,094 participants completed 2 food frequency questionnaires that assessed diet at ages 12-13 years and 10 years previously. We used Cox proportional hazards regression to estimate adjusted hazard ratios and 95% confidence intervals. Through the end of 2006, a total of 1,322 pancreatic cancer cases occurred (average follow up time = 10.1 years). When comparing the highest tertiles with the lowest, carbohydrate intake during adolescence (hazard ratio (HR) = 0.87, 95% confidence interval (CI): 0.76, 0.99), but not 10 years before baseline, was inversely associated with pancreatic cancer risk. Total fat intake 10 years before baseline was significantly associated with increased risk (HR = 1.17, 95% CI: 1.02, 1.34), while risk was higher for high fat intake during both adolescence and midlife. Calcium intake 10 years before baseline was associated with reduced risk (HR = 0.87, 95% CI: 0.76, 0.99), as was a change from low intake in adolescence to high intake in midlife (HR = 0.71, 95% CI: 0.54, 0.93). Our study found a number of dietary factors present during adolescence and midlife to be associated with pancreatic cancer.
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High-fat diets have particularly been related to increased risk of colorectal, pancreatic, breast, lung, and prostate cancer.
“High-fat diets for instance have particularly been related to increased risk of colorectal (188), pancreatic (189), breast (190), lung (191), and prostate cancer (192).”
From Metabolic Flexibility as an Adaptation to Energy Resources and Requirements in Health and Disease (2018) · cites this paper as [189]
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- Authors
- Gordon-Dseagu, V. L. Z., Thompson, F. E., Subar, A. F., Ruder, E. H., Thiébaut, A. C. M., Potischman, N., & Stolzenberg-Solomon, R.
- Affiliations
- National Cancer Institute (US)
- Corresponding author
- Gordon-Dseagu, Vanessa L. Z.
- Venue
- American Journal of Epidemiology
- Publisher
- Oxford University Press (OUP)
- Published
- 2017-04-28
- Volume
- 186
- Issue
- 3
- Pages
- 305-317
- ISSN
- 0002-9262 (ISSN-L)
- 1476-6256
- PMC
- PMC5860311
- OpenAlex
- W2609095544
- Cited by
- 29
- References
- 64
- Citations by year
- 2026: 2 · 2025: 4 · 2024: 3 · 2023: 2 · 2022: 3 · 2021: 9 · 2020: 3 · 2019: 1 · 2018: 2
- FWCI
- 0.72
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- public-domain
- Locations
- American Journal of Epidemiology (publishedVersion, public-domain)
- PubMed Central (publishedVersion, public-domain)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health
- National Cancer Institute
- Intramural Research Program of the National Institutes of Health, Division of Cancer Epidemiology and Genetics, National Cancer Institute
- Topics
- Health Sciences › Medicine › Oncology › Pancreatic and Hepatic Oncology Research
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Nutritional Studies and Diet
- Health Sciences › Medicine › Oncology › Cancer Risks and Factors
- Keywords
- pancreatic cancer, diet, adolescent diet, carbohydrate intake, dietary fat intake, calcium intake, dietary change, cancer risk, NIH-AARP Diet and Health Study
- MeSH terms
- Adolescent, Aged, Child, Diet, Diet Surveys, Dietary Fats, Female, Humans, Male, Middle Aged, Pancreatic Neoplasms, Surveys and Questionnaires, Risk Factors, Cohort Studies, Incidence, Proportional Hazards Models
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
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