Sweetened beverages are associated with a higher risk of differentiated thyroid cancer in the EPIC cohort: a dietary pattern approach

Research output: Contribution to journalJournal articleResearchpeer-review

  • Raul Zamora-Ros
  • Valerie Cayssials
  • Ramon Cleries
  • Maria Torrents
  • Graham Byrnes
  • Elisabete Weiderpass
  • Maria Sandstrom
  • Martin Almquist
  • Marie-Christine Boutron-Ruault
  • Cecilie Kyro
  • Verena A. Katzke
  • Charlotte Le Cornet
  • Giovanna Masala
  • Vittorio Krogh
  • Gabriella Iannuzzo
  • Rosario Tumino
  • Lorenzo Milani
  • Guri Skeie
  • Esther Ubago-Guisado
  • Pilar Amiano
  • Maria-Dolores Chirlaque
  • Eva Ardanaz
  • Suzanne Janzi
  • Linda Eriksson
  • Heinz Freisling
  • Alicia K. Heath
  • Sabina Rinaldi
  • Antonio Agudo

Background Dietary pattern analysis has gained particular interest, because it reflects the complexity of dietary intake. The aim of this study was to explore the associations between a posteriori dietary patterns, derived using a data-driven approach, and the risk of differentiated thyroid cancer (TC) in Europe. Methods This investigation included 450,064 adults from the European Prospective Investigation into Cancer and Nutrition (EPIC) cohort. Dietary intake was assessed using validated country-specific dietary questionnaires. A posteriori dietary patterns were computed using principal component analyses. Cox regression was used to calculate multivariable adjusted hazard ratios (HRs) and 95% confidence intervals (CIs). Results After a mean follow-up time of 14 years, 712 first differentiated TCs were diagnosed. In the fully adjusted model, a dietary pattern characterized by alcohol consumption (basically beer and wine) was negatively associated with differentiated TC risk (HRQ4vs.Q1 = 0.75; 95% CI:0.60-0.94, P-trend = 0.005), while a dietary pattern rich in sweetened beverages was positively associated with differentiated TC risk (HRQ4vs.Q1 = 1.26; 95% CI:0.99-1.61; P-trend = 0.07). The remaining 8 dietary patterns were not related to differentiated TC risk. The intake of sweetened beverages was positively associated with differentiated TC risk (HR100mL/d = 1.05; 95% CI:1.00-1.11), especially with papillary TC risk (HR100mL/d = 1.07; 95% CI:1.01-1.13). Similar results were observed with sugary and artificially sweetened beverages. Conclusions The investigation of dietary patterns detected that the consumption of sweetened beverages was associated with a higher risk of differentiated thyroid cancer. Our results are in line with the general dietary recommendations of reducing the consumption of sweetened beverages.

Original languageEnglish
JournalEuropean Journal of Nutrition
Volume62
Pages (from-to)105-114
Number of pages10
ISSN1436-6207
DOIs
Publication statusPublished - 2023

    Research areas

  • Sweetened beverages, Dietary pattern, Intake, Thyroid cancer, EPIC, CARDIOMETABOLIC HEALTH, CARCINOMA, CONSUMPTION

ID: 315761349