RT Journal Article T1 Inflammatory potential of diet and risk of lymphoma in the European Prospective Investigation into Cancer and Nutrition. A1 Solans, Marta A1 Benavente, Yolanda A1 Saez, Marc A1 Agudo, Antonio A1 Jakszyn, Paula A1 Naudin, Sabine A1 Hosnijeh, Fatemeh Saberi A1 Gunter, Marc A1 Huybrechts, Inge A1 Ferrari, Pietro A1 Besson, Caroline A1 Mahamat-Saleh, Yahya A1 Boutron-Ruault, Marie-Christine A1 Kühn, Tilman A1 Kaaks, Rudolf A1 Boeing, Heiner A1 Lasheras, Cristina A1 Sanchez-Perez, Maria-Jose A1 Amiano, Pilar A1 Chirlaque, Maria Dolores A1 Ardanaz, Eva A1 Schmidt, Julie A A1 Vineis, Paolo A1 Riboli, Elio A1 Trichopoulou, Antonia A1 Karakatsani, Anna A1 Valanou, Elisavet A1 Masala, Giovanna A1 Agnoli, Claudia A1 Tumino, Rosario A1 Sacerdote, Carlotta A1 Mattiello, Amalia A1 Skeie, Guri A1 Weiderpass, Elisabete A1 Jerkeman, Mats A1 Dias, Joana Alves A1 Späth, Florentin A1 Nilsson, Lena Maria A1 Dahm, Christina C A1 Overvad, Kim A1 Petersen, Kristina Elin Nielsen A1 Tjønneland, Anne A1 de Sanjose, Silvia A1 Vermeulen, Roel A1 Nieters, Alexandra A1 Casabonne, Delphine K1 Chronic inflammation K1 Inflammatory score of the diet K1 Lymphoma K1 Nutrition K1 Prospective studies AB Chronic inflammation plays a critical role in lymphomagenesis and several dietary factors seem to be involved its regulation. The aim of the current study was to assess the association between the inflammatory potential of the diet and the risk of lymphoma and its subtypes in the European Investigation into Cancer and Nutrition (EPIC) study. The analysis included 476,160 subjects with an average follow-up of 13.9 years, during which 3,136 lymphomas (135 Hodgkin lymphoma (HL), 2606 non-Hodgkin lymphoma (NHL) and 395 NOS) were identified. The dietary inflammatory potential was assessed by means of an inflammatory score of the diet (ISD), calculated using 28 dietary components and their corresponding inflammatory weights. The association between the ISD and lymphoma risk was estimated by hazard ratios (HR) and 95% confidence intervals (CI) calculated by multivariable Cox regression models adjusted for potential confounders. The ISD was not associated with overall lymphoma risk. Among lymphoma subtypes, a positive association between the ISD and mature B-cell NHL (HR for a 1-SD increase: 1.07 (95% CI 1.01; 1.14), p trend = 0.03) was observed. No statistically significant association was found among other subtypes. However, albeit with smaller number of cases, a suggestive association was observed for HL (HR for a 1-SD increase = 1.22 (95% CI 0.94; 1.57), p trend 0.13). Our findings suggested that a high ISD score, reflecting a pro-inflammatory diet, was modestly positively associated with the risk of B-cell lymphoma subtypes. Further large prospective studies on low-grade inflammation induced by diet are warranted to confirm these findings. PB Springer Medizin YR 2019 FD 2019-03-11 LK http://hdl.handle.net/10668/13751 UL http://hdl.handle.net/10668/13751 LA en NO Solans M, Benavente Y, Saez M, Agudo A, Jakszyn P, Naudin S, et al. Inflammatory potential of diet and risk of lymphoma in the European Prospective Investigation into Cancer and Nutrition. Eur J Nutr. 2020 Mar;59(2):813-823. NO uropean Commission (DG-SANCO), International Agency for Research on Cancer, Danish Cancer Society (Denmark), Ligue Contre le Cancer, Institut Gustave Roussy, Mutuelle Generale de l’Education Nationale, Institut National de la Sante et de la Recherche Medicale (INSERM) (France), German Cancer Aid, German Cancer Research Center (DKFZ), Federal Ministry of Education and Research (BMBF), Deutsche Krebshilfe, Deutsches Krebsforschungszentrum and Federal Ministry of Education and Research (Germany), the Hellenic Health Foundation (Greece), Associazione Italiana per la Ricerca sul Cancro-AIRC-Italy and National Research Council (Italy), Dutch Ministry of Public Health, Welfare and Sports (VWS), Netherlands Cancer Registry (NKR), LK Research Funds, Dutch Prevention Funds, Dutch ZON (Zorg Onderzoek Nederland), World Cancer Research Fund (WCRF), Statistics Netherlands (The Netherlands); German Federal Ministry of Education and Research (BMBF 01EO1303); Grant sponsor: Spanish Ministry of Economy and Competitiveness-Carlos III Institute of Health cofunded by FEDER funds/European Regional Development Fund (ERDF)—a way to build Europe, Grant numbers: [PI13/00061 (to Granada), PI13/01162 (to EPIC-Murcia, Regional Governments of Andalucıa, Asturias, Basque Country, Murcia and Navarra), PI17/01280 and PI14/01219 (to Barcelona), Centro de Investigación Biomédica en Red: Epidemiología y Salud Pública (CIBERESP, Spain)]; Grant sponsor: Agència de Gestió d’Ajuts Universitaris i de Recerca (AGAUR), CERCA Programme / Generalitat de Catalunya for institutional support; Grant number (2017SGR1085); Grant sponsors: Swedish Cancer Society, Swedish Research Council and County Councils of Skåne and Vasterbotten (Sweden) and Cancer Research UK; Grant numbers: 14136 (to EPIC-Norfolk), C570/A16491 and C8221/A19170 (to EPIC-Oxford); Grant sponsor: Medical Research Council; Grant numbers: 1000143 (to EPIC-Norfolk), MR/M012190/1 (to EPIC-Oxford, UK). DS RISalud RD Apr 7, 2025