RT Journal Article T1 Dietary flavonoid intake and colorectal cancer risk in the European prospective investigation into cancer and nutrition (EPIC) cohort. A1 Zamora-Ros, Raul A1 Barupal, Dinesh K A1 Rothwell, Joseph A A1 Jenab, Mazda A1 Fedirko, Veronika A1 Romieu, Isabelle A1 Aleksandrova, Krasimira A1 Overvad, Kim A1 Kyrø, Cecilie A1 Tjønneland, Anne A1 Affret, Aurélie A1 His, Mathilde A1 Boutron-Ruault, Marie-Christine A1 Katzke, Verena A1 Kühn, Tilman A1 Boeing, Heiner A1 Trichopoulou, Antonia A1 Naska, Androniki A1 Kritikou, Maria A1 Saieva, Calogero A1 Agnoli, Claudia A1 Santucci de Magistris, Maria A1 Tumino, Rosario A1 Fasanelli, Francesca A1 Weiderpass, Elisabete A1 Skeie, Guri A1 Merino, Susana A1 Jakszyn, Paula A1 Sanchez-Perez, Maria-Jose A1 Dorronsoro, Miren A1 Navarro, Carmen A1 Ardanaz, Eva A1 Sonestedt, Emily A1 Ericson, Ulrika A1 Maria Nilsson, Lena A1 Bodén, Stina A1 Bueno-de-Mesquita, H B As A1 Peeters, Petra H A1 Perez-Cornago, Aurora A1 Wareham, Nicholas J A1 Khaw, Kay-Thee A1 Freisling, Heinz A1 Cross, Amanda J A1 Riboli, Elio A1 Scalbert, Augustin K1 EPIC K1 colorectal cancer K1 diet K1 flavonoids K1 prospective cohort AB Flavonoids have been shown to inhibit colon cancer cell proliferation in vitro and protect against colorectal carcinogenesis in animal models. However, epidemiological evidence on the potential role of flavonoid intake in colorectal cancer (CRC) development remains sparse and inconsistent. We evaluated the association between dietary intakes of total flavonoids and their subclasses and risk of development of CRC, within the European Prospective Investigation into Cancer and Nutrition (EPIC) study. A cohort of 477,312 adult men and women were recruited in 10 European countries. At baseline, dietary intakes of total flavonoids and individual subclasses were estimated using centre-specific validated dietary questionnaires and composition data from the Phenol-Explorer database. During an average of 11 years of follow-up, 4,517 new cases of primary CRC were identified, of which 2,869 were colon (proximal = 1,298 and distal = 1,266) and 1,648 rectal tumours. No association was found between total flavonoid intake and the risk of overall CRC (HR for comparison of extreme quintiles 1.05, 95% CI 0.93-1.18; p-trend = 0.58) or any CRC subtype. No association was also observed with any intake of individual flavonoid subclasses. Similar results were observed for flavonoid intake expressed as glycosides or aglycone equivalents. Intake of total flavonoids and flavonoid subclasses, as estimated from dietary questionnaires, did not show any association with risk of CRC development. YR 2017 FD 2017-01-19 LK http://hdl.handle.net/10668/10710 UL http://hdl.handle.net/10668/10710 LA en DS RISalud RD Apr 6, 2025