RT Generic T1 Evidence Update on the Relationship between Diet and the Most Common Cancers from the European Prospective Investigation into Cancer and Nutrition (EPIC) Study: A Systematic Review A1 Ubago-Guisado, Esther A1 Rodriguez-Barranco, Miguel A1 Ching-Lopez, Ana A1 Petrova, Dafina A1 Molina-Montes, Esther A1 Amiano, Pilar A1 Barricarte-Gurrea, Aurelio A1 Chirlaque, Maria-Dolores A1 Agudo, Antonio A1 Sanchez, Maria-Jose K1 colorectal cancer K1 breast cancer K1 lung cancer K1 prostate cancer K1 intake K1 alcohol K1 fruits K1 vegetables K1 meat K1 fish K1 Defined breast-cancer K1 Vitamin-k intake K1 Prostate-cancer K1 Colorectal-cancer K1 Lung-cancer K1 Alcohol intake K1 Fatty-acids K1 Heidelberg cohort K1 Fiber intake K1 Life-style AB The European Prospective Investigation into Cancer and Nutrition (EPIC) is a multicentre prospective study conducted in 23 centres in 10 European countries. Here we review the findings from EPIC on the relationship between diet-related exposures and incidence or mortality from the four most frequent cancers in the European population: colorectal, breast, lung, and prostate cancer. We conducted a systematic review following PRISMA guidelines and identified 110 high-quality studies based on the EPIC cohort. Fruit and vegetable consumption had a protective effect against colorectal, breast, and lung cancer, whereas only fruit had a protective effect against prostate cancer. A higher consumption of fish and lower consumption of red and processed meat were related with a lower risk of colorectal cancer; and higher consumption of fatty fish with lower risk of breast cancer. Calcium and yogurt intake were found to protect against colorectal and prostate cancer. Alcohol consumption increased the risk for colorectal and breast cancer. Finally, adherence to the Mediterranean diet emerged as a protective factor for colorectal and breast cancer. The EPIC study results are in agreement with the latest evidence from leading authorities on cancer prevention and help to inform public prevention policies and strategies. PB Mdpi YR 2021 FD 2021-10-01 LK https://hdl.handle.net/10668/24685 UL https://hdl.handle.net/10668/24685 LA en DS RISalud RD Apr 10, 2025