RT Journal Article T1 Flavonoid and lignan intake and pancreatic cancer risk in the European prospective investigation into cancer and nutrition cohort. A1 Molina-Montes, Esther A1 Sanchez-Perez, Maria-Jose A1 Zamora-Ros, Raul A1 Bueno-de-Mesquita, H B As A1 Wark, Petra A A1 Obon-Santacana, Mireia A1 Kühn, Tilman A1 Katzke, Verena A1 Travis, Ruth C A1 Ye, Weimin A1 Sund, Malin A1 Naccarati, Alessio A1 Mattiello, Amalia A1 Krogh, Vittorio A1 Martorana, Caterina A1 Masala, Giovanna A1 Amiano, Pilar A1 Huerta, José-María A1 Barricarte, Aurelio A1 Quirós, José-Ramón A1 Weiderpass, Elisabete A1 Angell Åsli, Lene A1 Skeie, Guri A1 Ericson, Ulrika A1 Sonestedt, Emily A1 Peeters, Petra H A1 Romieu, Isabelle A1 Scalbert, Augustin A1 Overvad, Kim A1 Clemens, Matthias A1 Boeing, Heiner A1 Trichopoulou, Antonia A1 Peppa, Eleni A1 Vidalis, Pavlos A1 Khaw, Kay-Tee A1 Wareham, Nick A1 Olsen, Anja A1 Tjønneland, Anne A1 Boutroun-Rualt, Marie-Christine A1 Clavel-Chapelon, Françoise A1 Cross, Amanda J A1 Lu, Yunxia A1 Riboli, Elio A1 Duell, Eric J K1 cohort K1 diet K1 flavonoids K1 lignans K1 pancreatic cancer AB Despite the potential cancer preventive effects of flavonoids and lignans, their ability to reduce pancreatic cancer risk has not been demonstrated in epidemiological studies. Our aim was to examine the association between dietary intakes of flavonoids and lignans and pancreatic cancer risk in the European Prospective Investigation into Cancer and Nutrition (EPIC) cohort. A total of 865 exocrine pancreatic cancer cases occurred after 11.3 years of follow-up of 477,309 cohort members. Dietary flavonoid and lignan intake was estimated through validated dietary questionnaires and the US Department of Agriculture (USDA) and Phenol Explorer databases. Hazard ratios (HR) and 95% confidence intervals (CIs) were calculated using age, sex and center-stratified Cox proportional hazards models, adjusted for energy intake, body mass index (BMI), smoking, alcohol and diabetes status. Our results showed that neither overall dietary intake of flavonoids nor of lignans were associated with pancreatic cancer risk (multivariable-adjusted HR for a doubling of intake = 1.03, 95% CI: 0.95-1.11 and 1.02; 95% CI: 0.89-1.17, respectively). Statistically significant associations were also not observed by flavonoid subclasses. An inverse association between intake of flavanones and pancreatic cancer risk was apparent, without reaching statistical significance, in microscopically confirmed cases (HR for a doubling of intake = 0.96, 95% CI: 0.91-1.00). In conclusion, we did not observe an association between intake of flavonoids, flavonoid subclasses or lignans and pancreatic cancer risk in the EPIC cohort. YR 2016 FD 2016-06-10 LK http://hdl.handle.net/10668/10088 UL http://hdl.handle.net/10668/10088 LA en DS RISalud RD Apr 10, 2025