RT Journal Article T1 Lifetime and baseline alcohol intakes and risk of pancreatic cancer in the European Prospective Investigation into Cancer and Nutrition study. A1 Naudin, Sabine A1 Li, Kuanrong A1 Jaouen, Tristan A1 Assi, Nada A1 Kyrø, Cecilie A1 Tjønneland, Anne A1 Overvad, Kim A1 Boutron-Ruault, Marie-Christine A1 Rebours, Vinciane A1 Védié, Anne-Laure A1 Boeing, Heiner A1 Kaaks, Rudolf A1 Katzke, Verena A1 Bamia, Christina A1 Naska, Androniki A1 Trichopoulou, Antonia A1 Berrino, Franco A1 Tagliabue, Giovanna A1 Palli, Domenico A1 Panico, Salvatore A1 Tumino, Rosario A1 Sacerdote, Carlotta A1 Peeters, Petra H A1 Bueno-de-Mesquita, H B As A1 Weiderpass, Elisabete A1 Gram, Inger Torhild A1 Skeie, Guri A1 Chirlaque, Maria-Dolores A1 Rodriguez-Barranco, Miguel A1 Barricarte, Aurelio A1 Quiros, Jose Ramon A1 Dorronsoro, Miren A1 Johansson, Ingegerd A1 Sund, Malin A1 Sternby, Hanna A1 Bradbury, Kathryn E A1 Wareham, Nick A1 Riboli, Elio A1 Gunter, Marc A1 Brennan, Paul A1 Duell, Eric J A1 Ferrari, Pietro K1 Pancreatic Neoplasms K1 Risk Factors K1 Adult K1 Alcoholism K1 Dose-Response Relationship, Drug K1 Humans AB Recent evidence suggested a weak relationship between alcohol consumption and pancreatic cancer (PC) risk. In our study, the association between lifetime and baseline alcohol intakes and the risk of PC was evaluated, including the type of alcoholic beverages and potential interaction with smoking. Within the European Prospective Investigation into Cancer and Nutrition (EPIC) study, 1,283 incident PC (57% women) were diagnosed from 476,106 cancer-free participants, followed up for 14 years. Amounts of lifetime and baseline alcohol were estimated through lifestyle and dietary questionnaires, respectively. Cox proportional hazard models with age as primary time variable were used to estimate PC hazard ratios (HR) and their 95% confidence interval (CI). Alcohol intake was positively associated with PC risk in men. Associations were mainly driven by extreme alcohol levels, with HRs comparing heavy drinkers (>60 g/day) to the reference category (0.1-4.9 g/day) equal to 1.77 (95% CI: 1.06, 2.95) and 1.63 (95% CI: 1.16, 2.29) for lifetime and baseline alcohol, respectively. Baseline alcohol intakes from beer (>40 g/day) and spirits/liquors (>10 g/day) showed HRs equal to 1.58 (95% CI: 1.07, 2.34) and 1.41 (95% CI: 1.03, 1.94), respectively, compared to the reference category (0.1-2.9 g/day). In women, HR estimates did not reach statistically significance. The alcohol and PC risk association was not modified by smoking status. Findings from a large prospective study suggest that baseline and lifetime alcohol intakes were positively associated with PC risk, with more apparent risk estimates for beer and spirits/liquors than wine intake. PB John Wiley & Sons, Inc. YR 2018 FD 2018-03-09 LK http://hdl.handle.net/10668/12225 UL http://hdl.handle.net/10668/12225 LA en NO Naudin S, Li K, Jaouen T, Assi N, Kyrø C, Tjønneland A, et al. Lifetime and baseline alcohol intakes and risk of pancreatic cancer in the European Prospective Investigation into Cancer and Nutrition study. Int J Cancer. 2018 Aug 15;143(4):801-812. DS RISalud RD Apr 11, 2025