RT Journal Article T1 Circulating concentrations of vitamin D in relation to pancreatic cancer risk in European populations. A1 van Duijnhoven, Fränzel J B A1 Jenab, Mazda A1 Hveem, Kristian A1 Siersema, Peter D A1 Fedirko, Veronika A1 Duell, Eric J A1 Kampman, Ellen A1 Halfweeg, Anouk A1 van Kranen, Henk J A1 van den Ouweland, Jody M W A1 Weiderpass, Elisabete A1 Murphy, Neil A1 Langhammer, Arnulf A1 Ness-Jensen, Eivind A1 Olsen, Anja A1 Tjønneland, Anne A1 Overvad, Kim A1 Cadeau, Claire A1 Kvaskoff, Marina A1 Boutron-Ruault, Marie-Christine A1 Katzke, Verena A A1 Kühn, Tilman A1 Boeing, Heiner A1 Trichopoulou, Antonia A1 Kotanidou, Anastasia A1 Kritikou, Maria A1 Palli, Domenico A1 Agnoli, Claudia A1 Tumino, Rosario A1 Panico, Salvatore A1 Matullo, Giuseppe A1 Peeters, Petra A1 Brustad, Magritt A1 Olsen, Karina Standahl A1 Lasheras, Cristina A1 Obón-Santacana, Mireia A1 Sanchez-Perez, Maria-Jose A1 Dorronsoro, Miren A1 Chirlaque, Maria-Dolores A1 Barricarte, Aurelio A1 Manjer, Jonas A1 Almquist, Martin A1 Renström, Frida A1 Ye, Weimin A1 Wareham, Nick A1 Khaw, Kay-Tee A1 Bradbury, Kathryn E A1 Freisling, Heinz A1 Aune, Dagfinn A1 Norat, Teresa A1 Riboli, Elio A1 Bueno-de-Mesquita, H B As K1 cancer epidemiology K1 nested case-control study K1 pancreatic cancer K1 vitamin D AB Evidence from in vivo, in vitro and ecological studies are suggestive of a protective effect of vitamin D against pancreatic cancer (PC). However, this has not been confirmed by analytical epidemiological studies. We aimed to examine the association between pre-diagnostic circulating vitamin D concentrations and PC incidence in European populations. We conducted a pooled nested case-control study within the European Prospective Investigation into Cancer and Nutrition (EPIC) and the Nord-Trøndelag Health Study's second survey (HUNT2) cohorts. In total, 738 primary incident PC cases (EPIC n = 626; HUNT2 n = 112; median follow-up = 6.9 years) were matched to 738 controls. Vitamin D [25(OH)D2 and 25(OH)D3 combined] concentrations were determined using isotope-dilution liquid chromatography-tandem mass spectrometry. Conditional logistic regression models with adjustments for body mass index and smoking habits were used to estimate incidence rate ratios (IRRs) and 95% confidence intervals (95%CI). Compared with a reference category of >50 to 75 nmol/L vitamin D, the IRRs (95% CIs) were 0.71 (0.42-1.20); 0.94 (0.72-1.22); 1.12 (0.82-1.53) and 1.26 (0.79-2.01) for clinically pre-defined categories of ≤25; >25 to 50; >75 to 100; and >100 nmol/L vitamin D, respectively (p for trend = 0.09). Corresponding analyses by quintiles of season-standardized vitamin D concentrations also did not reveal associations with PC risk (p for trend = 0.23). Although these findings among participants from the largest combination of European cohort studies to date show increasing effect estimates of PC risk with increasing pre-diagnostic concentrations of vitamin D, they are not statistically significant. YR 2017 FD 2017-11-22 LK http://hdl.handle.net/10668/11778 UL http://hdl.handle.net/10668/11778 LA en DS RISalud RD Apr 17, 2025