RT Journal Article T1 Nutrient-wide association study of 92 foods and nutrients and breast cancer risk. A1 Heath, Alicia K A1 Muller, David C A1 van den Brandt, Piet A A1 Papadimitriou, Nikos A1 Critselis, Elena A1 Gunter, Marc A1 Vineis, Paolo A1 Weiderpass, Elisabete A1 Fagherazzi, Guy A1 Boeing, Heiner A1 Ferrari, Pietro A1 Olsen, Anja A1 Tjønneland, Anne A1 Arveux, Patrick A1 Boutron-Ruault, Marie-Christine A1 Mancini, Francesca Romana A1 Kühn, Tilman A1 Turzanski-Fortner, Renée A1 Schulze, Matthias B A1 Karakatsani, Anna A1 Thriskos, Paschalis A1 Trichopoulou, Antonia A1 Masala, Giovanna A1 Contiero, Paolo A1 Ricceri, Fulvio A1 Panico, Salvatore A1 Bueno-de-Mesquita, Bas A1 Bakker, Marije F A1 van Gils, Carla H A1 Olsen, Karina Standahl A1 Skeie, Guri A1 Lasheras, Cristina A1 Agudo, Antonio A1 Rodríguez-Barranco, Miguel A1 Sanchez-Perez, Maria-Jose A1 Amiano, Pilar A1 Chirlaque, María-Dolores A1 Barricarte, Aurelio A1 Drake, Isabel A1 Ericson, Ulrika A1 Johansson, Ingegerd A1 Winkvist, Anna A1 Key, Tim A1 Freisling, Heinz A1 His, Mathilde A1 Huybrechts, Inge A1 Christakoudi, Sofia A1 Ellingjord-Dale, Merete A1 Riboli, Elio A1 Tsilidis, Konstantinos K A1 Tzoulaki, Ioanna K1 Alcohol K1 Breast cancer K1 Diet K1 Fibre K1 Foods K1 Nutrients AB Several dietary factors have been reported to be associated with risk of breast cancer, but to date, unequivocal evidence only exists for alcohol consumption. We sought to systematically assess the association between intake of 92 foods and nutrients and breast cancer risk using a nutrient-wide association study. Using data from 272,098 women participating in the European Prospective Investigation into Cancer and Nutrition (EPIC) study, we assessed dietary intake of 92 foods and nutrients estimated by dietary questionnaires. Cox regression was used to quantify the association between each food/nutrient and risk of breast cancer. A false discovery rate (FDR) of 0.05 was used to select the set of foods and nutrients to be replicated in the independent Netherlands Cohort Study (NLCS). Six foods and nutrients were identified as associated with risk of breast cancer in the EPIC study (10,979 cases). Higher intake of alcohol overall was associated with a higher risk of breast cancer (hazard ratio (HR) for a 1 SD increment in intake = 1.05, 95% CI 1.03-1.07), as was beer/cider intake and wine intake (HRs per 1 SD increment = 1.05, 95% CI 1.03-1.06 and 1.04, 95% CI 1.02-1.06, respectively), whereas higher intakes of fibre, apple/pear, and carbohydrates were associated with a lower risk of breast cancer (HRs per 1 SD increment = 0.96, 95% CI 0.94-0.98; 0.96, 95% CI 0.94-0.99; and 0.96, 95% CI 0.95-0.98, respectively). When evaluated in the NLCS (2368 cases), estimates for each of these foods and nutrients were similar in magnitude and direction, with the exception of beer/cider intake, which was not associated with risk in the NLCS. Our findings confirm a positive association of alcohol consumption and suggest an inverse association of dietary fibre and possibly fruit intake with breast cancer risk. PB BioMed Central Ltd. YR 2019 FD 2019-12-30 LK http://hdl.handle.net/10668/14950 UL http://hdl.handle.net/10668/14950 LA en NO Heath AK, Muller DC, van den Brandt PA, Papadimitriou N, Critselis E, Gunter M, et al. Nutrient-wide association study of 92 foods and nutrients and breast cancer risk. Breast Cancer Res. 2020 Jan 13;22(1):5. doi: 10.1186/s13058-019-1244-7. DS RISalud RD Oct 2, 2025