RT Journal Article T1 Dietary and Circulating Fatty Acids and Ovarian Cancer Risk in the European Prospective Investigation into Cancer and Nutrition. A1 Yammine, Sahar A1 Huybrechts, Inge A1 Biessy, Carine A1 Dossus, Laure A1 Aglago, Elom K A1 Naudin, Sabine A1 Ferrari, Pietro A1 Weiderpass, Elisabete A1 Tjønneland, Anne A1 Hansen, Louise A1 Overvad, Kim A1 Mancini, Francesca R A1 Boutron-Ruault, Marie-Christine A1 Kvaskoff, Marina A1 Fortner, Renée T A1 Kaaks, Rudolf A1 Schulze, Matthias B A1 Boeing, Heiner A1 Trichopoulou, Antonia A1 Karakatsani, Anna A1 La Vecchia, Carlo A1 Benetou, Vassiliki A1 Masala, Giovanna A1 Krogh, Vittorio A1 Mattiello, Amalia A1 Macciotta, Alessandra A1 Gram, Inger T A1 Skeie, Guri A1 Quirós, Jose R A1 Agudo, Antonio A1 Sanchez-Perez, Maria-Jose A1 Chirlaque, Maria-Dolores A1 Ardanaz, Eva A1 Gil, Leire A1 Sartor, Hanna A1 Drake, Isabel A1 Idahl, Annika A1 Lundin, Eva A1 Aune, Dagfinn A1 Ward, Heather A1 Merritt, Melissa A A1 Allen, Naomi E A1 Gunter, Marc J A1 Chajès, Véronique AB Fatty acids impact obesity, estrogens, and inflammation, which are risk factors for ovarian cancer. Few epidemiologic studies have investigated the association of fatty acids with ovarian cancer. Within the European Prospective Investigation into Cancer and Nutrition (EPIC), 1,486 incident ovarian cancer cases were identified. Cox proportional hazard models with adjustment for ovarian cancer risk factors were used to estimate HRs of ovarian cancer across quintiles of intake of fatty acids. False discovery rate was computed to control for multiple testing. Multivariable conditional logistic regression models were used to estimate ORs of ovarian cancer across tertiles of plasma fatty acids among 633 cases and two matched controls in a nested case-control analysis. A positive association was found between ovarian cancer and intake of industrial trans elaidic acid [HR comparing fifth with first quintileQ5-Q1 = 1.29; 95% confidence interval (CI) = 1.03-1.62; Ptrend = 0.02, q-value = 0.06]. Dietary intakes of n-6 linoleic acid (HRQ5-Q1 = 1.10; 95% CI = 1.01-1.21; Ptrend = 0.03) and n-3 α-linolenic acid (HRQ5-Q1 = 1.18; 95% CI = 1.05-1.34; Ptrend = 0.007) from deep-frying fats were also positively associated with ovarian cancer. Suggestive associations were reported for circulating elaidic (OR comparing third with first tertileT3-T1 = 1.39; 95% CI = 0.99-1.94; Ptrend = 0.06) and α-linolenic acids (ORT3-T1 = 1.30; 95% CI = 0.98-1.72; Ptrend = 0.06). Our results suggest that higher intakes and circulating levels of industrial trans elaidic acid, and higher intakes of linoleic acid and α-linolenic acid from deep-frying fat, may be associated with greater risk of ovarian cancer. If causal, eliminating industrial trans-fatty acids could offer a straightforward public health action for reducing ovarian cancer risk. YR 2020 FD 2020-07-02 LK http://hdl.handle.net/10668/15865 UL http://hdl.handle.net/10668/15865 LA en DS RISalud RD Apr 19, 2025