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A prospective analysis of the association between dietary fiber intake and prostate cancer risk in EPIC. 2009
Reiko Suzuki, and
Naomi E Allen, and
Timothy J Key, and
Paul N Appleby, and
Anne Tjønneland, and
Nina Føns Johnsen, and
Majken K Jensen, and
Kim Overvad, and
Heiner Boeing, and
Tobias Pischon, and
Rudolf Kaaks, and
Sabine Rohrmann, and
Antonia Trichopoulou, and
Gesthimani Misirli, and
Dimitrios Trichopoulos, and
H Bas Bueno-de-Mesquita, and
Fränzel van Duijnhoven, and
Carlotta Sacerdote, and
Valeria Pala, and
Domenico Palli, and
Rosario Tumino, and
Eva Ardanaz, and
José Ramón Quirós, and
Nerea Larrañaga, and
Maria-José Sánchez, and
María-José Tormo, and
Paula Jakszyn, and
Ingegerd Johansson, and
Pär Stattin, and
Göran Berglund, and
Jonas Manjer, and
Sheila Bingham, and
Kay-Tee Khaw, and
Lars Egevad, and
Pietro Ferrari, and
Mazda Jenab, and
Elio Riboli
Nuffield Department of Medicine, Cancer Epidemiology Unit, University of Oxford, Oxford, United Kingdom.
Few studies have examined the association between dietary fiber intake and prostate cancer risk. We evaluated the association between dietary fiber intake and the risk of prostate cancer among 142,590 men in the European Prospective Investigation into Cancer and Nutrition (EPIC). Consumption of dietary fiber (total, cereal, fruit and vegetable fiber) was estimated by validated dietary questionnaires and calibrated using 24-hr dietary recalls. Incidence rate ratios were estimated using Cox regression and adjusted for potential confounding factors. During an average of 8.7 years follow-up, prostate cancer was diagnosed in 2,747 men. Overall, there was no association between dietary fiber intake (total, cereal, fruit or vegetable fiber) and prostate cancer risk, although calibrated intakes of total fiber and fruit fiber were associated with nonstatistically significant reductions in risk. There was no association between fiber derived from cereals or vegetables and risk and no evidence for heterogeneity in any of the risk estimates by stage or grade of disease. Our results suggest that dietary fiber intake is not associated with prostate cancer risk.
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