Evidence Update on the Relationship between Diet and the Most Common Cancers from the European Prospective Investigation into Cancer and Nutrition (EPIC) Study: A Systematic Review
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Ubago Guisado, Esther; Rodríguez Barranco, Miguel; Ching López, Ana; Petrova, Dafina; Molina Montes, María Ester; Sánchez Pérez, María JoséEditorial
MDPI
Materia
Colorectal cancer Breast cancer Lung cancer Prostate cancer Intake Alcohol Fruits Vegetables Meat Fish
Date
2021-10-13Referencia bibliográfica
Ubago-Guisado, E... [et al.]. Evidence Update on the Relationship between Diet and the Most Common Cancers from the European Prospective Investigation into Cancer and Nutrition (EPIC) Study: A Systematic Review. Nutrients 2021, 13, 3582. [https://doi.org/10.3390/nu13103582]
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Programa Operativo Fondo Social Europeo (FSE) de Andalucia (20142020); Junta de Andalucia DOC_01618Abstract
The European Prospective Investigation into Cancer and Nutrition (EPIC) is a multicentre
prospective study conducted in 23 centres in 10 European countries. Here we review the findings
from EPIC on the relationship between diet-related exposures and incidence or mortality from the
four most frequent cancers in the European population: colorectal, breast, lung, and prostate cancer.
We conducted a systematic review following PRISMA guidelines and identified 110 high-quality
studies based on the EPIC cohort. Fruit and vegetable consumption had a protective effect against
colorectal, breast, and lung cancer, whereas only fruit had a protective effect against prostate cancer.
A higher consumption of fish and lower consumption of red and processed meat were related with
a lower risk of colorectal cancer; and higher consumption of fatty fish with lower risk of breast
cancer. Calcium and yogurt intake were found to protect against colorectal and prostate cancer.
Alcohol consumption increased the risk for colorectal and breast cancer. Finally, adherence to the
Mediterranean diet emerged as a protective factor for colorectal and breast cancer. The EPIC study
results are in agreement with the latest evidence from leading authorities on cancer prevention and
help to inform public prevention policies and strategies.
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