Dietary inflammatory index and prostate cancer risk: MCC-Spain study Lozano Lorca, Macarena Salcedo Bellido, Inmaculada Olmedo Requena, María Rocío Castaño-Vinyals, Gemma Amiano, Pilar Shivappa, Nitin Hébert, James R. Pérez-Gómez, Beatriz Gracia-Lavedan, Esther Gómez-Acebo, Inés Molina-Barceló, Ana Barrios Rodríguez, Rocío Alguacil, Juan Fernández-Tardón, Guillermo Aragonés, Nuria Dierssen-Sotos, Trinidad Romaguera, Dora Pollán, Marina Kogevinas, Manolis Jiménez Moleón, José Juan Background: The etiology of prostate cancer (PCa) is not well-known, and the role of diet is not well established. We aimed to evaluate the role of the inflammatory power of the diet, measured by Dietary Inflammatory Index (DII®), on the risk of PCa. Methodology: A population-based multicase-control (MCC-Spain) study was conducted. Information was collected on sociodemographic characteristics, personal and family antecedents, and lifestyles, including diet from a Food Frequency Questionnaire. The inflammatory potential of the diet was assessed using the energy-adjusted Dietary Inflammatory Index (E-DII) based on 30 parameters (a higher score indicates a higher inflammatory capacity of the diet). Tertiles of E-DII were created using the cut-off points from the control group. The International Society of Urology Pathology (ISUP) was grouped as ISUP 1, ISUP 2, or ISUP 3-5). Unconditional logistic regression models were used to estimate adjusted odds ratios (aOR) and 95% confidence intervals (CI) for the association between E- DII and PCa risk. Results: A total of 928 PCa cases and 1278 population controls were included. Among PCa cases, the mean value of the E-DII score was 0.18 (SD: 1.9) vs. 0.07 (SD: 1.9) in the control group (p=0.162). Cases with a more pro- inflammatory diet (3rd tertile) had the highest risk of PCa, aORT3vsT1=1.30 (95% CI 1.03–1.65) (p-trend=0.026). When stratifying by ISUP, this risk association is only maintained for ISUP 2 and ISUP 3-5, aORT3vsT1=1.46 (95% CI 1.02– 2.10) and 1.60 (95% CI 1.10–2.34), respectively Conclusion: A positive association was observed between consuming a pro-inflammatory diet and PCa in the MCC- Spain population, specifically for an ISUP grade greater or equal than 2. 2024-11-27T07:26:24Z 2024-11-27T07:26:24Z 2022-04-13 journal article https://hdl.handle.net/10481/97413 10.1038/s41391-022-00532-7 eng http://creativecommons.org/licenses/by-nc-nd/3.0/ open access Creative Commons Attribution-NonCommercial-NoDerivs 3.0 License