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@article{Zamaros-Ros:2017:10.3945/jn.117.247874,
author = {Zamaros-Ros, R and Castandeda, J and Rinaldi, S and Cayssials, V and Slimani, N and Weiderpsas, E and Tsilidis, KK and Boutron-Ruault, MC and Overvad, K and Eriksen, AK and Tjonneland, A and Kuhn, T and Katzke, V and Boeing, H and Trichopoulou, A and La, Vecchia C and Kotanidou, A and Palli, D and Grioni, S and Mattiello, A and Tumino, R and Sciannameo, V and Lund, E and Merino, S and Salamanca-Fernandez, E and Amiano, P and Huerta, JM and Barricarte, A and Ericson, U and Almquist, M and Hennings, J and Sandstrom, M and Bueno-de-Mesquita, HB and Peeters, PH and Khaw, KT and Wareham, NJ and Schmidt, JA and Cross, AJ and Riboli, E and Scalbert, A and Romieu, I and Agudo, A and Franceschi, S},
doi = {10.3945/jn.117.247874},
journal = {Journal of Nutrition},
pages = {1366--1373},
title = {Consumption of fish is not associated with risk of differentiated thyroid carcinoma in the European Prospective Investigation into Cancer and Nutrition (EPIC) study},
url = {http://hdl.handle.net/10044/1/48488},
volume = {147},
year = {2017}
}

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TY  - JOUR
AB  - Background: Differentiated thyroid cancer (TC) is the most common endocrine cancer. Fish can be an important source of iodine and other micronutrients and contaminants that may affect the thyroid gland and TC risk.Objective: We prospectively evaluated the relations between the consumption of total fish and different fish types and shellfish and TC risk in the EPIC (European Prospective Investigation into Cancer and Nutrition) study.Methods: EPIC is a cohort of >500,000 men and women, mostly aged 35–70 y, who were recruited in 10 European countries. After a mean follow-up of 14 y, 748 primary differentiated TC cases were diagnosed; 666 were in women and 601 were papillary TC. Data on intakes of lean fish, fatty fish, fish products, and shellfish were collected by using country-specific validated dietary questionnaires at recruitment. Multivariable Cox regression was used to calculate HRs and 95% CIs adjusted for many potential confounders, including dietary and nondietary factors.Results: No significant association was observed between total fish consumption and differentiated TC risk for the highest compared with the lowest quartile (HR: 1.03; 95% CI: 0.81, 1.32; P-trend = 0.67). Likewise, no significant association was observed with the intake of any specific type of fish, fish product, or shellfish. No significant heterogeneity was found by TC subtype (papillary or follicular tumors), by sex, or between countries with low and high TC incidence.Conclusion: This large study shows that the intake of fish and shellfish was not associated with differentiated TC risk in Europe, a region in which iodine deficiency or excess is rare.
AU  - Zamaros-Ros,R
AU  - Castandeda,J
AU  - Rinaldi,S
AU  - Cayssials,V
AU  - Slimani,N
AU  - Weiderpsas,E
AU  - Tsilidis,KK
AU  - Boutron-Ruault,MC
AU  - Overvad,K
AU  - Eriksen,AK
AU  - Tjonneland,A
AU  - Kuhn,T
AU  - Katzke,V
AU  - Boeing,H
AU  - Trichopoulou,A
AU  - La,Vecchia C
AU  - Kotanidou,A
AU  - Palli,D
AU  - Grioni,S
AU  - Mattiello,A
AU  - Tumino,R
AU  - Sciannameo,V
AU  - Lund,E
AU  - Merino,S
AU  - Salamanca-Fernandez,E
AU  - Amiano,P
AU  - Huerta,JM
AU  - Barricarte,A
AU  - Ericson,U
AU  - Almquist,M
AU  - Hennings,J
AU  - Sandstrom,M
AU  - Bueno-de-Mesquita,HB
AU  - Peeters,PH
AU  - Khaw,KT
AU  - Wareham,NJ
AU  - Schmidt,JA
AU  - Cross,AJ
AU  - Riboli,E
AU  - Scalbert,A
AU  - Romieu,I
AU  - Agudo,A
AU  - Franceschi,S
DO  - 10.3945/jn.117.247874
EP  - 1373
PY  - 2017///
SN  - 0022-3166
SP  - 1366
TI  - Consumption of fish is not associated with risk of differentiated thyroid carcinoma in the European Prospective Investigation into Cancer and Nutrition (EPIC) study
T2  - Journal of Nutrition
UR  - http://hdl.handle.net/10044/1/48488
VL  - 147
ER  -

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