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<title xml:lang="en">Dietary inflammatory index, Mediterranean diet score, and lung cancer: a prospective study</title>
<author>
<name sortKey="Hodge, A M" sort="Hodge, A M" uniqKey="Hodge A" first="A. M." last="Hodge">A. M. Hodge</name>
<affiliation>
<nlm:aff id="A1">Cancer Epidemiology Centre, Cancer Council Victoria, 615 St Kilda Rd, Melbourne, VIC 3004, Australia</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Bassett, J K" sort="Bassett, J K" uniqKey="Bassett J" first="J. K." last="Bassett">J. K. Bassett</name>
<affiliation>
<nlm:aff id="A1">Cancer Epidemiology Centre, Cancer Council Victoria, 615 St Kilda Rd, Melbourne, VIC 3004, Australia</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Shivappa, N" sort="Shivappa, N" uniqKey="Shivappa N" first="N." last="Shivappa">N. Shivappa</name>
<affiliation>
<nlm:aff id="A2">Cancer Prevention and Control Program, University of South Carolina, Columbia, SC 29208, USA</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A3">Department of Epidemiology and Biostatistics, Arnold School of Public Health, University of South Carolina, Columbia, SC 29208, USA</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Hebert, J R" sort="Hebert, J R" uniqKey="Hebert J" first="J. R." last="Hébert">J. R. Hébert</name>
<affiliation>
<nlm:aff id="A2">Cancer Prevention and Control Program, University of South Carolina, Columbia, SC 29208, USA</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A3">Department of Epidemiology and Biostatistics, Arnold School of Public Health, University of South Carolina, Columbia, SC 29208, USA</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="English, D R" sort="English, D R" uniqKey="English D" first="D. R." last="English">D. R. English</name>
<affiliation>
<nlm:aff id="A1">Cancer Epidemiology Centre, Cancer Council Victoria, 615 St Kilda Rd, Melbourne, VIC 3004, Australia</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A4">Centre for Epidemiology and Biostatistics, The University of Melbourne, Level 3, 207 Bouverie St, University of Melbourne, VIC 3010, Australia</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Giles, G G" sort="Giles, G G" uniqKey="Giles G" first="G. G." last="Giles">G. G. Giles</name>
<affiliation>
<nlm:aff id="A1">Cancer Epidemiology Centre, Cancer Council Victoria, 615 St Kilda Rd, Melbourne, VIC 3004, Australia</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A4">Centre for Epidemiology and Biostatistics, The University of Melbourne, Level 3, 207 Bouverie St, University of Melbourne, VIC 3010, Australia</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Severi, G" sort="Severi, G" uniqKey="Severi G" first="G." last="Severi">G. Severi</name>
<affiliation>
<nlm:aff id="A1">Cancer Epidemiology Centre, Cancer Council Victoria, 615 St Kilda Rd, Melbourne, VIC 3004, Australia</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A5">Université Paris-Saclay, Univ. Paris-Sud, UVSQ, CESP, INSERM, Villejuif, France</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A6">Gustave Roussy, 94805 Villejuif, France</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A7">Centre for Epidemiology and Biostatistics, School of Population and Global Health, University of Melbourne, Melbourne, VIC, Australia</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A8">HuGeF, Human Genetics Foundation, 10126 Torino, Italy</nlm:aff>
</affiliation>
</author>
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<idno type="wicri:source">PMC</idno>
<idno type="pmid">27294725</idno>
<idno type="pmc">5550291</idno>
<idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5550291</idno>
<idno type="RBID">PMC:5550291</idno>
<idno type="doi">10.1007/s10552-016-0770-1</idno>
<date when="2016">2016</date>
<idno type="wicri:Area/Pmc/Corpus">002074</idno>
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<title xml:lang="en" level="a" type="main">Dietary inflammatory index, Mediterranean diet score, and lung cancer: a prospective study</title>
<author>
<name sortKey="Hodge, A M" sort="Hodge, A M" uniqKey="Hodge A" first="A. M." last="Hodge">A. M. Hodge</name>
<affiliation>
<nlm:aff id="A1">Cancer Epidemiology Centre, Cancer Council Victoria, 615 St Kilda Rd, Melbourne, VIC 3004, Australia</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Bassett, J K" sort="Bassett, J K" uniqKey="Bassett J" first="J. K." last="Bassett">J. K. Bassett</name>
<affiliation>
<nlm:aff id="A1">Cancer Epidemiology Centre, Cancer Council Victoria, 615 St Kilda Rd, Melbourne, VIC 3004, Australia</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Shivappa, N" sort="Shivappa, N" uniqKey="Shivappa N" first="N." last="Shivappa">N. Shivappa</name>
<affiliation>
<nlm:aff id="A2">Cancer Prevention and Control Program, University of South Carolina, Columbia, SC 29208, USA</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A3">Department of Epidemiology and Biostatistics, Arnold School of Public Health, University of South Carolina, Columbia, SC 29208, USA</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Hebert, J R" sort="Hebert, J R" uniqKey="Hebert J" first="J. R." last="Hébert">J. R. Hébert</name>
<affiliation>
<nlm:aff id="A2">Cancer Prevention and Control Program, University of South Carolina, Columbia, SC 29208, USA</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A3">Department of Epidemiology and Biostatistics, Arnold School of Public Health, University of South Carolina, Columbia, SC 29208, USA</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="English, D R" sort="English, D R" uniqKey="English D" first="D. R." last="English">D. R. English</name>
<affiliation>
<nlm:aff id="A1">Cancer Epidemiology Centre, Cancer Council Victoria, 615 St Kilda Rd, Melbourne, VIC 3004, Australia</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A4">Centre for Epidemiology and Biostatistics, The University of Melbourne, Level 3, 207 Bouverie St, University of Melbourne, VIC 3010, Australia</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Giles, G G" sort="Giles, G G" uniqKey="Giles G" first="G. G." last="Giles">G. G. Giles</name>
<affiliation>
<nlm:aff id="A1">Cancer Epidemiology Centre, Cancer Council Victoria, 615 St Kilda Rd, Melbourne, VIC 3004, Australia</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A4">Centre for Epidemiology and Biostatistics, The University of Melbourne, Level 3, 207 Bouverie St, University of Melbourne, VIC 3010, Australia</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Severi, G" sort="Severi, G" uniqKey="Severi G" first="G." last="Severi">G. Severi</name>
<affiliation>
<nlm:aff id="A1">Cancer Epidemiology Centre, Cancer Council Victoria, 615 St Kilda Rd, Melbourne, VIC 3004, Australia</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A5">Université Paris-Saclay, Univ. Paris-Sud, UVSQ, CESP, INSERM, Villejuif, France</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A6">Gustave Roussy, 94805 Villejuif, France</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A7">Centre for Epidemiology and Biostatistics, School of Population and Global Health, University of Melbourne, Melbourne, VIC, Australia</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A8">HuGeF, Human Genetics Foundation, 10126 Torino, Italy</nlm:aff>
</affiliation>
</author>
</analytic>
<series>
<title level="j">Cancer causes & control : CCC</title>
<idno type="ISSN">0957-5243</idno>
<idno type="eISSN">1573-7225</idno>
<imprint>
<date when="2016">2016</date>
</imprint>
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<front>
<div type="abstract" xml:lang="en">
<sec id="S1">
<title>Purpose</title>
<p id="P1">To investigate prospectively the associations of Dietary Inflammatory Index (DII) and Mediterranean Diet Score (MDS) with lung cancer.</p>
</sec>
<sec id="S2">
<title>Methods</title>
<p id="P2">We used data from men and women aged 40–69 years at recruitment in 1990–1994, who were participants in the Melbourne Collaborative Cohort Study (
<italic>n</italic>
= 35,303). A total of 403 incident lung cancer cases were identified over an average 18-year follow-up. Hazard ratios (HR) were estimated using Cox regression, adjusting for smoking status and other risk factors, with age as the time metric.</p>
</sec>
<sec id="S3">
<title>Results</title>
<p id="P3">An inverse correlation was observed between the DII and MDS (
<italic>ρ</italic>
= −0.45), consistent with a higher DII being pro-inflammatory and less ‘healthy,’ while a high MDS reflects a ‘healthier’ diet. The DII was positively associated with risk of lung cancer in current smokers [HR
<sub>Q4</sub>
vs
<sub>Q1</sub>
= 1.70 (1.02, 2.82); P
<sub>trend</sub>
= 0.008] (p interaction between DII quartiles and smoking status = 0.03). The MDS was inversely associated with lung cancer risk overall [HR
<sub>7–9</sub>
vs
<sub>0–3</sub>
= 0.64 (0.45, 0.90); P
<sub>trend</sub>
= 0.005] and for current smokers (HR
<sub>7–9</sub>
vs
<sub>0–3</sub>
= 0.38 (0.19, 0.75); P
<sub>trend</sub>
= 0.005) (p interaction between MDS categories and smoking status = 0.31).</p>
</sec>
<sec id="S4">
<title>Conclusions</title>
<p id="P4">The MDS showed an inverse association with lung cancer risk, especially for current smokers. A high DII, indicating a more pro-inflammatory diet, was associated with risk of lung cancer only for current smokers. A healthy diet may reduce the risk of lung cancer, especially in smokers.</p>
</sec>
</div>
</front>
</TEI>
<pmc article-type="research-article">
<pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<pmc-dir>properties manuscript</pmc-dir>
<front>
<journal-meta>
<journal-id journal-id-type="nlm-journal-id">9100846</journal-id>
<journal-id journal-id-type="pubmed-jr-id">1173</journal-id>
<journal-id journal-id-type="nlm-ta">Cancer Causes Control</journal-id>
<journal-id journal-id-type="iso-abbrev">Cancer Causes Control</journal-id>
<journal-title-group>
<journal-title>Cancer causes & control : CCC</journal-title>
</journal-title-group>
<issn pub-type="ppub">0957-5243</issn>
<issn pub-type="epub">1573-7225</issn>
</journal-meta>
<article-meta>
<article-id pub-id-type="pmid">27294725</article-id>
<article-id pub-id-type="pmc">5550291</article-id>
<article-id pub-id-type="doi">10.1007/s10552-016-0770-1</article-id>
<article-id pub-id-type="manuscript">NIHMS884744</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Article</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Dietary inflammatory index, Mediterranean diet score, and lung cancer: a prospective study</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Hodge</surname>
<given-names>A. M.</given-names>
</name>
<pmc-comment>allison.hodge@cancervic.org.au</pmc-comment>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Bassett</surname>
<given-names>J. K.</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Shivappa</surname>
<given-names>N.</given-names>
</name>
<xref ref-type="aff" rid="A2">2</xref>
<xref ref-type="aff" rid="A3">3</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Hébert</surname>
<given-names>J. R.</given-names>
</name>
<xref ref-type="aff" rid="A2">2</xref>
<xref ref-type="aff" rid="A3">3</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>English</surname>
<given-names>D. R.</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
<xref ref-type="aff" rid="A4">4</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Giles</surname>
<given-names>G. G.</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
<xref ref-type="aff" rid="A4">4</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Severi</surname>
<given-names>G.</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
<xref ref-type="aff" rid="A5">5</xref>
<xref ref-type="aff" rid="A6">6</xref>
<xref ref-type="aff" rid="A7">7</xref>
<xref ref-type="aff" rid="A8">8</xref>
</contrib>
</contrib-group>
<aff id="A1">
<label>1</label>
Cancer Epidemiology Centre, Cancer Council Victoria, 615 St Kilda Rd, Melbourne, VIC 3004, Australia</aff>
<aff id="A2">
<label>2</label>
Cancer Prevention and Control Program, University of South Carolina, Columbia, SC 29208, USA</aff>
<aff id="A3">
<label>3</label>
Department of Epidemiology and Biostatistics, Arnold School of Public Health, University of South Carolina, Columbia, SC 29208, USA</aff>
<aff id="A4">
<label>4</label>
Centre for Epidemiology and Biostatistics, The University of Melbourne, Level 3, 207 Bouverie St, University of Melbourne, VIC 3010, Australia</aff>
<aff id="A5">
<label>5</label>
Université Paris-Saclay, Univ. Paris-Sud, UVSQ, CESP, INSERM, Villejuif, France</aff>
<aff id="A6">
<label>6</label>
Gustave Roussy, 94805 Villejuif, France</aff>
<aff id="A7">
<label>7</label>
Centre for Epidemiology and Biostatistics, School of Population and Global Health, University of Melbourne, Melbourne, VIC, Australia</aff>
<aff id="A8">
<label>8</label>
HuGeF, Human Genetics Foundation, 10126 Torino, Italy</aff>
<pub-date pub-type="nihms-submitted">
<day>17</day>
<month>6</month>
<year>2017</year>
</pub-date>
<pub-date pub-type="epub">
<day>13</day>
<month>6</month>
<year>2016</year>
</pub-date>
<pub-date pub-type="ppub">
<month>7</month>
<year>2016</year>
</pub-date>
<pub-date pub-type="pmc-release">
<day>09</day>
<month>8</month>
<year>2017</year>
</pub-date>
<volume>27</volume>
<issue>7</issue>
<fpage>907</fpage>
<lpage>917</lpage>
<pmc-comment>elocation-id from pubmed: 10.1007/s10552-016-0770-1</pmc-comment>
<abstract>
<sec id="S1">
<title>Purpose</title>
<p id="P1">To investigate prospectively the associations of Dietary Inflammatory Index (DII) and Mediterranean Diet Score (MDS) with lung cancer.</p>
</sec>
<sec id="S2">
<title>Methods</title>
<p id="P2">We used data from men and women aged 40–69 years at recruitment in 1990–1994, who were participants in the Melbourne Collaborative Cohort Study (
<italic>n</italic>
= 35,303). A total of 403 incident lung cancer cases were identified over an average 18-year follow-up. Hazard ratios (HR) were estimated using Cox regression, adjusting for smoking status and other risk factors, with age as the time metric.</p>
</sec>
<sec id="S3">
<title>Results</title>
<p id="P3">An inverse correlation was observed between the DII and MDS (
<italic>ρ</italic>
= −0.45), consistent with a higher DII being pro-inflammatory and less ‘healthy,’ while a high MDS reflects a ‘healthier’ diet. The DII was positively associated with risk of lung cancer in current smokers [HR
<sub>Q4</sub>
vs
<sub>Q1</sub>
= 1.70 (1.02, 2.82); P
<sub>trend</sub>
= 0.008] (p interaction between DII quartiles and smoking status = 0.03). The MDS was inversely associated with lung cancer risk overall [HR
<sub>7–9</sub>
vs
<sub>0–3</sub>
= 0.64 (0.45, 0.90); P
<sub>trend</sub>
= 0.005] and for current smokers (HR
<sub>7–9</sub>
vs
<sub>0–3</sub>
= 0.38 (0.19, 0.75); P
<sub>trend</sub>
= 0.005) (p interaction between MDS categories and smoking status = 0.31).</p>
</sec>
<sec id="S4">
<title>Conclusions</title>
<p id="P4">The MDS showed an inverse association with lung cancer risk, especially for current smokers. A high DII, indicating a more pro-inflammatory diet, was associated with risk of lung cancer only for current smokers. A healthy diet may reduce the risk of lung cancer, especially in smokers.</p>
</sec>
</abstract>
<kwd-group>
<kwd>Diet</kwd>
<kwd>Inflammation</kwd>
<kwd>Lung cancer</kwd>
<kwd>Prospective</kwd>
<kwd>Epidemiology</kwd>
<kwd>Smoking</kwd>
</kwd-group>
</article-meta>
</front>
</pmc>
</record>

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