Pre-diagnostic polyphenol intake and breast cancer survival: the European Prospective Investigation into Cancer and Nutrition (EPIC) cohort.
Identifieur interne : 002714 ( PubMed/Corpus ); précédent : 002713; suivant : 002715Pre-diagnostic polyphenol intake and breast cancer survival: the European Prospective Investigation into Cancer and Nutrition (EPIC) cohort.
Auteurs : Cecilie Kyr ; Raul Zamora-Ros ; Augustin Scalbert ; Anne Tj Nneland ; Laure Dossus ; Christoffer Johansen ; Pernille Envold Bidstrup ; Elisabete Weiderpass ; Jane Christensen ; Heather Ward ; Dagfinn Aune ; Elio Riboli ; Mathilde His ; Françoise Clavel-Chapelon ; Laura Baglietto ; Verena Katzke ; Tilman Kühn ; Heiner Boeing ; Anna Floegel ; Kim Overvad ; Cristina Lasheras ; Noémie Travier ; Maria-José Sánchez ; Pilar Amiano ; Maria-Dolores Chirlaque ; Eva Ardanaz ; Kay-Tee Khaw ; Nick Wareham ; Aurora Perez-Cornago ; Antonia Trichopoulou ; Pagona Lagiou ; Effie Vasilopoulou ; Giovanna Masala ; Sara Grioni ; Franco Berrino ; Rosario Tumino ; Carlotta Sacerdote ; Amalia Mattiello ; H Bas Bueno-De-Mesquita ; Petra H. Peeters ; Carla Van Gils ; Signe Borgquist ; Salma Butt ; Anne Zeleniuch-Jacquotte ; Malin Sund ; Anette Hjart Ker ; Guri Skeie ; Anja Olsen ; Isabelle RomieuSource :
- Breast cancer research and treatment [ 1573-7217 ] ; 2015.
English descriptors
- KwdEn :
- Adult, Aged, Biomarkers, Tumor, Breast Neoplasms (diagnosis), Breast Neoplasms (epidemiology), Breast Neoplasms (etiology), Breast Neoplasms (mortality), Diet, Dietary Supplements, Europe (epidemiology), Female, Follow-Up Studies, Health Surveys, Humans, Life Style, Middle Aged, Mortality, Neoplasm Grading, Neoplasm Staging, Nutrition Surveys, Polyphenols (administration & dosage), Proportional Hazards Models, Risk Factors.
- MESH :
- chemical , administration & dosage : Polyphenols.
- chemical : Biomarkers, Tumor.
- geographic , epidemiology : Europe.
- diagnosis : Breast Neoplasms.
- epidemiology : Breast Neoplasms.
- etiology : Breast Neoplasms.
- mortality : Breast Neoplasms.
- Adult, Aged, Diet, Dietary Supplements, Female, Follow-Up Studies, Health Surveys, Humans, Life Style, Middle Aged, Mortality, Neoplasm Grading, Neoplasm Staging, Nutrition Surveys, Proportional Hazards Models, Risk Factors.
Abstract
The aim was to investigate the association between pre-diagnostic intakes of polyphenol classes (flavonoids, lignans, phenolic acids, stilbenes, and other polyphenols) in relation to breast cancer survival (all-cause and breast cancer-specific mortality). We used data from the European Prospective Investigation into Cancer and Nutrition cohort. Pre-diagnostic usual diet was assessed using dietary questionnaires, and polyphenol intakes were estimated using the Phenol-Explorer database. We followed 11,782 breast cancer cases from time of diagnosis until death, end of follow-up or last day of contact. During a median of 6 years, 1482 women died (753 of breast cancer). We related polyphenol intake to all-cause and breast cancer-specific mortality using Cox proportional hazard models with time since diagnosis as underlying time and strata for age and country. Among postmenopausal women, an intake of lignans in the highest versus lowest quartile was related to a 28 % lower risk of dying from breast (adjusted model: HR, quartile 4 vs. quartile 1, 0.72, 95 % CI 0.53; 0.98). In contrast, in premenopausal women, a positive association between lignan intake and all-cause mortality was found (adjusted model: HR, quartile 4 vs. quartile 1, 1.63, 95 % CI 1.03; 2.57). We found no association for other polyphenol classes. Intake of lignans before breast cancer diagnosis may be related to improved survival among postmenopausal women, but may on the contrary worsen the survival for premenopausal women. This suggests that the role of phytoestrogens in breast cancer survival is complex and may be dependent of menopausal status.
DOI: 10.1007/s10549-015-3595-9
PubMed: 26531755
Links to Exploration step
pubmed:26531755Le document en format XML
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<author><name sortKey="Kyr, Cecilie" sort="Kyr, Cecilie" uniqKey="Kyr C" first="Cecilie" last="Kyr">Cecilie Kyr</name>
<affiliation><nlm:affiliation>Danish Cancer Society Research Center, Strandboulevarden 49, 2100, Copenhagen, Denmark. ceciliek@cancer.dk.</nlm:affiliation>
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<author><name sortKey="Zamora Ros, Raul" sort="Zamora Ros, Raul" uniqKey="Zamora Ros R" first="Raul" last="Zamora-Ros">Raul Zamora-Ros</name>
<affiliation><nlm:affiliation>International Agency for Research on Cancer (WHO-IARC), Lyon, France.</nlm:affiliation>
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<author><name sortKey="Scalbert, Augustin" sort="Scalbert, Augustin" uniqKey="Scalbert A" first="Augustin" last="Scalbert">Augustin Scalbert</name>
<affiliation><nlm:affiliation>International Agency for Research on Cancer (WHO-IARC), Lyon, France.</nlm:affiliation>
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<author><name sortKey="Tj Nneland, Anne" sort="Tj Nneland, Anne" uniqKey="Tj Nneland A" first="Anne" last="Tj Nneland">Anne Tj Nneland</name>
<affiliation><nlm:affiliation>Danish Cancer Society Research Center, Strandboulevarden 49, 2100, Copenhagen, Denmark.</nlm:affiliation>
</affiliation>
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<author><name sortKey="Dossus, Laure" sort="Dossus, Laure" uniqKey="Dossus L" first="Laure" last="Dossus">Laure Dossus</name>
<affiliation><nlm:affiliation>Inserm, CESP Centre for Research in Epidemiology and Population Health, Villejuif, France.</nlm:affiliation>
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<author><name sortKey="Johansen, Christoffer" sort="Johansen, Christoffer" uniqKey="Johansen C" first="Christoffer" last="Johansen">Christoffer Johansen</name>
<affiliation><nlm:affiliation>Danish Cancer Society Research Center, Strandboulevarden 49, 2100, Copenhagen, Denmark.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Bidstrup, Pernille Envold" sort="Bidstrup, Pernille Envold" uniqKey="Bidstrup P" first="Pernille Envold" last="Bidstrup">Pernille Envold Bidstrup</name>
<affiliation><nlm:affiliation>Danish Cancer Society Research Center, Strandboulevarden 49, 2100, Copenhagen, Denmark.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Weiderpass, Elisabete" sort="Weiderpass, Elisabete" uniqKey="Weiderpass E" first="Elisabete" last="Weiderpass">Elisabete Weiderpass</name>
<affiliation><nlm:affiliation>Department of Community Medicine, Faculty of Health Sciences, University of Tromsø, The Arctic University of Norway, Tromsø, Norway.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Christensen, Jane" sort="Christensen, Jane" uniqKey="Christensen J" first="Jane" last="Christensen">Jane Christensen</name>
<affiliation><nlm:affiliation>Danish Cancer Society Research Center, Strandboulevarden 49, 2100, Copenhagen, Denmark.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Ward, Heather" sort="Ward, Heather" uniqKey="Ward H" first="Heather" last="Ward">Heather Ward</name>
<affiliation><nlm:affiliation>Department of Epidemiology and Biostatistics, School of Public Health, Imperial College London, London, UK.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Aune, Dagfinn" sort="Aune, Dagfinn" uniqKey="Aune D" first="Dagfinn" last="Aune">Dagfinn Aune</name>
<affiliation><nlm:affiliation>Department of Epidemiology and Biostatistics, School of Public Health, Imperial College London, London, UK.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Riboli, Elio" sort="Riboli, Elio" uniqKey="Riboli E" first="Elio" last="Riboli">Elio Riboli</name>
<affiliation><nlm:affiliation>Department of Epidemiology and Biostatistics, School of Public Health, Imperial College London, London, UK.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="His, Mathilde" sort="His, Mathilde" uniqKey="His M" first="Mathilde" last="His">Mathilde His</name>
<affiliation><nlm:affiliation>Inserm, CESP Centre for Research in Epidemiology and Population Health, Villejuif, France.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Clavel Chapelon, Francoise" sort="Clavel Chapelon, Francoise" uniqKey="Clavel Chapelon F" first="Françoise" last="Clavel-Chapelon">Françoise Clavel-Chapelon</name>
<affiliation><nlm:affiliation>Inserm, CESP Centre for Research in Epidemiology and Population Health, Villejuif, France.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Baglietto, Laura" sort="Baglietto, Laura" uniqKey="Baglietto L" first="Laura" last="Baglietto">Laura Baglietto</name>
<affiliation><nlm:affiliation>Inserm, CESP Centre for Research in Epidemiology and Population Health, Villejuif, France.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Katzke, Verena" sort="Katzke, Verena" uniqKey="Katzke V" first="Verena" last="Katzke">Verena Katzke</name>
<affiliation><nlm:affiliation>Division of Cancer Epidemiology, German Cancer Research Center, DKFZ, Heidelberg, Germany.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Kuhn, Tilman" sort="Kuhn, Tilman" uniqKey="Kuhn T" first="Tilman" last="Kühn">Tilman Kühn</name>
<affiliation><nlm:affiliation>Division of Cancer Epidemiology, German Cancer Research Center, DKFZ, Heidelberg, Germany.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Boeing, Heiner" sort="Boeing, Heiner" uniqKey="Boeing H" first="Heiner" last="Boeing">Heiner Boeing</name>
<affiliation><nlm:affiliation>Department of Epidemiology, German Institute of Human Nutrition Potsdam-Rehbruecke, Nuthetal, Germany.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Floegel, Anna" sort="Floegel, Anna" uniqKey="Floegel A" first="Anna" last="Floegel">Anna Floegel</name>
<affiliation><nlm:affiliation>Department of Epidemiology, German Institute of Human Nutrition Potsdam-Rehbruecke, Nuthetal, Germany.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Overvad, Kim" sort="Overvad, Kim" uniqKey="Overvad K" first="Kim" last="Overvad">Kim Overvad</name>
<affiliation><nlm:affiliation>Section for Epidemiology, Department of Public Health, Aarhus University, Aarhus, Denmark.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Lasheras, Cristina" sort="Lasheras, Cristina" uniqKey="Lasheras C" first="Cristina" last="Lasheras">Cristina Lasheras</name>
<affiliation><nlm:affiliation>Department of Functional Biology, Faculty of Medicine, University of Oviedo, Asturias, Spain.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Travier, Noemie" sort="Travier, Noemie" uniqKey="Travier N" first="Noémie" last="Travier">Noémie Travier</name>
<affiliation><nlm:affiliation>Unit of Nutrition and Cancer, Catalan Institute of Oncology (ICO-IDIBELL), Barcelona, Spain.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Sanchez, Maria Jose" sort="Sanchez, Maria Jose" uniqKey="Sanchez M" first="Maria-José" last="Sánchez">Maria-José Sánchez</name>
<affiliation><nlm:affiliation>Escuela Andaluza de Salud Pública, Instituto de Investigación Biosanitaria ibs.GRANADA, Hospitales Universitarios de Granada/Universidad de Granada, Granada, Spain.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Amiano, Pilar" sort="Amiano, Pilar" uniqKey="Amiano P" first="Pilar" last="Amiano">Pilar Amiano</name>
<affiliation><nlm:affiliation>CIBER de Epidemiología y Salud Pública (CIBERESP), Madrid, Spain.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Chirlaque, Maria Dolores" sort="Chirlaque, Maria Dolores" uniqKey="Chirlaque M" first="Maria-Dolores" last="Chirlaque">Maria-Dolores Chirlaque</name>
<affiliation><nlm:affiliation>CIBER de Epidemiología y Salud Pública (CIBERESP), Madrid, Spain.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Ardanaz, Eva" sort="Ardanaz, Eva" uniqKey="Ardanaz E" first="Eva" last="Ardanaz">Eva Ardanaz</name>
<affiliation><nlm:affiliation>CIBER de Epidemiología y Salud Pública (CIBERESP), Madrid, Spain.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Khaw, Kay Tee" sort="Khaw, Kay Tee" uniqKey="Khaw K" first="Kay-Tee" last="Khaw">Kay-Tee Khaw</name>
<affiliation><nlm:affiliation>Department of Public Health and Primary Care, University of Cambridge, Cambridge, UK.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Wareham, Nick" sort="Wareham, Nick" uniqKey="Wareham N" first="Nick" last="Wareham">Nick Wareham</name>
<affiliation><nlm:affiliation>MRC Epidemiology Unit, University of Cambridge, Cambridge, UK.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Perez Cornago, Aurora" sort="Perez Cornago, Aurora" uniqKey="Perez Cornago A" first="Aurora" last="Perez-Cornago">Aurora Perez-Cornago</name>
<affiliation><nlm:affiliation>Cancer Epidemiology Unit, Nuffield Department of Population Health, University of Oxford, Oxford, UK.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Trichopoulou, Antonia" sort="Trichopoulou, Antonia" uniqKey="Trichopoulou A" first="Antonia" last="Trichopoulou">Antonia Trichopoulou</name>
<affiliation><nlm:affiliation>Hellenic Health Foundation, Athens, Greece.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Lagiou, Pagona" sort="Lagiou, Pagona" uniqKey="Lagiou P" first="Pagona" last="Lagiou">Pagona Lagiou</name>
<affiliation><nlm:affiliation>Hellenic Health Foundation, Athens, Greece.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Vasilopoulou, Effie" sort="Vasilopoulou, Effie" uniqKey="Vasilopoulou E" first="Effie" last="Vasilopoulou">Effie Vasilopoulou</name>
<affiliation><nlm:affiliation>Hellenic Health Foundation, Athens, Greece.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Masala, Giovanna" sort="Masala, Giovanna" uniqKey="Masala G" first="Giovanna" last="Masala">Giovanna Masala</name>
<affiliation><nlm:affiliation>Molecular and Nutritional Epidemiology Unit, Cancer Research and Prevention Institute - ISPO, Florence, Italy.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Grioni, Sara" sort="Grioni, Sara" uniqKey="Grioni S" first="Sara" last="Grioni">Sara Grioni</name>
<affiliation><nlm:affiliation>Epidemiology and Prevention Unit, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Berrino, Franco" sort="Berrino, Franco" uniqKey="Berrino F" first="Franco" last="Berrino">Franco Berrino</name>
<affiliation><nlm:affiliation>Epidemiology and Prevention Unit, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Tumino, Rosario" sort="Tumino, Rosario" uniqKey="Tumino R" first="Rosario" last="Tumino">Rosario Tumino</name>
<affiliation><nlm:affiliation>Cancer Registry and Histopathology Unit, "Civile-M.P. Arezzo" Hospital, ASP, Ragusa, Italy.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Sacerdote, Carlotta" sort="Sacerdote, Carlotta" uniqKey="Sacerdote C" first="Carlotta" last="Sacerdote">Carlotta Sacerdote</name>
<affiliation><nlm:affiliation>Cancer Epidemiology Unit, San Giovanni Battista Hospital, CPO Piemonte and University of Turin, Turin, Italy.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Mattiello, Amalia" sort="Mattiello, Amalia" uniqKey="Mattiello A" first="Amalia" last="Mattiello">Amalia Mattiello</name>
<affiliation><nlm:affiliation>Dipartimento di Medicina Clinica e Chirurgia, Federico II University, Naples, Italy.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Bueno De Mesquita, H Bas" sort="Bueno De Mesquita, H Bas" uniqKey="Bueno De Mesquita H" first="H Bas" last="Bueno-De-Mesquita">H Bas Bueno-De-Mesquita</name>
<affiliation><nlm:affiliation>Department of Epidemiology and Biostatistics, School of Public Health, Imperial College London, London, UK.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Peeters, Petra H" sort="Peeters, Petra H" uniqKey="Peeters P" first="Petra H" last="Peeters">Petra H. Peeters</name>
<affiliation><nlm:affiliation>Department of Epidemiology and Biostatistics, School of Public Health, Imperial College London, London, UK.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Van Gils, Carla" sort="Van Gils, Carla" uniqKey="Van Gils C" first="Carla" last="Van Gils">Carla Van Gils</name>
<affiliation><nlm:affiliation>Department of Epidemiology, Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht, The Netherlands.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Borgquist, Signe" sort="Borgquist, Signe" uniqKey="Borgquist S" first="Signe" last="Borgquist">Signe Borgquist</name>
<affiliation><nlm:affiliation>Division of Oncology and Pathology, Department of Clinical Sciences, Lund University, Lund, Sweden.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Butt, Salma" sort="Butt, Salma" uniqKey="Butt S" first="Salma" last="Butt">Salma Butt</name>
<affiliation><nlm:affiliation>Department of Surgery, Clinical Sciences, Skåne University Hospital, Lund University, Malmö, Sweden.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Zeleniuch Jacquotte, Anne" sort="Zeleniuch Jacquotte, Anne" uniqKey="Zeleniuch Jacquotte A" first="Anne" last="Zeleniuch-Jacquotte">Anne Zeleniuch-Jacquotte</name>
<affiliation><nlm:affiliation>Department of Population Health, NYU School of Medicine, New York, NY, USA.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Sund, Malin" sort="Sund, Malin" uniqKey="Sund M" first="Malin" last="Sund">Malin Sund</name>
<affiliation><nlm:affiliation>Department of Surgical and Perioperative Sciences, Umeå University, Umeå, Sweden.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Hjart Ker, Anette" sort="Hjart Ker, Anette" uniqKey="Hjart Ker A" first="Anette" last="Hjart Ker">Anette Hjart Ker</name>
<affiliation><nlm:affiliation>Department of Nutrition, Institute of Basic Medical Sciences, University of Oslo, Oslo, Norway.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Skeie, Guri" sort="Skeie, Guri" uniqKey="Skeie G" first="Guri" last="Skeie">Guri Skeie</name>
<affiliation><nlm:affiliation>Department of Community Medicine, Faculty of Health Sciences, University of Tromsø, The Arctic University of Norway, Tromsø, Norway.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Olsen, Anja" sort="Olsen, Anja" uniqKey="Olsen A" first="Anja" last="Olsen">Anja Olsen</name>
<affiliation><nlm:affiliation>Danish Cancer Society Research Center, Strandboulevarden 49, 2100, Copenhagen, Denmark.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Romieu, Isabelle" sort="Romieu, Isabelle" uniqKey="Romieu I" first="Isabelle" last="Romieu">Isabelle Romieu</name>
<affiliation><nlm:affiliation>International Agency for Research on Cancer (WHO-IARC), Lyon, France.</nlm:affiliation>
</affiliation>
</author>
</titleStmt>
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<sourceDesc><biblStruct><analytic><title xml:lang="en">Pre-diagnostic polyphenol intake and breast cancer survival: the European Prospective Investigation into Cancer and Nutrition (EPIC) cohort.</title>
<author><name sortKey="Kyr, Cecilie" sort="Kyr, Cecilie" uniqKey="Kyr C" first="Cecilie" last="Kyr">Cecilie Kyr</name>
<affiliation><nlm:affiliation>Danish Cancer Society Research Center, Strandboulevarden 49, 2100, Copenhagen, Denmark. ceciliek@cancer.dk.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Zamora Ros, Raul" sort="Zamora Ros, Raul" uniqKey="Zamora Ros R" first="Raul" last="Zamora-Ros">Raul Zamora-Ros</name>
<affiliation><nlm:affiliation>International Agency for Research on Cancer (WHO-IARC), Lyon, France.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Scalbert, Augustin" sort="Scalbert, Augustin" uniqKey="Scalbert A" first="Augustin" last="Scalbert">Augustin Scalbert</name>
<affiliation><nlm:affiliation>International Agency for Research on Cancer (WHO-IARC), Lyon, France.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Tj Nneland, Anne" sort="Tj Nneland, Anne" uniqKey="Tj Nneland A" first="Anne" last="Tj Nneland">Anne Tj Nneland</name>
<affiliation><nlm:affiliation>Danish Cancer Society Research Center, Strandboulevarden 49, 2100, Copenhagen, Denmark.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Dossus, Laure" sort="Dossus, Laure" uniqKey="Dossus L" first="Laure" last="Dossus">Laure Dossus</name>
<affiliation><nlm:affiliation>Inserm, CESP Centre for Research in Epidemiology and Population Health, Villejuif, France.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Johansen, Christoffer" sort="Johansen, Christoffer" uniqKey="Johansen C" first="Christoffer" last="Johansen">Christoffer Johansen</name>
<affiliation><nlm:affiliation>Danish Cancer Society Research Center, Strandboulevarden 49, 2100, Copenhagen, Denmark.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Bidstrup, Pernille Envold" sort="Bidstrup, Pernille Envold" uniqKey="Bidstrup P" first="Pernille Envold" last="Bidstrup">Pernille Envold Bidstrup</name>
<affiliation><nlm:affiliation>Danish Cancer Society Research Center, Strandboulevarden 49, 2100, Copenhagen, Denmark.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Weiderpass, Elisabete" sort="Weiderpass, Elisabete" uniqKey="Weiderpass E" first="Elisabete" last="Weiderpass">Elisabete Weiderpass</name>
<affiliation><nlm:affiliation>Department of Community Medicine, Faculty of Health Sciences, University of Tromsø, The Arctic University of Norway, Tromsø, Norway.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Christensen, Jane" sort="Christensen, Jane" uniqKey="Christensen J" first="Jane" last="Christensen">Jane Christensen</name>
<affiliation><nlm:affiliation>Danish Cancer Society Research Center, Strandboulevarden 49, 2100, Copenhagen, Denmark.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Ward, Heather" sort="Ward, Heather" uniqKey="Ward H" first="Heather" last="Ward">Heather Ward</name>
<affiliation><nlm:affiliation>Department of Epidemiology and Biostatistics, School of Public Health, Imperial College London, London, UK.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Aune, Dagfinn" sort="Aune, Dagfinn" uniqKey="Aune D" first="Dagfinn" last="Aune">Dagfinn Aune</name>
<affiliation><nlm:affiliation>Department of Epidemiology and Biostatistics, School of Public Health, Imperial College London, London, UK.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Riboli, Elio" sort="Riboli, Elio" uniqKey="Riboli E" first="Elio" last="Riboli">Elio Riboli</name>
<affiliation><nlm:affiliation>Department of Epidemiology and Biostatistics, School of Public Health, Imperial College London, London, UK.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="His, Mathilde" sort="His, Mathilde" uniqKey="His M" first="Mathilde" last="His">Mathilde His</name>
<affiliation><nlm:affiliation>Inserm, CESP Centre for Research in Epidemiology and Population Health, Villejuif, France.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Clavel Chapelon, Francoise" sort="Clavel Chapelon, Francoise" uniqKey="Clavel Chapelon F" first="Françoise" last="Clavel-Chapelon">Françoise Clavel-Chapelon</name>
<affiliation><nlm:affiliation>Inserm, CESP Centre for Research in Epidemiology and Population Health, Villejuif, France.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Baglietto, Laura" sort="Baglietto, Laura" uniqKey="Baglietto L" first="Laura" last="Baglietto">Laura Baglietto</name>
<affiliation><nlm:affiliation>Inserm, CESP Centre for Research in Epidemiology and Population Health, Villejuif, France.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Katzke, Verena" sort="Katzke, Verena" uniqKey="Katzke V" first="Verena" last="Katzke">Verena Katzke</name>
<affiliation><nlm:affiliation>Division of Cancer Epidemiology, German Cancer Research Center, DKFZ, Heidelberg, Germany.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Kuhn, Tilman" sort="Kuhn, Tilman" uniqKey="Kuhn T" first="Tilman" last="Kühn">Tilman Kühn</name>
<affiliation><nlm:affiliation>Division of Cancer Epidemiology, German Cancer Research Center, DKFZ, Heidelberg, Germany.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Boeing, Heiner" sort="Boeing, Heiner" uniqKey="Boeing H" first="Heiner" last="Boeing">Heiner Boeing</name>
<affiliation><nlm:affiliation>Department of Epidemiology, German Institute of Human Nutrition Potsdam-Rehbruecke, Nuthetal, Germany.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Floegel, Anna" sort="Floegel, Anna" uniqKey="Floegel A" first="Anna" last="Floegel">Anna Floegel</name>
<affiliation><nlm:affiliation>Department of Epidemiology, German Institute of Human Nutrition Potsdam-Rehbruecke, Nuthetal, Germany.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Overvad, Kim" sort="Overvad, Kim" uniqKey="Overvad K" first="Kim" last="Overvad">Kim Overvad</name>
<affiliation><nlm:affiliation>Section for Epidemiology, Department of Public Health, Aarhus University, Aarhus, Denmark.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Lasheras, Cristina" sort="Lasheras, Cristina" uniqKey="Lasheras C" first="Cristina" last="Lasheras">Cristina Lasheras</name>
<affiliation><nlm:affiliation>Department of Functional Biology, Faculty of Medicine, University of Oviedo, Asturias, Spain.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Travier, Noemie" sort="Travier, Noemie" uniqKey="Travier N" first="Noémie" last="Travier">Noémie Travier</name>
<affiliation><nlm:affiliation>Unit of Nutrition and Cancer, Catalan Institute of Oncology (ICO-IDIBELL), Barcelona, Spain.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Sanchez, Maria Jose" sort="Sanchez, Maria Jose" uniqKey="Sanchez M" first="Maria-José" last="Sánchez">Maria-José Sánchez</name>
<affiliation><nlm:affiliation>Escuela Andaluza de Salud Pública, Instituto de Investigación Biosanitaria ibs.GRANADA, Hospitales Universitarios de Granada/Universidad de Granada, Granada, Spain.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Amiano, Pilar" sort="Amiano, Pilar" uniqKey="Amiano P" first="Pilar" last="Amiano">Pilar Amiano</name>
<affiliation><nlm:affiliation>CIBER de Epidemiología y Salud Pública (CIBERESP), Madrid, Spain.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Chirlaque, Maria Dolores" sort="Chirlaque, Maria Dolores" uniqKey="Chirlaque M" first="Maria-Dolores" last="Chirlaque">Maria-Dolores Chirlaque</name>
<affiliation><nlm:affiliation>CIBER de Epidemiología y Salud Pública (CIBERESP), Madrid, Spain.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Ardanaz, Eva" sort="Ardanaz, Eva" uniqKey="Ardanaz E" first="Eva" last="Ardanaz">Eva Ardanaz</name>
<affiliation><nlm:affiliation>CIBER de Epidemiología y Salud Pública (CIBERESP), Madrid, Spain.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Khaw, Kay Tee" sort="Khaw, Kay Tee" uniqKey="Khaw K" first="Kay-Tee" last="Khaw">Kay-Tee Khaw</name>
<affiliation><nlm:affiliation>Department of Public Health and Primary Care, University of Cambridge, Cambridge, UK.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Wareham, Nick" sort="Wareham, Nick" uniqKey="Wareham N" first="Nick" last="Wareham">Nick Wareham</name>
<affiliation><nlm:affiliation>MRC Epidemiology Unit, University of Cambridge, Cambridge, UK.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Perez Cornago, Aurora" sort="Perez Cornago, Aurora" uniqKey="Perez Cornago A" first="Aurora" last="Perez-Cornago">Aurora Perez-Cornago</name>
<affiliation><nlm:affiliation>Cancer Epidemiology Unit, Nuffield Department of Population Health, University of Oxford, Oxford, UK.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Trichopoulou, Antonia" sort="Trichopoulou, Antonia" uniqKey="Trichopoulou A" first="Antonia" last="Trichopoulou">Antonia Trichopoulou</name>
<affiliation><nlm:affiliation>Hellenic Health Foundation, Athens, Greece.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Lagiou, Pagona" sort="Lagiou, Pagona" uniqKey="Lagiou P" first="Pagona" last="Lagiou">Pagona Lagiou</name>
<affiliation><nlm:affiliation>Hellenic Health Foundation, Athens, Greece.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Vasilopoulou, Effie" sort="Vasilopoulou, Effie" uniqKey="Vasilopoulou E" first="Effie" last="Vasilopoulou">Effie Vasilopoulou</name>
<affiliation><nlm:affiliation>Hellenic Health Foundation, Athens, Greece.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Masala, Giovanna" sort="Masala, Giovanna" uniqKey="Masala G" first="Giovanna" last="Masala">Giovanna Masala</name>
<affiliation><nlm:affiliation>Molecular and Nutritional Epidemiology Unit, Cancer Research and Prevention Institute - ISPO, Florence, Italy.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Grioni, Sara" sort="Grioni, Sara" uniqKey="Grioni S" first="Sara" last="Grioni">Sara Grioni</name>
<affiliation><nlm:affiliation>Epidemiology and Prevention Unit, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Berrino, Franco" sort="Berrino, Franco" uniqKey="Berrino F" first="Franco" last="Berrino">Franco Berrino</name>
<affiliation><nlm:affiliation>Epidemiology and Prevention Unit, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Tumino, Rosario" sort="Tumino, Rosario" uniqKey="Tumino R" first="Rosario" last="Tumino">Rosario Tumino</name>
<affiliation><nlm:affiliation>Cancer Registry and Histopathology Unit, "Civile-M.P. Arezzo" Hospital, ASP, Ragusa, Italy.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Sacerdote, Carlotta" sort="Sacerdote, Carlotta" uniqKey="Sacerdote C" first="Carlotta" last="Sacerdote">Carlotta Sacerdote</name>
<affiliation><nlm:affiliation>Cancer Epidemiology Unit, San Giovanni Battista Hospital, CPO Piemonte and University of Turin, Turin, Italy.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Mattiello, Amalia" sort="Mattiello, Amalia" uniqKey="Mattiello A" first="Amalia" last="Mattiello">Amalia Mattiello</name>
<affiliation><nlm:affiliation>Dipartimento di Medicina Clinica e Chirurgia, Federico II University, Naples, Italy.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Bueno De Mesquita, H Bas" sort="Bueno De Mesquita, H Bas" uniqKey="Bueno De Mesquita H" first="H Bas" last="Bueno-De-Mesquita">H Bas Bueno-De-Mesquita</name>
<affiliation><nlm:affiliation>Department of Epidemiology and Biostatistics, School of Public Health, Imperial College London, London, UK.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Peeters, Petra H" sort="Peeters, Petra H" uniqKey="Peeters P" first="Petra H" last="Peeters">Petra H. Peeters</name>
<affiliation><nlm:affiliation>Department of Epidemiology and Biostatistics, School of Public Health, Imperial College London, London, UK.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Van Gils, Carla" sort="Van Gils, Carla" uniqKey="Van Gils C" first="Carla" last="Van Gils">Carla Van Gils</name>
<affiliation><nlm:affiliation>Department of Epidemiology, Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht, The Netherlands.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Borgquist, Signe" sort="Borgquist, Signe" uniqKey="Borgquist S" first="Signe" last="Borgquist">Signe Borgquist</name>
<affiliation><nlm:affiliation>Division of Oncology and Pathology, Department of Clinical Sciences, Lund University, Lund, Sweden.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Butt, Salma" sort="Butt, Salma" uniqKey="Butt S" first="Salma" last="Butt">Salma Butt</name>
<affiliation><nlm:affiliation>Department of Surgery, Clinical Sciences, Skåne University Hospital, Lund University, Malmö, Sweden.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Zeleniuch Jacquotte, Anne" sort="Zeleniuch Jacquotte, Anne" uniqKey="Zeleniuch Jacquotte A" first="Anne" last="Zeleniuch-Jacquotte">Anne Zeleniuch-Jacquotte</name>
<affiliation><nlm:affiliation>Department of Population Health, NYU School of Medicine, New York, NY, USA.</nlm:affiliation>
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</author>
<author><name sortKey="Sund, Malin" sort="Sund, Malin" uniqKey="Sund M" first="Malin" last="Sund">Malin Sund</name>
<affiliation><nlm:affiliation>Department of Surgical and Perioperative Sciences, Umeå University, Umeå, Sweden.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Hjart Ker, Anette" sort="Hjart Ker, Anette" uniqKey="Hjart Ker A" first="Anette" last="Hjart Ker">Anette Hjart Ker</name>
<affiliation><nlm:affiliation>Department of Nutrition, Institute of Basic Medical Sciences, University of Oslo, Oslo, Norway.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Skeie, Guri" sort="Skeie, Guri" uniqKey="Skeie G" first="Guri" last="Skeie">Guri Skeie</name>
<affiliation><nlm:affiliation>Department of Community Medicine, Faculty of Health Sciences, University of Tromsø, The Arctic University of Norway, Tromsø, Norway.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Olsen, Anja" sort="Olsen, Anja" uniqKey="Olsen A" first="Anja" last="Olsen">Anja Olsen</name>
<affiliation><nlm:affiliation>Danish Cancer Society Research Center, Strandboulevarden 49, 2100, Copenhagen, Denmark.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Romieu, Isabelle" sort="Romieu, Isabelle" uniqKey="Romieu I" first="Isabelle" last="Romieu">Isabelle Romieu</name>
<affiliation><nlm:affiliation>International Agency for Research on Cancer (WHO-IARC), Lyon, France.</nlm:affiliation>
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</author>
</analytic>
<series><title level="j">Breast cancer research and treatment</title>
<idno type="eISSN">1573-7217</idno>
<imprint><date when="2015" type="published">2015</date>
</imprint>
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<term>Aged</term>
<term>Biomarkers, Tumor</term>
<term>Breast Neoplasms (diagnosis)</term>
<term>Breast Neoplasms (epidemiology)</term>
<term>Breast Neoplasms (etiology)</term>
<term>Breast Neoplasms (mortality)</term>
<term>Diet</term>
<term>Dietary Supplements</term>
<term>Europe (epidemiology)</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Health Surveys</term>
<term>Humans</term>
<term>Life Style</term>
<term>Middle Aged</term>
<term>Mortality</term>
<term>Neoplasm Grading</term>
<term>Neoplasm Staging</term>
<term>Nutrition Surveys</term>
<term>Polyphenols (administration & dosage)</term>
<term>Proportional Hazards Models</term>
<term>Risk Factors</term>
</keywords>
<keywords scheme="MESH" type="chemical" qualifier="administration & dosage" xml:lang="en"><term>Polyphenols</term>
</keywords>
<keywords scheme="MESH" type="chemical" xml:lang="en"><term>Biomarkers, Tumor</term>
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<keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Breast Neoplasms</term>
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<keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Breast Neoplasms</term>
</keywords>
<keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Breast Neoplasms</term>
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<term>Aged</term>
<term>Diet</term>
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<term>Follow-Up Studies</term>
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<term>Life Style</term>
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<term>Mortality</term>
<term>Neoplasm Grading</term>
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<front><div type="abstract" xml:lang="en">The aim was to investigate the association between pre-diagnostic intakes of polyphenol classes (flavonoids, lignans, phenolic acids, stilbenes, and other polyphenols) in relation to breast cancer survival (all-cause and breast cancer-specific mortality). We used data from the European Prospective Investigation into Cancer and Nutrition cohort. Pre-diagnostic usual diet was assessed using dietary questionnaires, and polyphenol intakes were estimated using the Phenol-Explorer database. We followed 11,782 breast cancer cases from time of diagnosis until death, end of follow-up or last day of contact. During a median of 6 years, 1482 women died (753 of breast cancer). We related polyphenol intake to all-cause and breast cancer-specific mortality using Cox proportional hazard models with time since diagnosis as underlying time and strata for age and country. Among postmenopausal women, an intake of lignans in the highest versus lowest quartile was related to a 28 % lower risk of dying from breast (adjusted model: HR, quartile 4 vs. quartile 1, 0.72, 95 % CI 0.53; 0.98). In contrast, in premenopausal women, a positive association between lignan intake and all-cause mortality was found (adjusted model: HR, quartile 4 vs. quartile 1, 1.63, 95 % CI 1.03; 2.57). We found no association for other polyphenol classes. Intake of lignans before breast cancer diagnosis may be related to improved survival among postmenopausal women, but may on the contrary worsen the survival for premenopausal women. This suggests that the role of phytoestrogens in breast cancer survival is complex and may be dependent of menopausal status.</div>
</front>
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<pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">26531755</PMID>
<DateCreated><Year>2015</Year>
<Month>11</Month>
<Day>20</Day>
</DateCreated>
<DateCompleted><Year>2016</Year>
<Month>09</Month>
<Day>09</Day>
</DateCompleted>
<DateRevised><Year>2017</Year>
<Month>11</Month>
<Day>10</Day>
</DateRevised>
<Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1573-7217</ISSN>
<JournalIssue CitedMedium="Internet"><Volume>154</Volume>
<Issue>2</Issue>
<PubDate><Year>2015</Year>
<Month>Nov</Month>
</PubDate>
</JournalIssue>
<Title>Breast cancer research and treatment</Title>
<ISOAbbreviation>Breast Cancer Res. Treat.</ISOAbbreviation>
</Journal>
<ArticleTitle>Pre-diagnostic polyphenol intake and breast cancer survival: the European Prospective Investigation into Cancer and Nutrition (EPIC) cohort.</ArticleTitle>
<Pagination><MedlinePgn>389-401</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1007/s10549-015-3595-9</ELocationID>
<Abstract><AbstractText>The aim was to investigate the association between pre-diagnostic intakes of polyphenol classes (flavonoids, lignans, phenolic acids, stilbenes, and other polyphenols) in relation to breast cancer survival (all-cause and breast cancer-specific mortality). We used data from the European Prospective Investigation into Cancer and Nutrition cohort. Pre-diagnostic usual diet was assessed using dietary questionnaires, and polyphenol intakes were estimated using the Phenol-Explorer database. We followed 11,782 breast cancer cases from time of diagnosis until death, end of follow-up or last day of contact. During a median of 6 years, 1482 women died (753 of breast cancer). We related polyphenol intake to all-cause and breast cancer-specific mortality using Cox proportional hazard models with time since diagnosis as underlying time and strata for age and country. Among postmenopausal women, an intake of lignans in the highest versus lowest quartile was related to a 28 % lower risk of dying from breast (adjusted model: HR, quartile 4 vs. quartile 1, 0.72, 95 % CI 0.53; 0.98). In contrast, in premenopausal women, a positive association between lignan intake and all-cause mortality was found (adjusted model: HR, quartile 4 vs. quartile 1, 1.63, 95 % CI 1.03; 2.57). We found no association for other polyphenol classes. Intake of lignans before breast cancer diagnosis may be related to improved survival among postmenopausal women, but may on the contrary worsen the survival for premenopausal women. This suggests that the role of phytoestrogens in breast cancer survival is complex and may be dependent of menopausal status.</AbstractText>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Kyrø</LastName>
<ForeName>Cecilie</ForeName>
<Initials>C</Initials>
<AffiliationInfo><Affiliation>Danish Cancer Society Research Center, Strandboulevarden 49, 2100, Copenhagen, Denmark. ceciliek@cancer.dk.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>International Agency for Research on Cancer (WHO-IARC), Lyon, France. ceciliek@cancer.dk.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Zamora-Ros</LastName>
<ForeName>Raul</ForeName>
<Initials>R</Initials>
<AffiliationInfo><Affiliation>International Agency for Research on Cancer (WHO-IARC), Lyon, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Scalbert</LastName>
<ForeName>Augustin</ForeName>
<Initials>A</Initials>
<AffiliationInfo><Affiliation>International Agency for Research on Cancer (WHO-IARC), Lyon, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Tjønneland</LastName>
<ForeName>Anne</ForeName>
<Initials>A</Initials>
<AffiliationInfo><Affiliation>Danish Cancer Society Research Center, Strandboulevarden 49, 2100, Copenhagen, Denmark.</Affiliation>
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</Author>
<Author ValidYN="Y"><LastName>Dossus</LastName>
<ForeName>Laure</ForeName>
<Initials>L</Initials>
<AffiliationInfo><Affiliation>Inserm, CESP Centre for Research in Epidemiology and Population Health, Villejuif, France.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Université Paris-Sud, Villejuif, France.</Affiliation>
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<ForeName>Christoffer</ForeName>
<Initials>C</Initials>
<AffiliationInfo><Affiliation>Danish Cancer Society Research Center, Strandboulevarden 49, 2100, Copenhagen, Denmark.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>5073, Oncology Clinic, Finsen Centre, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Bidstrup</LastName>
<ForeName>Pernille Envold</ForeName>
<Initials>PE</Initials>
<AffiliationInfo><Affiliation>Danish Cancer Society Research Center, Strandboulevarden 49, 2100, Copenhagen, Denmark.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Weiderpass</LastName>
<ForeName>Elisabete</ForeName>
<Initials>E</Initials>
<AffiliationInfo><Affiliation>Department of Community Medicine, Faculty of Health Sciences, University of Tromsø, The Arctic University of Norway, Tromsø, Norway.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Department of Research, Cancer Registry of Norway, Institute of Population Based Cancer Research, Oslo, Norway.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Genetic Epidemiology Group, Folkhälsan Research Center, Samfundet Folkhälsan, Helsinki, Finland.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Christensen</LastName>
<ForeName>Jane</ForeName>
<Initials>J</Initials>
<AffiliationInfo><Affiliation>Danish Cancer Society Research Center, Strandboulevarden 49, 2100, Copenhagen, Denmark.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Ward</LastName>
<ForeName>Heather</ForeName>
<Initials>H</Initials>
<AffiliationInfo><Affiliation>Department of Epidemiology and Biostatistics, School of Public Health, Imperial College London, London, UK.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Aune</LastName>
<ForeName>Dagfinn</ForeName>
<Initials>D</Initials>
<AffiliationInfo><Affiliation>Department of Epidemiology and Biostatistics, School of Public Health, Imperial College London, London, UK.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Riboli</LastName>
<ForeName>Elio</ForeName>
<Initials>E</Initials>
<AffiliationInfo><Affiliation>Department of Epidemiology and Biostatistics, School of Public Health, Imperial College London, London, UK.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>His</LastName>
<ForeName>Mathilde</ForeName>
<Initials>M</Initials>
<AffiliationInfo><Affiliation>Inserm, CESP Centre for Research in Epidemiology and Population Health, Villejuif, France.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Université Paris-Sud, Villejuif, France.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Gustave Roussy, Villejuif, France.</Affiliation>
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</Author>
<Author ValidYN="Y"><LastName>Clavel-Chapelon</LastName>
<ForeName>Françoise</ForeName>
<Initials>F</Initials>
<AffiliationInfo><Affiliation>Inserm, CESP Centre for Research in Epidemiology and Population Health, Villejuif, France.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Université Paris-Sud, Villejuif, France.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Gustave Roussy, Villejuif, France.</Affiliation>
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<Author ValidYN="Y"><LastName>Baglietto</LastName>
<ForeName>Laura</ForeName>
<Initials>L</Initials>
<AffiliationInfo><Affiliation>Inserm, CESP Centre for Research in Epidemiology and Population Health, Villejuif, France.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Université Paris-Sud, Villejuif, France.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Gustave Roussy, Villejuif, France.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Cancer Epidemiology Centre, Cancer Council of Victoria, Melbourne, VIC, Australia.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>Centre for Epidemiology and Biostatistics, School of Population and Global Health, University of Melbourne, Melbourne, VIC, Australia.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Katzke</LastName>
<ForeName>Verena</ForeName>
<Initials>V</Initials>
<AffiliationInfo><Affiliation>Division of Cancer Epidemiology, German Cancer Research Center, DKFZ, Heidelberg, Germany.</Affiliation>
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<Author ValidYN="Y"><LastName>Kühn</LastName>
<ForeName>Tilman</ForeName>
<Initials>T</Initials>
<AffiliationInfo><Affiliation>Division of Cancer Epidemiology, German Cancer Research Center, DKFZ, Heidelberg, Germany.</Affiliation>
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</Author>
<Author ValidYN="Y"><LastName>Boeing</LastName>
<ForeName>Heiner</ForeName>
<Initials>H</Initials>
<AffiliationInfo><Affiliation>Department of Epidemiology, German Institute of Human Nutrition Potsdam-Rehbruecke, Nuthetal, Germany.</Affiliation>
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<Author ValidYN="Y"><LastName>Floegel</LastName>
<ForeName>Anna</ForeName>
<Initials>A</Initials>
<AffiliationInfo><Affiliation>Department of Epidemiology, German Institute of Human Nutrition Potsdam-Rehbruecke, Nuthetal, Germany.</Affiliation>
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</Author>
<Author ValidYN="Y"><LastName>Overvad</LastName>
<ForeName>Kim</ForeName>
<Initials>K</Initials>
<AffiliationInfo><Affiliation>Section for Epidemiology, Department of Public Health, Aarhus University, Aarhus, Denmark.</Affiliation>
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<Author ValidYN="Y"><LastName>Lasheras</LastName>
<ForeName>Cristina</ForeName>
<Initials>C</Initials>
<AffiliationInfo><Affiliation>Department of Functional Biology, Faculty of Medicine, University of Oviedo, Asturias, Spain.</Affiliation>
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<Author ValidYN="Y"><LastName>Travier</LastName>
<ForeName>Noémie</ForeName>
<Initials>N</Initials>
<AffiliationInfo><Affiliation>Unit of Nutrition and Cancer, Catalan Institute of Oncology (ICO-IDIBELL), Barcelona, Spain.</Affiliation>
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<Author ValidYN="Y"><LastName>Sánchez</LastName>
<ForeName>Maria-José</ForeName>
<Initials>MJ</Initials>
<AffiliationInfo><Affiliation>Escuela Andaluza de Salud Pública, Instituto de Investigación Biosanitaria ibs.GRANADA, Hospitales Universitarios de Granada/Universidad de Granada, Granada, Spain.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>CIBER de Epidemiología y Salud Pública (CIBERESP), Madrid, Spain.</Affiliation>
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</Author>
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<ForeName>Pilar</ForeName>
<Initials>P</Initials>
<AffiliationInfo><Affiliation>CIBER de Epidemiología y Salud Pública (CIBERESP), Madrid, Spain.</Affiliation>
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<AffiliationInfo><Affiliation>Department of Epidemiology, Regional Health Council, IMIB-Arrixaca, Murcia, Spain.</Affiliation>
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<AffiliationInfo><Affiliation>Department of Health and Social Sciences, Universidad de Murcia, Murcia, Spain.</Affiliation>
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<AffiliationInfo><Affiliation>Navarra Public Health Institute, Pamplona, Spain.</Affiliation>
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<Initials>N</Initials>
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<AffiliationInfo><Affiliation>WHO Collaborating Center for Nutrition and Health, Unit of Nutritional Epidemiology and Nutrition in Public Health, Department of Hygiene, Epidemiology and Medical Statistics, University of Athens Medical School, Athens, Greece.</Affiliation>
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<AffiliationInfo><Affiliation>WHO Collaborating Center for Nutrition and Health, Unit of Nutritional Epidemiology and Nutrition in Public Health, Department of Hygiene, Epidemiology and Medical Statistics, University of Athens Medical School, Athens, Greece.</Affiliation>
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<AffiliationInfo><Affiliation>Epidemiology and Prevention Unit, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy.</Affiliation>
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<AffiliationInfo><Affiliation>Cancer Epidemiology Unit, San Giovanni Battista Hospital, CPO Piemonte and University of Turin, Turin, Italy.</Affiliation>
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<AffiliationInfo><Affiliation>Department for Determinants of Chronic Diseases (DCD), National Institute for Public Health and the Environment (RIVM), Bilthoven, The Netherlands.</Affiliation>
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<AffiliationInfo><Affiliation>Department of Gastroenterology and Hepatology, University Medical Centre, Utrecht, The Netherlands.</Affiliation>
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<AffiliationInfo><Affiliation>Department of Social & Preventive Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia.</Affiliation>
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<AffiliationInfo><Affiliation>Department of Epidemiology, Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht, The Netherlands.</Affiliation>
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<Initials>A</Initials>
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<ForeName>Malin</ForeName>
<Initials>M</Initials>
<AffiliationInfo><Affiliation>Department of Surgical and Perioperative Sciences, Umeå University, Umeå, Sweden.</Affiliation>
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<Initials>A</Initials>
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<Initials>G</Initials>
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<Initials>A</Initials>
<AffiliationInfo><Affiliation>Danish Cancer Society Research Center, Strandboulevarden 49, 2100, Copenhagen, Denmark.</Affiliation>
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<Agency>Medical Research Council</Agency>
<Country>United Kingdom</Country>
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<Agency>Medical Research Council</Agency>
<Country>United Kingdom</Country>
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<Agency>Cancer Research UK</Agency>
<Country>United Kingdom</Country>
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<Grant><Agency>Cancer Research UK</Agency>
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<Month>11</Month>
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