Title
Consumption of vegetables and fruits and risk of subtypes of head-neck cancer in the Netherlands Cohort Study
Author
Maasland, D.H.E.
van den Brandt, P.A.
Kremer, B.
Goldbohm, R.A.
Schouten, L.J.
Publication year
2015
Abstract
There is limited prospective data on the relationship between consumption of vegetables and fruits and the risk of head-neck cancer (HNC) subtypes [i.e., oral cavity cancer (OCC), oro-/hypopharyngeal cancer (OHPC) and laryngeal cancer (LC)]. Therefore, we investigated these associations within the Netherlands Cohort Study, in which 120,852 participants completed a 150-item food frequency questionnaire at baseline in 1986. After 20.3 years of follow-up, 415 cases of HNC (131 OCC, 88 OHPC, three oral cavity/pharynx unspecified or overlapping and 193 LC) and 3,898 subcohort members were available for case-cohort analysis using Cox proportional hazards models. Total vegetable and fruit consumption was inversely associated with risk of HNC overall [multivariable-adjusted rate ratios for highest vs. lowest quartile: 0.61, 95% confidence interval (CI) 0.44-0.85, p trend 0.002] and all HNC subtypes, with the strongest associations for OCC. Total vegetable intake and total fruit intake were also associated with a decreased risk of HNC overall and HNC subtypes. No significant interaction was found between vegetable and fruit intake and alcohol consumption or cigarette smoking. In conclusion, in this large-scale cohort study, consumption of vegetables and fruits was associated with a decreased risk of HNC overall and all subtypes. Consumption of vegetables and fruits (or of specific groups of them) may protect against HNC and its subtypes.
Subject
Life
LS - Life Style
ELSS - Earth, Life and Social Sciences
Healthy for Life
Health
Healthy Living
Cohort studies
Etiology
Fruits
Head-neck cancer
Vegetables
Adult
Aged
Alcohol consumption
Cancer risk
Cohort analysis
Dietary intake
Female
Head and neck cancer
Human
Hypopharynx cancer
Larynx cancer
Major clinical study
Male
Mouth cancer
Netherlands
Oropharynx cancer
Prospective study
Risk assessment
Risk reduction
Smoking
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http://resolver.tudelft.nl/uuid:59565584-133b-4c1f-9f80-2274569c81b1
DOI
https://doi.org/10.1002/ijc.29219
TNO identifier
521634
ISSN
0020-7136
Source
International Journal of Cancer, 136 (5), E396-E409
Document type
article