The Nordic Nutrition Recommendations and prostate cancer risk in the Cancer of the Prostate in Sweden (CAPS) study

Abstract Objective The Nordic Nutrition Recommendations (NNR) aim at preventing diet-associated diseases such as cancer in the Nordic countries. We evaluated adherence to the NNR in relation to prostate cancer (PC) in Swedish men, including potential interaction with a genetic risk score and with lifestyle factors. Design Population-based case–control study (Cancer of the Prostate in Sweden (CAPS), 2001–2002). Using data from a semi-quantitative FFQ, we created an NNR adherence score and estimated relative risks of PC by unconditional logistic regression. Individual score components were modelled separately and potential modifying effects were assessed on the multiplicative scale. Setting Four regions in the central and northern parts of Sweden. Subjects Incident PC patients (n 1386) and population controls (n 940), frequency-matched on age and region. Results No overall association with PC was found, possibly due to the generally high adherence to the NNR score and its narrow distribution in the study population. Among individual NNR score components, high compared with low intakes of polyunsaturated fat were associated with an increased relative risk of localized PC. No formal interaction with genetic or lifestyle factors was observed, although in stratified analysis a positive association between the NNR and PC was suggested among men with a high genetic risk score but not among men with a medium or low genetic risk score. Conclusions Our findings do not support an association between NNR adherence and PC. The suggestive interaction with the genetic risk score deserves further investigations in other study populations.

[1]  Martin Eklund,et al.  Polygenic risk score improves prostate cancer risk prediction: results from the Stockholm-1 cohort study. , 2011, European urology.

[2]  S. Hori,et al.  Prostate cancer and diet: food for thought? , 2011, BJU international.

[3]  H. Grönberg,et al.  Dietary supplement use patterns in men with prostate cancer: the Cancer Prostate Sweden study. , 2011, Annals of oncology : official journal of the European Society for Medical Oncology.

[4]  J. Bottorff,et al.  Men, Food, and Prostate Cancer: Gender Influences on Men’s Diets , 2011, American journal of men's health.

[5]  A. Tjønneland,et al.  Association of adherence to lifestyle recommendations and risk of colorectal cancer: a prospective Danish cohort study , 2010, BMJ : British Medical Journal.

[6]  O. Bälter,et al.  Adherence to the Nordic Nutrition Recommendations as a measure of a healthy diet and upper respiratory tract infection , 2010, Public Health Nutrition.

[7]  H. Boeing,et al.  Adherence to recommendations of the German food pyramid and risk of chronic diseases: results from the EPIC-Potsdam study , 2010, European Journal of Clinical Nutrition.

[8]  R. Sinha,et al.  Diet index-based and empirically derived dietary patterns are associated with colorectal cancer risk. , 2010, The Journal of nutrition.

[9]  A. Risch,et al.  Dietary Glucosinolate Intake, Polymorphisms in Selected Biotransformation Enzymes, and Risk of Prostate Cancer , 2010, Cancer Epidemiology, Biomarkers & Prevention.

[10]  O. Pedersen,et al.  Past and current body size affect validity of reported energy intake among middle-aged Danish men. , 2009, The Journal of nutrition.

[11]  D. English,et al.  Dietary Patterns and Prostate Cancer Risk , 2009, Cancer Epidemiology, Biomarkers & Prevention.

[12]  J. Witte,et al.  ω–3 Fatty Acids, Genetic Variants in COX-2 and Prostate Cancer , 2009, Lifestyle Genomics.

[13]  K. Chapman,et al.  A systematic review of the effect of diet in prostate cancer prevention and treatment. , 2009, Journal of human nutrition and dietetics : the official journal of the British Dietetic Association.

[14]  F. Bennett,et al.  Are food patterns associated with prostate cancer in Jamaican men: a preliminary report , 2009, Infectious Agents and Cancer.

[15]  François G. Meyer,et al.  Insulin-like Growth Factors, Their Binding Proteins, and Prostate Cancer Risk: Analysis of Individual Patient Data from 12 Prospective Studies , 2008, Annals of Internal Medicine.

[16]  G. Schwartz,et al.  Serum Calcium and Incident and Fatal Prostate Cancer in the National Health and Nutrition Examination Survey , 2008, Cancer Epidemiology Biomarkers & Prevention.

[17]  D. Mackerras,et al.  Dietary patterns identified using factor analysis and prostate cancer risk: a case control study in Western Australia. , 2008, Annals of epidemiology.

[18]  P. Galan,et al.  The French National Nutrition and Health Program score is associated with nutritional status and risk of major chronic diseases. , 2008, The Journal of nutrition.

[19]  D. Hunter,et al.  Textbook of cancer epidemiology , 2003 .

[20]  A. Roddam,et al.  Endogenous sex hormones and prostate cancer: a collaborative analysis of 18 prospective studies. , 2008, Journal of the National Cancer Institute.

[21]  R. Sinha,et al.  Cancer incidence rates among South Asians in four geographic regions: India, Singapore, UK and US. , 2008, International journal of epidemiology.

[22]  A F Subar,et al.  Index-based dietary patterns and risk of colorectal cancer: the NIH-AARP Diet and Health Study. , 2007, American journal of epidemiology.

[23]  R. Hayes,et al.  Adherence to the USDA Food Guide, DASH Eating Plan, and Mediterranean dietary pattern reduces risk of colorectal adenoma. , 2007, The Journal of nutrition.

[24]  A. Kristal,et al.  (n-6) PUFA increase and dairy foods decrease prostate cancer risk in heavy smokers. , 2007, The Journal of nutrition.

[25]  H. Grönberg,et al.  Association of frequent consumption of fatty fish with prostate cancer risk is modified by COX‐2 polymorphism , 2007, International journal of cancer.

[26]  Wcr Fund.  Food, Nutrition, Physical Activity, and the Prevention of Cancer: a Global Perspective , 2007 .

[27]  E. Platz,et al.  Obesity and prostate cancer: making sense out of apparently conflicting data. , 2007, Epidemiologic reviews.

[28]  H. Grönberg,et al.  Dietary intake of phytoestrogens, estrogen receptor‐beta polymorphisms and the risk of prostate cancer , 2006, The Prostate.

[29]  W. Willett,et al.  A Prospective Study of Calcium Intake and Incident and Fatal Prostate Cancer , 2006, Cancer Epidemiology Biomarkers & Prevention.

[30]  W. Willett,et al.  Dietary Patterns and Risk of Prostate Cancer in U.S. Men , 2006, Cancer Epidemiology Biomarkers & Prevention.

[31]  H. Grönberg,et al.  Dietary Phytoestrogen, Serum Enterolactone and Risk of Prostate Cancer: The Cancer Prostate Sweden Study (Sweden) , 2006, Cancer Causes & Control.

[32]  W. King,et al.  Dietary patterns and risk of prostate cancer in Ontario, Canada , 2005, International journal of cancer.

[33]  P. Kantoff,et al.  Manganese superoxide dismutase polymorphism, prediagnostic antioxidant status, and risk of clinical significant prostate cancer. , 2005, Cancer research.

[34]  H. Adami,et al.  Dietary Factors and Risk of Non-Hodgkin Lymphoma in Men and Women , 2005, Cancer Epidemiology Biomarkers & Prevention.

[35]  H. Grönberg,et al.  Alcohol drinking and risk of localized versus advanced and sporadic versus familial prostate cancer in Sweden , 2005, Cancer Causes & Control.

[36]  Pär Stattin,et al.  H6D polymorphism in macrophage-inhibitory cytokine-1 gene associated with prostate cancer. , 2004, Journal of the National Cancer Institute.

[37]  A. Wolk,et al.  The validity of questionnaire-based micronutrient intake estimates is increased by including dietary supplement use in Swedish men. , 2004, The Journal of nutrition.

[38]  W. Willett,et al.  Dietary intake of n-3 and n-6 fatty acids and the risk of prostate cancer. , 2004, The American journal of clinical nutrition.

[39]  H. Meltzer,et al.  Nordic Nutrition Recommendations 2004 – integrating nutrition and physical activity , 2004 .

[40]  B. Schneeman,et al.  Evolution of dietary guidelines. , 2003, Journal of the American Dietetic Association.

[41]  Boyd Swinburn,et al.  Diet, nutrition and the prevention of chronic diseases. , 2003, World Health Organization technical report series.

[42]  M. Thun,et al.  Diet Quality Index as a predictor of short-term mortality in the American Cancer Society Cancer Prevention Study II Nutrition Cohort. , 2003, American journal of epidemiology.

[43]  D. Bowen,et al.  Changes in diet, physical activity, and supplement use among adults diagnosed with cancer. , 2003, Journal of the American Dietetic Association.

[44]  Donna Spiegelman,et al.  Diet quality and major chronic disease risk in men and women: moving toward improved dietary guidance. , 2002, The American journal of clinical nutrition.

[45]  A. Folsom,et al.  An evaluation of the Dietary Guidelines for Americans in relation to cancer occurrence. , 2002, The American journal of clinical nutrition.

[46]  R Bellocco,et al.  Validity and reproducibility of self-reported total physical activity—differences by relative weight , 2001, International Journal of Obesity.

[47]  L. Kolonel.  Fat, meat, and prostate cancer. , 2001, Epidemiologic reviews.

[48]  W. Willett,et al.  Adherence to the Dietary Guidelines for Americans and risk of major chronic disease in women. , 2000, The American journal of clinical nutrition.

[49]  J. Kaprio,et al.  Environmental and heritable factors in the causation of cancer--analyses of cohorts of twins from Sweden, Denmark, and Finland. , 2000, The New England journal of medicine.

[50]  E. Rimm,et al.  Adherence to the Dietary Guidelines for Americans and risk of major chronic disease in men. , 2000, The American journal of clinical nutrition.

[51]  L. Wilkens,et al.  Comparison of long-term dietary recall between cancer cases and noncases. , 1992, American journal of epidemiology.

[52]  B. Henderson,et al.  Cancers of the prostate and breast among Japanese and white immigrants in Los Angeles County. , 1991, British Journal of Cancer.

[53]  C. Muir,et al.  The epidemiology of prostatic cancer. Geographical distribution and time-trends. , 1991, Acta oncologica.

[54]  T. Guthrie,et al.  Prostate cancer. , 2020, American family physician.