☆ 4.7 Article

Metabolic signature of healthy lifestyle and its relation with risk of hepatocellular carcinoma in a large European cohort

AMERICAN JOURNAL OF CLINICAL NUTRITION (2018)

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Journal

AMERICAN JOURNAL OF CLINICAL NUTRITION
Volume 108, Issue 1, Pages 117-126

Publisher

OXFORD UNIV PRESS
DOI: 10.1093/ajcn/nqy074

Keywords

hepatocellular carcinoma; targeted metabolomics; multivariate statistics; metabolic signatures; partial least squares; healthy lifestyle index; EPIC

Categories

Nutrition & Dietetics

Funding

  1. European Commission (DG-SANCO)
  2. International Agency for Research on Cancer
  3. Danish Cancer Society (Denmark)
  4. Ligue Contre le Cancer (France)
  5. Deutsche Krebshilfe
  6. Deutsches Krebsforschungszentrum
  7. Federal Ministry of Education and Research (Germany)
  8. Hellenic Health Foundation (Greece)
  9. Associazione Italiana per la Ricerca sul Cancro-AIRC-Italy
  10. National Research Council (Italy)
  11. Dutch Ministry of Public Health, Welfare and Sports (VWS)
  12. Netherlands Cancer Registry (NKR)
  13. LK Research Funds
  14. Dutch Prevention Funds
  15. Dutch ZON (Zorg Onderzoek Nederland)
  16. World Cancer Research Fund (WCRF)
  17. Statistics Netherlands (Netherlands)
  18. Nordic Centre of Excellence Programme on Food, Nutrition and Health (Norway)
  19. Health Research Fund (FIS) [PI13/00061]
  20. Regional Government of Andalucia [6236]
  21. Regional Government of Asturias [6236]
  22. Regional Government of Basque Country [6236]
  23. Regional Government of Murcia [6236]
  24. Navarra, ISCIII RETIC (Spain) [RD06/0020]
  25. Swedish Cancer Society
  26. Swedish Scientific Council
  27. County Council of Skane (Sweden)
  28. County Council of Vasterbotten (Sweden)
  29. Cancer Research UK [14136, C570/A16491, C8221/A19170]
  30. Medical Research Council (United Kingdom) [1000143, MR/M012190/1]
  31. Institut Gustave Roussy (France)
  32. Mutuelle Generale de l'Education Nationale (France)
  33. Institut National de la Sante et de la Recherche Medicale (INSERM) (France)
  34. NATIONAL CANCER INSTITUTE [P01CA196539] Funding Source: NIH RePORTER
  35. MRC [MR/N003284/1, G0500300] Funding Source: UKRI

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Background: Studies using metabolomic data have identified metabolites from several compound classes that are associated with disease-related lifestyle factors. Objective: In this study, we identified metabolic signatures reflecting lifestyle patterns and related them to the risk of hepatocellular carcinoma (HCC) in the European Prospective Investigation into Cancer and Nutrition (EPIC) cohort. Design: Within a nested case-control study of 147 incident HCC cases and 147 matched controls, partial least squares (PLS) analysis related 7 modified healthy lifestyle index (HLI) variables (diet, BMI, physical activity, lifetime alcohol, smoking, diabetes, and hepatitis) to 132 targeted serum-measured metabolites and a liver function score. The association between the resulting PLS scores and HCC risk was examined in multivariable conditional logistic regression models, where ORs and 95% CIs were computed. Results: The lifestyle component's PLS score was negatively associated with lifetime alcohol, BMI, smoking, and diabetes, and positively associated with physical activity. Its metabolic counterpart was positively related to the metabolites sphingomyelin (SM)(OH) C14: 1, C16: 1, and C22: 2 and negatively related to glutamate, hexoses, and the diacyl-phosphatidylcholine PC aaC32: 1. The lifestyle and metabolomics components were inversely associated with HCC risk, with the ORs for a 1-SD increase in scores equal to 0.53 (95% CI: 0.38, 0.74) and 0.28 (0.18, 0.43), and the associated AUCs equal to 0.64 (0.57, 0.70) and 0.74 (0.69, 0.80), respectively. Conclusions: This study identified a metabolic signature reflecting a healthy lifestyle pattern which was inversely associated with HCC risk. The metabolic profile displayed a stronger association with HCC than did the modified HLI derived from questionnaire data. Measuring a specific panel of metabolites may identify strata of the population at higher risk for HCC and can add substantial discrimination compared with questionnaire data.

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Horta, Leila Houti, Christina Howitt, Thein Thein Htay, Aung Soe Htet, Maung Maung Than Htike, Yonghua Hu, Jose Maria Huerta, Ilpo Tapani Huhtaniemi, Laetitia Huiart, Constanta Huidumac Petrescu, Martijn Huisman, Abdullatif Husseini, Chinh Nguyen Huu, Inge Huybrechts, Nahla Hwalla, Jolanda Hyska, Licia Iacoviello, Ellina M. Iakupova, Jesus M. Ibarluzea, Mohsen M. Ibrahim, Norazizah Ibrahim Wong, M. Arfan Ikram, Carmen Iniguez, Violeta Iotova, Vilma E. Irazola, Takafumi Ishida, Godsent C. Isiguzo, Muhammad Islam, Sheikh Mohammed Shariful Islam, Duygu Islek, Ivaila Y. Ivanova-Pandourska, Masanori Iwasaki, Tuija Jaaskelainen, Rod T. Jackson, Jeremy M. Jacobs, Michel Jadoul, Tazeen Jafar, Bakary Jallow, Kenneth James, Kazi M. Jamil, Konrad Jamrozik, Anna Jansson, Imre Janszky, Edward Janus, Juel Jarani, Marjo-Riitta Jarvelin, Grazyna Jasienska, Ana Jelakovic, Bojan Jelakovic, Garry Jennings, Chao Qiang Jiang, Ramon O. Jimenez, Karl-Heinz Jockel, Michel Joffres, Jari J. Jokelainen, Jost B. Jonas, Jitendra Jonnagaddala, Torben Jorgensen, Pradeep Joshi, Josipa Josipovic, Farahnaz Joukar, Jacek J. Jozwiak, Debra S. Judge, Anne Juolevi, Gregor Jurak, Iulia Jurca Simina, Vesna Juresa, Rudolf Kaaks, Felix O. Kaducu, Anthony Kafatos, Monika Kaj, Eero O. Kajantie, Natia Kakutia, Daniela Kallayova, Zhanna Kalmatayeva, Ofra Kalter-Leibovici, Yves Kameli, Freja B. Kampmann, Kodanda R. Kanala, Srinivasan Kannan, Efthymios Kapantais, Eva Karaglani, Argyro Karakosta, Line L. Karhus, Khem B. Karki, Philippe B. Katchunga, Marzieh Katibeh, Joanne Katz, Peter T. Katzmarzyk, Jussi Kauhanen, Prabhdeep Kaur, Maryam Kavousi, Gyulli M. Kazakbaeva, Francois F. Kaze, Calvin Ke, Ulrich Keil, Lital Keinan Boker, Sirkka Keinanen-Kiukaanniemi, Roya Kelishadi, Cecily Kelleher, Han C. G. Kemper, Maryam Keramati, Alina Kerimkulova, Mathilde Kersting, Timothy Key, Yousef Saleh Khader, Arsalan Khaledifar, Davood Khalili, Kay-Tee Khaw, Bahareh Kheiri, Motahareh Kheradmand, Alireza Khosravi, Ilse M. S. L. Khouw, Ursula Kiechl-Kohlendorfer, Sophia J. Kiechl, Stefan Kiechl, Japhet Killewo, Hyeon Chang Kim, Jeongseon Kim, Jenny M. Kindblom, Andrew Kingston, Heidi Klakk, Magdalena Klimek, Jeannette Klimont, Jurate Klumbiene, Michael Knoflach, Bhawesh Koirala, Elin Kolle, Patrick Kolsteren, Jurgen Konig, Raija Korpelainen, Paul Korrovits, Magdalena Korzycka, Jelena Kos, Seppo Koskinen, Katsuyasu Kouda, Eva Kovacs, Viktoria Anna Kovacs, Irina Kovalskys, Sudhir Kowlessur, Slawomir Koziel, Jana Kratenova, Wolfgang Kratzer, Vilma Kriaucioniene, Susi Kriemler, Peter Lund Kristensen, Helena Krizan, Maria F. Kroker-Lobos, Steinar Krokstad, Daan Kromhout, Herculina S. Kruger, Ruan Kruger, Lukasz Kryst, Ruzena Kubinova, Renata Kuciene, Urho M. Kujala, Enisa Kujundzic, Zbigniew Kulaga, Mukhtar Kulimbet, R. Krishna Kumar, Marie Kunesova, Pawel Kurjata, Yadlapalli S. Kusuma, Vladimir Kutsenko, Kari Kuulasmaa, Catherine Kyobutungi, Quang Ngoc La, Fatima Zahra Laamiri, Carl Lachat, Karl J. Lackner, Youcef Laid, Lachmie Lall, Tai Hing Lam, Maritza Landaeta Jimenez, Edwige Landais, Vera Lanska, Georg Lappas, Bagher Larijani, Simo Pone Larissa, Tint Swe Latt, Martino Laurenzi, Laura Lauria, Maria Lazo-Porras, Gwenaelle Le Coroller, Khanh Le Nguyen Bao, Agnes Le Port, Tuyen D. Le, Jeannette Lee, Jeonghee Lee, Paul H. Lee, Nils Lehmann, Terho Lehtimaki, Daniel Lemogoum, Branimir Leskosek, Justyna Leszczak, Katja B. Leth-Moller, Gabriel M. Leung, Naomi S. Levitt, Yanping Li, Merike Liivak, Christa L. Lilly, Charlie Lim, Wei-Yen Lim, M. Fernanda Lima-Costa, Hsien-Ho Lin, Xu Lin, Yi-Ting Lin, Lars Lind, Vijaya Lingam, Birgit Linkohr, Allan Linneberg, Lauren Lissner, Mieczyslaw Litwin, Jing Liu, Lijuan Liu, Wei-Cheng Lo, Helle-Mai Loit, Khuong Quynh Long, Guadalupe Longo Abril, Luis Lopes, Marcus V. V. Lopes, Oscar Lopes, Esther Lopez-Garcia, Tania Lopez, Paulo A. Lotufo, Jose Eugenio Lozano, Janice L. Lukrafka, Dalia Luksiene, Annamari Lundqvist, Nuno Lunet, Charles Lunogelo, Michala Lustigova, Edyta Luszczki, Jean-Rene M'Buyamba-Kabangu, Guansheng Ma, Xu Ma, George L. L. Machado-Coelho, Aristides M. Machado-Rodrigues, Enguerran Macia, Luisa M. Macieira, Ahmed A. Madar, Anja L. Madsen, Gladys E. Maestre, Stefania Maggi, Dianna J. Magliano, Sara Magnacca, Emmanuella Magriplis, Gowri Mahasampath, Bernard Maire, Marjeta Majer, Marcia Makdisse, Paivi Maki, Fatemeh Malekzadeh, Reza Malekzadeh, Rahul Malhotra, Kodavanti Mallikharjuna Rao, Sofia K. Malyutina, Lynell V. Maniego, Yannis Manios, Masimango Imani Manix, Jim I. Mann, Fariborz Mansour-Ghanaei, Taru Manyanga, Enzo Manzato, Anie Marcil, Paula Margozzini, Joany Marino, Anastasia Markaki, Oonagh Markey, Eliza Markidou Ioannidou, Pedro Marques-Vidal, Larissa Pruner Marques, Jaume Marrugat, Yves Martin-Prevel, Rosemarie Martin, Reynaldo Martorell, Eva Martos, Katharina Maruszczak, Stefano Marventano, Giovanna Masala, Luis P. Mascarenhas, Shariq R. Masoodi, Ellisiv B. Mathiesen, Prashant Mathur, Alicia Matijasevich, Piotr Matlosz, Tandi E. Matsha, Victor Matsudo, Christina Mavrogianni, Artur Mazur, Jean Claude N. Mbanya, Shelly R. McFarlane, Stephen T. McGarvey, Martin McKee, Stela McLachlan, Rachael M. McLean, Scott B. McLean, Margaret L. McNairy, Breige A. McNulty, Sounnia Mediene Benchekor, Jurate Medzioniene, Parinaz Mehdipour, Kirsten Mehlig, Amir Houshang Mehrparvar, Aline Meirhaeghe, Jorgen Meisfjord, Christa Meisinger, Jesus D. Melgarejo, Marina Melkumova, Joao Mello, Fabian Mendez, Carlos O. Mendivil, Ana Maria B. Menezes, Geetha R. Menon, Gert B. M. Mensink, Maria Teresa Menzano, Indrapal I. Meshram, Diane T. Meto, Jie Mi, Kim F. Michaelsen, Nathalie Michels, Kairit Mikkel, Karolina Milkowska, Jody C. Miller, Olga Milushkina, Claudia S. Minderico, G. K. Mini, Juan Francisco Miquel, J. Jaime Miranda, Mohammad Reza Mirjalili, Daphne Mirkopoulou, Erkin Mirrakhimov, Marjeta Misigoj-Durakovic, Antonio Mistretta, Veronica Mocanu, Pietro A. Modesti, Sahar Saeedi Moghaddam, Bahram Mohajer, Mostafa K. Mohamed, Shukri F. Mohamed, Kazem Mohammad, Mohammad Reza Mohammadi, Zahra Mohammadi, Noushin Mohammadifard, Reza Mohammadpourhodki, Viswanathan Mohan, Salim Mohanna, Muhammad Fadhli Mohd Yusoff, Iraj Mohebbi, Farnam Mohebi, Marie Moitry, Line T. Mollehave, Niels C. Moller, Denes Molnar, Amirabbas Momenan, Charles K. Mondo, Roger A. Montenegro Mendoza, Eric Monterrubio-Flores, Kotsedi Daniel K. Monyeki, Jin Soo Moon, Mahmood Moosazadeh, Hermine T. Mopa, Farhad Moradpour, Leila B. Moreira, Alain Morejon, Luis A. Moreno, Francis Morey, Karen Morgan, Suzanne N. Morin, Erik Lykke Mortensen, George Moschonis, Alireza Moslem, Malgorzata Mossakowska, Aya Mostafa, Seyed-Ali Mostafavi, Anabela Mota-Pinto, Jorge Mota, Mohammad Esmaeel Motlagh, Jorge Motta, Marcos Andre Moura-dos-Santos, Yeva Movsesyan, Kelias P. Msyamboza, Thet Thet Mu, Magdalena Muc, Florian Muca, Boban Mugosa, Maria L. Muiesan, Martina Mueller-Nurasyid, Thomas Munzel, Jaakko Mursu, Elaine M. Murtagh, Kamarul Imran Musa, Sanja Music Milanovic, Vera Musil, Geofrey Musinguzi, Muel Telo M. C. Muyer, Iraj Nabipour, Shohreh Naderimagham, Gabriele Nagel, Farid Najafi, Harunobu Nakamura, Hanna Nalecz, Jana Namesna, Ei Ei K. Nang, Vinay B. Nangia, Martin Nankap, Sameer Narake, Paola Nardone, Take Naseri, Matthias Nauck, William A. Neal, Azim Nejatizadeh, Chandini Nekkantti, Keiu Nelis, Ilona Nenko, Martin Neovius, Flavio Nervi, Tze Pin Ng, Chung T. Nguyen, Nguyen D. Nguyen, Quang Ngoc Nguyen, Michael Y. Ni, Rodica Nicolescu, Peng Nie, Ramfis E. Nieto-Martinez, Yury P. Nikitin, Guang Ning, Toshiharu Ninomiya, Nobuo Nishi, Sania Nishtar, Marianna Noale, Oscar A. Noboa, Helena Nogueira, Maria Nordendahl, Borge G. Nordestgaard, Davide Noto, Natalia Nowak-Szczepanska, Mohannad Al Nsour, Irfan Nuhoglu, Baltazar Nunes, Eha Nurk, Fred Nuwaha, Moffat Nyirenda, Terence W. O'Neill, Dermot O'Reilly, Galina Obreja, Caleb Ochimana, Angelica M. Ochoa-Aviles, Eiji Oda, Augustine N. Odili, Kyungwon Oh, Kumiko Ohara, Claes Ohlsson, Ryutaro Ohtsuka, Orn Olafsson, Maria Teresa A. Olinto, Isabel O. Oliveira, Mohd Azahadi Omar, Saeed M. Omar, Altan Onat, Sok King Ong, N. Charlotte Onland-Moret, Lariane M. Ono, Pedro Ordunez, Rui Ornelas, Ana P. Ortiz, Pedro J. Ortiz, Merete Osler, Clive Osmond, Sergej M. Ostojic, Afshin Ostovar, Johanna A. Otero, Kim Overvad, Ellis Owusu-Dabo, Fred Michel Paccaud, Ioannis Pagkalos, Elena Pahomova, Karina Mary de Paiva, Andrzej Pajak, Alberto Palloni, Luigi Palmieri, Wen-Harn Pan, Songhomitra Panda-Jonas, Arvind Pandey, Francesco Panza, Mariela Paoli, Sousana K. Papadopoulou, Dimitrios Papandreou, Rossina G. Pareja, Soon-Woo Park, Suyeon Park, Winsome R. Parnell, Mahboubeh Parsaeian, Ionela M. Pascanu, Patrick Pasquet, Nikhil D. Patel, Marcos Pattussi, Halyna Pavlyshyn, Raimund Pechlaner, Ivan Pecin, Mangesh S. Pednekar, Joao M. Pedro, Nasheeta Peer, Sergio Viana Peixoto, Markku Peltonen, Alexandre C. Pereira, Marco A. Peres, Cynthia M. Perez, Valentina Peterkova, Annette Peters, Astrid Petersmann, Janina Petkeviciene, Ausra Petrauskiene, Olga Petrovna Kovtun, Emanuela Pettenuzzo, Niloofar Peykari, Norbert Pfeiffer, Modou Cheyassin Phall, Son Thai Pham, Rafael N. Pichardo, Daniela Pierannunzio, Iris Pigeot, Hynek Pikhart, Aida Pilav, Lorenza Pilotto, Francesco Pistelli, Freda Pitakaka, Aleksandra Piwonska, Andreia N. Pizarro, Pedro Plans-Rubio, Alina G. Platonova, Bee Koon Poh, Hermann Pohlabeln, Nadija S. Polka, Raluca M. Pop, Stevo R. Popovic, Miquel Porta, Georg Posch, Anil Poudyal, Dimitrios Poulimeneas, Hamed Pouraram, Farhad Pourfarzi, Akram Pourshams, Hossein Poustchi, Rajendra Pradeepa, Alison J. Price, Jacqueline F. Price, Antonio Prista, Rui Providencia, Jardena J. Puder, Iveta Pudule, Maria Puiu, Margus Punab, Muhammed S. Qadir, Radwan F. Qasrawi, Mostafa Qorbani, Hedley K. Quintana, Pedro J. Quiroga-Padilla, Tran Quoc Bao, Stefan Rach, Ivana Radic, Ricardas Radisauskas, Salar Rahimikazerooni, Mahfuzar Rahman, Mahmudur Rahman, Olli Raitakari, Manu Raj, Tamerlan Rajabov, Sherali Rakhmatulloev, Ivo Rakovac, Sudha Ramachandra Rao, Ambady Ramachandran, Otim P. C. Ramadan, Virgilio V. Ramires, Jacqueline Ramke, Elisabete Ramos, Rafel Ramos, Lekhraj Rampal, Sanjay Rampal, Lalka S. Rangelova, Vayia Rarra, Ramon A. Rascon-Pacheco, Cassiano Ricardo Rech, Josep Redon, Paul Ferdinand M. Reganit, Valeria Regecova, Jane D. P. Renner, Judit A. Repasy, Cezane P. Reuter, Luis Revilla, Abbas Rezaianzadeh, Yeunsook Rho, Lourdes Ribas-Barba, Robespierre Ribeiro, Elio Riboli, Adrian Richter, Fernando Rigo, Attilio Rigotti, Natascia Rinaldo, Tobias F. Rinke de Wit, Ana I. Rito, Raphael M. Ritti-Dias, Juan A. Rivera, Reina G. Roa, Louise Robinson, Cynthia Robitaille, Romana Roccaldo, Daniela Rodrigues, Fernando Rodriguez-Artalejo, Maria del Cristo Rodriguez-Perez, Laura A. Rodriguez-Villamizar, Andrea Y. Rodriguez, Ulla Roggenbuck, Peter Rohloff, Fabian Rohner, Rosalba Rojas-Martinez, Nipa Rojroongwasinkul, Dora Romaguera, Elisabetta L. Romeo, Rafaela V. Rosario, Annika Rosengren, Ian Rouse, Vanessa Rouzier, Joel G. R. Roy, Maira H. Ruano, Adolfo Rubinstein, Frank J. Ruhli, Jean-Bernard Ruidavets, Blanca Sandra Ruiz-Betancourt, Maria Ruiz-Castell, Emma Ruiz Moreno, Iuliia A. Rusakova, Kenisha Russell Jonsson, Paola Russo, Petra Rust, Marcin Rutkowski, Marge Saamel, Charumathi Sabanayagam, Hamideh Sabbaghi, Elena Sacchini, Harshpal S. Sachdev, Alireza Sadjadi, Ali Reza Safarpour, Sare Safi, Saeid Safiri, Mohammad Hossien Saghi, Olfa Saidi, Nader Saki, Sanja Salaj, Benoit Salanave, Eduardo Salazar Martinez, Calogero Saleva, Diego Salmeron, Veikko Salomaa, Jukka T. Salonen, Massimo Salvetti, Margarita Samoutian, Jose Sanchez-Abanto, Ines Sanchez Rodriguez, Sandjaja, Susana Sans, Loreto Santa Marina, Ethel Santacruz, Diana A. Santos, Ina S. Santos, Lelita C. Santos, Maria Paula Santos, Osvaldo Santos, Rute Santos, Tamara R. Santos, Jouko L. Saramies, Luis B. Sardinha, Nizal Sarrafzadegan, Thirunavukkarasu Sathish, Kai-Uwe Saum, Savvas Savva, Mathilde Savy, Norie Sawada, Mariana Sbaraini, Marcia Scazufca, Beatriz D. Schaan, Angelika Schaffrath Rosario, Herman Schargrodsky, Anja Schienkiewitz, Karin Schindler, Sabine Schipf, Carsten O. Schmidt, Ida Maria Schmidt, Andrea Schneider, Peter Schnohr, Ben Schottker, Sara Schramm, Stine Schramm, Helmut Schroder, Constance Schultsz, Matthias B. Schulze, Aletta E. Schutte, Sylvain Sebert, Moslem Sedaghattalab, Rusidah Selamat, Vedrana Sember, Abhijit Sen, Idowu O. Senbanjo, Sadaf G. Sepanlou, Guillermo Sequera, Luis Serra-Majem, Jennifer Servais, Ludmila Sevcikova, Svetlana Shalnova, Teresa Shamah-Levy, Seyed Morteza Shamshirgaran, Coimbatore Subramaniam Shanthirani, Maryam Sharafkhah, Sanjib K. Sharma, Jonathan E. Shaw, Amaneh Shayanrad, Ali Akbar Shayesteh, Lela Shengelia, Zumin Shi, Kenji Shibuya, Hana Shimizu-Furusawa, Tal Shimony, Rahman Shiri, Namuna Shrestha, Khairil Si-Ramlee, Alfonso Siani, Rosalynn Siantar, Abla M. Sibai, Labros S. Sidossis, Natalia Silitrari, Antonio M. Silva, Caroline Ramos de Moura Silva, Diego Augusto Santos Silva, Kelly S. Silva, Xueling Sim, Mary Simon, Judith Simons, Leon A. Simons, Agneta Sjoberg, Michael Sjostrom, Natalia A. Skoblina, Gry Skodje, Tatyana Slazhnyova, Jolanta Slowikowska-Hilczer, Przemyslaw Slusarczyk, Liam Smeeth, Hung-Kwan So, Fernanda Cunha Soares, Grzegorz Sobek, Eugene Sobngwi, Morten Sodemann, Stefan Soderberg, Moesijanti Y. E. Soekatri, Agustinus Soemantri, Reecha Sofat, Vincenzo Solfrizzi, Mohammad Hossein Somi, Emily Sonestedt, Yi Song, Sajid Soofi, Thorkild I. A. Sorensen, Elin P. Sorgjerd, Charles Sossa Jerome, Victoria E. Soto-Rojas, Aicha Soumare, Alfonso Sousa-Poza, Slavica Sovic, Bente Sparboe-Nilsen, Karen Sparrenberger, Phoebe R. Spencer, Angela Spinelli, Igor Spiroski, Jan A. Staessen, Hanspeter Stamm, Kaspar Staub, Bill Stavreski, Jostein Steene-Johannessen, Peter Stehle, Aryeh D. Stein, George S. Stergiou, Jochanan Stessman, Ranko Stevanovic, Jutta Stieber, Doris Stockl, Jakub Stokwiszewski, Ekaterina Stoyanova, Gareth Stratton, Karien Stronks, Maria Wany Strufaldi, Lela Sturua, Ramon Suarez-Medina, Machi Suka, Chien-An Sun, Liang Sun, Johan Sundstrom, Yn-Tz Sung, Jordi Sunyer, Paibul Suriyawongpaisal, Nabil William G. Sweis, Boyd A. Swinburn, Rody G. Sy, Rene Charles Sylva, Moyses Szklo, Lucjan Szponar, Lorraine Tabone, E. Shyong Tai, Konstantinos D. Tambalis, Mari-Liis Tammesoo, Abdonas Tamosiunas, Eng Joo Tan, Xun Tang, Maya Tanrygulyyeva, Frank Tanser, Yong Tao, Mohammed Rasoul Tarawneh, Jakob Tarp, Carolina B. Tarqui-Mamani, Radka Taxova Braunerova, Anne Taylor, Julie Taylor, Felicite Tchibindat, Saskia Te Velde, William R. Tebar, Grethe S. Tell, Tania Tello, Yih Chung Tham, K. R. Thankappan, Holger Theobald, Xenophon Theodoridis, Nihal Thomas, Barbara Thorand, Betina H. Thuesen, Lubica Ticha, Erik J. Timmermans, Dwi H. Tjandrarini, Anne Tjonneland, Hanna K. Tolonen, Janne S. Tolstrup, Murat Topbas, Roman Topor-Madry, Liv Elin Torheim, Maria Jose Tormo, Michael J. Tornaritis, Maties Torrent, Laura Torres-Collado, Stefania Toselli, Giota Touloumi, Pierre Traissac, Thi Tuyet-Hanh Tran, Mark S. Tremblay, Areti Triantafyllou, Dimitrios Trichopoulos, Antonia Trichopoulou, Oanh T. H. Trinh, Atul Trivedi, Yu-Hsiang Tsao, Lechaba Tshepo, Maria Tsigga, Panagiotis Tsintavis, Shoichiro Tsugane, John Tuitele, Azaliia M. Tuliakova, Marshall K. Tulloch-Reid, Fikru Tullu, Tomi-Pekka Tuomainen, Jaakko Tuomilehto, Maria L. Turley, Gilad Twig, Per Tynelius, Evangelia Tzala, Themistoklis Tzotzas, Christophe Tzourio, Peter Ueda, Eunice Ugel, Flora A. M. Ukoli, Hanno Ulmer, Belgin Unal, Zhamyila Usupova, Hannu M. T. Uusitalo, Nalan Uysal, Justina Vaitkeviciute, Gonzalo Valdivia, Susana Vale, Damaskini Valvi, Rob M. van Dam, Bert-Jan van den Born, Johan Van der Heyden, Yvonne T. van der Schouw, Koen Van Herck, Wendy Van Lippevelde, Hoang Van Minh, Natasja M. Van Schoor, Irene G. M. van Valkengoed, Dirk Vanderschueren, Diego Vanuzzo, Anette Varbo, Gregorio Varela-Moreiras, Luz Nayibe Vargas, Patricia Varona-Perez, Senthil K. Vasan, Daniel G. Vasques, Tomas Vega, Toomas Veidebaum, Gustavo Velasquez-Melendez, Biruta Velika, Maite Verloigne, Giovanni Veronesi, W. M. Monique Verschuren, Cesar G. Victora, Giovanni Viegi, Lucie Viet, Froydis N. Vik, Monica Vilar, Salvador Villalpando, Jesus Vioque, Jyrki K. Virtanen, Sophie Visvikis-Siest, Bharathi Viswanathan, Mihaela Vladulescu, Tiina Vlasoff, Dorja Vocanec, Peter Vollenweider, Henry Volzke, Ari Voutilainen, Martine Vrijheid, Tanja G. M. Vrijkotte, Alisha N. Wade, Thomas Waldhor, Janette Walton, Elvis O. A. Wambiya, Wan Mohamad Wan Bebakar, Wan Nazaimoon Wan Mohamud, Rildo de Souza Wanderley Junior, Ming-Dong Wang, Ningli Wang, Qian Wang, Xiangjun Wang, Ya Xing Wang, Ying-Wei Wang, S. Goya Wannamethee, Nicholas Wareham, Adelheid Weber, Karen Webster-Kerr, Niels Wedderkopp, Daniel Weghuber, Wenbin Wei, Aneta Weres, Bo Werner, Leo D. Westbury, Peter H. Whincup, Kremlin Wickramasinghe, Kurt Widhalm, Indah S. Widyahening, Andrzej Wiecek, Philipp S. Wild, Rainford J. Wilks, Johann Willeit, Peter Willeit, Julianne Williams, Tom Wilsgaard, Rusek Wojciech, Bogdan Wojtyniak, Kathrin Wolf, Roy A. Wong-McClure, Andrew Wong, Emily B. Wong, Jyh Eiin Wong, Tien Yin Wong, Jean Woo, Mark Woodward, Frederick C. Wu, Hon-Yen Wu, Jianfeng Wu, Li Juan Wu, Shouling Wu, Justyna Wyszynska, Haiquan Xu, Liang Xu, Nor Azwany Yaacob, Uruwan Yamborisut, Weili Yan, Ling Yang, Xiaoguang Yang, Yang Yang, Nazan Yardim, Tabara Yasuharu, Martha Yepez Garcia, Panayiotis K. Yiallouros, Agneta Yngve, Moein Yoosefi, Akihiro Yoshihara, Qi Sheng You, San-Lin You, Novie O. Younger-Coleman, Yu-Ling Yu, Yunjiang Yu, Safiah Md Yusof, Ahmad Faudzi Yusoff, Luciana Zaccagni, Vassilis Zafiropulos, Ahmad A. Zainuddin, Seyed Rasoul Zakavi, Farhad Zamani, Sabina Zambon, Antonis Zampelas, Hana Zamrazilova, Maria Elisa Zapata, Abdul Hamid Zargar, Ko Ko Zaw, Ayman A. Zayed, Tomasz Zdrojewski, Magdalena Zeglen, Kristyna Zejglicova, Tajana Zeljkovic Vrkic, Yi Zeng, Luxia Zhang, Zhen-Yu Zhang, Dong Zhao, Ming-Hui Zhao, Wenhua Zhao, Yanitsa V. Zhecheva, Shiqi Zhen, Wei Zheng, Yingfeng Zheng, Bekbolat Zholdin, Maigeng Zhou, Dan Zhu, Marie Zins, Emanuel Zitt, Yanina Zocalo, Nada Zoghlami, Julio Zuniga Cisneros, Monika Zuziak, Zulfiqar A. Bhutta, Robert E. Black, Majid Ezzati

Summary: This study used data from 2,325 population-based studies to analyze the height and BMI of children and adolescents aged 5-19 years in urban and rural areas from 1990 to 2020. The results showed that the height advantage of urban residents over rural residents has decreased in most countries, while it has amplified in sub-Saharan Africa. The BMI difference between urban and rural areas is small in most countries, with faster BMI growth in urban areas observed in some regions.

NATURE (2023)

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Article Hematology

Survival after cancer-related venous thrombosis: the Scandinavian Thrombosis and Cancer Study

Monique J. T. Crobach, Rayna J. S. Anijs, Sigrid K. Braekkan, Marianne T. Severinsen, Jens Hammerstrom, Hanne Skille, Soren R. Kristensen, Benedikte Paulsen, Anne Tjonneland, Henri H. Versteeg, Kim Overvad, John-Bjarne Hansen, Inger A. Naess, Suzanne C. Cannegieter

Summary: Patients with cancer have a higher risk of developing venous thromboembolism (VTE), which leads to poorer survival compared to cancer alone. This study aimed to investigate the impact of VTE on cancer patients' survival in a general population. The findings showed that cancer patients with VTE had a 3.4-fold higher risk of death compared to those without VTE, regardless of cancer type.

BLOOD ADVANCES (2023)

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Article Nutrition & Dietetics

Dietary amino acids and risk of stroke subtypes: a prospective analysis of 356,000 participants in seven European countries

Tammy Y. N. Tong, Robert Clarke, Julie A. Schmidt, Inge Huybrechts, Urwah Noor, Nita G. Forouhi, Fumiaki Imamura, Ruth C. Travis, Elisabete Weiderpass, Krasimira Aleksandrova, Christina C. Dahm, Yvonne T. van der Schouw, Kim Overvad, Cecilie Kyro, Anne Tjonneland, Rudolf Kaaks, Verena Katzke, Catarina Schiborn, Matthias B. Schulze, Ana-Lucia Mayen-Chacon, Giovanna Masala, Sabina Sieri, Maria Santucci de Magistris, Rosario Tumino, Carlotta Sacerdote, Jolanda M. A. Boer, W. M. Monique Verschuren, Magritt Brustad, Therese Haugdahl Nost, Marta Crous-Bou, Dafina Petrova, Pilar Amiano, Jose Maria Huerta, Conchi Moreno-Iribas, Gunnar Engstrom, Olle Melander, Kristina Johansson, Kristina Lindvall, Elom K. Aglago, Alicia K. Heath, Adam S. Butterworth, John Danesh, Timothy J. Key

Summary: This study examined the associations between dietary amino acids and the risks of ischaemic and haemorrhagic stroke. The findings suggest that higher intake of proline may be associated with a lower risk of ischaemic stroke.

EUROPEAN JOURNAL OF NUTRITION (2023)

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News Item Oncology

Carcinogenicity of aspartame, methyleugenol, and isoeugenol

Elio Riboli, Frederick A. Beland, Dirk W. Lachenmeier, M. Matilde Marques, David H. Phillips, Eva Schernhammer, Abdul Afghan, Ricardo Assuncao, Giovanna Caderni, J. Christopher Corton, Gisela de Aragao Umbuzeiro, Daphne de Jong, Melanie Deschasaux- Tanguy, Allison Hodge, Junko Ishihara, Dan D. Levy, Daniele Mandrioli, Marjorie L. Mccullough, Sarah A. Mcnaughton, Takeshi Morita, Anne P. Nugent, Kumiko Ogawa, Arun R. Pandiri, Consolato M. Sergi, Mathilde Touvier, Luoping Zhang, Lamia Benbrahim- Tallaa, Shirisha Chittiboyina, Danila Cuomo, Nathan L. Debono, Charlotte Debras, Aline de Conti, Fatiha El Ghissassi, Emma Fontvieille, Rhea Harewood, John Kaldor, Heidi Mattock, Elisa Pasqual, Gabrielle Rigutto, Hannah Simba, Eero Suonio, Susana Viegas, Roland Wedekind, Mary K. Schubauer-Berigan, Federica Madia

LANCET ONCOLOGY (2023)

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Correction Oncology

Distinct germline genetic susceptibility profiles identified for common non-Hodgkin lymphoma subtypes (vol 36, pg 2835, 2023)

Sonja I. Berndt, Joseph Vijai, Yolanda Benavente, Nicola J. Camp, Alexandra Nieters, Zhaoming Wang, Karin E. Smedby, Geffen Kleinstern, Henrik Hjalgrim, Caroline Besson, Christine F. Skibola, Lindsay M. Morton, Angela R. Brooks-Wilson, Lauren R. Teras, Charles Breeze, Joshua Arias, Hans-Olov Adami, Demetrius Albanes, Kenneth C. Anderson, Stephen M. Ansell, Bryan Bassig, Nikolaus Becker, Parveen Bhatti, Brenda M. Birmann, Paolo Boffetta, Paige M. Bracci, Paul Brennan, Elizabeth E. Brown, Laurie Burdett, Lisa A. Cannon-Albright, Ellen T. Chang, Brian C. H. Chiu, Charles C. Chung, Jacqueline Clavel, Pierluigi Cocco, Graham Colditz, Lucia Conde, David V. Conti, David G. Cox, Karen Curtin, Delphine Casabonne, Immaculata De Vivo, Arjan Diepstra, W. Ryan Diver, Ahmet Dogan, Christopher K. Edlund, Lenka Foretova, Joseph F. Fraumeni, Attilio Gabbas, Herve Ghesquieres, Graham G. Giles, Sally Glaser, Martha Glenn, Bengt Glimelius, Jian Gu, Thomas M. Habermann, Christopher A. Haiman, Corinne Haioun, Jonathan N. Hofmann, Theodore R. Holford, Elizabeth A. Holly, Amy Hutchinson, Aalin Izhar, Rebecca D. Jackson, Ruth F. Jarrett, Rudolph Kaaks, Eleanor Kane, Laurence N. Kolonel, Yinfei Kong, Peter Kraft, Anne Kricker, Annette Lake, Qing Lan, Charles Lawrence, Dalin Li, Mark Liebow, Brian K. Link, Corrado Magnani, Marc Maynadie, James McKay, Mads Melbye, Lucia Miligi, Roger L. Milne, Thierry J. Molina, Alain Monnereau, Rebecca Montalvan, Kari E. North, Anne J. Novak, Kenan Onel, Mark P. Purdue, Kristin A. Rand, Elio Riboli, Jacques Riby, Eve Roman, Gilles Salles, Douglas W. Sborov, Richard K. Severson, Tait D. Shanafelt, Martyn T. Smith, Alexandra Smith, Kevin W. Song, Lei Song, Melissa C. Southey, John J. Spinelli, Anthony Staines, Deborah Stephens, Heather J. Sutherland, Kaitlyn Tkachuk, Carrie A. Thompson, Herve Tilly, Lesley F. Tinker, Ruth C. Travis, Jenny Turner, Celine M. Vachon, Claire M. Vajdic, Anke Van den Berg, David J. Van den Berg, Roel C. H. Vermeulen, Paolo Vineis, Sophia S. Wang, Elisabete Weiderpass, George J. Weiner, Stephanie Weinstein, Nicole Wong Doo, Yuanqing Ye, Meredith Yeager, Kai Yu, Anne Zeleniuch-Jacquotte, Yawei Zhang, Tongzhang Zheng, Elad Ziv, Joshua Sampson, Nilanjan Chatterjee, Kenneth Offit, Wendy Cozen, Xifeng Wu, James R. Cerhan, Stephen J. Chanock, Susan L. Slager, Nathaniel Rothman

LEUKEMIA (2023)

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Article Endocrinology & Metabolism

Associations of obesity and body shape with erythrocyte and reticulocyte parameters in the UK Biobank cohort

Sofia Christakoudi, Konstantinos K. Tsilidis, Evangelos Evangelou, Elio Riboli

Summary: This study investigated the associations of obesity and body shape with erythrocyte and reticulocyte parameters. The results showed that both obesity and body shape are positively associated with erythrocyte and reticulocyte parameters. This suggests that obesity may increase erythropoiesis and reticulocyte immaturity.

BMC ENDOCRINE DISORDERS (2023)

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Article Clinical Neurology

Statin Use and Incidence of Parkinson's Disease in Women from the French E3N Cohort Study

Thi Thu Ha Nguyen, Agnes Fournier, Emeline Courtois, Fanny Artaud, Sylvie Escolano, Pascale Tubert-Bitter, Marie-Christine Boutron-Ruault, Isabelle Degaey, Emmanuel Roze, Marianne Canonico, Ismail Ahmed, Anne C. M. Thiebaut, Alexis Elbaz

Summary: This study examined the association between statin use and Parkinson's disease incidence in women. It found that the use of lipophilic statins at least 5 years earlier was associated with a reduced incidence of Parkinson's disease in women, with a dose-response relation for the mean daily dose.

MOVEMENT DISORDERS (2023)

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