BACKGROUND: A few papers have considered reproducibility of a posteriori dietary patterns across populations, as well as pattern associations with head and neck cancer risk when multiple populations are available. METHODS: We used individual-level pooled data from seven case-control studies (3844 cases; 6824 controls) participating in the International Head and Neck Cancer Epidemiology consortium. We simultaneously derived shared and study-specific a posteriori patterns with a novel approach called multi-study factor analysis applied to 23 nutrients. We derived odds ratios (ORs) and 95% confidence intervals (CIs) for cancers of the oral cavity and pharynx combined, and larynx, from logistic regression models. RESULTS: We identified three shared patterns that were reproducible across studies (75% variance explained): the Antioxidant vitamins and fiber (OR = 0.57, 95% CI = 0.41, 0.78, highest versus lowest score quintile) and the Fats (OR = 0.80, 95% CI = 0.67, 0.95) patterns were inversely associated with oral and pharyngeal cancer risk. The Animal products and cereals (OR = 1.5, 95% CI = 1.1, 2.1) and the Fats (OR = 1.8, 95% CI = 1.4, 2.3) patterns were positively associated with laryngeal cancer risk, whereas a linear inverse trend in laryngeal cancer risk was evident for the Antioxidant vitamins and fiber pattern. We also identified four additional study-specific patterns, one for each of the four US studies examined. We named them all as Dairy products and breakfast cereals, and two were associated with oral and pharyngeal cancer risk. CONCLUSION: Multi-study factor analysis provides insight into pattern reproducibility and supports previous evidence on cross-country reproducibility of dietary patterns and on their association with head and neck cancer risk.
Shared and Study-specific Dietary Patterns and Head and Neck Cancer Risk in an International Consortium / R. De Vito, Y.C.A. Lee, M. Parpinel, D. Serraino, A.F. Olshan, J.P. Zevallos, F. Levi, Z.F. Zhang, H. Morgenstern, W. Garavello, K. Kelsey, M. Mcclean, S. Schantz, G.P. Yu, P. Boffetta, S.C. Chuang, M. Hashibe, C. La Vecchia, G. Parmigiani, V. Edefonti. - In: EPIDEMIOLOGY. - ISSN 1044-3983. - 30:1(2019 Jan 01), pp. 93-102.
|Titolo:||Shared and Study-specific Dietary Patterns and Head and Neck Cancer Risk in an International Consortium|
EDEFONTI, VALERIA CARLA (Ultimo) (Corresponding)
|Parole Chiave:||Diet, high-fat; Diet, Mediterranean; Diet; Western; Head and neck neoplasms; Laryngeal neoplasms; Mouth neoplasms; Pha- ryngeal neoplasms; Reproducibility of results|
|Settore Scientifico Disciplinare:||Settore MED/01 - Statistica Medica|
|Progetto:||Fattori ormonali, esogeni ed endogeni, fattori ormono-relati, familiarità e rischio di neoplasie maligne nelle donne.|
|Data di pubblicazione:||1-gen-2019|
|Digital Object Identifier (DOI):||http://dx.doi.org/10.1097/EDE.0000000000000902|
|Appare nelle tipologie:||01 - Articolo su periodico|
File in questo prodotto:
|MSFA_and_DP_2018_Suppl_mat_EPI_cleaned_final.pdf||Supplementary material||Altro||Open Access Visualizza/Apri|
|00001648-201901000-00013.pdf||Publisher's version/PDF||Administrator Richiedi una copia|
|MSFA_and_DP_2018_EPI_REV2_cleaned_final-1.pdf||Pre-print (manoscritto inviato all'editore)||Open Access Visualizza/Apri|