Skip to main content
Top
Published in: Cancer Causes & Control 5/2009

01-07-2009 | Original Paper

Ethanol intake and the risk of pancreatic cancer in the European prospective investigation into cancer and nutrition (EPIC)

Authors: Sabine Rohrmann, Jakob Linseisen, Alina Vrieling, Paolo Boffetta, Rachael Z. Stolzenberg-Solomon, Albert B. Lowenfels, Majken K. Jensen, Kim Overvad, Anja Olsen, Anne Tjonneland, Marie-Christine Boutron-Ruault, Francoise Clavel-Chapelon, G. Fagherazzi, Gesthimani Misirli, Pagona Lagiou, Antonia Trichopoulou, Rudolf Kaaks, Manuela M. Bergmann, Heiner Boeing, Sheila Bingham, Kay-Tee Khaw, Naomi Allen, Andrew Roddam, Domenico Palli, Valeria Pala, Salvatore Panico, Rosario Tumino, Paolo Vineis, Petra H. M. Peeters, Anette Hjartåker, Eiliv Lund, Ma Luisa Redondo Cornejo, Antonio Agudo, Larraitz Arriola, Maria-José Sánchez, María-José Tormo, Aurelio Barricarte Gurrea, Björn Lindkvist, Jonas Manjer, Ingegerd Johansson, Weimin Ye, Nadia Slimani, Eric J. Duell, Mazda Jenab, Dominique S. Michaud, Traci Mouw, Elio Riboli, H. Bas Bueno-de-Mesquita

Published in: Cancer Causes & Control | Issue 5/2009

Login to get access

Abstract

Objective

To examine the association of baseline and lifetime ethanol intake with cancer of the pancreas in the European Prospective Investigation into Cancer and Nutrition (EPIC).

Methods

Included in this analysis were 478,400 subjects, of whom detailed information on the intake of alcoholic beverages at baseline and over lifetime was collected between 1992 and 2000. During a median follow-up time of 8.9 years, 555 non-endocrine pancreatic cancer cases were observed. Multivariate Cox proportional hazard models were used to examine the association of ethanol intake at recruitment and average lifetime ethanol intake and pancreatic cancer adjusting for smoking, height, weight, and history of diabetes.

Results

Overall, neither ethanol intake at recruitment (relative risk (RR) = 0.94, 95% confidence interval (CI) 0.69–1.27 comparing 30+ g/d vs. 0.1–4.9 g/d) nor average lifetime ethanol intake (RR = 0.95, 95% CI 0.65–1.39) was associated with pancreatic cancer risk. High lifetime ethanol intake from spirits/liquor at recruitment tended to be associated with a higher risk (RR = 1.40, 95% CI 0.93–2.10 comparing 10+ g/d vs. 0.1–4.9 g/d), but no associations were observed for wine and beer consumption.

Conclusion

These results suggest no association of alcohol consumption with the risk of pancreatic cancer.
Literature
1.
go back to reference American Institute for Cancer Research/World Cancer Research Fund (1997) Food, nutrition and the prevention of cancer: a global perspective. American Institute for Cancer Research, Washington, DC American Institute for Cancer Research/World Cancer Research Fund (1997) Food, nutrition and the prevention of cancer: a global perspective. American Institute for Cancer Research, Washington, DC
2.
go back to reference Larsson SC, Permert J, Hakansson N, Naslund I, Bergkvist L, Wolk A (2005) Overall obesity, abdominal adiposity, diabetes and cigarette smoking in relation to the risk of pancreatic cancer in two Swedish population-based cohorts. Br J Cancer 93:1310–1315. doi:10.1038/sj.bjc.6602868 PubMedCrossRef Larsson SC, Permert J, Hakansson N, Naslund I, Bergkvist L, Wolk A (2005) Overall obesity, abdominal adiposity, diabetes and cigarette smoking in relation to the risk of pancreatic cancer in two Swedish population-based cohorts. Br J Cancer 93:1310–1315. doi:10.​1038/​sj.​bjc.​6602868 PubMedCrossRef
5.
go back to reference Berrington de Gonzalez A, Spencer EA, Bueno-de-Mesquita HB et al (2006) Anthropometry, physical activity, and the risk of pancreatic cancer in the European prospective investigation into cancer and nutrition. Cancer Epidemiol Biomarkers Prev 15:879–885. doi:10.1158/1055-9965.EPI-05-0800 PubMedCrossRef Berrington de Gonzalez A, Spencer EA, Bueno-de-Mesquita HB et al (2006) Anthropometry, physical activity, and the risk of pancreatic cancer in the European prospective investigation into cancer and nutrition. Cancer Epidemiol Biomarkers Prev 15:879–885. doi:10.​1158/​1055-9965.​EPI-05-0800 PubMedCrossRef
8.
go back to reference Stattin P, Björ O, Ferrari P et al. (2007) Prospective study on hyperglycemia and cancer risk. Diabetes Care 30:561–567PubMedCrossRef Stattin P, Björ O, Ferrari P et al. (2007) Prospective study on hyperglycemia and cancer risk. Diabetes Care 30:561–567PubMedCrossRef
9.
go back to reference Vainio H, Bianchini F (eds) (2003) Fruit and vegetables. IARC Press, Lyon Vainio H, Bianchini F (eds) (2003) Fruit and vegetables. IARC Press, Lyon
10.
go back to reference Larsson SC, Hakanson N, Permert J, Wolk A (2006) Meat, fish, poultry and egg consumption in relation to risk of pancreatic cancer: a prospective study. Int J Cancer 118:2866–2870. doi:10.1002/ijc.21732 PubMedCrossRef Larsson SC, Hakanson N, Permert J, Wolk A (2006) Meat, fish, poultry and egg consumption in relation to risk of pancreatic cancer: a prospective study. Int J Cancer 118:2866–2870. doi:10.​1002/​ijc.​21732 PubMedCrossRef
12.
go back to reference Michaud DS (2004) Epidemiology of pancreatic cancer. Minerva Chir 59:99–111PubMed Michaud DS (2004) Epidemiology of pancreatic cancer. Minerva Chir 59:99–111PubMed
13.
go back to reference Klatsky AL, Friedman GD, Siegelaub AB (1981) Alcohol and mortality. A ten-year Kaiser–Permanente experience. Ann Intern Med 95:139–145PubMed Klatsky AL, Friedman GD, Siegelaub AB (1981) Alcohol and mortality. A ten-year Kaiser–Permanente experience. Ann Intern Med 95:139–145PubMed
15.
go back to reference Heuch I, Kvale G, Jacobsen BK, Bjelke E (1983) Use of alcohol, tobacco and coffee, and risk of pancreatic cancer. Br J Cancer 48:637–643PubMed Heuch I, Kvale G, Jacobsen BK, Bjelke E (1983) Use of alcohol, tobacco and coffee, and risk of pancreatic cancer. Br J Cancer 48:637–643PubMed
16.
go back to reference Hirayama T (1989) Epidemiology of pancreatic cancer in Japan. Jpn J Clin Oncol 19:208–215PubMed Hirayama T (1989) Epidemiology of pancreatic cancer in Japan. Jpn J Clin Oncol 19:208–215PubMed
17.
go back to reference Zheng W, McLaughlin JK, Gridley G et al (1993) A cohort study of smoking, alcohol consumption, and dietary factors for pancreatic cancer (United States). Cancer Causes Control 4:477–482. doi:10.1007/BF00050867 PubMedCrossRef Zheng W, McLaughlin JK, Gridley G et al (1993) A cohort study of smoking, alcohol consumption, and dietary factors for pancreatic cancer (United States). Cancer Causes Control 4:477–482. doi:10.​1007/​BF00050867 PubMedCrossRef
20.
go back to reference Harnack LJ, Anderson KE, Zheng W, Folsom AR, Sellers TA, Kushi LH (1997) Smoking, alcohol, coffee, and tea intake and incidence of cancer of the exocrine pancreas: the Iowa Women’s Health Study. Cancer Epidemiol Biomarkers Prev 6:1081–1086PubMed Harnack LJ, Anderson KE, Zheng W, Folsom AR, Sellers TA, Kushi LH (1997) Smoking, alcohol, coffee, and tea intake and incidence of cancer of the exocrine pancreas: the Iowa Women’s Health Study. Cancer Epidemiol Biomarkers Prev 6:1081–1086PubMed
23.
go back to reference Stolzenberg-Solomon RZ, Pietinen P, Barrett MJ, Taylor PR, Virtamo J, Albanes D (2001) Dietary and other methyl-group availability factors and pancreatic cancer risk in a cohort of male smokers. Am J Epidemiol 153:680–687. doi:10.1093/aje/153.7.680 PubMedCrossRef Stolzenberg-Solomon RZ, Pietinen P, Barrett MJ, Taylor PR, Virtamo J, Albanes D (2001) Dietary and other methyl-group availability factors and pancreatic cancer risk in a cohort of male smokers. Am J Epidemiol 153:680–687. doi:10.​1093/​aje/​153.​7.​680 PubMedCrossRef
24.
go back to reference Michaud DS, Giovannucci E, Willett WC, Colditz GA, Fuchs CS (2001) Coffee and alcohol consumption and the risk of pancreatic cancer in two prospective United States cohorts. Cancer Epidemiol Biomarkers Prev 10:429–437PubMed Michaud DS, Giovannucci E, Willett WC, Colditz GA, Fuchs CS (2001) Coffee and alcohol consumption and the risk of pancreatic cancer in two prospective United States cohorts. Cancer Epidemiol Biomarkers Prev 10:429–437PubMed
25.
go back to reference Lin Y, Tamakoshi A, Kawamura T et al (2002) Risk of pancreatic cancer in relation to alcohol drinking, coffee consumption and medical history: findings from the Japan collaborative cohort study for evaluation of cancer risk. Int J Cancer 99:742–746. doi:10.1002/ijc.10402 PubMedCrossRef Lin Y, Tamakoshi A, Kawamura T et al (2002) Risk of pancreatic cancer in relation to alcohol drinking, coffee consumption and medical history: findings from the Japan collaborative cohort study for evaluation of cancer risk. Int J Cancer 99:742–746. doi:10.​1002/​ijc.​10402 PubMedCrossRef
26.
go back to reference Isaksson B, Jonsson F, Pedersen NL, Larsson J, Feychting M, Permert J (2002) Lifestyle factors and pancreatic cancer risk: a cohort study from the Swedish Twin Registry. Int J Cancer 98:480–482. doi:10.1002/ijc.10256 PubMedCrossRef Isaksson B, Jonsson F, Pedersen NL, Larsson J, Feychting M, Permert J (2002) Lifestyle factors and pancreatic cancer risk: a cohort study from the Swedish Twin Registry. Int J Cancer 98:480–482. doi:10.​1002/​ijc.​10256 PubMedCrossRef
28.
go back to reference Bueno de Mesquita HB, Maisonneuve P, Moerman CJ, Runia S, Boyle P (1992) Lifetime consumption of alcoholic beverages, tea and coffee and exocrine carcinoma of the pancreas: a population-based case–control study in The Netherlands. Int J Cancer 50:514–522. doi:10.1002/ijc.2910500403 PubMedCrossRef Bueno de Mesquita HB, Maisonneuve P, Moerman CJ, Runia S, Boyle P (1992) Lifetime consumption of alcoholic beverages, tea and coffee and exocrine carcinoma of the pancreas: a population-based case–control study in The Netherlands. Int J Cancer 50:514–522. doi:10.​1002/​ijc.​2910500403 PubMedCrossRef
30.
go back to reference Riboli E, Hunt KJ, Slimani N et al (2002) European Prospective Investigation into Cancer and Nutrition (EPIC): study populations and data collection. Public Health Nutr 5:1113–1124. doi:10.1079/PHN2002394 PubMedCrossRef Riboli E, Hunt KJ, Slimani N et al (2002) European Prospective Investigation into Cancer and Nutrition (EPIC): study populations and data collection. Public Health Nutr 5:1113–1124. doi:10.​1079/​PHN2002394 PubMedCrossRef
31.
go back to reference Klipstein-Grobusch K, Slimani N, Krogh V et al (2002) Trends in self-reported past alcoholic beverage consumption and ethanol intake from 1950 to 1995 observed in eight European countries participating in the European Investigation into Cancer and Nutrition (EPIC). Public Health Nutr 5:1297–1310. doi:10.1079/PHN2002406 PubMedCrossRef Klipstein-Grobusch K, Slimani N, Krogh V et al (2002) Trends in self-reported past alcoholic beverage consumption and ethanol intake from 1950 to 1995 observed in eight European countries participating in the European Investigation into Cancer and Nutrition (EPIC). Public Health Nutr 5:1297–1310. doi:10.​1079/​PHN2002406 PubMedCrossRef
33.
go back to reference International Agency for Research on Cancer (1999) IARC monographs on the evaluation of the carcinogenic risk of chemicals to humans: re-evaluation of some organic chemicals, hydrazine and hydrogen peroxide (part two). World Health Organization, Lyon International Agency for Research on Cancer (1999) IARC monographs on the evaluation of the carcinogenic risk of chemicals to humans: re-evaluation of some organic chemicals, hydrazine and hydrogen peroxide (part two). World Health Organization, Lyon
34.
36.
go back to reference Villeneuve PJ, Johnson KC, Hanley AJ, Mao Y (2000) Alcohol, tobacco and coffee consumption and the risk of pancreatic cancer: results from the Canadian enhanced surveillance system case–control project. Canadian Cancer Registries Epidemiology Research Group. Eur J Cancer Prev 9:49–58. doi:10.1097/00008469-200002000-00007 PubMedCrossRef Villeneuve PJ, Johnson KC, Hanley AJ, Mao Y (2000) Alcohol, tobacco and coffee consumption and the risk of pancreatic cancer: results from the Canadian enhanced surveillance system case–control project. Canadian Cancer Registries Epidemiology Research Group. Eur J Cancer Prev 9:49–58. doi:10.​1097/​00008469-200002000-00007 PubMedCrossRef
37.
go back to reference Schwartz GG, Reis IM (2000) Is cadmium a cause of human pancreatic cancer? Cancer Epidemiol Biomarkers Prev 9:139–145PubMed Schwartz GG, Reis IM (2000) Is cadmium a cause of human pancreatic cancer? Cancer Epidemiol Biomarkers Prev 9:139–145PubMed
38.
go back to reference Kaaks R, Riboli E (1997) Validation and calibration of dietary intake measurements in the EPIC project: methodological considerations. European Prospective Investigation into Cancer and Nutrition. Int J Epidemiol 26(Suppl 1):S15–S25. doi:10.1093/ije/26.suppl_1.S15 PubMedCrossRef Kaaks R, Riboli E (1997) Validation and calibration of dietary intake measurements in the EPIC project: methodological considerations. European Prospective Investigation into Cancer and Nutrition. Int J Epidemiol 26(Suppl 1):S15–S25. doi:10.​1093/​ije/​26.​suppl_​1.​S15 PubMedCrossRef
39.
go back to reference Kaaks R, Slimani N, Riboli E (1997) Pilot phase studies on the accuracy of dietary intake measurements in the EPIC project: overall evaluation of results. European prospective investigation into cancer and nutrition. Int J Epidemiol 26(Suppl 1):S26–S36. doi:10.1093/ije/26.suppl_1.S26 PubMedCrossRef Kaaks R, Slimani N, Riboli E (1997) Pilot phase studies on the accuracy of dietary intake measurements in the EPIC project: overall evaluation of results. European prospective investigation into cancer and nutrition. Int J Epidemiol 26(Suppl 1):S26–S36. doi:10.​1093/​ije/​26.​suppl_​1.​S26 PubMedCrossRef
40.
go back to reference Hjartaker A, Andersen LF, Lund E (2007) Comparison of diet measures from a food-frequency questionnaire with measures from repeated 24-hour dietary recalls. The Norwegian Women and Cancer Study. Public Health Nutr 10:1094–1103. doi:10.1017/S1368980007702872 PubMedCrossRef Hjartaker A, Andersen LF, Lund E (2007) Comparison of diet measures from a food-frequency questionnaire with measures from repeated 24-hour dietary recalls. The Norwegian Women and Cancer Study. Public Health Nutr 10:1094–1103. doi:10.​1017/​S136898000770287​2 PubMedCrossRef
Metadata
Title
Ethanol intake and the risk of pancreatic cancer in the European prospective investigation into cancer and nutrition (EPIC)
Authors
Sabine Rohrmann
Jakob Linseisen
Alina Vrieling
Paolo Boffetta
Rachael Z. Stolzenberg-Solomon
Albert B. Lowenfels
Majken K. Jensen
Kim Overvad
Anja Olsen
Anne Tjonneland
Marie-Christine Boutron-Ruault
Francoise Clavel-Chapelon
G. Fagherazzi
Gesthimani Misirli
Pagona Lagiou
Antonia Trichopoulou
Rudolf Kaaks
Manuela M. Bergmann
Heiner Boeing
Sheila Bingham
Kay-Tee Khaw
Naomi Allen
Andrew Roddam
Domenico Palli
Valeria Pala
Salvatore Panico
Rosario Tumino
Paolo Vineis
Petra H. M. Peeters
Anette Hjartåker
Eiliv Lund
Ma Luisa Redondo Cornejo
Antonio Agudo
Larraitz Arriola
Maria-José Sánchez
María-José Tormo
Aurelio Barricarte Gurrea
Björn Lindkvist
Jonas Manjer
Ingegerd Johansson
Weimin Ye
Nadia Slimani
Eric J. Duell
Mazda Jenab
Dominique S. Michaud
Traci Mouw
Elio Riboli
H. Bas Bueno-de-Mesquita
Publication date
01-07-2009
Publisher
Springer Netherlands
Published in
Cancer Causes & Control / Issue 5/2009
Print ISSN: 0957-5243
Electronic ISSN: 1573-7225
DOI
https://doi.org/10.1007/s10552-008-9293-8

Other articles of this Issue 5/2009

Cancer Causes & Control 5/2009 Go to the issue
Webinar | 19-02-2024 | 17:30 (CET)

Keynote webinar | Spotlight on antibody–drug conjugates in cancer

Antibody–drug conjugates (ADCs) are novel agents that have shown promise across multiple tumor types. Explore the current landscape of ADCs in breast and lung cancer with our experts, and gain insights into the mechanism of action, key clinical trials data, existing challenges, and future directions.

Dr. Véronique Diéras
Prof. Fabrice Barlesi
Developed by: Springer Medicine