Article Dans Une Revue International Journal of Cancer Année : 2020

Healthy lifestyle and the risk of lymphoma in the European Prospective Investigation into Cancer and Nutrition study

Marta Solans Margalef
Fatemeh Saberi Hosnijeh
  • Fonction : Auteur
Alexandra Nieters
  • Fonction : Auteur
Cecilie Kyrø
Anne Tjønneland
Christina C. Dahm
Kim Overvad
  • Fonction : Auteur
Tilman Kühn
  • Fonction : Auteur
Federico Canzian
Matthias B. Schulze
Eleni Peppa
  • Fonction : Auteur
Anna Karakatsani
Antonia D. Trichopoulou
  • Fonction : Auteur
S. Sieri
Giovanna Masala
Salvatore Panico
Rosario Tumino
Fulvio Ricceri
Sairah L.F. Chen
  • Fonction : Auteur
Leila Luján Barroso
  • Fonction : Auteur
José Mariá Huerta
María José Sánchez
  • Fonction : Auteur
Eva E. Ardanaz
Virginia V.M. Menéndez
  • Fonction : Auteur
Pilar Amiano Exezarreta
  • Fonction : Auteur
Florentin Spaeth
  • Fonction : Auteur
Mats Jerkeman
  • Fonction : Auteur
Karin Jirstom
  • Fonction : Auteur
Julie A. Schmidt
  • Fonction : Auteur
Dagfinn Aune
  • Fonction : Auteur
Elio Riboli
Roel C.H. Vermeulen
Delphine Casabonne
Pietro Ferrari
  • Fonction : Auteur correspondant
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Résumé

Limited evidence exists on the role of modifiable lifestyle factors on the risk of lymphoma. In this work, the associations between adherence to healthy lifestyles and risks of Hodgkin lymphoma (HL) and non-Hodgkin lymphoma (NHL) were evaluated in a large-scale European prospective cohort. Within the European Prospective Investigation into Cancer and Nutrition (EPIC), 2,999 incident lymphoma cases (132 HL and 2,746 NHL) were diagnosed among 453,808 participants after 15 years (median) of follow-up. The healthy lifestyle index (HLI) score combined information on smoking, alcohol intake, diet, physical activity and BMI, with large values of HLI expressing adherence to healthy behavior. Cox proportional hazards models were used to estimate lymphoma hazard ratios (HR) and 95% confidence interval (CI). Sensitivity analyses were conducted by excluding, in turn, each lifestyle factor from the HLI score. The HLI was inversely associated with HL, with HR for a 1-standard deviation (SD) increment in the score equal to 0.78 (95% CI: 0.66, 0.94). Sensitivity analyses showed that the association was mainly driven by smoking and marginally by diet. NHL risk was not associated with the HLI, with HRs for a 1-SD increment equal to 0.99 (0.95, 1.03), with no evidence for heterogeneity in the association across NHL subtypes. In the EPIC study, adherence to healthy lifestyles was not associated with overall lymphoma or NHL risk, while an inverse association was observed for HL, although this was largely attributable to smoking. These findings suggest a limited role of lifestyle factors in the etiology of lymphoma subtypes.

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Dates et versions

hal-03032325 , version 1 (30-11-2020)

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Sabine Naudin, Marta Solans Margalef, Fatemeh Saberi Hosnijeh, Alexandra Nieters, Cecilie Kyrø, et al.. Healthy lifestyle and the risk of lymphoma in the European Prospective Investigation into Cancer and Nutrition study. International Journal of Cancer, 2020, 147 (6), pp.1649-1656. ⟨10.1002/ijc.32977⟩. ⟨hal-03032325⟩
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