Adherence to a Western dietary pattern and risk of bladder cancer: A pooled analysis of 13 cohort studies of the Bladder Cancer Epidemiology and Nutritional Determinants international study

Forskningsoutput: TidskriftsbidragArtikel i vetenskaplig tidskrift


Little is known about the association of diet with risk of bladder cancer. This might be due to the fact that the majority of studies have focused on single food items, rather than dietary patterns, which may better capture any influence of diet on bladder cancer risk. We aimed to investigate the association between a measure of Western dietary pattern and bladder cancer risk. Associations between adherence to a Western dietary pattern and risk of developing bladder cancer were assessed by pooling data from 13 prospective cohort studies in the “BLadder cancer Epidemiology and Nutritional Determinants” (BLEND) study and applying Cox regression analysis. Dietary data from 580 768 study participants, including 3401 incident cases, and 577 367 noncases were analyzed. A direct and significant association was observed between higher adherence to a Western dietary pattern and risk of bladder cancer (hazard ratio (HR) comparing highest with lowest tertile scores: 1.54, 95% confidence interval (CI): 1.37, 1.72; P-trend =.001). This association was observed for men (HR comparing highest with lowest tertile scores: 1.72; 95% CI: 1.51, 1.96; P-trend =.001), but not women (P-het =.001). Results were consistent with HR above 1.00 after stratification on cancer subtypes (nonmuscle-invasive and muscle-invasive bladder cancer). We found evidence that adherence to a Western dietary pattern is associated with an increased risk of bladder cancer for men but not women.


  • Mostafa Dianatinasab
  • Anke Wesselius
  • Amin Salehi-Abargouei
  • Evan Y.W. Yu
  • Maree Brinkman
  • Mohammad Fararouei
  • Piet van den Brandt
  • Emily White
  • Elisabete Weiderpass
  • Florence Le Calvez-Kelm
  • Marc Gunter
  • Inge Huybrechts
  • Fredrik Liedberg
  • Guri Skeie
  • Anne Tjonneland
  • Elio Riboli
  • Graham G. Giles
  • Roger L. Milne
  • Maurice P. Zeegers
Enheter & grupper
Externa organisationer
  • Cancer Council Victoria
  • Shiraz University of Medical Sciences
  • Fred Hutchinson Cancer Research Center
  • International Agency for Research on Cancer, World Health Organization
  • Skåne University Hospital
  • UiT The Arctic University of Norway, Tromsø
  • Danish Cancer Society Research Center
  • University of Copenhagen
  • Imperial College London
  • Monash University
  • University of Birmingham
  • Shahid Sadoughi University of Medical Sciences
  • Nutrition Biomed Research Institute
  • Maastricht University Medical Centre
  • University of Melbourne
  • Maastricht University

Ämnesklassifikation (UKÄ) – OBLIGATORISK

  • Cancer och onkologi
  • Näringslära


TidskriftInternational Journal of Cancer
StatusE-pub ahead of print - 2020 jun 24
Peer review utfördJa