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.
Keywords Ethanol - Pancreatic cancer - Epidemiology - EPIC