Skip to main content
Log in

Intake of whole-grain products and risk of prostate cancer among men in the Danish Diet, Cancer and Health cohort study

  • Original paper
  • Published:
Cancer Causes & Control Aims and scope Submit manuscript

Abstract

Objective

High intake of whole-grain products may protect against prostate cancer, but overall evidence is limited and inconclusive. The aim of the present study was to investigate the relationship between the intake of whole-grain products and risk of prostate cancer in a large prospective cohort.

Methods

A total of 26,691 men aged 50–64 years participated in the Diet, Cancer and Health cohort study and provided information about diet and potential prostate cancer risk factors. During a median follow-up of 12.4 years, we identified 1,081 prostate cancer cases. Associations between whole-grain product intake and prostate cancer incidence were analyzed using Cox’s regression model.

Results

Overall, there was no association between total intake of whole-grain products and prostate cancer risk (adjusted incidence rate ratio per 50 g day−1: 1.00 (95% confidence interval: 0.96, 1.05)) as well as between intake of the specific whole-grain products: whole-grain rye bread, whole-grain bread, and oatmeal, and risk of prostate cancer. No risk estimates did differ according to either stage or grade of disease.

Conclusions

Results from this prospective study suggest that higher intakes of total or specific whole-grain products are not associated with risk of prostate cancer in a population of Danish middle-aged men.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Parkin DM, Bray F, Ferlay J, Pisani P (2005) Global cancer statistics, 2002. CA Cancer J Clin 55:74–108

    Article  PubMed  Google Scholar 

  2. Hsing AW, Chokkalingam AP (2006) Prostate cancer epidemiology. Front Biosci 11:1388–1413

    Article  PubMed  CAS  Google Scholar 

  3. Parkin DM (2004) International variation. Oncogene 23:6329–6340

    Article  PubMed  CAS  Google Scholar 

  4. Shimizu H, Ross RK, Bernstein L et al (1991) Cancers of the prostate and breast among Japanese and white immigrants in Los Angeles County. Br J Cancer 63:963–966

    Article  PubMed  CAS  Google Scholar 

  5. Schatzkin A, Mouw T, Park Y et al (2007) Dietary fiber and whole-grain consumption in relation to colorectal cancer in the NIH-AARP Diet and Health Study. Am J Clin Nutr 85:1353–1360

    PubMed  CAS  Google Scholar 

  6. Larsson SC, Giovannucci E, Bergkvist L, Wolk A (2005) Whole grain consumption and risk of colorectal cancer: a population-based cohort of 60,000 women. Br J Cancer 92:1803–1807

    Article  PubMed  CAS  Google Scholar 

  7. Kasum CM, Jacobs DR Jr, Nicodemus K, Folsom AR (2002) Dietary risk factors for upper aerodigestive tract cancers. Int J Cancer 99:267–272

    Article  PubMed  CAS  Google Scholar 

  8. Kasum CM, Nicodemus K, Harnack LJ, Jacobs DR Jr, Folsom AR (2001) Whole grain intake and incident endometrial cancer: the Iowa Women’s Health Study. Nutr Cancer 39:180–186

    Article  PubMed  CAS  Google Scholar 

  9. Slavin JL (2000) Mechanisms for the impact of whole grain foods on cancer risk. J Am Coll Nutr 19:300S–307S

    PubMed  CAS  Google Scholar 

  10. McCann MJ, Gill CI, McGlynn H, Rowland IR (2005) Role of mammalian lignans in the prevention and treatment of prostate cancer. Nutr Cancer 52:1–14

    Article  PubMed  CAS  Google Scholar 

  11. Longcope C, Feldman HA, McKinlay JB, Araujo AB (2000) Diet and sex hormone-binding globulin. J Clin Endocrinol Metab 85:293–296

    Article  PubMed  CAS  Google Scholar 

  12. Roddam AW, Allen NE, Appleby P, Key TJ (2008) Endogenous sex hormones and prostate cancer: a collaborative analysis of 18 prospective studies. J Natl Cancer Inst 100:170–183

    Article  PubMed  CAS  Google Scholar 

  13. La VC, Chatenoud L, Negri E, Franceschi S (2003) Session: whole cereal grains, fibre and human cancer wholegrain cereals and cancer in Italy. Proc Nutr Soc 62:45–49

    Article  Google Scholar 

  14. Talamini R, Franceschi S, La VC et al (1992) Diet and prostatic cancer: a case-control study in northern Italy. Nutr Cancer 18:277–286

    Article  PubMed  CAS  Google Scholar 

  15. Jain MG, Hislop GT, Howe GR, Ghadirian P (1999) Plant foods, antioxidants, and prostate cancer risk: findings from case-control studies in Canada. Nutr Cancer 34:173–184

    Article  PubMed  CAS  Google Scholar 

  16. Nimptsch K, Kenfield S, Jensen MK et al (2011) Dietary glycemic index, glycemic load, insulin index, fiber and whole-grain intake in relation to risk of prostate cancer. Cancer Causes Control 22:51–61

    Article  PubMed  CAS  Google Scholar 

  17. Sahlstrøm S, Knutsen SH (2010) Oats and rye: production and usage in Nordic and Baltic countries. AACC International 55:12–14

    Google Scholar 

  18. Storm HH, Michelsen EV, Clemmensen IH, Pihl J (1997) The Danish Cancer Registry–history, content, quality and use. Dan Med Bull 44:535–539

    PubMed  CAS  Google Scholar 

  19. Tjonneland A, Olsen A, Boll K et al (2007) Study design, exposure variables, and socioeconomic determinants of participation in diet, cancer and health: a population-based prospective cohort study of 57, 053 men and women in Denmark. Scand J Public Health 35:432–441

    Article  PubMed  Google Scholar 

  20. Overvad K, Tjonneland A, Haraldsdottir J, Ewertz M, Jensen OM (1991) Development of a semiquantitative food frequency questionnaire to assess food, energy and nutrient intake in Denmark. Int J Epidemiol 20:900–905

    Article  PubMed  CAS  Google Scholar 

  21. Tjonneland A, Haraldsdottir J, Overvad K et al (1992) Influence of individually estimated portion size data on the validity of a semiquantitative food frequency questionnaire. Int J Epidemiol 21:770–777

    Article  PubMed  CAS  Google Scholar 

  22. Tjonneland A, Overvad K, Haraldsdottir J et al (1991) Validation of a semiquantitative food frequency questionnaire developed in Denmark. Int J Epidemiol 20:906–912

    Article  PubMed  CAS  Google Scholar 

  23. Greenland S (1995) Dose-response and trend analysis in epidemiology: alternatives to categorical analysis. Epidemiology 6:356–365

    Article  PubMed  CAS  Google Scholar 

  24. Greenland S (1995) Avoiding power loss associated with categorization and ordinal scores in dose-response and trend analysis. Epidemiology 6:450–454

    Article  PubMed  CAS  Google Scholar 

  25. Close DR, Kristal AR, Li S, Patterson RE, White E (1998) Associations of demographic and health-related characteristics with prostate cancer screening in Washington State. Cancer Epidemiol Biomarkers Prev 7:627–630

    PubMed  CAS  Google Scholar 

  26. Torp-Pedersen S, Iversen P (1993) Screening for prostate cancer: the case against. Eur Urol Update Ser 2:114–119

    Google Scholar 

  27. D’Ambrosio G, Samani F, Cancian M, De MC (2004) Practice of opportunistic prostate-specific antigen screening in Italy: data from the health search database. Eur J Cancer Prev 13:383–386

    Article  PubMed  Google Scholar 

  28. Otto SJ, van der Cruijsen IW, Liem MK et al (2003) Effective PSA contamination in the Rotterdam section of the European randomized study of screening for prostate cancer. Int J Cancer 105:394–399

    Article  PubMed  CAS  Google Scholar 

  29. Melia J, Moss S, Johns L (2004) Rates of prostate-specific antigen testing in general practice in England and Wales in asymptomatic and symptomatic patients: a cross-sectional study. BJU Int 94:51–56

    Article  PubMed  Google Scholar 

  30. O’Neil CE, Nicklas TA, Zanovec M, Cho S (2010) Whole-grain consumption is associated with diet quality and nutrient intake in adults: the National Health and Nutrition Examination Survey, 1999–2004. J Am Diet Assoc 110:1461–1468

    Article  PubMed  Google Scholar 

  31. Bylund A, Zhang JX, Bergh A et al (2000) Rye bran and soy protein delay growth and increase apoptosis of human LNCaP prostate adenocarcinoma in nude mice. Prostate 42:304–314

    Article  PubMed  CAS  Google Scholar 

  32. Landstrom M, Zhang JX, Hallmans G et al (1998) Inhibitory effects of soy and rye diets on the development of Dunning R3327 prostate adenocarcinoma in rats. Prostate 36:151–161

    Article  PubMed  CAS  Google Scholar 

  33. Bylund A, Lundin E, Zhang JX et al (2003) Randomised controlled short-term intervention pilot study on rye bran bread in prostate cancer. Eur J Cancer Prev 12:407–415

    Article  PubMed  CAS  Google Scholar 

  34. Landberg R, Andersson SO, Zhang JX et al (2010) Rye whole grain and bran intake compared with refined wheat decreases urinary C-Peptide, plasma insulin, and prostate specific antigen in men with prostate cancer. J Nutr 140:2180–2186

    Article  PubMed  CAS  Google Scholar 

Download references

Acknowledgments

We thank Katja Boll (data manager), Connie Stripp (dietician), and Jytte Fogh Larsen (project coordinator) for assistance with the data collection and handling. This study was supported by a grant from the Danish Council for Strategic Research, Programme Commission on Food and Health for the project “Breaking down barriers for healthier eating by consumer-led product development.”

Conflict of interest

The authors declare no conflicts of interest.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Rikke Egeberg.

Additional information

The work has been performed at Institute of Cancer Epidemiology, The Danish Cancer Society, Copenhagen, Denmark.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Egeberg, R., Olsen, A., Christensen, J. et al. Intake of whole-grain products and risk of prostate cancer among men in the Danish Diet, Cancer and Health cohort study. Cancer Causes Control 22, 1133–1139 (2011). https://doi.org/10.1007/s10552-011-9789-5

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10552-011-9789-5

Keywords

Navigation