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Long-term dietary sodium,potassium and fluid intake; exploring potential novel risk factors for renal cell cancer in the Netherlands Cohort Study on diet and cancer
Authors:I A G Deckers  P A van den Brandt  M van Engeland  P M M B Soetekouw  M M L L Baldewijns  R A Goldbohm  L J Schouten
Abstract:

Background:

As sodium, potassium and fluid intake are related to hypertension, an established risk factor for renal cell cancer (RCC), they may be independent risk factors for RCC.

Methods:

The Netherlands Cohort Study (NLCS) with case-cohort design included 120 852 participants aged 55–69 years. At baseline, diet and lifestyle were assessed with questionnaires. After 17.3 years of follow-up, 485 RCC cases and 4438 subcohort members were available for analyses.

Results:

Sodium intake increased RCC risk (P-trend=0.03), whereas fluid and potassium intake did not. For high sodium and low fluid intake, the RCC risk additionally increased (P-interaction=0.02).

Conclusion:

Sodium intake is a potential risk factor for RCC, particularly if fluid consumption is low.
Keywords:epidemiology  fluid intake  food frequency questionnaire  hypertension  incidence  population-based cohort  potassium intake  prospective cohort  renal cell cancer  risk factors and sodium intake
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