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. 2023 Jan 20;21(1):e07704. doi: 10.2903/j.efsa.2023.7704

Cohort name

Country

Reference

Follow‐up

Funding

Original Cohort (N total)

Exclusion criteria

Study population (n, sex and age at baseline)

Ascertainment of outcome

Exposure groups

n

Incident cases Model covariates Results

NIH‐AARP

Diet and Healthy Study

USA O'Grady et al. (2014)

Prospective Cohort 10 yr

Public

N = 566,398

Population Sampled: members of the American Association of Retired Persons (AARP), aged 50–71 yr old.

Excluded: participants with proxy respondents, reported poor health or end stage renal disease, with a previous diagnosis of cancer other than NMSC, with extreme or missing values for total energy intake or Se intake.

n = 482,807

Sex (% F): 40.34

Ethnicity: Majority white

Age (yr, range): 50–71

Incident thyroid cancer cases identified via linkage of the NIH‐AARP cohort membership to state cancer registries and the National Death Index; defined according to the International Classification of Disease for Oncology, Third Edition (ICD‐O‐3)

Se intake assessed through a SFFQ

Se intake (μg/day mean ± SD): 94.0 ± 42.9

Quintiles of Se intake (μg/day, median)

Q1: 47

Q2: 68.4

Q3: 86.6

Q4: 108.6

Q5: 150.1

n, per quintile of intake

Q1: 96,561 (22,396 M)

Q2: 96,562 (39,795 M)

Q3: 96,561 (60,176 M)

Q4: 96,562 (77,287 M)

Q5: 96,561 (88,290 M)

592 incident thyroid cancer cases

n thyroid cancer cases, F/M,

per quintile of intake

Q1: 119/19

Q2: 106/25

Q3: 66/49

Q4: 29/68

Q5: 15/96

Model 1 (M1) ‐ age

Model 2 (M2) – M1 + sex, calories, smoking status, race, education, BMI, and physical activity.

Model 3 (M3) – M2 + vitamin C, vitamin E, beta‐carotene, and folate.

Incidence of thyroid cancer, HRs (95% CI)

M1

Q1 (ref): 1

Q2: 0.96 (0.75, 1.22)

Q3: 0.85 (0.66, 1.09)

Q4: 0.72 (0.56, 0.94)

Q5: 0.83 (0.65, 1.07)

M2

Q1 (ref): 1

Q2: 1.00 (0.79, 1.28)

Q3: 0.99 (0.76, 1.29)

Q4: 1.00 (0.75, 1.33)

Q5: 1.23 (0.92, 1.65)

M3

Q1 (ref): 1

Q2: 1.07 (0.83, 1.36)

Q3: 1.07 (0.81, 1.40)

Q4: 1.10 (0.82, 1.48)

Q5: 1.35 (0.99, 1.84)

CI: confidence interval; F: females; HR: hazard ratio; M: males; NIH‐AARP: National Institutes of Health‐American Association of Retired Persons – Diet and Health Study; Qx: quintile x; SD: standard deviation; SFFQ: semi‐quantitative food frequency questionnaire; USA: United States of America; yr: year.