Sociodemographic determinants and temporal variability of blood lead levels (2003–2019) in a pooled analysis of nine studies in four European countries Elena Salamanca-Fernández, Francisco M. Peinado, Marta Esteban-López, Vladimira Puklova, Rafael M. Poyatos, Eva Govarts, Michelle Laeremans, Martine Leermakers, Elly den Hond, Greet Schoeters, Aline Murawski, Susana Pedraza-Díaz, Tamás Szigeti, Veerle Verheyen, Nina Vogel, Till Weber, Domenica Hahn, Philipp Zimmermann, Marike Kolossa-Gehring, Mariana F. Fernandez, Juan Pedro Arrebola Scientific Reports, 2025 Despite regulatory actions, lead (Pb) exposure remains a major environmental health concern worldwide due to its widespread occurrence and potential adverse effects. The aims of this study were to explore internal Pb exposure in EU citizens, identify its main sociodemographic determinants, and investigate temporal variations over the last decades. Blood Pb data from a total of 17,790 individuals from 9 biomonitoring studies conducted between 2003 and 2019 in four European countries [Belgium (FLEHS I-IV), teenagers and adults; Czech Republic (SZU), children and adults; Spain (BIOAMBIENT.ES), adults; Germany (ESB, GerES IV and V), with all three age groups] were used. The European Human Biomonitoring Initiative (HBM4EU) harmonized and integrated the different datasets. Linear mixed-model analyses were performed to explore exposure determinants related to Pb concentrations. All participants showed detectable blood Pb concentrations, with an overall mean concentration (± standard deviation) of 20.6 (± 16.7) µg/L. In multivariable analyses, older age at recruitment, smoking habit and residence in more urbanized areas were associated with higher Pb levels, whereas more recent sampling year and higher educational level with lower concentrations. After pooled analysis of individual data, no significant differences were found in the Pb levels of the European citizens studied, probably due to the heterogeneity of the studies included. Collaborative efforts between public health agencies, environmental regulators and communities must continue to monitor trends, explore emerging sources of exposure and refine strategies to ensure sustained progress in reducing Pb levels and protecting the health of European population.
Associations between Urinary Phthalate Metabolites with BDNF and Behavioral Function among European Children from Five HBM4EU Aligned Studies Elena Salamanca-Fernández, Lydia Espín-Moreno, Alicia Olivas-Martínez, Ainhoa Pérez-Cantero, José L. Martín-Rodríguez, Rafael M. Poyatos, Fabio Barbone, Valentina Rosolen, Marika Mariuz, Luca Ronfani, Ľubica Palkovičová Murínová, Lucia Fábelová, Tamás Szigeti, Réka Kakucs, Amrit K. Sakhi, Line S. Haug, Birgitte Lindeman, Janja Snoj Tratnik, Tina Kosjek, Griet Jacobs, Stefan Voorspoels, Helena Jurdáková, Renáta Górová, Ida Petrovičová, Branislav Kolena, Marta Esteban, Susana Pedraza-Díaz, Marike Kolossa-Gehring, Sylvie Remy, Eva Govarts, Greet Schoeters, Mariana F. Fernández, Vicente Mustieles Toxics, 2024 Based on toxicological evidence, children’s exposure to phthalates may contribute to altered neurodevelopment and abnormal regulation of brain-derived neurotrophic factor (BDNF). We analyzed data from five aligned studies of the Human Biomonitoring for Europe (HBM4EU) project. Ten phthalate metabolites and protein BDNF levels were measured in the urine samples of 1148 children aged 6–12 years from Italy (NACII-IT cohort), Slovakia (PCB-SK cohort), Hungary (InAirQ-HU cohort) and Norway (NEBII-NO). Serum BDNF was also available in 124 Slovenian children (CRP-SLO cohort). Children’s total, externalizing and internalizing behavioral problems were assessed using the Child Behavior Checklist at 7 years of age (only available in the NACII-IT cohort). Adjusted linear and negative binomial regression models were fitted, together with weighted quantile sum (WQS) regression models to assess phthalate mixture associations. Results showed that, in boys but not girls of the NACII-IT cohort, each natural-log-unit increase in mono-n-butyl phthalate (MnBP) and Mono(2-ethyl-5-oxohexyl) phthalate (MEOHP) was cross-sectionally associated with higher externalizing problems [incidence rate ratio (IRR): 1.20; 95% CI: 1.02, 1.42 and 1.26; 95% CI: 1.03, 1.55, respectively]. A suggestive mixture association with externalizing problems was also observed per each tertile mixture increase in the whole population (WQS—IRR = 1.15; 95% CI: 0.97, 1.36) and boys (IRR = 1.20; 95% CI: 0.96, 1.49). In NACII-IT, PCB-SK, InAirQ-HU and NEBII-NO cohorts together, urinary phthalate metabolites were strongly associated with higher urinary BDNF levels, with WQS regression confirming a mixture association in the whole population (percent change (PC) = 25.9%; 95% CI: 17.6, 34.7), in girls (PC = 18.6%; 95% CI: 7.92, 30.5) and mainly among boys (PC = 36.0%; 95% CI: 24.3, 48.9). Among CRP-SLO boys, each natural-log-unit increase in ∑DINCH concentration was associated with lower serum BDNF levels (PC: −8.8%; 95% CI: −16.7, −0.3). In the NACII-IT cohort, each natural-log-unit increase in urinary BDNF levels predicted worse internalizing scores among all children (IRR: 1.15; 95% CI: 1.00, 1.32). Results suggest that (1) children’s exposure to di-n-butyl phthalate (DnBP) and di(2-ethylhexyl) phthalate (DEHP) metabolites is associated with more externalizing problems in boys, (2) higher exposure to DINCH may associate with lower systemic BDNF levels in boys, (3) higher phthalate exposure is associated with higher urinary BDNF concentrations (although caution is needed since the possibility of a “urine concentration bias” that could also explain these associations in noncausal terms was identified) and (4) higher urinary BDNF concentrations may predict internalizing problems. Given this is the first study to examine the relationship between phthalate metabolite exposure and BDNF biomarkers, future studies are needed to validate the observed associations.
Association of exposure to perfluoroalkyl substances (PFAS) and phthalates with thyroid hormones in adolescents from HBM4EU aligned studies Andrea Rodríguez-Carrillo, Elena Salamanca-Fernández, Elly den Hond, Veerle J. Verheyen, Lucia Fábelová, Lubica Palkovicova Murinova, Susana Pedraza-Díaz, Argelia Castaño, José Vicente García-Lario, Sylvie Remy, Eva Govarts, Greet Schoeters, Nicolás Olea, Carmen Freire, Mariana F. Fernández Environmental Research, 2023 BACKGROUND: Perfluoroalkyl substances (PFAS) and phthalates are synthetic chemicals widely used in various types of consumer products. There is epidemiological and experimental evidence that PFAS and phthalates may alter thyroid hormone levels; however, studies in children and adolescents are limited. AIM: To investigate the association of exposure to PFAS and phthalate with serum levels of thyroid hormones in European adolescents. METHODS: A cross-sectional study was conducted in 406 female and 327 male adolescents (14-17 years) from Belgium, Slovakia, and Spain participating in the Aligned Studies of the HBM4EU Project (FLEHS IV, PCB cohort, and BEA, respectively). Concentrations of perfluorooctanoic acid (PFOA), perfluorooctane sulfonate (PFOS), perfluorononanoic acid (PFNA), free thyroxine (FT4), free triiodothyronine (FT3), and thyroid-stimulating hormone (TSH) were measured in sera from study participants, and urinary metabolites of six phthalates (DEP, DiBP, DnBP, BBzP, DEHP, and DiNP) and the non-phthalate plasticizer DINCH® were quantified in spot urine samples. Associations were assessed with linear regression and g-computational models for mixtures. Effect modification by sex was examined. RESULTS: In females, serum PFOA and the PFAS mixture concentrations were associated with lower FT4 and higher FT3 levels; MEP and the sums of DEHP, DiNP, and DINCH® metabolites (∑DEHP, ∑DiNP, and ∑DINCH) were associated with higher FT4; ∑DEHP with lower FT3; and the phthalate/DINCH® metabolite mixture with higher FT4 and lower FT3. In males, PFOA was associated with lower FT4 and the PFAS mixture with higher TSH levels and lower FT4/TSH ratio; MEP and ∑DiNP were associated with higher FT4; and MBzP, ∑DEHP, and the phthalate/DINCH® metabolite mixture with lower TSH and higher FT4/TSH. PFOA, mono-(2-ethyl-5-hydroxyhexyl) phthalate (OH-MEHP), mono-(2-ethyl-5-oxohexyl) phthalate (oxo-MEHP), and monocarboxyoctyl phthalate (MCOP) made the greatest contribution to the mixture effect. CONCLUSIONS: Results suggest that exposure to PFAS and phthalates is associated with sex-specific differences in thyroid hormone levels in adolescents.
Exposure to perfluoroalkyl substances (PFAS) and association with thyroid hormones in adolescent males Carmen Freire, Fernando Vela-Soria, Francesca Castiello, Elena Salamanca-Fernández, Raquel Quesada-Jiménez, María Cristina López-Alados, Mariana F. Fernandez, Nicolás Olea International Journal of Hygiene and Environmental Health, 2023 BACKGROUND: Perfluoroalkyl substances (PFAS) are found in a wide range of consumer products. Exposure to PFAS in children and adolescents may be associated with alterations in thyroid hormones, which have critical roles in brain function. OBJECTIVE: This study investigated the association between plasma concentrations of PFAS and serum levels of total triiodothyronine (T3), free thyroxine (T4), and thyroid-stimulating hormone (TSH) in adolescent males. METHODS: In 2017-2019, 151 boys from the Environment and Childhood (INMA)-Granada birth cohort, Spain, participated in a clinical follow up visit at the age of 15-17 years. Plasma concentrations of ten PFAS (PFHxA, PFHpA, PFOA, PFNA, PFDA, PFUnDA, PFDoDA, PFTrDA, PFOS, and PFHxS) and serum thyroid hormones were measured in 129 of these boys. Linear regression analysis was performed to determine associations of individual PFAS with total T3, free T4, TSH, and free T4/TSH ratio, and quantile g-computation models were performed to assess the mixture effect. Additional models considered iodine status as effect modifier. RESULTS: PFOS was the most abundant PFAS in plasma (median = 2.22 μg/L), followed by PFOA (median = 1.00 μg/L), PFNA (median = 0.41 μg/L), and PFHxS (median = 0.40 μg/L). When adjusted by confounders (including age, maternal schooling, and fish intake), PFOA and PFUnDA were associated with an increase in free T4 (β [95% CI] = 0.72 [0.06; 1.38] and 0.36 [0.04; 0.68] pmol/L, respectively, per two-fold increase in plasma concentrations), with no change in TSH. PFOS, the sum of PFOA, PFNA, PFOS, and PFHxS, and the sum of long-chain PFAS were marginally associated with increases in free T4. Associations with higher free T4 and/or total T3 were seen for several PFAS in boys with lower iodine intake (<108 μ/day) alone. Moreover, the PFAS mixture was association with an increase in free T4 levels in boys with lower iodine intake (% change [95% CI] = 6.47 [-0.69; 14.11] per each quartile increase in the mixture concentration). CONCLUSIONS: Exposure to PFAS, considered individually or as a mixture, was associated with an increase in free T4 levels in boys with lower iodine intake. However, given the small sample size, the extent of these alterations remains uncertain.
Kisspeptin as potential biomarker of environmental chemical mixture effect on reproductive hormone profile: A pilot study in adolescent males Andrea Rodriguez-Carrillo, Sylvie Remy, Shereen Cynthia D'Cruz, Elena Salamanca-Fernandez, Fernando Gil, Pablo Olmedo, Vicente Mustieles, Fernando Vela-Soria, Kirsten Baken, Nicolás Olea, Fátima Smagulova, Mariana F. Fernandez, Carmen Freire Science of the Total Environment, 2023 Kisspeptin has been proposed as an effect biomarker to understand the mechanisms by which some environmental chemicals adversely affect the human reproductive system. To ascertain whether kisspeptin serum protein and DNA methylation levels are associated with exposure to several environmental chemicals (individually and as a mixture) and serum reproductive hormone levels in adolescent males. Three phenols (bisphenol A [BPA], methyl-paraben [MPB], and benzophenone-3 [BP3]); two toxic metals (arsenic and cadmium); and four metabolites of non-persistent pesticides, including insecticides (2-isopropyl-6-methyl-4-pyrimidinol [IMPy], malathion diacid [MDA], and dimethylcyclopropane carboxylic acid [DCCA]) and fungicides (ethylene thiourea [ETU]) were measured in first-morning urine samples of 133 adolescent males aged 15–17 years from the INMA-Granada cohort. In blood samples collected on the same day, KISS1 gene DNA methylation was measured at four CpGs from the Exon IV, as well as serum levels of kiss54 protein, total testosterone (T), estradiol (E2), sex hormone binding-globulin, dehydroepiandrosterone sulfate, luteinizing hormone (LH), and follicle-stimulating hormone (FSH). Multiple linear regression and mixture (quantile g-computation) models were fit. Urinary MDA and DCCA concentrations were associated with higher kiss54 levels [% change (95%CI) for each log-unit increase in concentration = 2.90 (0.32;5.56), and 1.93 (0.45,3.43), respectively]; IMPy with lower DNA methylation percentage at CpG1 and total CpGs [% change (95%CI) = −1.15 (−1.96;-0.33): −0.89 (−1.73;-0.01), respectively]; and BP3 and DCCA with lower total CpGs methylation [−0.53 (−1.04;-0.01) and − 0.69 (−1.37;-0.01), respectively]. The pesticide mixture and the whole chemical mixture were associated with higher kiss54 [% change (95%CI) = 9.09 (3.29;15.21) and 11.61 (3.96;19.82), respectively] and lower methylation levels at several CpGs. Additionally, serum kiss54 in the third tertile was associated with higher LH levels [% change (95%CI) = 28.69 (3.75–59.63)], and third-tertile CpG1, CpG2, and total CpG methylation percentages were associated with lower FSH and E2. The findings of the present study and the negative correlation between serum kiss54 levels and KISS1 DNA methylation percentages suggested that kisspeptin may be a promising effect biomarker.
Implementation of effect biomarkers in human biomonitoring studies: A systematic approach synergizing toxicological and epidemiological knowledge Andrea Rodríguez-Carrillo, Vicente Mustieles, Elena Salamanca-Fernández, Alicia Olivas-Martínez, Beatriz Suárez, Lola Bajard, Kirsten Baken, Ludek Blaha, Eva Cecilie Bonefeld-Jørgensen, Stephan Couderq, Shereen Cynthia D'Cruz, Jean-Baptiste Fini, Eva Govarts, Claudia Gundacker, Antonio F. Hernández, Marina Lacasaña, Federica Laguzzi, Birgitte Linderman, Manhai Long, Henriqueta Louro, Christiana Neophytou, Axel Oberemn, Sylvie Remy, Anna Kjerstine Rosenmai, Anne Thoustrup Saber, Greet Schoeters, Maria Joao Silva, Fatima Smagulova, Maria Uhl, Anne Marie Vinggaard, Ulla Vogel, Maria Wielsøe, Nicolás Olea, Mariana F. Fernández International Journal of Hygiene and Environmental Health, 2023 Human biomonitoring (HBM) studies have highlighted widespread daily exposure to environmental chemicals. Some of these are suspected to contribute to adverse health outcomes such as reproductive, neurological, and metabolic disorders, among other developmental and chronic impairments. One of the objectives of the H2020 European Human Biomonitoring Initiative (HBM4EU) was the development of informative effect biomarkers for application in a more systematic and harmonized way in large-scale European HBM studies. The inclusion of effect biomarkers would complement exposure data with mechanistically-based information on early and late adverse effects. For this purpose, a stepwise strategy was developed to identify and implement a panel of validated effect biomarkers in European HBM studies. This work offers an overview of the complete procedure followed, from comprehensive literature search strategies, selection of criteria for effect biomarkers and their classification and prioritization, based on toxicological data and adverse outcomes, to pilot studies for their analytical, physiological, and epidemiological validation. We present the example of one study that demonstrated the mediating role of the effect biomarker status of brain-derived neurotrophic factor BDNF in the longitudinal association between infant bisphenol A (BPA) exposure and behavioral function in adolescence. A panel of effect biomarkers has been implemented in the HBM4EU Aligned Studies as main outcomes, including traditional oxidative stress, reproductive, and thyroid hormone biomarkers. Novel biomarkers of effect, such as DNA methylation status of BDNF and kisspeptin (KISS) genes were also evaluated as molecular markers of neurological and reproductive health, respectively. A panel of effect biomarkers has also been applied in HBM4EU occupational studies, such as micronucleus analysis in lymphocytes and reticulocytes, whole blood comet assay, and malondialdehyde, 8-oxo-2'-deoxyguanosine and untargeted metabolomic profile in urine, to investigate, for example, biological changes in response to hexavalent chromium Cr(VI) exposure. The use of effect biomarkers in HBM4EU has demonstrated their ability to detect early biological effects of chemical exposure and to identify subgroups that are at higher risk. The roadmap developed in HBM4EU confirms the utility of effect biomarkers, and support one of the main objectives of HBM research, which is to link exposure biomarkers to mechanistically validated effect and susceptibility biomarkers in order to better understand the public health implications of human exposure to environmental chemicals.
Development and validation of brain-derived neurotrophic factor measurement in human urine samples as a non-invasive effect biomarker Alicia Olivas-Martinez, Beatriz Suarez, Elena Salamanca-Fernandez, Iris Reina-Perez, Andrea Rodriguez-Carrillo, Vicente Mustieles, Nicolás Olea, Carmen Freire, Mariana F. Fernández Frontiers in Molecular Neuroscience, 2023 BackgroundBrain-derived neurotrophic factor (BDNF), a neurotrophic growth factor mainly expressed in the brain, has been proposed as a potential effect biomarker; that is, as a measurable biomarker whose values could be associated with several diseases, including neurological impairments. The European Human Biomonitoring Initiative (HBM4EU) has also recognized effect biomarkers as a useful tool for establishing link between exposure to environmental pollutants and human health. Despite the well-establish protocol for measuring serum BDNF, there is a need to validate its assessment in urine, a non-invasive sample that can be easily repeated over time. The aim of this study was to develop, standardize and validate a methodology to quantify BDNF protein levels in urine samples before its implementation in biomonitoring studies.MethodsDifferent experimental conditions and non-competitive commercial enzyme-linked immunosorbent assay (ELISA) kits were tested to determine the optimal analytical procedure, trying to minimize the shortcomings of ELISA kits. The fine-tune protocol was validated in a pilot study using both upon awakening (n = 150) and prior to sleeping (n = 106) urine samples from the same Spanish adolescent males in a well-characterized study population (the Spanish INMA-Granada cohort).ResultsThe best results were obtained in 0.6 ml of urine after the acidification and extraction (pre-concentration) of samples. The highest reproducibility was obtained with the ELISA kit from Raybiotech. Urinary BDNF concentrations of adolescent males were within the previously reported range (morning = 0.047–6.801 ng/ml and night = 0.047–7.404 ng/ml). Urinary BDNF levels in the awakening and pre-sleep samples did not follow a normal distribution and were not correlated.ConclusionThe developed methodology offers good sensitivity and reproducibility. Having reliable markers in urine may facilitate both diagnosis and monitoring possible diseases (and treatment). Further studies are needed to implement urinary BDNF in biomonitoring studies to further elucidate its usefulness and biological significance for neurological impairments.
The Mixture of Bisphenol-A and Its Substitutes Bisphenol-S and Bisphenol-F Exerts Obesogenic Activity on Human Adipose-Derived Stem Cells Iris Reina-Pérez, Alicia Olivas-Martínez, Vicente Mustieles, Elena Salamanca-Fernández, José Manuel Molina-Molina, Nicolás Olea, Mariana F. Fernández Toxics, 2022 Bisphenol A (BPA) and its substitutes, bisphenol F (BPF) and S (BPS), have previously shown in vitro obesogenic activity. This study was designed to investigate their combined effect on the adipogenic differentiation of human adipose-derived stem cells (hASCs). Cells were exposed for 14 days to an equimolar mixture of bisphenols (MIX) (range 10 nM–10 µM). Oil Red staining was used to measure intracellular lipid accumulation, quantitative real-time polymerase chain reaction (qRT-PCR) to study gene expression of adipogenic markers (PPARγ, C/EBPα, LPL, and FABP4), and Western Blot to determine their corresponding proteins. The MIX promoted intracellular lipid accumulation in a dose-dependent manner with a maximal response at 10 µM. Co-incubation with pure antiestrogen (ICI 182,780) inhibited lipid accumulation, suggesting that the effect was mediated by the estrogen receptor. The MIX also significantly altered the expression of PPARγ, C/EBPα, LPL, and FABP4 markers, observing a non-monotonic (U-shaped) dose-response, with maximal gene expression at 10 nM and 10 µM and lesser expression at 1 µM. This pattern was not observed when bisphenols were tested individually. Exposure to MIX (1–10 µM) also increased all encoded proteins except for FABP4, which showed no changes. Evaluation of the combined effect of relevant chemical mixtures is needed rather than single chemical testing.
Bisphenol-A exposure and risk of breast and prostate cancer in the Spanish European Prospective Investigation into Cancer and Nutrition study Elena Salamanca-Fernández, Miguel Rodríguez-Barranco, Pilar Amiano, Josu Delfrade, Maria Dolores Chirlaque, Sandra Colorado, Marcela Guevara, Ana Jimenez, Juan Pedro Arrebola, Fernando Vela, Nicolás Olea, Antonio Agudo, Maria-José Sánchez Environmental Health A Global Access Science Source, 2021 BackgroundBisphenol A (BPA) is an endocrine disruptor that it is present in numerous products of daily use. The aim of this study was to assess the potential association of serum BPA concentrations and the risk of incident breast and prostate cancer in a sub-cohort of the Spanish European Prospective Investigation into Cancer and Nutrition (EPIC).MethodsWe designed a case-cohort study within the EPIC-Spain cohort. Study population consisted on 4812 participants from 4 EPIC-Spain centers (547 breast cancer cases, 575 prostate cancer cases and 3690 sub-cohort participants). BPA exposure was assessed by means of chemical analyses of serum samples collected at recruitment. Borgan II weighted Cox regression was used to estimate hazard ratios.ResultsMedian follow-up time in our study was 16.9 years. BPA geometric mean serum values of cases and sub-cohort were 1.12 ng/ml vs 1.10 ng/ml respectively for breast cancer and 1.33 ng/ml vs 1.29 ng/ml respectively for prostate cancer. When categorizing BPA into tertiles, a 40% increase in risk of prostate cancer for tertile 1 (p = 0.022), 37% increase for tertile 2 (p = 0.034) and 31% increase for tertile 3 (p = 0.072) was observed with respect to values bellow the limit of detection. No significant association was observed between BPA levels and breast cancer risk.ConclusionsWe found a similar percentage of detection of BPA among cases and sub-cohort from our population, and no association with breast cancer risk was observed. However, we found a higher risk of prostate cancer for the increase in serum BPA levels. Further investigation is needed to understand the influence of BPA in prostate cancer risk.
Inflammatory potential of the diet and incidence of crohn’s disease and ulcerative colitis in the EPIC-Spain cohort Marcela Guevara, Elena Salamanca-Fernández, Estrella Miqueleiz, Diana Gavrila, Pilar Amiano, Catalina Bonet, Miguel Rodríguez-Barranco, José María Huerta, Luis Bujanda, María José Sánchez, María Dolores Chirlaque, Antonio Agudo, Eva Ardanaz, Jesús Castilla Nutrients, 2021 Diet may influence the development of inflammatory bowel disease through the modulation of inflammation. We investigated whether the inflammatory potential of the diet is associated with the risk of Crohn’s disease (CD) and ulcerative colitis (UC) in the Spanish cohort of the European Prospective Investigation into Cancer and Nutrition (EPIC-Spain). The study included 32,633 participants aged 29–69 years. The inflammatory potential of the diet was measured by using an inflammatory score of the diet (ISD) based on a baseline dietary history questionnaire. Cox regression was used to estimate hazard ratios (HRs) and 95% confidence intervals (CIs). During 21 years (674,547 person-years) of follow-up, 32 and 57 participants developed CD and UC, respectively. In multivariable analysis, a one-standard deviation (SD) increment in the ISD (two-unit increase) was associated with a higher risk of CD (HR of 1.71; 95% CI: 1.05–2.80; p = 0.031). By contrast, ISD was not associated with UC (HR for one-SD increment of 0.89; 95% CI: 0.66–1.19; p = 0.436). Our results suggest that consuming a more pro-inflammatory diet may contribute to the risk of CD, supporting that a healthy diet might be beneficial in its prevention. Further, larger studies are needed to verify these findings.
Greenhouse gases emissions from the diet and risk of death and chronic diseases in the EPIC-Spain cohort Carlos A González, Catalina Bonet, Miguel de Pablo, María José Sanchez, Elena Salamanca-Fernandez, Miren Dorronsoro, Pilar Amiano, Jose María Huerta, María Dolores Chirlaque, Eva Ardanaz, Aurelio Barricarte, Jose Ramón Quirós, Antonio Agudo, Marta Guadalupe Rivera Ferrer European Journal of Public Health, 2021
Influence of environmental temperature and air pollution on the transmission of SARS-CoV-2 Revista Espanola De Salud Publica, 2021
Coffee and tea drinking in relation to the risk of differentiated thyroid carcinoma: results from the European Prospective Investigation into Cancer and Nutrition (EPIC) study Raul Zamora-Ros, Muath A. Alghamdi, Valerie Cayssials, Silvia Franceschi, Martin Almquist, Joakim Hennings, Maria Sandström, Konstantinos K. Tsilidis, Elisabete Weiderpass, Marie-Christine Boutron-Ruault, Bodil Hammer Bech, Kim Overvad, Anne Tjønneland, Kristina E. N. Petersen, Francesca Romana Mancini, Yahya Mahamat-Saleh, Fabrice Bonnet, Tilman Kühn, Renée T. Fortner, Heiner Boeing, Antonia Trichopoulou, Christina Bamia, Georgia Martimianaki, Giovanna Masala, Sara Grioni, Salvatore Panico, Rosario Tumino, Francesca Fasanelli, Guri Skeie, Tonje Braaten, Cristina Lasheras, Elena Salamanca-Fernández, Pilar Amiano, Maria-Dolores Chirlaque, Aurelio Barricarte, Jonas Manjer, Peter Wallström, H. Bas Bueno-de-Mesquita, Petra H. Peeters, Kay-Thee Khaw, Nicholas J. Wareham, Julie A. Schmidt, Dagfinn Aune, Graham Byrnes, Augustin Scalbert, Antonio Agudo, Sabina Rinaldi European Journal of Nutrition, 2019
Estimated Substitution of Tea or Coffee for Sugar-Sweetened Beverages Was Associated with Lower Type 2 Diabetes Incidence in Case-Cohort Analysis across 8 European Countries in the EPIC-InterAct Study Fumiaki Imamura, Matthias B Schulze, Stephen J Sharp, Marcela Guevara, Dora Romaguera, Benedetta Bendinelli, Elena Salamanca-Fernández, Eva Ardanaz, Larraitz Arriola, Dagfinn Aune, Heiner Boeing, Courtney Dow, Guy Fagherazzi, Paul W Franks, Heinz Freisling, Paula Jakszyn, Rudolf Kaaks, Kay-Tee Khaw, Tilman Kühn, Francesca R Mancini, Giovanna Masala, Maria-Dolores Chirlaque, Peter M Nilsson, Kim Overvad, Valeria M Pala, Salvatore Panico, Aurora Perez-Cornago, Jose R Quirós, Fulvio Ricceri, Miguel Rodríguez-Barranco, Olov Rolandsson, Ivonne Sluijs, Magdalena Stepien, Annemieke M W Spijkerman, Anne Tjønneland, Tammy Y N Tong, Rosario Tumino, Linda E T Vissers, Heather A Ward, Claudia Langenberg, Elio Riboli, Nita G Forouhi, Nick J Wareham Journal of Nutrition, 2019
Association of menopausal characteristics and risk of coronary heart disease: A pan-European case-cohort analysis Veerle Dam, Yvonne T van der Schouw, N Charlotte Onland-Moret, Rolf H H Groenwold, Sanne A E Peters, Stephen Burgess, Angela M Wood, Maria-Dolores Chirlaque, Karel G M Moons, Clare Oliver-Williams, Ewoud Schuit, Kaja Tikk, Elisabete Weiderpass, Marianne Holm, Anne Tjønneland, Tilman Kühn, Renée T Fortner, Antonia Trichopoulou, Anna Karakatsani, Carlo La Vecchia, Pietro Ferrari, Marc Gunter, Giovanna Masala, Sabina Sieri, Rosario Tumino, Salvatore Panico, Jolanda M A Boer, W M Monique Verschuren, Elena Salamanca-Fernández, Larraitz Arriola, Conchi Moreno-Iribas, Gunnar Engström, Olle Melander, Maria Nordendahl, Patrik Wennberg, Timothy J Key, Sandra Colorado-Yohar, Giuseppe Matullo, Kim Overvad, Francoise Clavel-Chapelon, Heiner Boeing, J Ramon Quiros, Emanuele di Angelantonio, Claudia Langenberg, Michael J Sweeting, Elio Riboli, Nicholas J Wareham, John Danesh, Adam Butterworth International Journal of Epidemiology, 2019
Association of plasma Vitamin D metabolites with incident type 2 diabetes: EPIC-InterAct case-cohort study Ju-Sheng Zheng, Fumiaki Imamura, Stephen J Sharp, Yvonne T van der Schouw, Ivonne Sluijs, Thomas E Gundersen, Eva Ardanaz, Heiner Boeing, Catalina Bonet, Jesus Humberto Gómez, Courtney Dow, Guy Fagherazzi, Paul W Franks, Mazda Jenab, Tilman Kühn, Rudolf Kaaks, Timothy J Key, Kay-Tee Khaw, Cristina Lasheras, Olatz Mokoroa, Francesca Romana Mancini, Peter M Nilsson, Kim Overvad, Salvatore Panico, Domenico Palli, Olov Rolandsson, Sabina Sieri, Elena Salamanca-Fernández, Carlotta Sacerdote, Annemieke M W Spijkerman, Magdalena Stepien, Anne Tjonneland, Rosario Tumino, Adam S Butterworth, Elio Riboli, John Danesh, Claudia Langenberg, Nita G Forouhi, Nicholas J Wareham Journal of Clinical Endocrinology and Metabolism, 2019
Pre-diagnostic circulating insulin-like growth factor-I and bladder cancer risk in the European Prospective Investigation into Cancer and Nutrition Crystal Lin, Ruth C. Travis, Paul N. Appleby, Sarah Tipper, Elisabete Weiderpass, Jenny Chang‐Claude, Inger T. Gram, Rudolf Kaaks, Lambertus A. Kiemeney, Börje Ljungberg, Rosario Tumino, Anne Tjønneland, Nina Roswall, Kim Overvad, Marie‐Christine Boutron‐Ruault, Francesca Romana Manciniveri, Gianluca Severi, Antonia Trichopoulou, Giovanna Masala, Carlotta Sacerdote, Claudia Agnoli, Salvatore Panico, Bas Bueno‐de‐Mesquita, Petra H. Peeters, Elena Salamanca‐Fernández, Maria‐Dolores Chirlaque, Eva Ardanaz, Miren Dorronsoro, Virginia Menéndez, Leila Luján‐Barroso, Fredrik Liedberg, Heinz Freisling, Marc Gunter, Dagfinn Aune, Amanda J. Cross, Elio Riboli, Timothy J. Key, Aurora Perez‐Cornago International Journal of Cancer, 2018
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Prediction of acute myeloid leukaemia risk in healthy individuals Sagi Abelson, Grace Collord, Stanley W. K. Ng, Omer Weissbrod, Netta Mendelson Cohen, Elisabeth Niemeyer, Noam Barda, Philip C. Zuzarte, Lawrence Heisler, Yogi Sundaravadanam, Robert Luben, Shabina Hayat, Ting Ting Wang, Zhen Zhao, Iulia Cirlan, Trevor J. Pugh, David Soave, Karen Ng, Calli Latimer, Claire Hardy, Keiran Raine, David Jones, Diana Hoult, Abigail Britten, John D. McPherson, Mattias Johansson, Faridah Mbabaali, Jenna Eagles, Jessica K. Miller, Danielle Pasternack, Lee Timms, Paul Krzyzanowski, Philip Awadalla, Rui Costa, Eran Segal, Scott V. Bratman, Philip Beer, Sam Behjati, Inigo Martincorena, Jean C. Y. Wang, Kristian M. Bowles, J. Ramón Quirós, Anna Karakatsani, Carlo La Vecchia, Antonia Trichopoulou, Elena Salamanca-Fernández, José M. Huerta, Aurelio Barricarte, Ruth C. Travis, Rosario Tumino, Giovanna Masala, Heiner Boeing, Salvatore Panico, Rudolf Kaaks, Alwin Krämer, Sabina Sieri, Elio Riboli, Paolo Vineis, Matthieu Foll, James McKay, Silvia Polidoro, Núria Sala, Kay-Tee Khaw, Roel Vermeulen, Peter J. Campbell, Elli Papaemmanuil, Mark D. Minden, Amos Tanay, Ran D. Balicer, Nicholas J. Wareham, Moritz Gerstung, John E. Dick, Paul Brennan, George S. Vassiliou, Liran I. Shlush Nature, 2018
Circulating fetuin - A and risk of type 2 diabetes: A mendelian randomization analysis Janine Kröger, Karina Meidtner, Norbert Stefan, Marcela Guevara, Nicola D. Kerrison, Eva Ardanaz, Dagfinn Aune, Heiner Boeing, Miren Dorronsoro, Courtney Dow, Guy Fagherazzi, Paul W. Franks, Heinz Freisling, Marc J. Gunter, José María Huerta, Rudolf Kaaks, Timothy J. Key, Kay Tee Khaw, Vittorio Krogh, Tilman Kühn, Francesca Romana Mancini, Amalia Mattiello, Peter M. Nilsson, Anja Olsen, Kim Overvad, Domenico Palli, J. Ramón Quirós, Olov Rolandsson, Carlotta Sacerdote, Núria Sala, Elena Salamanca-Fernández, Ivonne Sluijs, Annemieke M.W. Spijkerman, Anne Tjonneland, Konstantinos K. Tsilidis, Rosario Tumino, Yvonne T. van der Schouw, Nita G. Forouhi, Stephen J. Sharp, Claudia Langenberg, Elio Riboli, Matthias B. Schulze, Nicholas J. Wareham Diabetes, 2018
Risk thresholds for alcohol consumption: combined analysis of individual-participant data for 599 912 current drinkers in 83 prospective studies Angela M Wood, Stephen Kaptoge, Adam S Butterworth, Peter Willeit, Samantha Warnakula, Thomas Bolton, Ellie Paige, Dirk S Paul, Michael Sweeting, Stephen Burgess, Steven Bell, William Astle, David Stevens, Albert Koulman, Randi M Selmer, W M Monique Verschuren, Shinichi Sato, Inger Njølstad, Mark Woodward, Veikko Salomaa, Børge G Nordestgaard, Bu B Yeap, Astrid Fletcher, Olle Melander, Lewis H Kuller, Beverley Balkau, Michael Marmot, Wolfgang Koenig, Edoardo Casiglia, Cyrus Cooper, Volker Arndt, Oscar H Franco, Patrik Wennberg, John Gallacher, Agustín Gómez de la Cámara, Henry Völzke, Christina C Dahm, Caroline E Dale, Manuela M Bergmann, Carlos J Crespo, Yvonne T van der Schouw, Rudolf Kaaks, Leon A Simons, Pagona Lagiou, Josje D Schoufour, Jolanda M A Boer, Timothy J Key, Beatriz Rodriguez, Conchi Moreno-Iribas, Karina W Davidson, James O Taylor, Carlotta Sacerdote, Robert B Wallace, J Ramon Quiros, Rosario Tumino, Dan G Blazer, Allan Linneberg, Makoto Daimon, Salvatore Panico, Barbara Howard, Guri Skeie, Timo Strandberg, Elisabete Weiderpass, Paul J Nietert, Bruce M Psaty, Daan Kromhout, Elena Salamanca-Fernandez, Stefan Kiechl, Harlan M Krumholz, Sara Grioni, Domenico Palli, José M Huerta, Jackie Price, Johan Sundström, Larraitz Arriola, Hisatomi Arima, Ruth C Travis, Demosthenes B Panagiotakos, Anna Karakatsani, Antonia Trichopoulou, Tilman Kühn, Diederick E Grobbee, Elizabeth Barrett-Connor, Natasja van Schoor, Heiner Boeing, Kim Overvad, Jussi Kauhanen, Nick Wareham, Claudia Langenberg, Nita Forouhi, Maria Wennberg, Jean-Pierre Després, Mary Cushman, Jackie A Cooper, Carlos J Rodriguez, Masaru Sakurai, Jonathan E Shaw, Matthew Knuiman, Trudy Voortman, Christa Meisinger, Anne Tjønneland, Hermann Brenner, Luigi Palmieri, Jean Dallongeville, Eric J Brunner, Gerd Assmann, Maurizio Trevisan, Richard F Gillum, Ian Ford, Naveed Sattar, Mariana Lazo, Simon G Thompson, Pietro Ferrari, David A Leon, George Davey Smith, Richard Peto, Rod Jackson, Emily Banks, Emanuele Di Angelantonio, John Danesh, Angela M Wood, Stephen Kaptoge, Adam Butterworth, Peter Willeit, Samantha Warnakula, Thomas Bolton, Ellie Paige, Dirk S Paul, Michael Sweeting, Stephen Burgess, Steven Bell, William Astle, David Stevens, Albert Koulman, Randi M Selmer, Monique Verschuren, Shinichi Sato, Inger Njølstad, Mark Woodward, Salomaa Veikko, Børge G Nordestgaard, Bu B Yeap, Astrid Flecther, Olle Melander, Lewis H Kuller, Beverley Balkau, Michael Marmot, Wolfgang Koenig, Edoardo Casiglia, Cyrus Cooper, Volker Arndt, Oscar H Franco, Patrik Wennberg, John Gallacher, Agustín Gómez de la Cámara, Henry Völzke, Christina C Dahm, Caroline E Dale, Manuela Bergmann, Carlos Crespo, Yvonne T van der Schouw, Rudolf Kaaks, Leon A Simons, Pagona Lagiou, Josje D Schoufour, Jolanda M.A Boer, Timothy J Key, Beatriz Rodriguez, Conchi Moreno-Iribas, Karina W Davidson, James O Taylor, Carlotta Sacerdote, Robert B Wallace, J. Ramon Quiros, Eric B Rimm, Rosario Tumino, Dan G Blazer III, Allan Linneberg, Makoto Daimon, Salvatore Panico, Barbara Howard, Guri Skeie, Veikko Salomaa, Timo Strandberg, Elisabete Weiderpass, Paul J Nietert, Bruce M Psaty, Daan Kromhout, Elena Salamanca-Fernandez, Stefan Kiechl, Harlan M Krumholz, Sara Grioni, Domenico Palli, José M Huerta, Jackie Price, Johan Sundström, Larraitz Arriola, Hisatomi Arima, Ruth C Travis, Demosthenes B Panagiotakos, Anna Karakatsani, Antonia Trichopoulou, Tilman Kühn, Diederick E Grobbee, Elizabeth Barrett-Connor, Natasja van Schoor, Heiner Boeing, Kim Overvad, Jussi Kauhanen, Nick Wareham, Claudia Langenberg, Nita Forouhi, Maria Wennberg, Jean-Pierre Després, Mary Cushman, Jackie A Cooper, Carlos J Rodriguez, Masaru Sakurai, Jonathan E Shaw, Matthew Knuiman, Trudy Voortman, Christa Meisinger, Anne Tjønneland, Hermann Brenner, Luigi Palmieri, Jean-Pierre Dallongeville, Eric J Brunner, Gerd Assmann, Maurizio Trevisan, Richard F Gillumn, Ian Ford Ford, Naveed Sattar, Mariana Lazo, Simon Thompson, Pietro Ferrari, David A Leon, George Davey Smith, Richard Peto, Rod Jackson, Emily Banks, Emanuele Di Angelantonio, John Danesh Lancet, 2018
Consumption of fruits, vegetables and fruit juices and differentiated thyroid carcinoma risk in the European Prospective Investigation into Cancer and Nutrition (EPIC) study Raul Zamora‐Ros, Virginie Béraud, Silvia Franceschi, Valerie Cayssials, Konstantinos K. Tsilidis, Marie‐Christine Boutron‐Ruault, Elisabete Weiderpass, Kim Overvad, Anne Tjønneland, Anne K. Eriksen, Fabrice Bonnet, Aurélie Affret, Verena Katzke, Tilman Kühn, Heiner Boeing, Antonia Trichopoulou, Elisavet Valanou, Anna Karakatsani, Giovanna Masala, Sara Grioni, Maria Santucci de Magistris, Rosario Tumino, Fulvio Ricceri, Guri Skeie, Christine L Parr, Susana Merino, Elena Salamanca‐Fernández, Maria‐Dolores Chirlaque, Eva Ardanaz, Pilar Amiano, Martin Almquist, Isabel Drake, Joakim Hennings, Maria Sandström, H. B(as) Bueno‐de‐Mesquita, Petra H. Peeters, Kay‐Thee Khaw, Nicholas J. Wareham, Julie A. Schmidt, Aurora Perez‐Cornago, Dagfinn Aune, Elio Riboli, Nadia Slimani, Augustin Scalbert, Isabelle Romieu, Antonio Agudo, Sabina Rinaldi International Journal of Cancer, 2018
Consumption of fish is not associated with risk of differentiated thyroid carcinoma in the European prospective investigation into cancer and nutrition (EPIC) study Raul Zamora-Ros, Jazmín Castañeda, Sabina Rinaldi, Valerie Cayssials, Nadia Slimani, Elisabete Weiderpass, Konstantinos K Tsilidis, Marie-Christine Boutron-Ruault, Kim Overvad, Anne K Eriksen, Anne Tjønneland, Tilman Kühn, Verena Katzke, Heiner Boeing, Antonia Trichopoulou, Carlo La Vecchia, Anastasia Kotanidou, Domenico Palli, Sara Grioni, Amalia Mattiello, Rosario Tumino, Veronica Sciannameo, Eiliv Lund, Susana Merino, Elena Salamanca-Fernández, Pilar Amiano, José María Huerta, Aurelio Barricarte, Ulrika Ericson, Martin Almquist, Joakim Hennings, Maria Sandström, H Bas Bueno-de-Mesquita, Petra H Peeters, Kay-Tee Khaw, Nicholas J Wareham, Julie A Schmidt, Amanda J Cross, Elio Riboli, Augustin Scalbert, Isabelle Romieu, Antonio Agudo, Silvia Franceschi Journal of Nutrition, 2017
Coffee, tea and melanoma risk: findings from the European Prospective Investigation into Cancer and Nutrition Saverio Caini, Giovanna Masala, Calogero Saieva, Marina Kvaskoff, Isabelle Savoye, Carlotta Sacerdote, Oskar Hemmingsson, Bodil Hammer Bech, Kim Overvad, Anne Tjønneland, Kristina E.N. Petersen, Francesca Romana Mancini, Marie-Christine Boutron-Ruault, Iris Cervenka, Rudolf Kaaks, Tilman Kühn, Heiner Boeing, Anna Floegel, Antonia Trichopoulou, Elisavet Valanou, Maria Kritikou, Giovanna Tagliabue, Salvatore Panico, Rosario Tumino, H. Bas Bueno-de-Mesquita, Petra H. Peeters, Marit B. Veierød, Reza Ghiasvand, Marko Lukic, José Ramón Quirós, Maria-Dolores Chirlaque, Eva Ardanaz, Elena Salamanca Fernández, Nerea Larrañaga, Raul Zamora-Ros, Lena Maria Nilsson, Ingrid Ljuslinder, Karin Jirström, Emily Sonestedt, Timothy J. Key, Nick Wareham, Kay-Tee Khaw, Marc Gunter, Inge Huybrechts, Neil Murphy, Konstantinos K. Tsilidis, Elisabete Weiderpass, Domenico Palli International Journal of Cancer, 2017
Integrative genomic analysis implicates limited peripheral adipose storage capacity in the pathogenesis of human insulin resistance EPIC-InterAct Consortium, Luca A Lotta, Cambridge FPLD1 Consortium, Pawan Gulati, Felix R Day, Felicity Payne, Halit Ongen, Martijn van de Bunt, Kyle J Gaulton, John D Eicher, Stephen J Sharp, Jian'an Luan, Emanuella De Lucia Rolfe, Isobel D Stewart, Eleanor Wheeler, Sara M Willems, Claire Adams, Hanieh Yaghootkar, Nita G Forouhi, Kay-Tee Khaw, Andrew D Johnson, Robert K Semple, Timothy Frayling, John R B Perry, Emmanouil Dermitzakis, Mark I McCarthy, Inês Barroso, Nicholas J Wareham, David B Savage, Claudia Langenberg, Stephen O'Rahilly, Robert A Scott Nature Genetics, 2017
Association between low-density lipoprotein cholesterol-lowering genetic variants and risk of type 2 diabetes: A meta-analysis Luca A. Lotta, Stephen J. Sharp, Stephen Burgess, John R. B. Perry, Isobel D. Stewart, Sara M. Willems, Jian’an Luan, Eva Ardanaz, Larraitz Arriola, Beverley Balkau, Heiner Boeing, Panos Deloukas, Nita G. Forouhi, Paul W. Franks, Sara Grioni, Rudolf Kaaks, Timothy J. Key, Carmen Navarro, Peter M. Nilsson, Kim Overvad, Domenico Palli, Salvatore Panico, Jose-Ramón Quirós, Elio Riboli, Olov Rolandsson, Carlotta Sacerdote, Elena Salamanca-Fernandez, Nadia Slimani, Annemieke M. W. Spijkerman, Anne Tjonneland, Rosario Tumino, Daphne L. van der A, Yvonne T. van der Schouw, Mark I. McCarthy, Inês Barroso, Stephen O’Rahilly, David B. Savage, Naveed Sattar, Claudia Langenberg, Robert A. Scott, Nicholas J. Wareham JAMA Journal of the American Medical Association, 2016
Characterising The Human Perinatal Chemical Exposome with Innovative Suspect and Non-Targeted Screening: Results from The PARC EU Interlaboratory Trial and Real-Case Study T MOUFAWAD, K Ayeni, E BAIRA, L Belova, J Chaker, C CHALET, ... SETAC Europe 36th Annual Meeting , 2026 2026
Sociodemographic determinants and temporal variability of blood lead levels (2003–2019) in a pooled analysis of nine studies in four European countries E Salamanca-Fernández, FM Peinado, M Esteban-López, V Puklova, ... Scientific reports 15 (1), 34562 , 2025 2025 Citations: 4
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Implementation of effect biomarkers in human biomonitoring studies: A systematic approach synergizing toxicological and epidemiological knowledge A Rodríguez-Carrillo, V Mustieles, E Salamanca-Fernández, ... International Journal of Hygiene and Environmental Health 249, 114140 , 2023 2023 Citations: 41
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Inflammatory potential of the diet and incidence of Crohn’s disease and ulcerative colitis in the EPIC-Spain Cohort M Guevara, E Salamanca-Fernández, E Miqueleiz, D Gavrila, P Amiano, ... Nutrients 13 (7), 2201 , 2021 2021 Citations: 18
Safety considerations during prescription of non-steroidal anti-inflammatory drugs (NSAIDs), through a review of systematic reviews. Olry de Labry Lima A, Salamanca-Fernández E, Alegre Del Rey EJ, Matas Hoces ... Anales del Sistema Sanitario de Navarra , 2021 2021 Citations: 19
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Greenhouse gases emissions from the diet and risk of death and chronic diseases in the EPIC-Spain cohort CA González, C Bonet, M de Pablo, MJ Sanchez, ... European journal of public health 31 (1), 130-135 , 2021 2021 Citations: 34
Influencia de la temperatura ambiental y la contaminación en la transmisión del SARS-CoV-2: e202101003 E Salamanca-Fernández, MR Barranco, MJ Sánchez Revista Española de Salud Pública 95, 8 páginas-8 páginas , 2021 2021 Citations: 8
Inflammatory potential of the diet and incidence of Crohn’s disease and ulcerative colitis in the EPIC-Spain cohort. Nutrients 2021; 13: 2201 M Guevara, E Salamanca-Fernández, E Miqueleiz, D Gavrila, P Amiano, ... s Note: MDPI stays neutral with regard to jurisdictional claims in published … , 2021 2021 Citations: 2
Exposición histórica a disruptores endocrinos no persistentes y marcadores de Síndrome Metabólico, en la cohorte EPIC-Granada E Salamanca Fernández Universidad de Granada , 2021 2021
MOST CITED SCHOLAR PUBLICATIONS
Risk thresholds for alcohol consumption: combined analysis of individual-participant data for 599 912 current drinkers in 83 prospective studies AM Wood, S Kaptoge, AS Butterworth, P Willeit, S Warnakula, T Bolton, ... The Lancet 391 (10129), 1513-1523 , 2018 2018 Citations: 1619
Prediction of acute myeloid leukaemia risk in healthy individuals S Abelson, G Collord, SWK Ng, O Weissbrod, N Mendelson Cohen, ... Nature 559 (7714), 400-404 , 2018 2018 Citations: 1037
Integrative genomic analysis implicates limited peripheral adipose storage capacity in the pathogenesis of human insulin resistance LA Lotta, P Gulati, FR Day, F Payne, H Ongen, M Van De Bunt, ... Nature genetics 49 (1), 17-26 , 2017 2017 Citations: 675
Association between low-density lipoprotein cholesterol–lowering genetic variants and risk of type 2 diabetes: a meta-analysis LA Lotta, SJ Sharp, S Burgess, JRB Perry, ID Stewart, SM Willems, J Luan, ... Jama 316 (13), 1383-1391 , 2016 2016 Citations: 465
La obesidad como factor de riesgo en personas con COVID-19: posibles mecanismos e implicaciones D Petrova, E Salamanca-Fernández, MR Barranco, PN Pérez, JJJ Moleón, ... Atencion primaria 52 (7), 496-500 , 2020 2020 Citations: 292
The impact of plant-based dietary patterns on cancer-related outcomes: a rapid review and meta-analysis E Molina-Montes, E Salamanca-Fernández, B Garcia-Villanova, ... Nutrients 12 (7), 2010 , 2020 2020 Citations: 133
Nutritional quality of food as represented by the FSAm-NPS nutrient profiling system underlying the Nutri-Score label and cancer risk in Europe: Results from the EPIC … M Deschasaux, I Huybrechts, N Murphy, C Julia, S Hercberg, B Srour, ... PLoS medicine 15 (9), e1002651 , 2018 2018 Citations: 130
Association of menopausal characteristics and risk of coronary heart disease: a pan-European case–cohort analysis V Dam, YT van Der Schouw, NC Onland-Moret, RHH Groenwold, ... International Journal of Epidemiology 48 (4), 1275-1285 , 2019 2019 Citations: 115
Obesity as a risk factor in COVID-19: Possible mechanisms and implications D Petrova, E Salamanca-Fernandez, MR Barranco, PN Pérez, JJJ Moleón, ... Atencion primaria 52 (7), 496 , 2020 2020 Citations: 102
Concentrations of bisphenol-A in adults from the general population: A systematic review and meta-analysis SM Colorado-Yohar, AC Castillo-Gonzalez, J Sanchez-Meca, ... Science of The Total Environment 775, 145755 , 2021 2021 Citations: 94
Bisphenol-A exposure and risk of breast and prostate cancer in the Spanish European Prospective Investigation into Cancer and Nutrition study E Salamanca-Fernández, M Rodríguez-Barranco, P Amiano, J Delfrade, ... Environmental Health 20 (1), 88 , 2021 2021 Citations: 79
Night-shift work and breast and prostate cancer risk: updating the evidence from epidemiological studies. E Salamanca-Fernández, M Rodríguez-Barranco, M Guevara, E Ardanaz, ... Anales del sistema sanitario de Navarra 41 (2), 211-226 , 2018 2018 Citations: 76
Serum and adipose tissue as matrices for assessment of exposure to persistent organic pollutants in breast cancer patients F Artacho-Cordón, M Fernández-Rodríguez, C Garde, E Salamanca, ... Environmental research 142, 633-643 , 2015 2015 Citations: 72
Consumption of fruits, vegetables and fruit juices and differentiated thyroid carcinoma risk in the European Prospective Investigation into Cancer and Nutrition (EPIC) study R Zamora‐Ros, V Béraud, S Franceschi, V Cayssials, KK Tsilidis, ... International journal of cancer 142 (3), 449-459 , 2018 2018 Citations: 70
Coffee, tea and melanoma risk: findings from the European Prospective Investigation into Cancer and Nutrition S Caini, G Masala, C Saieva, M Kvaskoff, I Savoye, C Sacerdote, ... International journal of cancer 140 (10), 2246-2255 , 2017 2017 Citations: 64
Multimorbidity and short-term overall mortality among colorectal cancer patients in Spain: a population-based cohort study MA Luque-Fernandez, K Gonçalves, E Salamanca-Fernández, ... European Journal of Cancer 129, 4-14 , 2020 2020 Citations: 49
Determination of personal care products–benzophenones and parabens–in human menstrual blood I Jiménez-Díaz, LM Iribarne-Durán, O Ocón, E Salamanca, MF Fernández, ... Journal of Chromatography B 1035, 57-66 , 2016 2016 Citations: 48
Relationship between exposure to mixtures of persistent, bioaccumulative, and toxic chemicals and cancer risk: A systematic review NF Fernández-Martínez, A Ching-Lopez, AO de Labry Lima, ... Environmental research 188, 109787 , 2020 2020 Citations: 45
Exposure to perfluoroalkyl substances (PFAS) and association with thyroid hormones in adolescent males C Freire, F Vela-Soria, F Castiello, E Salamanca-Fernández, ... International Journal of Hygiene and Environmental Health 252, 114219 , 2023 2023 Citations: 44
Estimated substitution of tea or coffee for sugar-sweetened beverages was associated with lower type 2 diabetes incidence in case–cohort analysis across 8 European Countries in … F Imamura, MB Schulze, SJ Sharp, M Guevara, D Romaguera, ... The Journal of nutrition 149 (11), 1985-1993 , 2019 2019 Citations: 43