Epidemiologic evidence on the relation between nutrition and pancreati
c cancer is reviewed. A number of epidemiologic studies of diet and ca
ncer of the pancreas have been reported including descriptive, case-co
ntrol, and cohort studies. Overall, fairly consistent patterns of posi
tive associations with the intake of meat, carbohydrates, and dietary
cholesterol have been observed. Consistent inverse relationships with
fruit and vegetable intakes and, in particular, with two markers of su
ch foods, namely fiber and vitamin C, also have been noted. However, t
he methodologic limitations of these studies, particularly the descrip
tive and case-control studies, are such that causal inferences regardi
ng these empirical associations currently are not warranted. Future fo
llow-up of existing dietary cohorts should enable more precise assessm
ent of the possible role of diet in the etiology of cancer of the panc
reas.