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Joshua Muscat, PhD, MPH

Joshua Muscat, PhD, MPH

Professor, Department of Public Health Sciences
Division of Epidemiology
Scientific Program:Cancer Control
JEM39@psu.edu

Research Interests

Dr. Joshua Muscat is an epidemiologist with a research interest in the causes and prevention of cancer. He previously worked at Memorial Sloan-Kettering Cancer Center and the American Health Foundation in New York. His work has included studies on environmental pollutants and cancer, and he has served as an adviser to federal and state regulatory agencies.

Dr. Muscat’s interests include understanding the causes of racial differences in cancer risk, including the smoking behaviors, individual factors and diet. 

  • Tobacco Products
  • Smokers
  • Smoking
  • Odds Ratio
  • Confidence Intervals
  • Lung Neoplasms
  • Head and Neck Neoplasms
  • Nicotine
  • Neoplasms
  • Tobacco
  • Case-Control Studies
  • Epidemiology

Recent Publications

2024

Zhang, L, Muscat, JE, Chinchilli, VM, Kris-Etherton, PM, Al-Shaar, L & Richie, J 2024, 'Berry Consumption in Relation to Allostatic Load in US Adults: The National Health and Nutrition Examination Survey, 2003–2010', Nutrients, vol. 16, no. 3, 403. https://doi.org/10.3390/nu16030403
Zhang, L, Muscat, JE, Chinchilli, VM, Kris-Etherton, PM, Al-Shaar, L & Richie, JP 2024, 'Consumption of Berries and Flavonoids in Relation to Mortality in NHANES, 1999–2014', Journal of Nutrition, vol. 154, no. 2, pp. 734-743. https://doi.org/10.1016/j.tjnut.2024.01.002
Zhang, L, Muscat, JE, Kris-Etherton, PM, Chinchilli, VM, Al-Shaar, L & Richie, JP 2024, 'The Epidemiology of Berry Consumption and Association of Berry Consumption with Diet Quality and Cardiometabolic Risk Factors in United States Adults: The National Health and Nutrition Examination Survey, 2003–2018', Journal of Nutrition, vol. 154, no. 3, pp. 1014-1026. https://doi.org/10.1016/j.tjnut.2024.01.017

2023

Giraldi, L, Stojanovic, J, Arzani, D, Persiani, R, Hu, J, Johnson, KC, Zhang, ZF, Ferraroni, M, Palli, D, Yu, GP, La Vecchia, C, Pelucchi, C, Lunet, N, Ferro, A, Malekzadeh, R, Muscat, J, Zaridze, D, Maximovich, D, Aragones, N, Martin, V, Vioque, J, Navarrete-Munoz, EM, Pakseresht, M, Negri, E, Rota, M, Pourfarzi, F, Mu, L, Kurtz, RC, Lagiou, A, Lagiou, P, Pastorino, R & Boccia, S 2023, 'Adult height and risk of gastric cancer: A pooled analysis within the Stomach cancer Pooling Project', European Journal of Cancer Prevention, vol. 32, no. 3, pp. 215-221. https://doi.org/10.1097/CEJ.0000000000000613
Lin, D, Thompson, CL, Ba, DM, Muscat, JE, Zhou, S, Rogers, CJ & Sturgeon, KM 2023, 'Associations Between Leisure-Time Physical Activity Level and Peripheral Immune Cell Populations in the US General Population, Analysis of the National Health and Nutrition Examination Survey Data, 1999–2018', Sports Medicine - Open, vol. 9, no. 1, 101. https://doi.org/10.1186/s40798-023-00643-y
Zhang, L, Muscat, JE, Kris-Etherton, PM, Chinchilli, VM, Fernandez-Mendoza, J, Al-Shaar, L & Richie, JP 2023, 'Berry Consumption and Sleep in the Adult US General Population: Results from the National Health and Nutrition Examination Survey 2005–2018', Nutrients, vol. 15, no. 24, 5115. https://doi.org/10.3390/nu15245115
Machiorlatti, M, Krebs, N, Sun, D & Muscat, JE 2023, 'Diurnal variability of cortisol in the Pennsylvania adult smoking study: Exploration of association with nicotine intake', International Journal of Psychophysiology, vol. 186, pp. 24-32. https://doi.org/10.1016/j.ijpsycho.2023.02.001
Ba, DM, Zhang, S, Nishita, Y, Tange, C, Qiu, T, Gao, X, Muscat, J & Otsuka, R 2023, 'Mushroom consumption and hyperuricemia: results from the National Institute for Longevity Sciences-Longitudinal Study of Aging and the National Health and Nutrition Examination Survey (2007-2018)', Nutrition Journal, vol. 22, no. 1, 62. https://doi.org/10.1186/s12937-023-00887-0
Ba, DM, Ssentongo, P, Pelucchi, C, Negri, E, Palli, D, Ferraroni, M, Zhang, ZF, Yu, GP, Tsugane, S, Hidaka, A, Hamada, GS, Zaridze, D, Maximovich, D, Obón-Santacana, M, Álvarez-Álvarez, L, Vioque, J, Garcia De La Hera, M, López-Carrillo, L, López-Cervantes, M, Mu, L, Lagiou, A, Lagiou, P, Boffetta, P, Camargo, MC, Curado, MP, Lunet, N, La Vecchia, C & Muscat, J 2023, 'Mushroom consumption and risk of gastric cancer: A pooled analysis within the stomach cancer pooling project and a combined meta-analysis with other observational studies', European Journal of Cancer Prevention, vol. 32, no. 3, pp. 222-228. https://doi.org/10.1097/CEJ.0000000000000754
Newman, P & Muscat, J 2023, 'Potential Role of Non-Steroidal Anti-Inflammatory Drugs in Colorectal Cancer Chemoprevention for Inflammatory Bowel Disease: An Umbrella Review', Cancers, vol. 15, no. 4, 1102. https://doi.org/10.3390/cancers15041102

2022

Ba, DM, Gao, X, Al-Shaar, L, Muscat, J, Chinchilli, V, Beelman, RB & Richie, JP 2022, 'Authors’ response: Mushroom intake and depression: A population-based study using data from the US National Health and Nutrition Examination Survey (NHANES), 2005–2016', Journal of Affective Disorders, vol. 296, pp. 668. https://doi.org/10.1016/j.jad.2021.09.047
Ma, L, Xiu, G, Muscat, J, Sinha, R, Sun, D & Xiu, G 2022, 'Comparative proteomic analysis of exhaled breath condensate between lung adenocarcinoma and CT-detected benign pulmonary nodule patients', Cancer Biomarkers, vol. 34, no. 2, pp. 163-174. https://doi.org/10.3233/CBM-203269
Lin, W, Zhu, J, Hayes, JE, Richie, JP & Muscat, JE 2022, 'Comparison of Carcinogen Biomarkers in Smokers of Menthol and Nonmenthol Cigarettes: The 2015–2016 National Health and Nutrition Examination Survey Special Sample', Cancer Epidemiology Biomarkers and Prevention, vol. 31, no. 8, pp. 1539-1545. https://doi.org/10.1158/1055-9965.EPI-22-0239
Lin, W, Hobkirk, AL, Zhu, J, Krebs, NM, Hayes, JE, Richie, JP, Liao, J, Horn, K, Foulds, J & Muscat, JE 2022, 'Effect of menthol on nicotine reduction: Pooled results from two double-blind randomized controlled trials', Brain Research Bulletin, vol. 189, pp. 131-138. https://doi.org/10.1016/j.brainresbull.2022.08.019
Fan, T, Yingst, JM, Bascom, R, Tuanquin, L, Veldheer, S, Branstetter, S, Foulds, J & Muscat, JE 2022, 'Feasibility of Patient Navigation-Based Smoking Cessation Program in Cancer Patients', International journal of environmental research and public health, vol. 19, no. 7, 4034. https://doi.org/10.3390/ijerph19074034
Nasrin, S, Coates, S, Bardhi, K, Watson, C, Muscat, JE & Lazarus, P 2023, 'Inhibition of Nicotine Metabolism by Cannabidiol (CBD) and 7-Hydroxycannabidiol (7-OH-CBD)', Chemical research in toxicology, vol. 36, no. 2, pp. 177-187. https://doi.org/10.1021/acs.chemrestox.2c00259
Ba, DM, Gao, X, Al-Shaar, L, Muscat, J, Chinchilli, VM, Ssentongo, P, Beelman, RB & Richie, J 2022, 'Mushroom intake and cognitive performance among US older adults: the National Health and Nutrition Examination Survey, 2011-2014', British Journal of Nutrition, vol. 128, no. 11, pp. 2241-2248. https://doi.org/10.1017/S0007114521005195
Ba, DM, Ssentongo, P, Gao, X, Chinchilli, VM, Richie, JP, Maiga, M & Muscat, JE 2022, 'Prevalence and determinants of meeting minimum dietary diversity among children aged 6–23 months in three sub-Saharan African Countries: The Demographic and Health Surveys, 2019–2020', Frontiers in Public Health, vol. 10, 846049. https://doi.org/10.3389/fpubh.2022.846049
Ma, L, Sun, D, Xiu, G, Lazarus, P, Vachani, A, Penning, TM, Whitehead, AS & Muscat, JE 2022, 'Quantification of Plasma 8-Isoprostane by High-Performance Liquid Chromatography with Tandem Mass Spectrometry in a Case-Control Study of Lung Cancer', International journal of environmental research and public health, vol. 19, no. 19, 12488. https://doi.org/10.3390/ijerph191912488
Goyal, N, Hennessy, M, Lehman, E, Lin, W, Agudo, A, Ahrens, W, Boccia, S, Brennan, P, Brenner, H, Cadoni, G, Canova, C, Chen, C, Conway, D, Curado, MP, Dal Maso, L, Daudt, AW, Edefonti, V, Fabianova, E, Fernandez, L, Franceschi, S, Garavello, W, Gillison, M, Hayes, RB, Healy, C, Herrero, R, Holcatova, I, Kanda, JL, Kelsey, K, Hansen, BT, Koifman, R, Lagiou, P, La Vecchia, C, Levi, F, Li, G, Lissowska, J, Mendoza López, R, Luce, D, Macfarlane, G, Mates, D, Matsuo, K, McClean, M, Menezes, A, Menvielle, G, Morgenstern, H, Moysich, K, Negri, E, Olshan, AF, Pandics, T, Polesel, J, Purdue, M, Radoi, L, Ramroth, H, Richiardi, L, Schantz, S, Schwartz, SM, Serraino, D, Shangina, O, Smith, E, Sturgis, EM, Świątkowska, B, Thomson, P, Vaughan, TL, Vilensky, M, Winn, DM, Wunsch-Filho, V, Yu, GP, Zevallos, JP, Zhang, ZF, Zheng, T, Znaor, A, Boffetta, P, Hashibe, M, Lee, YCA & Muscat, JE 2023, 'Risk factors for head and neck cancer in more and less developed countries: Analysis from the INHANCE consortium', Oral Diseases, vol. 29, no. 4, pp. 1565-1578. https://doi.org/10.1111/odi.14196
Dabo, B, Pelucchi, C, Rota, M, Jain, H, Bertuccio, P, Bonzi, R, Palli, D, Ferraroni, M, Zhang, ZF, Sanchez-Anguiano, A, Thi-Hai Pham, Y, Thi-Du Tran, C, Gia Pham, A, Yu, GP, Nguyen, TC, Muscat, J, Tsugane, S, Hidaka, A, Hamada, GS, Zaridze, D, Maximovitch, D, Kogevinas, M, Fernàndez De Larrea, N, Boccia, S, Pastorino, R, Kurtz, RC, Lagiou, A, Lagiou, P, Vioque, J, Camargo, MC, Paula Curado, M, Lunet, N, Boffetta, P, Negri, E, La Vecchia, C & Luu, HN 2022, 'The association between diabetes and gastric cancer: results from the Stomach Cancer Pooling Project Consortium', European Journal of Cancer Prevention, vol. 31, no. 3, pp. 260-269. https://doi.org/10.1097/CEJ.0000000000000703
Foulds, J, Veldheer, S, Pachas, G, Hrabovsky, S, Hameed, A, Allen, SI, Cather, C, Azzouz, N, Yingst, J, Hammett, E, Modesto, J, Krebs, NM, Lester, C, Trushin, N, Reinhart, L, Wasserman, E, Zhu, J, Liao, J, Muscat, JE, Richie, JP & Evins, AE 2022, 'The effects of reduced nicotine content cigarettes on biomarkers of nicotine and toxicant exposure, smoking behavior and psychiatric symptoms in smokers with mood or anxiety disorders: A double-blind randomized trial', PloS one, vol. 17, no. 11 November, e0275522. https://doi.org/10.1371/journal.pone.0275522

2021

Dong, Z, Gao, X, Chinchilli, VM, Sinha, R, Muscat, J, Winkels, R & Richie, JP 2022, 'Association of dietary sulfur amino acid intake with mortality from diabetes and other causes', European Journal of Nutrition, vol. 61, no. 1, pp. 289-298. https://doi.org/10.1007/s00394-021-02641-w
Ba, DM, Gao, X, Muscat, J, Al-Shaar, L, Chinchilli, V, Zhang, X, Ssentongo, P, Beelman, RB & Richie, JP 2021, 'Association of mushroom consumption with all-cause and cause-specific mortality among American adults: prospective cohort study findings from NHANES III', Nutrition Journal, vol. 20, no. 1, 38. https://doi.org/10.1186/s12937-021-00691-8
Sinha, I, Modesto, J, Krebs, NM, Stanley, AE, Walter, VA, Richie, JP, Muscat, JE & Sinha, R 2021, 'Changes in salivary proteome before and after cigarette smoking in smokers compared to sham smoking in nonsmokers: A pilot study', Tobacco Induced Diseases, vol. 19, 138336. https://doi.org/10.18332/TID/138336
Hobkirk, AL, Midya, V, Krebs, NM, Allen, SI, Reinhart, L, Sun, D, Stennett, AL & Muscat, JE 2021, 'Characterizing nicotine exposure among a community sample of non-daily smokers in the United States', BMC Public Health, vol. 21, no. 1, 1025. https://doi.org/10.1186/s12889-021-11052-9
Du, P, Arpadi, SM, Muscat, J & Richie, JP 2021, 'Glutathione Deficiency in HIV-1-Infected Children with Short Stature', Journal of Pediatric Infectious Diseases, vol. 16, no. 4, 2000092, pp. 148-153. https://doi.org/10.1055/s-0041-1722973
Ba, DM, Ssentongo, P, Beelman, RB, Muscat, J, Gao, X & Richie, JP 2021, 'Higher Mushroom Consumption Is Associated with Lower Risk of Cancer: A Systematic Review and Meta-Analysis of Observational Studies', Advances in nutrition (Bethesda, Md.). https://doi.org/10.1093/advances/nmab015
Lin, W & Muscat, JE 2021, 'Knowledge and Beliefs Regarding Harm From Specific Tobacco Products: Findings From the H.I.N.T. Survey', American Journal of Health Promotion. https://doi.org/10.1177/08901171211026116
Ba, DM, Gao, X, Al-Shaar, L, Muscat, JE, Chinchilli, VM, Beelman, RB & Richie, JP 2021, 'Mushroom intake and depression: A population-based study using data from the US National Health and Nutrition Examination Survey (NHANES), 2005–2016', Journal of Affective Disorders, vol. 294, pp. 686-692. https://doi.org/10.1016/j.jad.2021.07.080
Branstetter, SA, Krebs, NM & Muscat, JE 2022, 'Nighttime Waking to Smoke, Stress, and Nicotine Addiction', Behavioral Sleep Medicine. https://doi.org/10.1080/15402002.2021.1992408
Ba, DM, Gao, X, Al-Shaar, L, Muscat, J, Chinchilli, VM, Ssentongo, P, Zhang, X, Liu, G, Beelman, RB & Richie, JP 2021, 'Prospective study of dietary mushroom intake and risk of mortality: results from continuous National Health and Nutrition Examination Survey (NHANES) 2003-2014 and a meta-analysis', Nutrition Journal, vol. 20, no. 1, 80. https://doi.org/10.1186/s12937-021-00738-w
Ma, L, Muscat, JE, Sinha, R, Sun, D & Xiu, G 2021, 'Proteomics of exhaled breath condensate in lung cancer and controls using data-independent acquisition (DIA): A pilot study', Journal of Breath Research, vol. 15, no. 2, 026002. https://doi.org/10.1088/1752-7163/abd07e
Krebs, NM, Zhu, J, Wasserman, E, Kuprewicz, R, Martinez, DJ, Veldheer, S, Livelsberger, C, Modesto, J, Reinhart, L, Trushin, N, Reilly, SM, Liao, J, Fazzi, A, Bascom, R, Richie, JP, Foulds, J, Horn, K & Muscat, JE 2021, 'Switching to Progressively Reduced Nicotine Content Cigarettes in Smokers with Low Socioeconomic Status: A Double-Blind Randomized Clinical Trial', Nicotine and Tobacco Research, vol. 23, no. 6, pp. 992-1001. https://doi.org/10.1093/ntr/ntaa247

2020

Di Credico, G, Polesel, J, Dal Maso, L, Pauli, F, Torelli, N, Luce, D, Radoï, L, Matsuo, K, Serraino, D, Brennan, P, Holcatova, I, Ahrens, W, Lagiou, P, Canova, C, Richiardi, L, Healy, CM, Kjaerheim, K, Conway, DI, Macfarlane, GJ, Thomson, P, Agudo, A, Znaor, A, Franceschi, S, Herrero, R, Toporcov, TN, Moyses, RA, Muscat, J, Negri, E, Vilensky, M, Fernandez, L, Curado, MP, Menezes, A, Daudt, AW, Koifman, R, Wunsch-Filho, V, Olshan, AF, Zevallos, JP, Sturgis, EM, Li, G, Levi, F, Zhang, ZF, Morgenstern, H, Smith, E, Lazarus, P, La Vecchia, C, Garavello, W, Chen, C, Schwartz, SM, Zheng, T, Vaughan, TL, Kelsey, K, McClean, M, Benhamou, S, Hayes, RB, Purdue, MP, Gillison, M, Schantz, S, Yu, GP, Chuang, SC, Boffetta, P, Hashibe, M, Yuan-Chin, AL & Edefonti, V 2020, 'Alcohol drinking and head and neck cancer risk: the joint effect of intensity and duration', British Journal of Cancer, vol. 123, no. 9, pp. 1456-1463. https://doi.org/10.1038/s41416-020-01031-z
El-Bayoumy, K, Christensen, ND, Hu, J, Viscidi, R, Stairs, DB, Walter, V, Chen, KM, Sun, YW, Muscat, JE & Richie, JP 2020, 'An integrated approach for preventing oral cavity and oropharyngeal cancers: Two etiologies with distinct and shared mechanisms of carcinogenesis', Cancer Prevention Research, vol. 13, no. 8, pp. 649-660. https://doi.org/10.1158/1940-6207.CAPR-20-0096
Dong, Z, Gao, X, Chinchilli, VM, Sinha, R, Muscat, J, Winkels, RM & Richie, JP 2020, 'Association of sulfur amino acid consumption with cardiometabolic risk factors: Cross-sectional findings from NHANES III', EClinicalMedicine, vol. 19, 100248. https://doi.org/10.1016/j.eclinm.2019.100248
Lin, W, Krebs, NM, Zhu, J, Foulds, J, Horn, K & Muscat, JE 2020, 'Comparison between gradual reduced nicotine content and usual nicotine content groups on subjective cigarette ratings in a randomized double-blind trial', International journal of environmental research and public health, vol. 17, no. 19, 7047, pp. 1-9. https://doi.org/10.3390/ijerph17197047
Bitzer, ZT, Goel, R, Trushin, N, Muscat, J & Richie, JP 2020, 'Free Radical Production and Characterization of Heat-Not-Burn Cigarettes in Comparison to Conventional and Electronic Cigarettes', Chemical research in toxicology, vol. 33, no. 7, pp. 1882-1887. https://doi.org/10.1021/acs.chemrestox.0c00088
Lei, X, Goel, R, Sun, D, Bhangu, G, Bitzer, ZT, Trushin, N, Ma, L, Richie, JP, Xiu, G & Muscat, JE 2020, 'Free Radical and Nicotine Yields in Mainstream Smoke of Chinese Marketed Cigarettes: Variation with Smoking Regimens and Cigarette Brands', Chemical research in toxicology, vol. 33, no. 7, pp. 1791-1797. https://doi.org/10.1021/acs.chemrestox.0c00041
the INHANCE Consortium investigators 2021, 'Lessons learned from the INHANCE consortium: An overview of recent results on head and neck cancer', Oral Diseases, vol. 27, no. 1, pp. 73-93. https://doi.org/10.1111/odi.13502
Kamens, HM, Silva, CP, Nye, RT, Miller, CN, Singh, N, Sipko, J, Trushin, N, Sun, D, Branstetter, SA, Muscat, JE, Richie, JP & Foulds, J 2020, 'Pharmacokinetic Profile of Spectrum Reduced Nicotine Cigarettes', Nicotine and Tobacco Research, vol. 22, no. 2, pp. 273-279. https://doi.org/10.1093/ntr/ntz045
Lee, YCA, Al-Temimi, M, Ying, J, Muscat, J, Olshan, AF, Zevallos, JP, Winn, DM, Li, G, Sturgis, EM, Morgenstern, H, Zhang, ZF, Smith, E, Kelsey, K, McClean, M, Vaughan, TL, Lazarus, P, Chen, C, Schwartz, SM, Gillison, M, Schantz, S, Yu, GP, D'Souza, G, Gross, N, Monroe, M, Kim, J, Boffetta, P & Hashibe, M 2020, 'Risk Prediction Models for Head and Neck Cancer in the US Population from the INHANCE Consortium', American journal of epidemiology, vol. 189, no. 4, pp. 330-342. https://doi.org/10.1093/aje/kwz259
Branstetter, SA, Muscat, JE & Mercincavage, M 2020, 'Time to First Cigarette: A Potential Clinical Screening Tool for Nicotine Dependence', Journal of Addiction Medicine, vol. 14, no. 5, pp. 409-414. https://doi.org/10.1097/ADM.0000000000000610