Radosavljević V, Janković S, Marinković J, Djokić M
Institute of Preventive Medicine, 11080 Zemun-Belgrade, Serbia. rvladan-Eunet.yu.
Neoplasma. 2003;50(3):234-8.
To examine the relation of the total intake of fluids and the types of beverages to the risk of bladder cancer, we conducted a hospital based case-control study with 130 newly diagnosed bladder cancer patients and the same number of matched controls. Information of total fluid intake was derived from the reported frequency of consumption of the different types of beverages on the food frequency questionnaire. Univariate and multivariate logistic regression analyses were performed in statistical analysis. There was no statistically significant difference between the cases and the controls in total daily fluid intake. Multivariate logistic regression model showed consumption of: soda (OR=8.32; 95%CI=3.18-21.76), coffee (OR=1.46; 95%CI=1.05-2.01) and spirits (OR=1.15; 95%CI=1.04-1.28) as statistically significant risk factors, while mineral water (OR=0.52; 95%CI=0.34-0.79), skim milk (OR=0.38; 95%CI=0.16-0.91), yogurt (OR=0.34; 95%CI=0.12-0.97) and frequency of daily urination (OR=0.27; 95%CI=0.18-0.41) were statistically significant protective variables. In our study no statistically significant association was observed for total fluid intake. The findings suggest consumption of soda, coffee and spirits were indicated as a risk factors for bladder cancer, while mineral water, skim milk, yogurt and frequency of urination as protective factors for bladder cancer.
为了研究液体总摄入量及饮料类型与膀胱癌风险之间的关系,我们开展了一项基于医院的病例对照研究,研究对象包括130例新诊断的膀胱癌患者以及相同数量的匹配对照。液体总摄入量的信息来自于食物频率问卷中所报告的不同类型饮料的消费频率。统计分析采用单因素和多因素逻辑回归分析。病例组和对照组的每日液体总摄入量无统计学显著差异。多因素逻辑回归模型显示,苏打水(比值比[OR]=8.32;95%置信区间[CI]=3.18 - 21.76)、咖啡(OR=1.46;95%CI=1.05 - 2.01)和烈酒(OR=1.15;95%CI=1.04 - 1.28)是具有统计学意义的风险因素,而矿泉水(OR=0.52;95%CI=0.34 - 0.79)、脱脂牛奶(OR=0.38;95%CI=0.16 - 0.91)、酸奶(OR=0.34;95%CI=0.12 - 0.97)和每日排尿频率(OR=0.27;95%CI=0.18 - 0.41)是具有统计学意义的保护变量。在我们的研究中,未观察到液体总摄入量与膀胱癌之间存在统计学显著关联。研究结果表明,饮用苏打水、咖啡和烈酒是膀胱癌的风险因素,而饮用矿泉水、脱脂牛奶、酸奶和排尿频率是膀胱癌的保护因素。