Chang Ellen T, Smedby Karin Ekström, Zhang Shumin M, Hjalgrim Henrik, Melbye Mads, Ost Ake, Wolk Alicja, Adami Hans-Olov, Glimelius Bengt
Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden.
Cancer Causes Control. 2004 Dec;15(10):1067-76. doi: 10.1007/s10552-004-2234-2.
The effect of alcohol intake on risk of NHL is unclear. We therefore conducted a population-based case-control study to examine the association between alcohol and NHL risk.
613 NHL cases and 480 population controls in Sweden reported their average consumption of beer, wine, and liquor 2 years before the study. Unconditional logistic regression was used to estimate the odds ratios (OR) and corresponding 95% confidence intervals (CI) for associations between alcohol intake and NHL risk.
Intake of total alcohol, beer, wine, or liquor was not associated with risk of overall NHL. There was no difference in risk of NHL among those who habitually consumed above 19.1 g of ethanol per day, compared to those who consumed on average 0-2.2 g of ethanol per day (OR = 1.2 (95% CI: 0.8, 1.7); Ptrend = 0.29). However, the association was significantly positive among males (OR = 1.8 (95% CI: 1.1, 2.9); Ptrend = 0.06). Total alcohol, beer, wine, or liquor intake was not associated with any major histopathologic subtype of NHL examined, apart from an association between high wine consumption and increased risk of chronic lymphocytic leukemia.
Alcohol does not appear to be a major etiologic factor for overall NHL, nor its common subtypes.
饮酒对非霍奇金淋巴瘤(NHL)风险的影响尚不清楚。因此,我们开展了一项基于人群的病例对照研究,以检验酒精与NHL风险之间的关联。
瑞典的613例NHL病例和480名人群对照报告了他们在研究前2年啤酒、葡萄酒和烈酒的平均消费量。采用无条件逻辑回归来估计酒精摄入量与NHL风险之间关联的比值比(OR)及相应的95%置信区间(CI)。
总酒精、啤酒、葡萄酒或烈酒的摄入量与总体NHL风险无关。与平均每天摄入0 - 2.2克乙醇的人群相比,每天习惯性摄入超过19.1克乙醇的人群患NHL的风险没有差异(OR = 1.2(95%CI:0.8,1.7);P趋势 = 0.29)。然而,在男性中这种关联呈显著正相关(OR = 1.8(95%CI:1.1,2.9);P趋势 = 0.06)。除了高葡萄酒消费量与慢性淋巴细胞白血病风险增加之间的关联外,总酒精、啤酒、葡萄酒或烈酒摄入量与所检查的NHL任何主要组织病理学亚型均无关联。
酒精似乎不是总体NHL及其常见亚型的主要病因。