Gallus Silvano, Bravi Francesca, Talamini Renato, Negri Eva, Montella Maurizio, Ramazzotti Valerio, Franceschi Silvia, Giacosa Attilio, La Vecchia Carlo
Istituto di Ricerche Farmacologiche Mario Negri, Via Eritrea 62, 20157, Milan, Italy.
Cancer Causes Control. 2006 May;17(4):429-37. doi: 10.1007/s10552-005-0423-2.
Inconclusive information is available on the potential role of milk and dairy products on the risk of cancer at several sites.
We analyzed data from a large and integrated network of hospital-based case-control studies in Italy on cancers of the oral cavity and pharynx (598 cases, 1491 controls), oesophagus (304 cases, 743 controls), colorectum (1953 cases, 4154 controls), larynx (460 cases, 1088 controls), breast (2569 cases, 2588 controls), ovary (1031 cases, 2411 controls) and prostate (1294 cases, 1451 controls).
Multivariate odds ratio (OR) for the highest consumption level of any type of milk was 0.94 (95% confidence interval, CI: 0.61-1.33) for cancers of the oral cavity and pharynx, 1.20 (95% CI: 0.76-1.90) for oesophageal, 0.77 (95% CI: 0.62-0.96) for colon, 0.80 (95% CI: 0.60-1.05) for rectal, 0.83 (95% CI: 0.56-1.21) for laryngeal, 0.91 (95% CI: 0.76-1.10) for breast, 0.89 (95% CI: 0.68-1.15) for ovarian and 1.08 (95% CI: 0.84-1.37) for prostate cancer. A significant trend in risk was found for colon cancer only. Inverse associations were observed between consumption of skim milk and cancers of colon (OR=0.84; 95% CI: 0.73-0.97), rectum (OR=0.76; 95% CI: 0.64-0.91), breast (OR=0.87; 95% CI: 0.77-0.98) and ovary (OR=0.77; 95% CI: 0.66-0.91). Conversely, whole milk consumption was directly associated with cancer of the rectum (OR=1.22; 95% CI: 1.03-1.44) and ovary (OR=1.25; 95% CI: 1.07-1.46). High consumption of cheese was inversely related to colon cancer risk (OR=0.80; 95% CI: 0.67-0.95).
There was a modest direct association between milk and dairy products and prostate cancer, and a moderate inverse one for colorectal cancer. However, our findings indicate that milk and dairy products are not strong risk indicators for any of the cancers considered.
关于牛奶及乳制品在多个部位癌症风险中潜在作用的信息尚无定论。
我们分析了意大利一个大型综合性医院病例对照研究网络的数据,涉及口腔和咽癌(598例病例,1491例对照)、食管癌(304例病例,743例对照)、结直肠癌(1953例病例,4154例对照)、喉癌(460例病例,1088例对照)、乳腺癌(2569例病例,2588例对照)、卵巢癌(1031例病例,2411例对照)和前列腺癌(1294例病例,1451例对照)。
任何类型牛奶最高消费水平的多变量优势比(OR),口腔和咽癌为0.94(95%置信区间,CI:0.61 - 1.33),食管癌为1.20(95%CI:0.76 - 1.90),结肠癌为0.77(95%CI:0.62 - 0.96),直肠癌为0.80(95%CI:0.60 - 1.05),喉癌为0.83(95%CI:0.56 - 1.21),乳腺癌为0.91(95%CI:0.76 - 1.10),卵巢癌为0.89(95%CI:0.68 - 1.15),前列腺癌为1.08(95%CI:0.84 - 1.37)。仅在结肠癌中发现了显著的风险趋势。观察到脱脂牛奶消费与结肠癌(OR = 0.84;95%CI:0.73 - 0.97)、直肠癌(OR = 0.76;95%CI:0.64 - 0.91)、乳腺癌(OR = 0.87;95%CI:0.77 - 0.98)和卵巢癌(OR = 0.77;95%CI:0.66 - 0.91)呈负相关。相反,全脂牛奶消费与直肠癌(OR = 1.22;95%CI:1.03 - 1.44)和卵巢癌(OR = 1.25;95%CI:1.07 - 1.46)呈正相关。高奶酪消费量与结肠癌风险呈负相关(OR = 0.80;95%CI:0.67 - 0.95)。
牛奶及乳制品与前列腺癌之间存在适度的正相关,与结直肠癌存在中度负相关。然而,我们的研究结果表明,牛奶及乳制品并非所研究的任何癌症的强风险指标。