Matsumoto Masatoshi, Ishikawa Shizukiyo, Nakamura Yosikazu, Kayaba Kazunori, Kajii Eiji
Division of Community and Family Medicine, Center for Community Medicine, Jichi Medical University, Tochigi, Japan.
J Epidemiol. 2007 Mar;17(2):38-44. doi: 10.2188/jea.17.38.
Relationships between consumption of dairy products and death from various types of cancer are largely unknown.
Between April 1992 and July 1995, a baseline survey was conducted for 11,349 residents in 12 communities in Japan, which included collection of demographic data and a self-administered food-frequency questionnaire inquiring about three dairy products: milk, butter and yogurt. The subjects were followed prospectively until 2002. Causes of death were identified using death certificates. Hazard ratios (HRs) and their 95% confidence intervals (CIs) for each dairy product were calculated using Cox's proportional hazard models.
Among eight common cancers, only deaths from hematopoietic neoplasm (n=14) were significantly associated with consumption of butter (HR=5.11, 95% CI: 1.40-18.62), though they exhibited a nearly-significant association with milk consumption (HR=3.17, 95% CI: 0.99-10.17), independent of age and sex. Consumption of milk and butter was significantly associated with non-lymphoma deaths (n=9) when adjusted for age and sex (HR=9.86, 95% CI: 1.23-79.19 for milk; and HR=10.04, 95% CI: 2.39-42.18 for butter).
The frequencies of butter consumption, and probably that of milk, were correlated with death from hematopoietic neoplasm, particularly from non-lymphomas.
乳制品消费与各类癌症死亡之间的关系在很大程度上尚不清楚。
1992年4月至1995年7月,对日本12个社区的11349名居民进行了基线调查,包括收集人口统计学数据以及一份自行填写的食物频率问卷,询问了三种乳制品:牛奶、黄油和酸奶。对这些受试者进行前瞻性随访直至2002年。使用死亡证明确定死亡原因。使用Cox比例风险模型计算每种乳制品的风险比(HRs)及其95%置信区间(CIs)。
在八种常见癌症中,仅造血系统肿瘤死亡(n = 14)与黄油消费显著相关(HR = 5.11,95% CI:1.40 - 18.62),尽管它们与牛奶消费呈现出接近显著的关联(HR = 3.17,95% CI:0.99 - 10.17),且独立于年龄和性别。在对年龄和性别进行调整后,牛奶和黄油的消费与非淋巴瘤死亡(n = 9)显著相关(牛奶的HR = 9.86,95% CI:1.23 - 79.19;黄油的HR = 10.04,95% CI:2.39 - 42.18)。
黄油的消费频率,可能还有牛奶的消费频率,与造血系统肿瘤死亡,尤其是非淋巴瘤死亡相关。