Mahabir S, Spitz M R, Barrera S L, Dong Y Q, Eastham C, Forman M R
Department of Epidemiology, University of Texas M. D. Anderson Cancer Center, Houston, TX 77030, USA.
Am J Epidemiol. 2008 May 1;167(9):1070-80. doi: 10.1093/aje/kwn021. Epub 2008 Mar 14.
Hormone replacement therapy (HRT) may reduce lung cancer risk. Dietary boron may have actions similar to those of HRT; however, no previous study has reported the associations between dietary boron intake and lung cancer risk or the joint effects of boron intake and HRT use on lung cancer risk. The authors examined the associations between boron intake and the joint effects of boron intake and HRT on lung cancer risk in women. In an ongoing case-control study in Houston, Texas (July 1995 through April 2005, end date for this analysis), 763 women were diagnosed with lung cancer, and 838 were matched healthy controls with data on both diet and HRT. Multiple logistic regression analyses were conducted to assess the associations between dietary boron and HRT with lung cancer risk. After adjustment for potential confounders, the odds ratios for lung cancer with decreasing quartiles of dietary boron intake were 1.0, 1.39 (95% confidence interval (CI): 1.02, 1.90), 1.64 (95% CI: 1.20, 2.24), and 1.95 (95% CI: 1.42, 2.68) mg/day, respectively, for all women (p(trend) < 0.0001). In joint-effects analyses, compared with women with high dietary boron intake who used HRT, the odds ratio for lung cancer for low dietary boron intake and no HRT use was 2.07 (95% CI: 1.53, 2.81). Boron intake was inversely associated with lung cancer in women, whereas women who consumed low boron and did not use HRT were at substantial increased odds.
激素替代疗法(HRT)可能会降低肺癌风险。饮食中的硼可能具有与HRT类似的作用;然而,此前尚无研究报告饮食硼摄入量与肺癌风险之间的关联,或硼摄入量与使用HRT对肺癌风险的联合影响。作者研究了硼摄入量以及硼摄入量与HRT的联合作用对女性肺癌风险的影响。在德克萨斯州休斯顿进行的一项正在进行的病例对照研究中(1995年7月至2005年4月,本分析的截止日期),763名女性被诊断患有肺癌,838名健康对照者匹配了饮食和HRT数据。进行了多项逻辑回归分析,以评估饮食硼和HRT与肺癌风险之间的关联。在对潜在混杂因素进行调整后,所有女性饮食硼摄入量四分位数降低时患肺癌的比值比分别为1.0、1.39(95%置信区间(CI):1.02,1.90)、1.64(95%CI:1.20,2.24)和1.95(95%CI:1.42,2.68)mg/天(p趋势<0.0001)。在联合效应分析中,与饮食硼摄入量高且使用HRT的女性相比,饮食硼摄入量低且未使用HRT的女性患肺癌的比值比为2.07(95%CI:1.53,2.81)。硼摄入量与女性肺癌呈负相关,而饮食硼摄入量低且未使用HRT的女性患肺癌的几率大幅增加。