Crowe Francesca L, Key Timothy J, Appleby Paul N, Travis Ruth C, Overvad Kim, Jakobsen Marianne U, Johnsen Nina F, Tjønneland Anne, Linseisen Jakob, Rohrmann Sabine, Boeing Heiner, Pischon Tobias, Trichopoulou Antonia, Lagiou Pagona, Trichopoulos Dimitrios, Sacerdote Carlotta, Palli Domenico, Tumino Rosario, Krogh Vitorrio, Bueno-de-Mesquita H Bas, Kiemeney Lambertus A, Chirlaque Maria-Dolores, Ardanaz Eva, Sánchez Maria-José, Larrañaga Nerea, González Carlos A, Quirós José R, Manjer Jonas, Wirfält Elisabet, Stattin Pär, Hallmans Göran, Khaw Kay-Tee, Bingham Sheila, Ferrari Pietro, Slimani Nadia, Jenab Mazda, Riboli Elio
Cancer Research UK Epidemiology Unit, University of Oxford, Oxford, United Kingdom.
Am J Clin Nutr. 2008 May;87(5):1405-13. doi: 10.1093/ajcn/87.5.1405.
BACKGROUND: Findings from early observational studies have suggested that the intake of dietary fat might be a contributing factor in the etiology of prostate cancer. However, the results from more recent prospective studies do not support this hypothesis, and the possible association between different food sources of fat and prostate cancer risk also remains unclear. OBJECTIVE: The objectives were to assess whether intakes of dietary fat, subtypes of fat, and fat from animal products were associated with prostate cancer risk. DESIGN: This was a multicenter prospective study of 142,520 men in the European Prospective Investigation into Cancer and Nutrition (EPIC). Dietary fat intake was estimated with the use of country-specific validated food questionnaires. The association between dietary fat and risk of prostate cancer was assessed by using Cox regression, stratified by recruitment center and adjusted for height, weight, smoking, education, marital status, and energy intake. RESULTS: After a median follow-up time of 8.7 y, prostate cancer was diagnosed in 2727 men. There was no significant association between dietary fat (total, saturated, monounsaturated, and polyunsaturated fat and the ratio of polyunsaturated to saturated fat) and risk of prostate cancer. The hazard ratio for prostate cancer for the highest versus the lowest quintile of total fat intake was 0.96 (95% CI: 0.84, 1.09; P for trend = 0.155). There were no significant associations between prostate cancer risk and fat from red meat, dairy products, and fish. CONCLUSION: The results from this large multicenter study suggest that there is no association between dietary fat and prostate cancer risk.
背景:早期观察性研究结果表明,膳食脂肪摄入可能是前列腺癌病因中的一个促成因素。然而,近期前瞻性研究的结果并不支持这一假设,不同脂肪食物来源与前列腺癌风险之间的可能关联也仍不明确。 目的:评估膳食脂肪、脂肪亚型以及动物产品中的脂肪摄入量是否与前列腺癌风险相关。 设计:这是一项针对欧洲癌症与营养前瞻性调查(EPIC)中142,520名男性的多中心前瞻性研究。膳食脂肪摄入量通过使用各国经过验证的食物问卷进行估算。膳食脂肪与前列腺癌风险之间的关联通过Cox回归进行评估,按招募中心分层,并对身高、体重、吸烟、教育程度、婚姻状况和能量摄入进行调整。 结果:在中位随访时间8.7年后,2727名男性被诊断出患有前列腺癌。膳食脂肪(总脂肪、饱和脂肪、单不饱和脂肪和多不饱和脂肪以及多不饱和脂肪与饱和脂肪的比例)与前列腺癌风险之间无显著关联。总脂肪摄入量最高五分位数与最低五分位数相比,前列腺癌的风险比为0.96(95%可信区间:0.84, 1.09;趋势P值 = 0.155)。前列腺癌风险与红肉、乳制品和鱼类中的脂肪之间无显著关联。 结论:这项大型多中心研究的结果表明,膳食脂肪与前列腺癌风险之间无关联。
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