Forrest Jamie, Campbell Peter, Kreiger Nancy, Sloan Margaret
University of Guelph, Guelph, Ontario, Canada.
Nutr Cancer. 2008;60(4):469-73. doi: 10.1080/01635580802143851.
This study was an exploratory analysis of dietary and other risk factors for primary salivary gland cancer in a population-based case-control study in Ontario, Canada. Cases were men and women diagnosed between 1995 and 1996 with a first primary cancer of the salivary gland, identified through the Ontario Cancer Registry. Controls were an age-matched random sample of the population of Ontario, identified through property assessment files. Cases (n = 91) and controls (n = 1897) completed a self-administered questionnaire with information on diet, smoking, height and weight, and other lifestyle and socio-demographic factors. Multivariate logistic regression was used to estimate odds ratios (ORs) and corresponding 95% confidence intervals (CIs). Among dietary variables, high relative to low intakes of alcohol (OR: 1.26; 95% CI: 0.68-2.35), fruits (OR: 1.26; 95% CI: 0.68-2.33), sweets (OR: 1.66; 95% CI: 0.85-3.25), dairy (OR: 1.41; 95% CI: 0.77-2.58), and starchy foods (OR: 1.78; 95% CI: 0.96-3.3) were associated with non-statistically significant increased risk of salivary gland cancer; whereas vegetables and meats were linked with non-statistically significant decreased risks of the disease. Among non-diet factors, male sex, obese BMI, exposure to occupational radiation, family history of cancer, and household income were suggestive of increased disease risk. Future work with larger numbers of cases are needed to further explore these associations.
本研究是在加拿大安大略省一项基于人群的病例对照研究中,对原发性唾液腺癌的饮食及其他风险因素进行的探索性分析。病例为1995年至1996年间被诊断患有原发性唾液腺癌的男性和女性,通过安大略癌症登记处识别。对照是通过财产评估档案从安大略省人群中按年龄匹配的随机样本。病例(n = 91)和对照(n = 1897)完成了一份自我管理的问卷,内容包括饮食、吸烟、身高和体重以及其他生活方式和社会人口学因素。采用多变量逻辑回归来估计比值比(OR)和相应的95%置信区间(CI)。在饮食变量中,相对于低酒精摄入量(OR:1.26;95%CI:0.68 - 2.35)、水果(OR:1.26;95%CI:0.68 - 2.33)、甜食(OR:1.66;95%CI:0.85 - 3.25)、乳制品(OR:1.41;95%CI:0.77 - 2.58)和淀粉类食物(OR:1.78;95%CI:0.96 - 3.3)的高摄入量,与唾液腺癌风险非统计学显著增加相关;而蔬菜和肉类与该疾病风险非统计学显著降低相关。在非饮食因素中,男性、肥胖的身体质量指数、职业辐射暴露、癌症家族史和家庭收入提示疾病风险增加。需要开展更多病例的后续研究来进一步探索这些关联。