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营养素和纤维摄入量与肾细胞癌风险

Nutrient and fiber intake and risk of renal cell carcinoma.

作者信息

Hu Jinfu, La Vecchia Carlo, DesMeules Marie, Negri Eva, Mery Les

机构信息

Evidence and Risk Assessment Division, Centre for Chronic Disease Prevention and Control, Public Health Agency of Canada, Ottawa, Ontario, Canada.

出版信息

Nutr Cancer. 2008;60(6):720-8. doi: 10.1080/01635580802283335.

Abstract

This study examines the association between nutrient and fiber intake and the risk of renal cell carcinoma (RCC). Between 1994 and 1997 in 8 Canadian provinces, mailed questionnaires were completed by 1,138 incident, histologically confirmed cases of RCC and 5,039 population controls. Measurement included information on socioeconomic status, lifestyle habits, and diet. A 69-item food frequency questionnaire provided data on eating habits 2 yr before data collection. Odds ratios (ORs) and 95% confidence intervals were derived through unconditional logistic regression. Intakes of total fat, saturated fat, monounsaturated fat, trans-fat, and cholesterol were associated with the risk of RCC; the ORs for the highest vs. the lowest quartile were 1.67, 1.53 and 1.46, 1.31, and 1.48, respectively. The positive association was apparently stronger in women, overweight or obese, and never smokers. Sucrose was related to the risk of RCC. High fiber intake was inversely associated with RCC risk. No association was found with intake of total protein and polyunsaturated fat, n-3 and n-6 polyunsaturated fatty acids, and total carbohydrates. The results were consistent across strata of sex, tobacco, and BMI. The findings suggest that a diet low in fats and cholesterol and rich in fiber could favorably affect the risk of RCC.

摘要

本研究探讨营养素和纤维摄入量与肾细胞癌(RCC)风险之间的关联。1994年至1997年期间,在加拿大8个省份,1138例经组织学确诊的RCC新发病例和5039名人群对照完成了邮寄问卷调查。测量内容包括社会经济状况、生活方式习惯和饮食信息。一份包含69个项目的食物频率问卷提供了数据收集前2年的饮食习惯数据。通过无条件逻辑回归得出比值比(OR)和95%置信区间。总脂肪、饱和脂肪、单不饱和脂肪、反式脂肪和胆固醇的摄入量与RCC风险相关;最高四分位数与最低四分位数的OR分别为1.67、1.53、1.46、1.31和1.48。这种正相关在女性、超重或肥胖者以及从不吸烟者中显然更强。蔗糖与RCC风险有关。高纤维摄入量与RCC风险呈负相关。未发现总蛋白、多不饱和脂肪、n-3和n-6多不饱和脂肪酸以及总碳水化合物的摄入量与RCC风险有关。在性别、吸烟状况和体重指数分层中结果一致。研究结果表明,低脂肪、低胆固醇且富含纤维的饮食可能对RCC风险产生有利影响。

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