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膳食丙烯酰胺摄入量与患脑癌风险

Dietary acrylamide intake and brain cancer risk.

作者信息

Hogervorst Janneke G F, Schouten Leo J, Konings Erik J M, Goldbohm R Alexandra, van den Brandt Piet A

机构信息

Department of Epidemiology, Maastricht University, Maastricht, the Netherlands.

出版信息

Cancer Epidemiol Biomarkers Prev. 2009 May;18(5):1663-6. doi: 10.1158/1055-9965.EPI-08-1133. Epub 2009 Apr 21.

Abstract

BACKGROUND

Acrylamide is a probable human carcinogen, which is present in several heat-treated foods. In epidemiologic studies, positive associations with endometrial, ovarian, and renal cell cancer risk have been observed. The incidence of central nervous system tumors was increased upon acrylamide administration in drinking water to rats. In the current study, the association between dietary acrylamide intake and human brain cancer risk was investigated for the first time.

METHODS

In 1986, 120,852 persons (ages 55-69 years) were included in the Netherlands Cohort Study on diet and cancer. At baseline, a random subcohort of 5,000 participants was randomly selected from the total cohort for a case-cohort approach. Acrylamide intake was assessed with a food frequency questionnaire at baseline and based on acrylamide analyses in relevant Dutch foods. Hazard ratios (HR) were calculated using Cox proportional hazards analysis. Subgroup analyses were done for microscopically verified brain cancer, astrocytic gliomas, high-grade astrocytic gliomas, and never-smokers. The acrylamide risk estimates were adjusted for possible brain cancer risk factors.

RESULTS

After 16.3 years of follow-up, 216 brain cancer cases were available for analysis. The multivariable-adjusted HR per 10 microg/d increment of acrylamide intake was 1.02 (95% confidence interval, 0.89-1.16). HRs were not significantly increased either when dietary acrylamide intake was analyzed as a categorical variable. Also, there was no association in the subgroups based on histology and smoking.

CONCLUSION

In this prospective cohort study, acrylamide intake was not associated with brain cancer risk.

摘要

背景

丙烯酰胺是一种可能的人类致癌物,存在于多种热处理食品中。在流行病学研究中,已观察到其与子宫内膜癌、卵巢癌和肾细胞癌风险呈正相关。给大鼠饮用含丙烯酰胺的水后,其中枢神经系统肿瘤的发病率增加。在本研究中,首次调查了膳食丙烯酰胺摄入量与人类脑癌风险之间的关联。

方法

1986年,120852名年龄在55至69岁之间的人被纳入荷兰饮食与癌症队列研究。在基线时,从整个队列中随机选取5000名参与者作为随机子队列,采用病例-队列研究方法。在基线时通过食物频率问卷评估丙烯酰胺摄入量,并基于荷兰相关食品中的丙烯酰胺分析结果进行评估。使用Cox比例风险分析计算风险比(HR)。对经显微镜确诊的脑癌、星形细胞瘤、高级别星形细胞瘤和从不吸烟者进行亚组分析。对丙烯酰胺风险估计值进行了可能的脑癌风险因素调整。

结果

经过16.3年的随访,有216例脑癌病例可供分析。丙烯酰胺摄入量每增加10微克/天,多变量调整后的HR为1.02(95%置信区间,0.89 - 1.16)。将膳食丙烯酰胺摄入量作为分类变量分析时,HR也未显著增加。此外,基于组织学和吸烟情况的亚组中也没有关联。

结论

在这项前瞻性队列研究中,丙烯酰胺摄入量与脑癌风险无关。

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