Department of Epidemiology and Public Health, Imperial College London, St. Mary's Campus, Norfolk Place, London, United Kingdom.
Am J Epidemiol. 2010 Jan 15;171(2):233-41. doi: 10.1093/aje/kwp373. Epub 2009 Dec 18.
Many studies have investigated the relation between magnesium and iron intake and diabetes and, separately, between diabetes and pancreatic cancer. However, no known study has examined the direct association of magnesium and iron intake with pancreatic cancer risk. The authors obtained magnesium and iron intake data using food frequency questionnaires from the US male Health Professionals Follow-up Study, which began in 1986. During 851,476 person-years and 20 years of follow-up, 300 pancreatic cancer cases were documented. Cox proportional hazards models were used to estimate relative risks, adjusting for age, smoking, and body mass index. No associations were observed between magnesium or iron intake and pancreatic cancer (highest vs. lowest quintile: relative risk (RR) = 0.94, 95% confidence interval (CI): 0.66, 1.32 and RR = 0.93, 95% CI: 0.65, 1.34, respectively). Similarly, iron or magnesium supplement use was not related to pancreatic cancer. A statistically significant inverse relation was noted between magnesium and pancreatic cancer for subjects with a body mass index of > or =25 kg/m(2) (RR = 0.67, 95% CI: 0.46, 0.99; P-trend = 0.04). Although, overall, no relation between magnesium or iron intake and pancreatic cancer was observed in this cohort of men, an inverse association with magnesium was suggested among overweight individuals, which should be examined in other studies.
许多研究调查了镁和铁的摄入量与糖尿病之间的关系,以及糖尿病与胰腺癌之间的关系。然而,目前还没有研究调查镁和铁的摄入量与胰腺癌风险之间的直接关联。作者通过美国男性健康专业人员随访研究中的食物频率问卷获得了镁和铁的摄入量数据,该研究始于 1986 年。在 851476 人年和 20 年的随访期间,记录了 300 例胰腺癌病例。使用 Cox 比例风险模型估计相对风险,调整了年龄、吸烟和体重指数。镁或铁的摄入量与胰腺癌之间没有观察到关联(最高与最低五分位数:相对风险 (RR) = 0.94,95%置信区间 (CI):0.66,1.32 和 RR = 0.93,95%CI:0.65,1.34)。同样,铁或镁补充剂的使用与胰腺癌也没有关系。对于体重指数(BMI)≥25 kg/m²的受试者,镁与胰腺癌之间存在统计学上显著的反比关系(RR = 0.67,95%CI:0.46,0.99;P-trend = 0.04)。尽管在这个男性队列中,总体上没有观察到镁或铁的摄入量与胰腺癌之间的关系,但在超重个体中,镁与胰腺癌之间存在反比关系,这在其他研究中应进一步研究。