Ghadirian Parviz, Nkondjock André
Epidemiology Research Unit, Research Centre, Centre Hospitalier de l'Université de Montréal (CRCHUM)-Hôtel-Dieu, Faculty of Medicine, Université de Montréal, 3850 St. Urbain St., Montreal, H2W 1T7, QC, Canada.
J Gastrointest Cancer. 2010 Jun;41(2):121-9. doi: 10.1007/s12029-009-9127-2.
The purpose of this study is to investigate whether the consumption of specific food groups predicts the risk of pancreatic cancer, a case-control study of nutrition and pancreatic cancer among French-Canadians was carried out in Montreal, Quebec, Canada.
A total of 179 pancreatic cancer cases (97 males and 82 females) and 239 population-based control subjects were interviewed. Dietary intake was evaluated via a validated food frequency questionnaire that gathers information on over 200 different food items and beverages. Odd ratios (ORs) and 95% confidence intervals (CIs) were computed by unconditional logistic regression.
After adjustment for age, smoking, diabetes status, proxy interview, gender and total energy intake, a reduced risk of pancreatic cancer was related to vegetables and vegetable products [OR = 0.47; 95%CI: (0.21-1.06) p-trend = 0.024], while an increased risk was associated with the consumption of lamb, veal and game [OR = 2.24; 95%CI: (1.11-4.52) p-trend = 0.026], when the upper and lower quartiles of intake were compared. Changes in dietary intake over the last decade revealed an elevated risk with augmented consumption of soups, sauces and gravies [OR = 2.32; 95%CI: (1.20-4.49) p-trend=0.03], beef products [OR = 2.07; 95%CI: (0.95-4.51) p-trend=0.05] as well as fish and shellfish [OR = 1.48; 95%CI: (0.78-2.80) p-trend=0.05].
These findings suggest that a diet rich in vegetables and vegetable products may decrease the risk of pancreatic cancer.
本研究旨在调查特定食物组的摄入是否可预测胰腺癌风险,在加拿大魁北克省蒙特利尔市开展了一项法裔加拿大人营养与胰腺癌的病例对照研究。
共对179例胰腺癌病例(97例男性和82例女性)及239名基于人群的对照对象进行了访谈。通过一份经过验证的食物频率问卷评估饮食摄入情况,该问卷收集了200多种不同食物和饮料的信息。采用无条件逻辑回归计算比值比(OR)和95%置信区间(CI)。
在对年龄、吸烟、糖尿病状态、代理访谈、性别和总能量摄入进行调整后,胰腺癌风险降低与蔬菜及蔬菜制品有关[OR = 0.47;95%CI:(0.21 - 1.06),p趋势 = 0.024],而当比较摄入量的上四分位数和下四分位数时,食用羊肉、小牛肉和野味会增加风险[OR = 2.24;95%CI:(1.11 - 4.52),p趋势 = 0.026]。过去十年饮食摄入的变化显示,汤、酱汁和肉汁[OR = 2.32;95%CI:(1.20 - 4.49),p趋势 = 0.03]、牛肉制品[OR = 2.07;95%CI:(0.95 - 4.51),p趋势 = 0.05]以及鱼类和贝类[OR = 1.48;95%CI:(0.78 - 2.80),p趋势 = 0.05]的消费量增加会使风险升高。
这些发现表明,富含蔬菜及蔬菜制品的饮食可能会降低胰腺癌风险。