Evidence and Risk Assessment Division, Centre for Chronic Disease Prevention and Control, Public Health Agency of Canada, 785 Carling Avenue, Ottawa, Ontario, Canada.
Nutr Cancer. 2010;62(6):710-8. doi: 10.1080/01635581003605953.
This study assesses the association between intake of protein, fats, cholesterol, and carbohydrates and the risk of prostate cancer (PCa). Between 1994 and 1997, in 8 Canadian provinces, mailed questionnaires were completed by 1,797 incident, histologically confirmed cases of PCa and 2,547 population controls. Information was collected on socioeconomic status, lifestyle habits, and diet. A 69-item food frequency questionnaire provided data on eating habits 2 yr before the study. Odds ratios (ORs) and 95% confidence intervals (CIs) were computed using unconditional logistic regression, including terms for sociodemographic factors, body mass index, alcohol, and total energy intake. Intake of trans fat was associated with the risk of PCa; the OR for the highest vs. the lowest quartile was 1.45 (95% CI = 1.16-1.81); the association was apparently stronger in subjects aged less than 65, normal weight men, and ever smokers. An increased risk was also observed with increasing intake of sucrose and disaccharides. In contrast, men in the highest quartile of cholesterol intake were at lower risk of PCa. No association was found with intake of total proteins, total fat, monounsaturated fats, polyunsaturated fats, monosaccharides, and total carbohydrates. The findings provide evidence that a diet low in trans fat could reduce PCa risk.
这项研究评估了蛋白质、脂肪、胆固醇和碳水化合物的摄入量与前列腺癌(PCa)风险之间的关联。1994 年至 1997 年间,在加拿大的 8 个省份,通过邮寄问卷的方式,对 1797 名新确诊的、组织学确诊的前列腺癌病例和 2547 名人群对照进行了调查。调查收集了社会经济状况、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研究前 2 年饮食习惯的数据。使用非条件逻辑回归计算了比值比(OR)和 95%置信区间(CI),包括社会人口因素、体重指数、酒精和总能量摄入等因素。反式脂肪的摄入量与 PCa 的风险相关;最高 quartile 与最低 quartile 相比,OR 值为 1.45(95%CI=1.16-1.81);对于年龄小于 65 岁、体重正常和曾经吸烟的人群,这种关联似乎更强。随着蔗糖和二糖摄入量的增加,风险也有所增加。相反,胆固醇摄入量最高 quartile 的男性患 PCa 的风险较低。总蛋白质、总脂肪、单不饱和脂肪、多不饱和脂肪、单糖和总碳水化合物的摄入量与 PCa 风险无关。研究结果表明,低反式脂肪饮食可能降低 PCa 的风险。