Escuela de Nutrición, Facultad de Ciencias Médicas, Universidad Nacional de Córdoba/CONICET, Argentina.
Eur J Cancer Prev. 2010 Nov;19(6):478-84. doi: 10.1097/CEJ.0b013e32833ebab6.
Epidemiological and laboratory research has shown that dietary components are associated with the risk of developing urinary tract tumors (UTT). The purpose of this case-control study, carried out between 2004 and 2008 in Córdoba, a Mediterranean city in Argentina, was to describe the role of dietary patterns and to investigate any association with the risk of developing UTT. One hundred and sixty-eight patients with histologically confirmed transitional UTT and 334 controls with acute, nonneoplastic, and nonurinary tract diseases from the same hospitals were studied. All patients were interviewed about their food habits and their exposure to a number of known or suspected risk factors for UTT. Multiple correspondence analysis was used to explore dietary patterns and data analyses were carried out by calculating odds ratios and their 95% confidence intervals by using multiple logistic regression. Two main dietary patterns identified were a 'prudent' pattern that was linked to controls and a 'western' pattern that was associated with cases. A frequent intake of vegetable oils, lean meats, grains, and fruits, the moderate use of alcohol (mainly red wine) together with potato and sweet consumption, and the habit of taking at least four meals per day, were associated with a reduced risk for UTT. In contrast, frequent consumption of infusions (mainly maté), potatoes, alcohol, sweets, and processed meat resulted in a high risk for UTT. The dietary patterns of our population have a role in the development of UTT, thus implying that appropriate nutritional education may decrease this risk.
流行病学和实验室研究表明,饮食成分与尿路肿瘤(UTT)的发病风险有关。本病例对照研究于 2004 年至 2008 年在阿根廷地中海城市科尔多瓦进行,旨在描述饮食模式的作用,并研究其与 UTT 发病风险的任何关联。168 名经组织学证实患有移行细胞 UTT 的患者和 334 名来自同一医院的急性、非肿瘤性和非尿路疾病的对照者参与了研究。所有患者均接受了关于饮食习惯以及暴露于多种已知或可疑 UTT 风险因素的访谈。多元对应分析用于探索饮食模式,通过使用多变量逻辑回归计算比值比及其 95%置信区间来进行数据分析。确定了两种主要的饮食模式:一种是与对照组相关的“谨慎”模式,另一种是与病例相关的“西方”模式。经常摄入植物油、瘦肉、谷物和水果,适度使用酒精(主要是红酒)以及土豆和甜食,以及每天至少吃四餐的习惯,与 UTT 风险降低相关。相比之下,经常摄入茶(主要是马黛茶)、土豆、酒精、甜食和加工肉类会导致 UTT 风险增加。我们人群的饮食模式在 UTT 的发展中起作用,因此适当的营养教育可能会降低这种风险。