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饮食与癌症预防:欧洲癌症与营养前瞻性调查(EPIC)研究的贡献。

Diet and cancer prevention: Contributions from the European Prospective Investigation into Cancer and Nutrition (EPIC) study.

机构信息

Unit of Nutrition, Environment and Cancer, Programme of Epidemilogical Cancer Research, Institut Català d'Oncologia, Av. Gran Via s/n, km 2.7, 08907 L'Hospitalet, Barcelona, Spain.

出版信息

Eur J Cancer. 2010 Sep;46(14):2555-62. doi: 10.1016/j.ejca.2010.07.025.


DOI:10.1016/j.ejca.2010.07.025
PMID:20843485
Abstract

UNLABELLED: We present the main findings observed to date from the European Prospective Investigation into Cancer and Nutrition (EPIC) on dietary factors associated with the most frequent cancer sites. METHODS: EPIC is a multicentre prospective study carried out in 23 centres in 10 European countries: Denmark, France, Germany, Greece, Italy, the Netherlands, Norway, Spain, Sweden and the United Kingdom, including 519,978 participants (366,521 women and 153,457 men), most aged 35-70 years. RESULTS: We observed the following significant associations: gastric cancer risk was inversely associated with high plasma vitamin C, some carotenoids, retinol and α-tocopherol, high intake of cereal fibre and high adhesion to Mediterranean diet, while red and processed meat were associated with increased risk. High intake of dietary fibre, fish, calcium, and plasma vitamin D were associated with a decreased risk of colorectal cancer, while red and processed meat intake, alcohol intake, body mass index (BMI) and abdominal obesity were associated with an increased risk. High intake of fruit and vegetables in current smokers were associated with a decreased risk of lung cancer. An increased risk of breast cancer was associated with high saturated fat intake and alcohol intake. In postmenopausal women, BMI was positively and physical activity negatively associated with breast cancer risk. High intake of dairy protein and calcium from dairy products and high serum concentration of IGF-I were associated with an increased risk of prostate cancer. These results contribute to scientific evidence for appropriate public health strategies and prevention activities aimed at reducing the global cancer burden.

摘要

目的:本研究旨在总结欧洲癌症与营养前瞻性调查(EPIC)中观察到的与最常见癌症部位相关的饮食因素的主要结果。

方法:EPIC 是一项在欧洲 10 个国家(丹麦、法国、德国、希腊、意大利、荷兰、挪威、西班牙、瑞典和英国)的 23 个中心进行的多中心前瞻性研究,共纳入 519978 名参与者(366521 名女性和 153457 名男性),大多数年龄在 35-70 岁之间。

结果:我们观察到以下显著关联:胃癌风险与血浆维生素 C、某些类胡萝卜素、视黄醇和 α-生育酚、谷物纤维摄入量和对地中海饮食的高度依从性呈负相关,而红肉和加工肉与风险增加相关。膳食纤维、鱼类、钙和血浆维生素 D 的高摄入量与结直肠癌风险降低相关,而红肉和加工肉的摄入量、酒精摄入量、体重指数(BMI)和腹部肥胖与风险增加相关。目前吸烟的人摄入更多的水果和蔬菜与肺癌风险降低相关。乳腺癌风险与饱和脂肪摄入量和酒精摄入量增加相关。绝经后妇女的 BMI 与乳腺癌风险呈正相关,而身体活动与乳腺癌风险呈负相关。来自乳制品的乳蛋白和钙的高摄入量以及 IGF-I 的高血清浓度与前列腺癌风险增加相关。这些结果为旨在减少全球癌症负担的适当公共卫生策略和预防活动提供了科学依据。

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