Woodberry Forest School, Woodberry Forest, VA, USA.
Cancer Biol Ther. 2012 Oct;13(12):1141-2. doi: 10.4161/cbt.21463. Epub 2012 Aug 15.
Numerous epidemiological studies have suggested dietary factors may alter the risk of prostate cancer. Punnen and colleagues have conducted a case-control study focused on aggressive prostate cancer (N = 982), where not only details on meat consumption were collected, but also meat preparation was captured. A multivariate logistic regression model was used to assess the association between meat consumption, grilled meat consumption, doneness level, mutagens and aggressive prostate cancer. High consumption of processed meat, including ground beef, was associated with aggressive prostate cancer. Ground beef showed the strongest association (overall risk, OR = 2.30, 95% confidence interval, CI: 1.39-3.81; P-trend = 0.002). Well-done meat conferred a higher risk of aggressive prostate cancer. Interestingly, the consumption of rare or less cooked meat was not associated with an increased risk of prostate cancer. When the investigators evaluated the estimated meat mutagens produced by cooking at high temperatures, they identified an increased risk with MelQx and DiMelQx, OR = 1.69 95% CI: 1.08-2.64, P-trend = 0.02 and OR = 1.53 95% CI: 1.00-2.35, P-trend = 0.005, respectively.
许多流行病学研究表明,饮食因素可能会改变前列腺癌的风险。Punnen 及其同事进行了一项针对侵袭性前列腺癌的病例对照研究(N=982),不仅收集了关于肉类消费的详细信息,还记录了肉类的烹饪方式。采用多变量逻辑回归模型评估了肉类消费、烤肉消费、熟度水平、致突变物与侵袭性前列腺癌之间的关联。研究发现,大量食用加工肉类,包括碎牛肉,与侵袭性前列腺癌有关。碎牛肉与侵袭性前列腺癌的关联最强(总体风险,OR=2.30,95%置信区间,CI:1.39-3.81;P 趋势=0.002)。熟透的肉类会增加侵袭性前列腺癌的风险。有趣的是,食用生肉或未煮熟的肉与前列腺癌风险增加无关。当研究人员评估高温烹饪产生的估计肉类致突变物时,他们发现 MelQx 和 DiMelQx 的风险增加,OR=1.69,95%CI:1.08-2.64,P 趋势=0.02 和 OR=1.53,95%CI:1.00-2.35,P 趋势=0.005。