Thouez J P, Ghadirian P, Petitclerc C, Hamelin P
Hospital Hotel-Dieu de Montréal, Faculty of Medicine, Department of Nutrition, Quebec, Canada.
Geogr Med. 1990;20:39-50.
The average per capita consumption of certain foods in 29 countries during 1964-66 was related to the average mortality rates for cancers of the oesophagus, stomach and pancreas in these same countries for the period 1978-79. No significant correlation was found between consumption of nutrients from different food groups and mortality rates for oesophageal cancer, with the exception of meat intake in females. Consumption of eggs, milk and particularly meat was inversely related to mortality from stomach cancer in males and females. Caloric and fat intakes from animal sources were also significantly and negatively related to mortality from stomach cancer in both sexes, while caloric intake from vegetable sources was positively associated, particularly in females. The absence of correlation between vegetable fat intake and mortality from stomach cancer strongly suggests carbohydrates as a major caloric source related to stomach cancer. Mortality from pancreatic cancer was strongly and positively related to consumption of eggs, milk and meat in both sexes. Caloric and fat intakes from animal sources had a strong positive correlation with mortality from pancreatic cancer in males and females, while caloric intake from vegetable sources showed a strong negative correlation in both sexes. The weak and not significant correlation of vegetable fat with mortality from pancreatic cancer mortality strongly suggests carbohydrates as a major caloric source related to pancreatic cancer. No significant correlation was found between age-adjusted mortality rates from stomach or pancreatic cancer or a given per capita caloric intake from animal or vegetable source. For both cancers, age-adjusted mortality rates were about twice those of females.
1964 - 1966年期间，29个国家某些食物的人均消费量与这些国家1978 - 1979年期间食管癌、胃癌和胰腺癌的平均死亡率相关。除女性的肉类摄入量外，不同食物组的营养素消费量与食管癌死亡率之间未发现显著相关性。鸡蛋、牛奶尤其是肉类的消费量与男性和女性的胃癌死亡率呈负相关。动物性来源的热量和脂肪摄入量与男女胃癌死亡率也显著负相关，而植物性来源的热量摄入量呈正相关，尤其是在女性中。蔬菜脂肪摄入量与胃癌死亡率之间缺乏相关性，强烈表明碳水化合物是与胃癌相关的主要热量来源。胰腺癌死亡率与男女鸡蛋、牛奶和肉类的消费量呈强正相关。动物性来源的热量和脂肪摄入量与男女胰腺癌死亡率呈强正相关，而植物性来源的热量摄入量在男女中均呈强负相关。蔬菜脂肪与胰腺癌死亡率之间微弱且不显著的相关性强烈表明碳水化合物是与胰腺癌相关的主要热量来源。胃癌或胰腺癌的年龄调整死亡率与动物性或植物性来源的人均热量摄入量之间未发现显著相关性。对于这两种癌症，年龄调整死亡率约为女性的两倍。
