Negri E, La Vecchia C, D'Avanzo B, Franceschi S
Istituto di Ricerche Farmacologiche Mario Negri, Milan, Italy.
Nutr Cancer. 1990;13(4):255-62. doi: 10.1080/01635589009514067.
The relation between calcium intake, estimated from frequency of use of 29 food items, and colorectal cancer risk was analyzed using data from a case-control study conducted in Northern Italy. The study was conducted on 558 cases of colon cancer, 352 cases of rectal cancer, and 1,032 controls admitted to the hospital for acute, nonneoplastic, nondigestive tract disorders (39% with traumas, 17% nontraumatic orthopedic diseases, 25% acute surgical conditions, 19% other miscellaneous disorders). There was no appreciable trend in risk of colon or rectal cancer in relation to measures of calcium intake. The multivariate relative risk (adjusted for age, sex, education, area of residence, and consumption of selected indicator foods) for highest versus lowest quintile was 1.1 for colon and 1.0 for rectum. Likewise, there was no appreciable difference between cases and controls with reference to frequency of consumption of the two major calcium-containing foods (milk and cheese), with relative risk for the highest level of intake between 0.9 and 1.2. This study indicates that little or no protection on large bowel cancer risk is provided by dairy products or calcium intake in a range of 0.5-1.5 g per day.
利用意大利北部一项病例对照研究的数据,分析了根据29种食物的食用频率估算出的钙摄入量与结直肠癌风险之间的关系。该研究纳入了558例结肠癌患者、352例直肠癌患者以及因急性非肿瘤性非消化道疾病入院的1032名对照者(39%为创伤患者,17%为非创伤性骨科疾病患者,25%为急性外科疾病患者,19%为其他杂症患者)。结直肠癌风险与钙摄入量指标之间无明显趋势。最高五分位数与最低五分位数相比,结肠癌的多因素相对风险(校正年龄、性别、教育程度、居住地区和特定指示性食物的摄入量)为1.1,直肠癌为1.0。同样,病例组与对照组在两种主要含钙食物(牛奶和奶酪)的食用频率方面无明显差异,摄入量最高水平的相对风险在0.9至1.2之间。这项研究表明,每日摄入0.5 - 1.5克钙范围内的乳制品或钙摄入量对大肠癌风险几乎没有保护作用。