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水果、蔬菜和海藻(海菜)的摄入量与胰腺癌风险:大崎队列研究

Consumption of fruits, vegetables, and seaweeds (sea vegetables) and pancreatic cancer risk: the Ohsaki Cohort Study.

作者信息

Shigihara Michiko, Obara Taku, Nagai Masato, Sugawara Yumi, Watanabe Takashi, Kakizaki Masako, Nishino Yoshikazu, Kuriyama Shinichi, Tsuji Ichiro

机构信息

Division of Molecular Epidemiology, Environment and Genome Research Center, Tohoku University Graduate School of Medicine, Sendai, Japan; Division of Epidemiology, Department of Public Health and Forensic Medicine, Tohoku University Graduate School of Medicine, Sendai, Japan.

Division of Molecular Epidemiology, Environment and Genome Research Center, Tohoku University Graduate School of Medicine, Sendai, Japan.

出版信息

Cancer Epidemiol. 2014 Apr;38(2):129-36. doi: 10.1016/j.canep.2014.01.001. Epub 2014 Feb 9.

Abstract

Studies on the effects of consumption of fruits, vegetables, and seaweeds on the incidence of pancreatic cancer are not conclusive. We examined the association (if any) between the consumption of fruits, vegetables, and seaweeds and the risk of pancreatic cancer in Japan. Data from 32,859 participants registered in the Ohsaki National Health Insurance Cohort Study who were 40-79 years old and free of cancer at baseline were analyzed. Consumption of fruits, vegetables, and seaweeds was assessed at baseline using a self-administered food frequency questionnaire (containing 40 items). Incidences of pancreatic cancer were identified by computer linkage with the Miyagi Prefectural Cancer Registry. During 11 years of follow-up, 137 pancreatic cancers (67 men and 70 women) were identified. The hazard ratios (95% confidence interval) of pancreatic cancer risk for the highest versus the lowest tertile were 0.82 (0.40-1.68, trend P=0.57) in men and 0.64 (0.35-1.20, trend P=0.22) in women for total consumption of fruits, 0.89 (0.46-1.73, trend P=0.76) in men and 0.67 (0.33-1.35, trend P=0.23) in women for total consumption of vegetables, and 0.92 (0.46-1.84, trend P=0.81) in men for consumption of seaweeds (results for the consumption of seaweeds in women were not analyzed because of poor reliability), respectively. Total consumption of fruits, vegetables, and seaweeds was not associated with a reduced risk of pancreatic cancer.

摘要

关于食用水果、蔬菜和海藻对胰腺癌发病率影响的研究尚无定论。我们研究了在日本食用水果、蔬菜和海藻与患胰腺癌风险之间的关联(若存在关联)。分析了来自大崎国民健康保险队列研究中32,859名年龄在40 - 79岁且基线时无癌症的参与者的数据。在基线时使用一份自我管理的食物频率问卷(包含40个项目)评估水果、蔬菜和海藻的摄入量。通过与宫城县癌症登记处的计算机链接确定胰腺癌的发病率。在11年的随访期间,共确诊了137例胰腺癌(67名男性和70名女性)。就水果总摄入量而言,男性中最高三分位数与最低三分位数相比,患胰腺癌风险的风险比(95%置信区间)为0.82(0.40 - 1.68,趋势P = 0.57),女性为0.64(0.35 - 1.20,趋势P = 0.22);就蔬菜总摄入量而言,男性中风险比为0.89(0.46 - 1.73,趋势P = 0.76),女性为0.67(0.33 - 1.35,趋势P = 0.23);就海藻摄入量而言,男性中风险比为0.92(0.46 - 1.84,趋势P = 0.81)(女性海藻摄入量的结果因可靠性差未进行分析)。水果、蔬菜和海藻的总摄入量与降低胰腺癌风险无关。

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