Cramer D W
Department of Obstetrics and Gynecology, Brigham and Women's Hospital, Harvard Medical School, Boston, MA 02115.
Am J Epidemiol. 1989 Nov;130(5):904-10. doi: 10.1093/oxfordjournals.aje.a115423.
Using published data, largely from the 1970s, the author compared ovarian cancer incidence, per capita milk consumption, and population estimates of lactase persistence (the ability to digest lactose after infancy) in 27 countries. Significant positive correlations were noted between ovarian cancer incidence, per capita milk consumption, and lactase persistence. Lactase persistence showed a stronger association than milk consumption or animal fat consumption in multiple regression models. The author speculates that toxicity from the lactose component of milk and, more specifically, galactose, the digestion of which is facilitated by lactase persistence, may provide a biologic basis for the correlation.
作者利用主要来自20世纪70年代的已发表数据,比较了27个国家的卵巢癌发病率、人均牛奶消费量以及乳糖酶持久性(婴儿期后消化乳糖的能力)的人口估计数。结果发现卵巢癌发病率、人均牛奶消费量和乳糖酶持久性之间存在显著的正相关。在多元回归模型中,乳糖酶持久性比牛奶消费或动物脂肪消费显示出更强的关联。作者推测,牛奶中乳糖成分,更具体地说是半乳糖(乳糖酶持久性有助于其消化)产生的毒性,可能为这种相关性提供生物学基础。