Li Wentao, Tse Lap Ah, Au Joseph S K, Yu Kai Shing, Wang Feng, Yu Ignatius Tak-Sun
JC School of Public Health and Primary Care, The Chinese University of Hong Kong, 4/F School of Public Health and Primary Care, Prince of Wales Hospital, Sha Tin, N.T., Hong Kong SAR, China.
Department of Clinical Oncology, Hong Kong Adventist Hospital, Hong Kong SAR, China.
Chin J Cancer. 2017 Feb 10;36(1):21. doi: 10.1186/s40880-017-0188-5.
Alcohol consumption and some other dietary habits are thought to be associated with lung cancer incidence. However, the effects of these habits on lung cancer prognosis have been studied rarely. The purpose of this study was to address these gaps in knowledge.
We studied a cohort of 1052 Chinese men in Hong Kong who were diagnosed with primary lung cancer. Cox proportional hazards models were used to determine the prognostic values of consumption of alcohol, fresh fruits or vegetables, meat, and fried or preserved food.
Compared with never drinkers, men who drank alcohol 1-3 days per week had a more favorable lung cancer prognosis (hazard ratio [HR]: 0.82, 95% confidence interval [CI] 0.68-0.97); however, this survival advantage was not significant in men who drank alcohol more frequently (HR: 0.91, 95% CI 0.73-1.14). Compared with men who consumed preserved or fried food only occasionally, men who consumed these foods frequently had a higher risk of lung cancer mortality (HR: 1.20, 95% CI 1.00-1.42).
Occasional consumption of alcohol was a favorable survival factor for Chinese men with lung cancer. However, this survival benefit did not exist for frequent drinkers of alcohol. Chinese men with lung cancer who were frequent consumers of fried or preserved food had a worse prognosis than those who consumed these foods only occasionally.
饮酒及其他一些饮食习惯被认为与肺癌发病率有关。然而,这些习惯对肺癌预后的影响鲜有研究。本研究旨在填补这些知识空白。
我们对香港1052名被诊断为原发性肺癌的中国男性进行了队列研究。采用Cox比例风险模型来确定饮酒、食用新鲜水果或蔬菜、肉类以及油炸或腌制食品的预后价值。
与从不饮酒者相比,每周饮酒1 - 3天的男性肺癌预后更佳(风险比[HR]:0.82,95%置信区间[CI] 0.68 - 0.97);然而,饮酒更频繁的男性这一生存优势并不显著(HR:0.91,95% CI 0.73 - 1.14)。与仅偶尔食用腌制或油炸食品的男性相比,经常食用这些食品的男性肺癌死亡风险更高(HR:1.20,95% CI 1.00 - 1.42)。
偶尔饮酒是中国肺癌男性患者的一个有利生存因素。然而,频繁饮酒者不存在这种生存益处。经常食用油炸或腌制食品的中国肺癌男性患者预后比仅偶尔食用这些食品的患者更差。