South Carolina Statewide Cancer Prevention and Control Program, University of South Carolina, Columbia, South Carolina, USA; Department of Epidemiology and Biostatistics, Arnold School of Public Health, University of South Carolina, Columbia, South Carolina, USA; Connecting Health Innovations LLC, Columbia, South Carolina, USA.
South Carolina Statewide Cancer Prevention and Control Program, University of South Carolina, Columbia, South Carolina, USA; Department of Epidemiology and Biostatistics, Arnold School of Public Health, University of South Carolina, Columbia, South Carolina, USA; Connecting Health Innovations LLC, Columbia, South Carolina, USA.
Nutrition. 2018 Sep;53:43-48. doi: 10.1016/j.nut.2018.01.005. Epub 2018 Feb 12.
The components of a diet can modulate inflammation and may have an effect on the development of Hodgkin's lymphoma (HL). Little is known about the inflammatory potential of diet in relation to HL.
Data from an Italian multicenter case-control study that was conducted between 1992 and 2008 were used to estimate the relation between a dietary inflammatory index (DII) and the risk of HL. The data included 179 cases with incident, histologically confirmed HL and 186 control cases who were hospitalized for acute non-neoplastic diseases. The DII was computed on the basis of a validated, 78-item, food-frequency questionnaire. Logistic regression models were used to estimate odds ratios that were adjusted for age, sex, total energy intake, center, body mass index, years of education, tobacco use, and alcohol consumption.
No significant association was observed between an increasing DII and the risk of HL when used either as a continuous or categorical variable. The multivariate odds ratio for the highest versus the lowest DII tertile was 1.20 (95% confidence interval: 0.71-2.04). Similarly, no positive association was observed when analyses were carried out by different strata of selected covariates.
These results do not support the hypothesis that the inflammatory potential of a diet plays a major role in the development of HL.
饮食的组成成分可以调节炎症,并且可能对霍奇金淋巴瘤(HL)的发展产生影响。关于饮食与 HL 之间的炎症潜能,人们知之甚少。
本研究使用了 1992 年至 2008 年间进行的意大利多中心病例对照研究的数据,以评估饮食炎症指数(DII)与 HL 风险之间的关系。该数据包括 179 例经组织学证实的 HL 新发病例和 186 例因急性非肿瘤性疾病住院的对照病例。DII 是基于经过验证的 78 项食物频率问卷计算得出的。使用 logistic 回归模型来估计调整了年龄、性别、总能量摄入、中心、体重指数、受教育年限、吸烟和饮酒因素后的比值比。
无论是连续变量还是分类变量,DII 增加与 HL 风险之间均未观察到显著关联。最高与最低 DII 三分位组的多变量比值比为 1.20(95%置信区间:0.71-2.04)。同样,在对选定协变量的不同分层进行分析时,也未观察到阳性关联。
这些结果不支持饮食炎症潜能在 HL 发展中起主要作用的假设。