Behavioral and Epidemiology Research Program, American Cancer Society, Atlanta, Georgia.
Cancer Epidemiol Biomarkers Prev. 2019 Mar;28(3):616-619. doi: 10.1158/1055-9965.EPI-18-0909. Epub 2018 Nov 12.
Acrylamide, an industrial chemical and probable human carcinogen, can be formed in primarily carbohydrate-containing foods during high-heat cooking or processing. Most epidemiologic studies show no associations of dietary acrylamide intake with most cancer outcomes, but limited prospective evidence suggests a positive association with renal cell carcinoma (RCC).
In 1999, 102,154 men and women from the Cancer Prevention Study-II Nutrition Cohort completed a questionnaire on diet, lifestyle, and cancer risk factors and were followed through June 30, 2013. Cox proportional hazards regression was used to estimate the HR and 95% confidence interval (CI) for the association between estimated dietary acrylamide intake and risk of RCC.
After 1,137,441 person-years of follow-up, 412 cases of invasive RCC occurred. In multivariable-adjusted models, there was no association between acrylamide intake and risk of RCC (HR = 1.09; 95% CI, 0.82-1.43) for the highest versus lowest quartile of intake. Associations were not modified by sex or smoking history.
We found no associations between dietary acrylamide exposure and risk of invasive RCC.
The findings from this large, prospective analysis do not support a positive association between higher dietary acrylamide intake and RCC risk.
丙烯酰胺是一种工业化学物质,可能对人类致癌,可在主要含碳水化合物的食物在高温烹饪或加工过程中形成。大多数流行病学研究表明,饮食中丙烯酰胺的摄入与大多数癌症结局之间没有关联,但有限的前瞻性证据表明其与肾细胞癌(RCC)呈正相关。
1999 年,102154 名男性和女性参加了癌症预防研究-II 营养队列,完成了一份关于饮食、生活方式和癌症风险因素的问卷,并随访至 2013 年 6 月 30 日。使用 Cox 比例风险回归估计估计饮食中丙烯酰胺摄入量与 RCC 风险之间的 HR 和 95%置信区间(CI)。
经过 1137441 人年的随访,412 例浸润性 RCC 发生。在多变量调整模型中,丙烯酰胺摄入量最高与最低四分位数相比,与 RCC 风险之间没有关联(HR = 1.09;95%CI,0.82-1.43)。性别或吸烟史并未改变相关性。
我们没有发现饮食中丙烯酰胺暴露与浸润性 RCC 风险之间存在关联。
这项大型前瞻性分析的结果不支持较高的饮食丙烯酰胺摄入与 RCC 风险之间存在正相关。