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食用豆类和坚果与胶质瘤的关系:一项病例对照研究。

Legume and Nuts Consumption in Relation to Glioma: A Case- Control Study.

作者信息

Malmir Hanieh, Shayanfar Mehdi, Mohammad-Shirazi Minoo, Sharifi Giuve, Esmaillzadeh Ahmad

机构信息

Students' Scientific Research Center, Tehran University of Medical Sciences, Tehran, Iran.

Department of Community Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences, Tehran, Iran.

出版信息

Nutr Cancer. 2021;73(5):760-766. doi: 10.1080/01635581.2020.1766091. Epub 2020 May 14.

Abstract

Data on the link between legume and nuts consumption and risk of glioma are controversial. The current study aimed to investigate the relation between legume and nuts consumption and glioma in a case-control study in Iranian adults. In this hospital-based case-control study, we enrolled 128 pathologically confirmed new cases of glioma and 256 age and sex-matched controls. Dietary intakes of study participants were assessed using the validated Block-format 123-item semi-quantitative FFQ. Data on potential confounders were also collected through the use of a pre-tested questionnaire. Mean age of cases and controls were 43.4 and 42.8 years, respectively. Individuals with the greatest legume and nuts consumption were less likely to have glioma compared with those with the lowest consumption (0.52; 95% CI: 0.30-0.88). This inverse association was not changed after controlling for age, sex and energy intake (0.46; 95% CI: 0.26-0.81). The association remained statistically significant even after taking other potential confounders, including dietary intakes into account (0.32; 95% CI: 0.14-0.72). Additional adjustments for BMI did not alter the association; such that individuals in the top category of legume and nuts consumption were 66% less likely to have glioma compared with those in the bottom category (0.34; 95% CI: 0.15-0.76). We found an inverse association between legume and nuts consumption and odds of glioma, even after controlling for a wide range of confounders.

摘要

豆类和坚果摄入量与胶质瘤风险之间的关联数据存在争议。本研究旨在通过一项针对伊朗成年人的病例对照研究,调查豆类和坚果摄入量与胶质瘤之间的关系。在这项基于医院的病例对照研究中,我们纳入了128例经病理确诊的新发胶质瘤病例以及256名年龄和性别匹配的对照。使用经过验证的包含123个条目的块格式半定量食物频率问卷评估研究参与者的饮食摄入量。还通过使用预先测试的问卷收集潜在混杂因素的数据。病例组和对照组的平均年龄分别为43.4岁和42.8岁。与摄入量最低的人群相比,豆类和坚果摄入量最高的个体患胶质瘤的可能性更小(0.52;95%置信区间:0.30 - 0.88)。在控制年龄、性别和能量摄入后,这种负相关关系并未改变(0.46;95%置信区间:0.26 - 0.81)。即使考虑了包括饮食摄入量在内的其他潜在混杂因素,这种关联在统计学上仍然显著(0.32;95%置信区间:0.14 - 0.72)。对体重指数进行额外调整并未改变这种关联;豆类和坚果摄入量最高组的个体患胶质瘤的可能性比最低组低66%(0.34;95%置信区间:0.15 - 0.76)。我们发现,即使在控制了广泛的混杂因素后,豆类和坚果摄入量与患胶质瘤的几率之间仍存在负相关关系。

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