Fan Hao, Yu Yunpeng, Nan Haocheng, Hoyt Margaret, Reger Michael K, Prizment Anna, Anderson Kristin E, Zhang Jianjun
Department of Epidemiology, Indiana University Richard M. Fairbanks School of Public Health, Indianapolis, IN, USA.
Department of Biostatistics, Indiana University Richard M. Fairbanks School of Public Health and School of Medicine, Indianapolis, IN, USA.
Br J Nutr. 2021 Nov 28;126(10):1549-1557. doi: 10.1017/S0007114521000283. Epub 2021 Jan 26.
Experimental studies suggest that abnormal levels of Ca, Mg and phosphorus are implicated in pancreatic carcinogenesis. We investigated the associations between intakes of these minerals and the risk of pancreatic cancer in a case-control study conducted in 1994-1998. Cases of pancreatic cancer (n 150) were recruited from all hospitals in the metropolitan area of the Twin Cities and Mayo Clinic, Minnesota. Controls (n 459) were randomly selected from the general population and frequency matched to cases by age, sex and race. All dietary variables were adjusted for energy intake using the residual method prior to data analysis. Logistic regression was performed to evaluate the associations between intake of three nutrients examined and the risk of pancreatic cancer. Total intake of Ca (936 v. 1026 mg/d) and dietary intake of Mg (315 v. 331 mg/d) and phosphorus (1350 v. 1402 mg/d) were significantly lower in cases than in controls. After adjustment for confounders, there were not significant associations of total and dietary intakes of Ca, Mg and phosphorus with the risk of pancreatic cancer. In addition, no significant interactions exist between intakes of these minerals and total fat on pancreatic cancer risk. In conclusion, the present study does not suggest that intakes of Ca, Mg and phosphorus were significantly associated with the risk of pancreatic cancer.
实验研究表明,钙、镁和磷水平异常与胰腺癌的发生有关。在1994年至1998年进行的一项病例对照研究中,我们调查了这些矿物质的摄入量与胰腺癌风险之间的关联。胰腺癌病例(n = 150)来自明尼苏达州双子城大都市区的所有医院以及梅奥诊所。对照(n = 459)从普通人群中随机选取,并按年龄、性别和种族与病例进行频数匹配。在数据分析之前,所有饮食变量均使用残差法对能量摄入进行了调整。采用逻辑回归来评估所研究的三种营养素的摄入量与胰腺癌风险之间的关联。病例组的钙总摄入量(936 vs. 1026 mg/d)、镁的饮食摄入量(315 vs. 331 mg/d)和磷的饮食摄入量(1350 vs. 1402 mg/d)均显著低于对照组。在对混杂因素进行调整后,钙、镁和磷的总摄入量和饮食摄入量与胰腺癌风险之间没有显著关联。此外,这些矿物质的摄入量与总脂肪摄入量之间在胰腺癌风险方面不存在显著交互作用。总之,本研究并未表明钙、镁和磷的摄入量与胰腺癌风险存在显著关联。