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茄科蔬菜与结直肠癌风险:一项基于中国东北地区医院的匹配病例对照研究。

Solanaceous Vegetables and Colorectal Cancer Risk: A Hospital-Based Matched Case-Control Study in Northeast China.

作者信息

Liu Yang, Li Simin, Jiang Liqing, Zhang Yuchong, Li Zhi, Shi Jing

机构信息

Department of Medical Oncology, The First Hospital, China Medical University, Shenyang, China.

Department of Clinical Epidemiology and Center of Evidence-Based Medicine, The First Affiliated Hospital, China Medical University, Shenyang, China.

出版信息

Front Nutr. 2021 Jul 12;8:688897. doi: 10.3389/fnut.2021.688897. eCollection 2021.

Abstract

Dietary factors are regarded as an essential influence in changing colorectal cancer (CRC) risk. However, there is no clear conclusion of the relationship between solanaceous vegetables and colorectal cancer at present. The study aimed to evaluate the intake of solanaceous vegetables in relation to colorectal cancer risk among the Northeast Chinese population. We carried out a hospital-based case-control study in three hospitals in Northeast China from 2009 to 2011. The study finally included 833 patients with CRC and 833 controls matched separately according to age, gender, and city of residence. We applied a structural questionnaire to collect demographic characteristics and dietary information by face-to-face interview and adopted conditional logistic regression to calculate odds ratios (ORs) and 95% confidence intervals (CIs). Stratified analyses were conducted by sex and subsites. There was no obvious correlation between total intake of solanaceous plants and CRC risk. The adjusted OR for the highest quartile and the lowest quartile was 1 (95% CI: 0.68-1.5). Certain types of solanaceous vegetables were negatively associated with the risk of CRC, such as eggplant (OR = 0.42; 95% CI:0.29-0.62) and sweet pepper (OR = 0.48; 95%CI: 0.33-0.7). Potato was found to have a positive correlation with CRC (OR = 1.76; 95% CI: 1.26-2.47). In the stratified analyses by gender, total solanaceous vegetables intake was inversely associated with CRC risk only in men. In the stratified analyses of cancer subsites, no significant association between total solanaceous vegetables intake and CRC risk was found. No findings showed that the intake of total solanaceous vegetables was related to the reduction of CRC risk. However, specific types of solanaceous vegetables indicated an inverse association with CRC risk.

摘要

饮食因素被视为改变结直肠癌(CRC)风险的一个重要影响因素。然而,目前茄科蔬菜与结直肠癌之间的关系尚无明确结论。本研究旨在评估中国东北地区人群中茄科蔬菜摄入量与结直肠癌风险的关系。2009年至2011年,我们在中国东北地区的三家医院开展了一项基于医院的病例对照研究。该研究最终纳入了833例结直肠癌患者和833例分别按年龄、性别和居住城市匹配的对照。我们使用结构化问卷通过面对面访谈收集人口统计学特征和饮食信息,并采用条件逻辑回归计算比值比(OR)和95%置信区间(CI)。按性别和肿瘤部位进行分层分析。茄科植物的总摄入量与结直肠癌风险之间无明显相关性。最高四分位数与最低四分位数的校正OR为1(95%CI:0.68 - 1.5)。某些种类的茄科蔬菜与结直肠癌风险呈负相关,如茄子(OR = 0.42;95%CI:0.29 - 0.62)和甜椒(OR = 0.48;95%CI:0.33 - 0.7)。发现土豆与结直肠癌呈正相关(OR = 1.76;95%CI:1.26 - 2.47)。在按性别进行的分层分析中,茄科蔬菜总摄入量仅在男性中与结直肠癌风险呈负相关。在肿瘤部位的分层分析中,未发现茄科蔬菜总摄入量与结直肠癌风险之间存在显著关联。没有研究结果表明茄科蔬菜的总摄入量与结直肠癌风险的降低有关。然而,特定种类的茄科蔬菜与结直肠癌风险呈负相关。

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