Department of Biology, College of Science, University of Bahrain, Sakhir Campus, Zallaq 32038, Bahrain.
Department of Human Nutrition, College of Health Sciences, QU Health, Qatar University, Doha P.O. Box 2713, Qatar.
Nutrients. 2022 Jun 8;14(12):2373. doi: 10.3390/nu14122373.
Studies on the association between gastric cancer (GC) and the intake of nutrients in Jordan are very limited, while findings from other reports on the intake of energy and macronutrients are controversial. This study aimed to examine the associations between intake of energy and macronutrients and the risk of GC in a Jordanian population. A case-control study was carried out between March 2015 and August 2018 in four major hospitals, including an oncology center in Jordan. Study participants were 173 cases with incident and histologically confirmed GC and 314 frequency-matched controls. Interview-based questionnaires were used to obtain the study's information. Data on nutrient intake were collected using a validated Arabic food-frequency questionnaire (FFQ). Odds ratios (ORs) and their corresponding 95% confidence intervals (CIs) were calculated through multinomial logistic regression and adjusted for potential confounders, including age, marital status, education, body mass index (BMI), smoking, period of smoking, family history of gastric cancer, history of gastric ulcer, and physical activity. Intakes of total fat, saturated fat, monounsaturated fat, polyunsaturated fat, cholesterol, trans-fat, and omega-6 fatty acids were significantly associated with increased risk of GC. The ORs for the highest versus the lowest tertiles were 6.47 (95% Cl: 3.29-12.77), 2.97 (95% CI: 1.58-5.58), 6.84 (95% CI: 3.46-13.52), 6.19 (95% CI: 3.15-12.17), 3.05 (95% CI: 1.58-5.88), 8.11 (95% CI: 4.20-15.69), and 2.74 (95% CI: 1.47-5.09), respectively. No significant association was found for energy, protein, carbohydrate, sugar, fibers, and -3 fatty acids. The findings of this study suggest that high intake of selected types of fats was associated with an increased risk of GC.
关于胃癌 (GC) 与约旦营养素摄入之间关联的研究非常有限,而其他关于能量和宏量营养素摄入的报告结果存在争议。本研究旨在探讨约旦人群中能量和宏量营养素摄入与 GC 风险之间的关联。2015 年 3 月至 2018 年 8 月期间,在约旦的 4 家大医院(包括一家肿瘤中心)进行了一项病例对照研究。研究参与者包括 173 例确诊为胃癌的新发病例和组织学确诊病例,以及 314 例频率匹配的对照。采用基于访谈的问卷获取研究信息。使用经过验证的阿拉伯语食物频率问卷 (FFQ) 收集营养素摄入数据。通过多项逻辑回归计算比值比 (OR) 及其相应的 95%置信区间 (CI),并调整了潜在混杂因素,包括年龄、婚姻状况、教育程度、体重指数 (BMI)、吸烟、吸烟期、胃癌家族史、胃溃疡史和身体活动。总脂肪、饱和脂肪、单不饱和脂肪、多不饱和脂肪、胆固醇、反式脂肪和欧米伽-6 脂肪酸的摄入量与 GC 风险增加显著相关。最高 tertile 与最低 tertile 的 OR 分别为 6.47 (95% CI: 3.29-12.77)、2.97 (95% CI: 1.58-5.58)、6.84 (95% CI: 3.46-13.52)、6.19 (95% CI: 3.15-12.17)、3.05 (95% CI: 1.58-5.88)、8.11 (95% CI: 4.20-15.69) 和 2.74 (95% CI: 1.47-5.09)。能量、蛋白质、碳水化合物、糖、纤维和 -3 脂肪酸与 GC 风险之间无显著关联。本研究结果表明,某些类型脂肪的高摄入量与 GC 风险增加有关。