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维生素 D 与肥胖相关癌症风险:SUN(“纳瓦拉大学随访研究”)项目的结果。

Vitamin D and Risk of Obesity-Related Cancers: Results from the SUN ('Seguimiento Universidad de Navarra') Project.

机构信息

Medical Oncology Department, Hospital Universitario 12 de Octubre, 28041 Madrid, Spain.

Department of Preventive Medicine and Public Health, School of Medicine, University of Navarra, 31008 Pamplona, Spain.

出版信息

Nutrients. 2022 Jun 21;14(13):2561. doi: 10.3390/nu14132561.

Abstract

Obesity is associated with a higher risk of several types of cancer, grouped as obesity-related cancers (ORC). Vitamin D deficiency is more prevalent in obese subjects, and it has been suggested to play a role in the association between obesity and cancer risk. The aim of the study was to analyze the association between vitamin D intake and the subsequent risk of ORC in a prospective Spanish cohort of university graduates. The SUN Project, initiated in 1999, is a prospective dynamic multipurpose cohort. Participants answered a 556-item lifestyle baseline questionnaire that included a validated food-frequency questionnaire. We performed Cox regression models to estimate the hazard ratios (HRs) of ORC according to quartiles of energy-adjusted vitamin D intake (diet and supplements). We included 18,017 participants (mean age = 38 years, SD = 12 years), with a median follow-up of 12 years. Among 206,783 person-years of follow-up, we identified 225 cases of ORC. We found no significant associations between vitamin D intake and ORC risk after adjusting for potential confounders: HR = 1.19 (95% CI 0.81-1.75), HR = 1.20 (95% CI 0.81-1.78), and HR = 1.02 (95% CI 0.69-1.51). Dietary and supplemented vitamin D do not seem to be associated with ORC prevention in the middle-aged Spanish population.

摘要

肥胖与多种癌症风险增加相关,这些癌症被归类为肥胖相关癌症(ORC)。肥胖人群中维生素 D 缺乏更为普遍,并且有人认为它在肥胖与癌症风险之间的关联中发挥作用。本研究旨在分析维生素 D 摄入量与随后发生 ORC 的风险之间的关联,该研究基于一个前瞻性的西班牙大学毕业生队列。SUN 项目于 1999 年启动,是一个前瞻性的动态多用途队列。参与者回答了一份包含经过验证的食物频率问卷的 556 项生活方式基线问卷。我们使用 Cox 回归模型来估计根据能量调整后的维生素 D 摄入量(饮食和补充剂)的四分位数与 ORC 风险的比值比(HR)。我们纳入了 18017 名参与者(平均年龄为 38 岁,标准差为 12 岁),中位随访时间为 12 年。在 206783 人年的随访期间,我们发现了 225 例 ORC。在调整了潜在混杂因素后,我们发现维生素 D 摄入量与 ORC 风险之间没有显著关联:HR = 1.19(95%CI 0.81-1.75),HR = 1.20(95%CI 0.81-1.78),HR = 1.02(95%CI 0.69-1.51)。在西班牙中年人群中,膳食和补充的维生素 D 似乎与 ORC 的预防无关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ebc8/9268452/4b92b9200e23/nutrients-14-02561-g001.jpg

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