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膳食矿物质与神经胶质瘤之间的关联:一项基于中国人群的病例对照研究。

Association between dietary minerals and glioma: A case-control study based on Chinese population.

作者信息

Zhang Weichunbai, He Yongqi, Kang Xun, Wang Ce, Chen Feng, Kang Zhuang, Yang Shoubo, Zhang Rong, Peng Yichen, Li Wenbin

机构信息

Department of Neuro-Oncology, Cancer Center, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.

出版信息

Front Nutr. 2023 Mar 2;10:1118997. doi: 10.3389/fnut.2023.1118997. eCollection 2023.

Abstract

BACKGROUND

As one of the essential nutrients for the human body, minerals participate in various physiological activities of the body and are closely related to many cancers. However, the population study on glioma is not sufficient.

OBJECTIVE

The purpose of this study was to evaluate the relationship between five dietary minerals and glioma.

METHODS

A total of 506 adult patients with glioma and 506 healthy controls were matched 1:1 according to age (±5 years) and sex. The food intake of the subjects in the past year was collected through the food frequency questionnaire, and the intakes of calcium, magnesium, iron, zinc, and copper in the diet were calculated. The logistic regression model was used to estimate the odds ratio (OR) and 95% confidence interval (95% CI) for dietary minerals to gliomas.

RESULTS

After adjusting for confounders, higher intakes of calcium (OR = 0.65, 95% CI: 0.57-0.74), magnesium (OR = 0.18, 95% CI: 0.11-0.29), iron (OR = 0.04, 95% CI: 0.02-0.11), zinc (OR = 0.62, 95% CI: 0.54-0.73), and copper (OR = 0.22, 95% CI: 0.13-0.39) were associated with a significantly decreased risk of glioma. Similar results were observed in gliomas of different pathological types and pathological grades. The restriction cubic spline function suggested significant linear dose-response relationships between intakes of five minerals and the risk of glioma. When the dietary minerals exceeded a particular intake, the risk of glioma stabilized.

CONCLUSION

Our study suggests that higher dietary intakes of calcium, magnesium, iron, zinc, and copper are associated with a decreased risk of glioma. However, the results of this study require further exploration of potential mechanisms in the future better to elucidate the effects of mineral intake on gliomas.

摘要

背景

矿物质作为人体必需的营养素之一,参与人体的各种生理活动,且与多种癌症密切相关。然而,关于胶质瘤的人群研究并不充分。

目的

本研究旨在评估五种膳食矿物质与胶质瘤之间的关系。

方法

根据年龄(±5岁)和性别,将506例成年胶质瘤患者与506名健康对照按1:1进行匹配。通过食物频率问卷收集研究对象过去一年的食物摄入量,并计算饮食中钙、镁、铁、锌和铜的摄入量。采用逻辑回归模型估计膳食矿物质与胶质瘤的比值比(OR)及95%置信区间(95%CI)。

结果

校正混杂因素后,钙摄入量较高(OR = 0.65,95%CI:0.57 - 0.74)、镁摄入量较高(OR = 0.18,95%CI:0.11 - 0.29)、铁摄入量较高(OR = 0.04,95%CI:0.02 - 0.11)、锌摄入量较高(OR = 0.62,95%CI:0.54 - 0.73)和铜摄入量较高(OR = 0.22,95%CI:0.13 - 0.39)与胶质瘤风险显著降低相关。在不同病理类型和病理分级的胶质瘤中观察到类似结果。限制立方样条函数表明,五种矿物质的摄入量与胶质瘤风险之间存在显著的线性剂量反应关系。当膳食矿物质摄入量超过特定水平时,胶质瘤风险趋于稳定。

结论

我们的研究表明,钙、镁、铁、锌和铜的膳食摄入量较高与胶质瘤风险降低相关。然而,本研究结果需要在未来进一步探索潜在机制,以更好地阐明矿物质摄入对胶质瘤的影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bf87/10018027/ff1759afceb3/fnut-10-1118997-g0001.jpg

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