Department of Health Sciences, Tohoku University Graduate School of Medicine, 2-1 Seiryo-Machi, Aoba-Ku, Sendai, Miyagi, 980-8575, Japan.
Division of Cancer Epidemiology and Prevention, Miyagi Cancer Center Research Institute, 47-1 Nodayama, Medeshima-Shiode, Natori, Miyagi, 981-1293, Japan.
Sci Rep. 2024 Apr 26;14(1):9661. doi: 10.1038/s41598-024-60448-1.
It has been postulated that being breastfed in infancy affects not only health status in childhood but also disease risk in adulthood. To investigate the association of being breastfed with the risks of adult colorectal cancer and benign tumor, we conducted a case-control study including 1190 colorectal cancer and 1585 benign tumor cases and 5301 controls, admitted to a single hospital in Miyagi Prefecture, Japan, between 1997 and 2013. History of having been breastfed was assessed using a self-administered questionnaire, and odds ratios (ORs) were estimated using unconditional logistic regression. There was no association between being breastfed and colorectal cancer risk (breastfed versus formula-only fed, OR = 1.21; 95% CI 0.87-1.67). There was also no association with the risk of benign tumor (OR = 1.04). On the other hand, analyses stratified by sex and birth year found heterogeneous associations. Women born after 1950 who had been breastfed tended to have increased risks of colorectal cancer (OR = 1.58) and benign tumor (OR = 1.51) relative to those who had been formula-only fed, although not statistically significant. In men born after 1950, being breastfed was associated with a significantly decreased risk of benign tumor (OR = 0.57; 95% CI 0.33-0.98).
有人提出,婴儿期母乳喂养不仅影响儿童时期的健康状况,还影响成年后的疾病风险。为了研究母乳喂养与成人结直肠癌和良性肿瘤风险的关系,我们进行了一项病例对照研究,纳入了 1997 年至 2013 年期间在日本宫城县一家医院就诊的 1190 例结直肠癌病例、1585 例良性肿瘤病例和 5301 例对照。通过自我管理问卷评估母乳喂养史,使用非条件逻辑回归估计比值比(OR)。母乳喂养与结直肠癌风险之间没有关联(母乳喂养与仅配方奶喂养相比,OR=1.21;95%CI 0.87-1.67)。与良性肿瘤风险也没有关联(OR=1.04)。另一方面,按性别和出生年份进行分层分析发现存在异质性关联。与仅配方奶喂养相比,1950 年后出生的女性母乳喂养者结直肠癌(OR=1.58)和良性肿瘤(OR=1.51)的风险增加,但无统计学意义。在 1950 年后出生的男性中,母乳喂养与良性肿瘤的风险显著降低相关(OR=0.57;95%CI 0.33-0.98)。