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PANESOES多病例对照研究中乳制品消费与食管癌、胃癌和胰腺癌之间的关联

Association Between Dairy Products Consumption and Esophageal, Stomach, and Pancreatic Cancers in the PANESOES Multi Case-Control Study.

作者信息

Oncina-Cánovas Alejandro, Torres-Collado Laura, García-de-la-Hera Manuela, Compañ-Gabucio Laura María, González-Palacios Sandra, Signes-Pastor Antonio José, Vioque Jesús

机构信息

Instituto de Investigación Sanitaria y Biomédica de Alicante, Universidad Miguel Hernández (ISABIAL-UMH), 03010 Alicante, Spain.

Unidad de Epidemiología de la Nutrición, Departamento de Salud Pública, Historia de la Ciencia y Ginecología, Universidad Miguel Hernández (UMH), 03550 Alicante, Spain.

出版信息

Cancers (Basel). 2024 Dec 12;16(24):4151. doi: 10.3390/cancers16244151.

Abstract

This study explored the association between dairy products consumption (total and subgroups) and cancer of the esophagus, stomach, and pancreas within the PANESOES case-control study. Data from 1229 participants, including 774 incident cases of cancer and 455 controls matched by age, sex, and region, were analyzed. Dietary intake was assessed using a validated Food Frequency Questionnaire, categorizing dairy intake by total and subgroups (fermented dairy, sugary dairy desserts, and milk). Multinomial logistic regression was used to estimate relative risk ratios (RRRs), adjusting for confounders. We found an inverse association between moderate dairy consumption (T2) and esophageal cancer (RRR = 0.59 (95%CI: 0.37-0.96)). The highest tertile (T3) of fermented dairy was associated with a lower risk of esophageal (RRR = 0.55 (0.33-0.90)) and stomach cancers (RRR = 0.68 (0.47-0.97)). By contrast, the highest tertile of consumption of sugary dairy desserts was associated with a higher risk of stomach cancer (RRR = 1.85 (1.30-2.64)). No association was found for milk. This study suggests that fermented dairy may reduce the risk of esophageal and stomach cancers, while sugary dairy desserts may increase the risk of stomach cancer.

摘要

在PANESOES病例对照研究中,本研究探讨了乳制品消费(总体及亚组)与食管癌、胃癌和胰腺癌之间的关联。分析了1229名参与者的数据,包括774例癌症新发病例和455名按年龄、性别和地区匹配的对照。使用经过验证的食物频率问卷评估饮食摄入量,将乳制品摄入量按总体及亚组(发酵乳制品、含糖乳制品甜点和牛奶)进行分类。采用多项逻辑回归来估计相对风险比(RRR),并对混杂因素进行调整。我们发现适度的乳制品消费(T2)与食管癌之间存在负相关(RRR = 0.59(95%CI:0.37 - 0.96))。发酵乳制品的最高三分位数(T3)与较低的食管癌风险(RRR = 0.55(0.33 - 0.90))和胃癌风险(RRR = 0.68(0.47 - 0.97))相关。相比之下,含糖乳制品甜点消费的最高三分位数与较高的胃癌风险相关(RRR = 1.85(1.30 - 2.64))。未发现牛奶与癌症之间存在关联。本研究表明,发酵乳制品可能降低食管癌和胃癌的风险,而含糖乳制品甜点可能增加胃癌的风险。

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