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饮食蛋白质摄入量与胃癌:一项病例对照研究的见解

Dietary protein intake and stomach cancer, insights from a case-control study.

作者信息

Le Ngoan Tran, Van Nguyen Tai, Le Linh Thuy, Nguyen Long Cong

机构信息

Institute of Research and Development, Duy Tan University, Da Nang City, Vietnam.

Department of Occupational Health, Institute for Preventive Medicine and Public Health, Hanoi Medical University, Ha Noi City, Vietnam.

出版信息

Sci Rep. 2025 Feb 26;15(1):6909. doi: 10.1038/s41598-024-80793-5.

Abstract

Studies on the role of protein intake in the development of stomach cancer (SC) remain controversial. This study examines the relationship between protein intake from whole foods and SC in a Vietnamese population. A case-control study was designed in the university hospitals in Hanoi, Vietnam, from 2003 to 2019. Participants included 1182 SC cases and 2995 controls. Of the participants, 2,580 were men, and 1,597 were women. Protein intake was assessed using a validated semi-quantitative food frequency questionnaire. The odds ratio and 95% confidence interval (OR, 95%CI) examined the risk of SC associated with total protein and subgroups of mammal-animals and fish-poultry protein. Overall protein intake was negatively associated with SC (fifth vs. first quintile: OR (95%CI): 0.41 (0.32, 0.51). The dose-response relationship was also observed per increment quintile, OR (95%CI): 0.81 (0.77, 0.86) for both genders, OR (95%CI): 0.82 (0.77, 0.88) in men, OR (95%CI): 0.80 (0.73, 0.87) in women, OR (95%CI): 0.82 (0.77, 0.86) for noncardiac and OR (95%CI): 0.79 (0.63, 1.00) for cardiac stomach cancer. The beneficial effects of SC remained for the protein sources from mammal-animals and fish-poultry protein. The significant inverse association between protein intake remained in the ever and never tobacco smoking, no-alcohol use and alcohol use, blood group A and AB, and O, H. Pylori infected group, and the status of body-mass-index. The findings suggest that a high-protein diet is associated with lower SC risk. Further investigation is warranted to understand the beneficial effect of protein intake against stomach cancer.

摘要

关于蛋白质摄入量在胃癌(SC)发展中的作用的研究仍存在争议。本研究探讨了越南人群中全食物蛋白质摄入量与胃癌之间的关系。2003年至2019年在越南河内的大学医院开展了一项病例对照研究。参与者包括1182例胃癌病例和2995名对照。参与者中,2580人为男性,1597人为女性。使用经过验证的半定量食物频率问卷评估蛋白质摄入量。比值比和95%置信区间(OR,95%CI)用于研究总蛋白质以及哺乳动物动物蛋白和鱼禽蛋白亚组与胃癌风险的相关性。总体蛋白质摄入量与胃癌呈负相关(第五分位数与第一分位数相比:OR(95%CI):0.41(0.32,0.51))。在每个递增的五分位数中也观察到了剂量反应关系,两性的OR(95%CI):0.81(0.77,0.86),男性的OR(95%CI):0.82(0.77,0.88),女性的OR(95%CI):0.80(0.73,0.87),非贲门胃癌的OR(95%CI):0.82(0.77,0.86),贲门胃癌的OR(95%CI):0.79(0.63,1.00)。对于来自哺乳动物动物蛋白和鱼禽蛋白的蛋白质来源,胃癌的有益影响仍然存在。在曾经吸烟和从不吸烟、不饮酒和饮酒、血型A和AB以及O型、幽门螺杆菌感染组和体重指数状态中,蛋白质摄入量与胃癌之间的显著负相关仍然存在。研究结果表明,高蛋白饮食与较低的胃癌风险相关。有必要进行进一步调查以了解蛋白质摄入对胃癌的有益作用。

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