Sarasua S, Savitz D A
Department of Epidemiology, School of Public Health, University of North Carolina, Chapel Hill 27599.
Cancer Causes Control. 1994 Mar;5(2):141-8. doi: 10.1007/BF01830260.
The association between cured and broiled meat consumption by the mother during pregnancy and by the child was examined in relation to childhood cancer. Five meat groups (ham, bacon, or sausage; hot dogs; hamburgers; bologna, pastrami, corned beef, salami, or lunch meat; charcoal broiled foods) were assessed. Exposures among 234 cancer cases (including 56 acute lymphocytic leukemia [ALL], 45 brain tumor) and 206 controls selected by random-digit dialing in the Denver, Colorado (United States) standard metropolitan statistical area were compared, with adjustment for confounders. Maternal hot-dog consumption of one or more times per week was associated with childhood brain tumors (odds ratio [OR] = 2.3, 95 percent confidence interval [CI] = 1.0-5.4). Among children, eating hamburgers one or more times per week was associated with risk of ALL (OR = 2.0, CI = 0.9-4.6) and eating hot dogs one or more times per week was associated with brain tumors (OR = 2.1, CI = 0.7-6.1). Among children, the combination of no vitamins and eating meats was associated more strongly with both ALL and brain cancer than either no vitamins or meat consumption alone, producing ORs of two to seven. The results linking hot dogs and brain tumors (replicating an earlier study) and the apparent synergism between no vitamins and meat consumption suggest a possible adverse effect of dietary nitrites and nitrosamines.
研究了孕期母亲以及孩子食用腌制和烧烤肉类与儿童癌症之间的关联。评估了五类肉类(火腿、培根或香肠;热狗;汉堡包;博洛尼亚香肠、五香熏牛肉、咸牛肉、意大利腊肠或午餐肉;炭烤食品)。对美国科罗拉多州丹佛市标准大都市统计区通过随机数字拨号选取的234例癌症病例(包括56例急性淋巴细胞白血病[ALL]、45例脑肿瘤)和206例对照的暴露情况进行了比较,并对混杂因素进行了调整。母亲每周食用一次或多次热狗与儿童脑肿瘤有关(优势比[OR]=2.3,95%置信区间[CI]=1.0 - 5.4)。在儿童中,每周食用一次或多次汉堡包与ALL风险有关(OR = 2.0,CI = 0.9 - 4.6),每周食用一次或多次热狗与脑肿瘤有关(OR = 2.1,CI = 0.7 - 6.1)。在儿童中,不摄入维生素且食用肉类的组合与ALL和脑癌的关联比单独不摄入维生素或单独食用肉类更强,产生的OR值为2至7。将热狗与脑肿瘤联系起来的结果(重复了一项早期研究)以及不摄入维生素和食用肉类之间明显的协同作用表明饮食中的亚硝酸盐和亚硝胺可能存在不良影响。