Dietary Intake of Fatty Acids, Total Cholesterol, and Stomach Cancer in a Chinese Population

Nutrients - Tập 11 Số 8 - Trang 1730
Yuhui Zhu1, Somee Jeong1, Ming Wu2, Ziyi Jin3, Jinyi Zhou2, Renqiang Han2, Jie Yang2, Xiaofeng Zhang4, Xu-Shan Wang4, Aiming Liu5, Xiaoping Gu5, Ming Su6, Xu Hu6, Zheng Sun7, Gang Li7, Liming Li8, Lina Mu9, Qing‐Yi Lu10, Jinkou Zhao2, Zuo‐Feng Zhang10,1
1Department of Epidemiology, Fielding School of Public Health, University of California at Los Angeles (UCLA), Los Angeles, CA 90095, USA
2Department of Non-communicable Chronic Disease Control, Jiangsu Provincial Center for Disease Control and Prevention, Nanjing 210009, China
3Department of Epidemiology, School of Public Health, Fudan University, Shanghai 200032, China
4Ganyu County Center for Disease Control and Prevention, Ganyu 222100, China
5Dafeng County Center for Disease Control and Prevention, Dafeng 224100, China
6Chuzhou County Center for Disease Control and Prevention, Chuzhou 223200, China
7Tongshan County Center for Disease Control and Prevention, Tongshan 221006, China
8Department of Epidemiology and Biostatistics, Peking University School of Public Health, Beijing 100191, China
9Department of Social and Preventive Medicine, State University of New York at Buffalo, Buffalo, NY 14260, USA
10Center for Human Nutrition, Department of Medicine, UCLA David Geffen School of Medicine, University of California at Los Angeles (UCLA), Los Angeles, CA 90095, USA

Tóm tắt

To investigate the associations between dietary fatty acids and cholesterol consumption and stomach cancer (SC), we analyzed data from a population-based case-control study with a total of 1900 SC cases and 6532 controls. Dietary data and other risk or protective factors were collected by face-to-face interviews in Jiangsu Province, China, from 2003 to 2010. Adjusted odds ratios (ORs) and 95% confidence intervals (CIs) were estimated using multiple unconditional logistic regression models and an energy-adjusted method. The joint associations between dietary factors and known risk factors on SC were examined. We observed positive associations between dietary saturated fatty acids (SFAs), monounsaturated fatty acids (MUFAs), and total cholesterol and the development of SC, comparing the highest versus lowest quarters. Increased intakes of dietary SFAs (p-trend = 0.005; aOR, 1.11; 95% CI, 1.01–1.22 with a 7 g/day increase as a continuous variable) and total cholesterol (p-trend < 0.001; aOR, 1.13; 95% CI, 1.06–1.22 with a 250 mg/day increase as a continuous variable) were monotonically associated with elevated odds of developing SC. Our results indicate that dietary SFAs, MUFAs, and total cholesterol are associated with stomach cancer, which might provide a potential dietary intervention for stomach cancer prevention.

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Tài liệu tham khảo

Bray, 2018, Global Cancer Statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries, CA Cancer J. Clin., 68, 394, 10.3322/caac.21492

Chen, 2016, Cancer statistics in China, 2015, CA Cancer J. Clin., 66, 115, 10.3322/caac.21338

Allemani, 2018, Global surveillance of trends in cancer survival 2000-14 (CONCORD-3): Analysis of individual records for 37513025 patients diagnosed with one of 18 cancers from 322 population-based registries in 71 countries, Lancet, 391, 1023, 10.1016/S0140-6736(17)33326-3

Plummer, 2015, Global burden of gastric cancer attributable to Helicobacter pylori, Int. J. Cancer, 136, 487, 10.1002/ijc.28999

Pereira, 2008, Smoking and gastric cancer: Systematic review and meta-analysis of cohort studies, Cancer Causes Control., 19, 689, 10.1007/s10552-008-9132-y

Praud, 2018, Cigarette smoking and gastric cancer in the Stomach Cancer Pooling (StoP) Project, Eur. J. Cancer Prev., 27, 124, 10.1097/CEJ.0000000000000290

Shimazu, 2008, Alcohol drinking and gastric cancer risk: An evaluation based on a systematic review of epidemiologic evidence among the Japanese population, Jpn. J. Clin. Oncol., 38, 8, 10.1093/jjco/hym152

Fang, 2015, Landscape of dietary factors associated with risk of gastric cancer: A systematic review and dose-response meta-analysis of prospective cohort studies, Eur. J. Cancer Prev., 51, 2820, 10.1016/j.ejca.2015.09.010

Rossi, 2012, Habitual salt intake and risk of gastric cancer: A meta-analysis of prospective studies, Clin. Nutr., 31, 489, 10.1016/j.clnu.2012.01.003

Cook, 2012, Iron in relation to gastric cancer in the Alpha-Tocopherol, Beta-Carotene Cancer Prevention Study, Cancer Epidemiol. Biomarkers Prev., 21, 2033, 10.1158/1055-9965.EPI-12-0799

Campos, 2008, Toenail zinc level and gastric cancer risk in Cali, Colombia, J. Cancer Res. Clin. Oncol., 134, 169, 10.1007/s00432-007-0266-1

Jenab, 2006, Plasma and dietary vitamin C levels and risk of gastric cancer in the European Prospective Investigation into Cancer and Nutrition (EPIC-EURGAST), Carcinogenesis, 27, 2250, 10.1093/carcin/bgl096

Li, 2013, Estimated daily flavonoid and stilbene intake from fruits, vegetables, and nuts and associations with lipid profiles in Chinese adults, J. Acad. Nutr. Diet., 113, 786, 10.1016/j.jand.2013.01.018

Xu, 2016, Flavonoid intake from vegetables and fruits is inversely associated with colorectal cancer risk: A case-control study in China, Br. J. Nutr., 116, 1275, 10.1017/S0007114516003196

Mu, 2005, Green tea drinking and multigenetic index on the risk of stomach cancer in a Chinese population, Int. J. Cancer, 116, 972, 10.1002/ijc.21137

Han, J., Jiang, Y., Liu, X., Meng, Q., Xi, Q., Zhuang, Q., Han, Y., Gao, Y., Ding, Q., and Wu, G. (2015). Dietary fat intake and risk of gastric cancer: A meta-analysis of observational studies. PLoS ONE, 10.

Ward, 1999, Nutrient intake and gastric cancer in Mexico, Int. J. Cancer, 83, 601, 10.1002/(SICI)1097-0215(19991126)83:5<601::AID-IJC5>3.0.CO;2-6

Hu, 2015, Macronutrient intake and stomach cancer, Cancer Causes Control., 26, 839, 10.1007/s10552-015-0557-9

Wu, 2007, Fiber intake and risk of adenocarcinomas of the esophagus and stomach, Cancer Causes Control., 18, 713, 10.1007/s10552-007-9014-8

Mayne, 2001, Nutrient intake and risk of subtypes of esophageal and gastric Cancer, Cancer Epidemiol. Biomarkers Prev., 10, 1055

Harrison, 1997, The role of dietary factors in the intestinal and diffuse histologic subtypes of gastric adenocarcinoma, Cancer, 80, 1021, 10.1002/(SICI)1097-0142(19970915)80:6<1021::AID-CNCR3>3.0.CO;2-C

Munoz, 2001, A case-control study of gastric cancer in Venezuela, Int. J. Cancer, 93, 417, 10.1002/ijc.1333

Kim, 2005, Effect of nutrient intake and Helicobacter pylori infection on gastric cancer in Korea: A case-control study, Nutri. Cancer, 52, 138, 10.1207/s15327914nc5202_4

Pobel, 1995, A case-control study of gastric cancer and nutritional factors in Marseille, France, Eur. J. Epidemiol., 11, 55, 10.1007/BF01719947

Popiela, 2001, Nutrient intake patterns in gastric and colorectal cancers, Int. J. Occup. Med. Environ. Health, 14, 391

Palli, 2001, Dietary patterns, nutrient intake and gastric cancer in a high-risk area of Italy, Cancer Causes Control, 12, 163, 10.1023/A:1008970310963

Freedman, 2012, Association of dietary fat intakes with risk of esophageal and gastric cancer in the NIH-AARP Diet and Health study, Int. J. Cancer, 131, 1376, 10.1002/ijc.27366

Lucenteforte, 2009, Macronutrients, fatty acids and cholesterol intake and stomach cancer risk, Ann. Oncol., 20, 1434, 10.1093/annonc/mdp009

Qiu, 2005, Nutritional factors and gastric cancer in Zhoushan Islands, China, World J. Gastroenterol., 11, 4311, 10.3748/wjg.v11.i28.4311

Gonzalez, 1994, Nutritional factors and gastric cancer in Spain, Am. J. Epidemiol., 139, 466, 10.1093/oxfordjournals.aje.a117029

Lissowska, 2004, Diet and stomach cancer risk in Warsaw, Poland, Nutri. Cancer, 48, 149, 10.1207/s15327914nc4802_4

Zhao, 2017, Jiangsu Four Cancers Study: A large case–control study of lung, liver, stomach, and esophageal cancers in Jiangsu Province, China, Eur. J. Cancer, 26, 357, 10.1097/CEJ.0000000000000262

Willett, 1997, Adjustment for total energy intake in epidemiologic studies, Am. J. Clin. Nutr., 65, 1220S, 10.1093/ajcn/65.4.1220S

Yang, 2018, New Chinese dietary guidelines: Healthy eating patterns and food-based dietary recommendations, Asia. Pac. J. Clin. Nutr., 27, 908

Vanderweele, 2014, A Tutorial on Interaction, Epidemiol. Methods, 3, 33, 10.1515/em-2013-0005

Willett, W. (2012). Nutritional Epidemiology, Oxford University Press. [3rd ed.].

Greenland, 2007, Bayesian perspectives for epidemiological research. II. Regression analysis, Int. J. Epidemiol., 36, 195, 10.1093/ije/dyl289

Tsubura, 2009, Role of fatty acids in malignancy and visual impairment: Epidemiological evidence and experimental studies, Histol. Histopathol., 24, 223

Ji, 1998, Dietary habits and stomach cancer in Shanghai, China, Int. J. Cancer, 76, 659, 10.1002/(SICI)1097-0215(19980529)76:5<659::AID-IJC8>3.0.CO;2-P

Fogacci, 2017, Effect of spontaneous changes in dietary components and lipoprotein (a) levels: Data from the Brisighella Heart Study, Atherosclerosis, 262, 202, 10.1016/j.atherosclerosis.2017.03.036

Benatti, 2004, Polyunsaturated fatty acids: Biochemical, nutritional and epigenetic properties, J. Am. Coll. Nutr., 23, 281, 10.1080/07315724.2004.10719371

Gerber, 2009, Dietary intakes of ω-6 and ω-3 polyunsaturated fatty acids and the risk of breast cancer, Int. J. Cancer, 124, 924, 10.1002/ijc.23980

Serini, 2018, Long-chain omega-3 fatty acids and cancer: Any cause for concern?, Curr. Opin. Clin. Nutr. Metab. Care, 21, 83, 10.1097/MCO.0000000000000439

Kimura, 2007, High-fat, high-sucrose, and high-cholesterol diets accelerate tumor growth and metastasis in tumor-bearing mice, Nutri. Cancer, 59, 207, 10.1080/01635580701499537

Llaverias, 2011, Role of cholesterol in the development and progression of breast cancer, Am. J. Pathol., 178, 402, 10.1016/j.ajpath.2010.11.005

Du, 2016, Dietary cholesterol promotes AOM-induced colorectal cancer through activating the NLRP3 inflammasome, Biochem. Pharmacol., 105, 42, 10.1016/j.bcp.2016.02.017

Liang, 2018, Dietary cholesterol promotes steatohepatitis related hepatocellular carcinoma through dysregulated metabolism and calcium signaling, Nat. Commun., 9, 4490, 10.1038/s41467-018-06931-6

Tall, 2015, Cholesterol, inflammation and innate immunity, Nat. Rev. Immunol., 15, 104, 10.1038/nri3793

Jung, 2008, Hyperglycaemia, hypercholesterolaemia and the risk for developing gastric dysplasia, Dig. Liver Dis., 40, 361, 10.1016/j.dld.2007.12.002

McGee, 2011, Cholesterol enhances Helicobacter pylori resistance to antibiotics and LL-37, Antimicrob. Agents Chemother., 55, 2897, 10.1128/AAC.00016-11