본문 바로가기
KERD
논문KCI 등재

Dietary intake and cancer incidence in Korean adults: a systematic review and meta-analysis of observational studies

Kim Jeongseon|전신영|Kim Ji Hyun
한국역학회 (Korean Society of Epidemiology)|2023.01|Epidemiology and Health|제45권 |pp. 1-30|DOI 10.4178/epih.e2023102

2

조회

0

다운로드

0

인용

0

참고문헌

키워드

KoreaIncidenceSystematic reviewMeta-analysisDietNeoplasms

초록

Cancer is a major health burden in Korea, and dietary factors have been suggested as putative risk factors for cancer development at various sites. This study systematically reviewed the published literature investigating the associations between dietary factors and cancer incidence among Korean adults, following the Preferred Reporting Items for Systematic Reviews and Meta- Analyses guidelines. We focused on the 5 most studied cancer sites (stomach, colorectum, breast, thyroid, and cervix) as outcomes and dietary exposures with evidence levels greater than limited-suggestive according to the World Cancer Research Fund/American Institute for Cancer Research (WCRF/AICR) panel’s judgment for any of the cancer sites. This resulted in the inclusion of 72 studies. Pooled estimates of the impact of dietary factors on cancer risk suggested protective associations of fruits and vegetables with risks for gastric cancer (GC), colorectal cancer (CRC), and breast cancer (BC) and dietary vitamin C with the risk of GC, as well as a harmful association between fermented soy products and the risk of GC. Despite the limited number of studies, we observed consistent protective associations of dietary fiber with GC and dietary fiber, coffee, and calcium with CRC. These findings are largely consistent with the WCRF/AICR expert report. However, pooled estimates for the associations of other salt-preserved foods with GC, meat with CRC, and dietary carotenoids and dairy products with BC did not reach statistical significance. Further studies with prospective designs, larger sample sizes, and diverse types of dietary factors and cancer sites are necessary.

Abstract

Cancer is a major health burden in Korea, and dietary factors have been suggested as putative risk factors for cancer development at various sites. This study systematically reviewed the published literature investigating the associations between dietary factors and cancer incidence among Korean adults, following the Preferred Reporting Items for Systematic Reviews and Meta- Analyses guidelines. We focused on the 5 most studied cancer sites (stomach, colorectum, breast, thyroid, and cervix) as outcomes and dietary exposures with evidence levels greater than limited-suggestive according to the World Cancer Research Fund/American Institute for Cancer Research (WCRF/AICR) panel’s judgment for any of the cancer sites. This resulted in the inclusion of 72 studies. Pooled estimates of the impact of dietary factors on cancer risk suggested protective associations of fruits and vegetables with risks for gastric cancer (GC), colorectal cancer (CRC), and breast cancer (BC) and dietary vitamin C with the risk of GC, as well as a harmful association between fermented soy products and the risk of GC. Despite the limited number of studies, we observed consistent protective associations of dietary fiber with GC and dietary fiber, coffee, and calcium with CRC. These findings are largely consistent with the WCRF/AICR expert report. However, pooled estimates for the associations of other salt-preserved foods with GC, meat with CRC, and dietary carotenoids and dairy products with BC did not reach statistical significance. Further studies with prospective designs, larger sample sizes, and diverse types of dietary factors and cancer sites are necessary.

참고문헌 (98)

  1. Sung H, "Global cancer statistics 2020 : GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries", CA Cancer J Clin, 71, pp.209~249 (2021)
  2. 강미주, "Cancer Statistics in Korea: Incidence, Mortality, Survival, and Prevalence in 2019", Cancer Research and Treatment, 54(2), pp.330~344 (2022), 대한암학회[DOI]
  3. Whiteman DC, "The fractions of cancer attributable to modifiable factors : a global review", Cancer Epidemiol, 44, pp.203~221 (2016)
  4. Aunan JR, "The biology of aging and cancer : a brief overview of shared and divergent molecular hallmarks", Aging Dis, 8, pp.628~642 (2017)
  5. World cancer report: cancer research for cancer prevention, "International Agency for Research on Cancer", World Health Organization, 1~5 (2020)
  6. Anand P, "Cancer is a preventable disease that requires major lifestyle changes", Pharm Res, 25, pp.2097~2116 (2008)
  7. Inoue M, "Burden of cancer attributable to modifiable factors in Japan in 2015", Glob Health Med, 4, pp.26~36 (2022)
  8. "Diet, nutrition, physical activity and cancer: a global perspective"[URL]
  9. Ubago-Guisado E, "Evidence update on the relationship between diet and the most common cancers from the European Prospective Investigation into Cancer and Nutrition(EPIC)study : a systematic review", Nutrients, 13, pp.3582~ (2021)
  10. Aromataris E, "Summarizing systematic reviews : methodological development, conduct and reporting of an umbrella review approach", Int J Evid Based Healthc, 13, pp.132~140 (2015)
  11. Thi Tran T, "The association of dietary fibre intake and the IL13 rs20541 polymorphism with the risk of gastric cancer : a case-control study in Korea", Eur J Clin Nutr, 76, pp.1031~1037 (2022)
  12. Kim HJ, "Effect of nutrient intake and Helicobacter pylori infection on gastric cancer in Korea : a case-control study", Nutr Cancer, 52, pp.138~146 (2005)
  13. Wie GA, "Red meat consumption is associated with an increased overall cancer risk : a prospective cohort study in Korea", Br J Nutr, 112, pp.238~247 (2014)
  14. Ko KP, "Intake of soy products and other foods and gastric cancer risk : a prospective study", J Epidemiol, 23, pp.337~343 (2013)
  15. Hoang BV, "Effect of dietary vitamin C on gastric cancer risk in the Korean population", World J Gastroenterol, 22, pp.6257~6267 (2016)
  16. Nan HM, "Kimchi and soybean pastes are risk factors of gastric cancer", World J Gastroenterol, 11, pp.3175~3181 (2005)
  17. Lee SA, "Effect of diet and Helicobacter pylori infection to the risk of early gastric cancer", J Epidemiol, 13, pp.162~168 (2003)
  18. Kim HJ, "Dietary factors and gastric cancer in Korea : a case-control study", Int J Cancer, 97, pp.531~535 (2002)
  19. Park JW, "The risk of gastric cancer in Koreans according to smoking, drinking, diet, and the genetic polymorphisms of glutathione S-transferases and L-myc protooncogene", J Korean Cancer Assoc, 32, pp.997~1006 (2000)
  20. Kim SA, "Association of dietary antioxidant vitamin intake and gastric cancer risk according to smoking status and histological subtypes of gastric cancer : a case-control study in Korea", Nutr Cancer, 75, pp.652~661 (2023)
  21. Kim JH, "Dietary carotenoids intake and the risk of gastric cancer : a case-control study in Korea", Nutrients, 10, pp.1031~ (2018)
  22. Kim DS, "Effect modification by vitamin C on the relation between gastric cancer and Helicobacter pylori", Eur J Epidemiol, 20, pp.67~71 (2005)
  23. 양사라, "Effects of Soy Product Intake and Interleukin Genetic Polymorphisms on Early Gastric Cancer Risk in Korea: A Case-Control Study", Cancer Research and Treatment, 49(4), pp.1044~1056 (2017), 대한암학회
  24. Kim J, "Gastric cancer and salt preference : a population-based cohort study in Korea", Am J Clin Nutr, 91, pp.1289~1293 (2010)
  25. Sang-Ah Lee, "Dietary Habit and Helicobacter pylori Infection in Early Gastric Cancer Patient", Cancer Research and Treatment, 34(2), pp.104~110 (2002), 대한암학회
  26. 윤효영, "N-Acetyltransferase 2 유전자 다형성과 식이가 위암 발생에 미치는 영향", Annals of Surgical Treatment and Research, 64(6), pp.459~465 (2003), 대한외과학회
  27. Tran TT, "The associations of dietary iron intake and the transferrin receptor(TFRC)rs9846149 polymorphism with the risk of gastric cancer : a case-control study conducted in Korea", Nutrients, 13, pp.2600~ (2021)
  28. Zhang YW, "Effects of dietary factors and the NAT2 acetylator status on gastric cancer in Koreans", Int J Cancer, 125, pp.139~145 (2009)
  29. Kwak JH, "Gastric cancer and the daily intake of the major dish groups contributing to sodium intake : a case-control study in Korea", Nutrients, 13, pp.1365~ (2021)
  30. Yoo JY, "Pickled vegetable and salted fish intake and the risk of gastric cancer: two prospective cohort studies and a meta-analysis", Cancers, 12, pp.996~ (2020)
  31. Kim SY, "Association between coffee consumption", physical exercise and gastric, hepatic, colon, breast, uterine cervix, lung, thyroid, prostate, and bladder cancer, 2021, pp.13, 3927~
  32. Kim JH, "Dietary patterns and gastric cancer risk in a Korean population : a case-control study", Eur J Nutr, 60, pp.389~397 (2021)
  33. Kim J, "Antioxidant-rich diet, GSTP1 rs1871042 polymorphism, and gastric cancer risk in a hospital-based case-control study", Front Oncol, 10, pp.596355~ (2021)
  34. Lee S, "Dietary inflammatory index and the risk of gastric cancer in a Korean population", Oncotarget, 8, pp.85452~85462 (2017)
  35. Kim SY, "A high glycemic index and glycemic load increased the risk of gastric cancer : a case-control study in Korea", Nutr Res, 105, pp.11~19 (2022)
  36. Yu Jeong Chun, "Associations of Colorectal Cancer Incidence with Nutrient and Food Group Intakes in Korean Adults: A Case-Control Study", Clinical Nutrition Research, 4(2), pp.110~123 (2015), 한국임상영양학회[DOI]
  37. Oh SY, "Relationship of nutrients and food to colorectal cancer risk in Koreans", Nutr Res, 25, pp.805~813 (2005)
  38. Lee J, "Colors of vegetables and fruits and the risks of colorectal cancer", World J Gastroenterol, 23, pp.2527~2538 (2017)
  39. 이세영, "대장 선종-암화 단계별 과정과 채소 및 과일 섭취와의 관련성", 대한소화기학회지, 45(1), pp.23~33 (2005), 대한소화기학회
  40. Kim JI, "hOGG1 Ser326Cys polymorphism modifies the significance of the environmental risk factor for colon cancer", World J Gastroenterol, 9, pp.956~960 (2003)
  41. Kim J, "Dietary lutein plus zeaxanthin intake and DICER1 rs3742330 A>G polymorphism relative to colorectal cancer risk", Sci Rep, 9, pp.3406~ (2019)
  42. Cho YA, "Dietary flavonoids, CYP1A1 genetic variants, and the risk of colorectal cancer in a Korean population", Sci Rep, 7, pp.128~ (2017)
  43. Kim J, "The risk of colorectal cancer is associated with the frequency of meat consumption in a population-based cohort in Korea", Asian Pac J Cancer Prev, 12, pp.2371~2376 (2011)
  44. 안은정, "육식, 흡연, 그리고 CYP2E1 유전자 다형성의 대장암 발생 위험도: 대장암 환자군과 정상 대조군의 비교 분석", Annals of Surgical Treatment and Research, 71(4), pp.262~268 (2006), 대한외과학회
  45. Song N, "Evaluation of gene-environment interactions for colorectal cancer susceptibility loci using case-only and case-control designs", BMC Cancer, 19, pp.1231~ (2019)
  46. Kim NH, "Red meat intake, CYP2E1 and PPARγ polymorphisms, and colorectal cancer risk", Eur J Cancer Prev, 28, pp.304~310 (2019)
  47. 이지유, "Adherence to the Recommended Intake of Calcium and Colorectal Cancer Risk in the HEXA Study", Cancer Research and Treatment, 53(1), pp.140~147 (2021), 대한암학회[DOI]
  48. Han C, "Dietary calcium intake and the risk of colorectal cancer : a case control study", BMC Cancer, 15, pp.966~ (2015)
  49. Shin A, "Isoflavone and soyfood intake and colorectal cancer risk : a case-control study in Korea", PLoS One, 10, pp.e0143228~ (2015)
  50. Kim Y, "The association between coffee consumption and risk of colorectal cancer in a Korean population", Nutrients, 13, pp.2753~ (2021)
  51. Kim H, "Protective effect of green tea consumption on colorectal cancer varies by lifestyle factors", Nutrients, 11, pp.2612~ (2019)
  52. 전신영, "Association of the inflammatory balance of diet and lifestyle with colorectal cancer among Korean adults: a case–control study", Epidemiology and Health, 44, pp.1~9 (2022), 한국역학회[DOI]
  53. Kim J, "Interactive effect of the empirical lifestyle index for insulin resistance with the common genetic susceptibility locus rs2423279 for colorectal cancer", Br J Nutr, 129, pp.1563~1573 (2023)
  54. Cho YA, "Inflammatory dietary pattern, IL-17F genetic variant, and the risk of colorectal cancer", Nutrients, 10, pp.724~ (2018)
  55. Park Y, "Dietary patterns and colorectal cancer risk in a Korean population: a case-control study", Medicine, 95, pp.e3759~ (2016)
  56. Cho YA, "Dietary inflammatory index and risk of colorectal cancer : a case-control study in Korea", Nutrients, 8, pp.469~ (2016)
  57. Lu YT, "The interaction between glycemic index, glycemic load, and the genetic variant ADIPOQ T45G(rs2241766)in the risk of colorectal cancer : a case-control study in a Korean population", Eur J Nutr, 61, pp.2601~2614 (2022)
  58. 이은주, "영양소 섭취 수준과 유방암 위험 - 대구·경북지역 환자-대조군 연구 -", Journal of Nutrition and Health, 41(8), pp.754~766 (2008), 한국영양학회
  59. Do MH, "Breast cancer risk and dietary factor : a case-control study", J Korean Surg Soc, 59, pp.163~174 (2000)
  60. Kim JH, "Dietary factors and female breast cancer risk : a prospective cohort study", Nutrients, 9, pp.1331~ (2017)
  61. Yu H, "Vegetables, but not pickled vegetables, are negatively associated with the risk of breast cancer", Nutr Cancer, 62, pp.443~453 (2010)
  62. Do MH, "Intake of fruits, vegetables, and soy foods in relation to breast cancer risk in Korean women : a case-control study", Nutr Cancer, 57, pp.20~27 (2007)
  63. 이은주, "대구·경북지역 유방암 위험에 영향 미치는 생식적 요인 및식품섭취 패턴", Journal of Nutrition and Health, 40(4), pp.334~346 (2007), 한국영양학회
  64. Lee SA, "Diet and the risk of breast cancer in Korean women-a case-control study", J Korean Breast Cancer Soc, 6, pp.271~276 (2003)
  65. Lee SA, "Combined effects of antioxidant vitamin and NOS3 genetic polymorphisms on breast cancer risk in women", Clin Nutr, 31, pp.93~98 (2012)
  66. Yang YJ, "Dietary intake of nitrate relative to antioxidant vitamin in relation to breast cancer risk : a case-control study", Nutr Cancer, 62, pp.555~566 (2010)
  67. MinHeeDo, "Intake of Dietary Fat and Vitamin in Relation to Breast Cancer Risk in Korean Women: A Case-Control Study", Journal of Korean Medical Science, 18(4), pp.534~540 (2003), 대한의학회
  68. Song H, "Association between micronutrient intake and breast cancer risk according to body mass index in South Korean adult women : a cohort study", Nutrients, 14, pp.2644~ (2022)
  69. Cho YA, "Effect of dietary soy intake on breast cancer risk according to menopause and hormone receptor status", Eur J Clin Nutr, 64, pp.924~932 (2010)
  70. Kim J, "Fatty fish and fish omega-3 fatty acid intakes decrease the breast cancer risk : a case-control study", BMC Cancer, 9, pp.216~ (2009)
  71. Shin WK, "Milk consumption decreases risk for breast cancer in Korean women under 50 years of age : results from the Health Examinees Study", Nutrients, 12, pp.32~ (2019)
  72. Shin WK, "Multi-grain rice diet decreases risk of breast cancer in Korean women : results from the Health Examinees Study", Nutrients, 12, pp.2273~ (2020)
  73. Lee S, "Dietary inflammatory index and risk of breast cancer based on hormone receptor status : a case-control study in Korea", Nutrients, 11, pp.1949~ (2019)
  74. Woo HD, "Glycemic index and glycemic load dietary patterns and the associated risk of breast cancer : a case-control study", Asian Pac J Cancer Prev, 14, pp.5193~5198 (2013)
  75. Cho YA, "Dietary patterns and breast cancer risk in Korean women", Nutr Cancer, 62, pp.1161~1169 (2010)
  76. Yun SH, "The association of carbohydrate intake, glycemic load, glycemic index, and selected rice foods with breast cancer risk : a case-control study in South Korea", Asia Pac J Clin Nutr, 19, pp.383~392 (2010)
  77. Jeongseon Kim, "Association between nutrient intake and thyroid cancer risk in Korean women", Nutrition Research and Practice, 10(3), pp.336~341 (2016), 한국영양학회
  78. Jung SK, "The effect of raw vegetable and fruit intake on thyroid cancer risk among women : a case-control study in South Korea", Br J Nutr, 109, pp.118~128 (2013)
  79. Song SS, "Association of polygenetic risk scores related to cell differentiation and inflammation with thyroid cancer risk and genetic interaction with dietary intake", Cancers(Basel), 13, pp.1510~ (2021)
  80. Sreeja SR, "Dietary Inflammatory Index and its relationship with cervical carcinogenesis risk in Korean women: a case-control study", Cancers(Basel), 11, pp.1108~ (2019)
  81. Sreeja SR, "Associations of dietary glycemic index, glycemic load and carbohydrate with the risk of cervical intraepithelial neoplasia and cervical cancer : a case-control study", Nutrients, 12, pp.3742~ (2020)
  82. Kim J, "Intakes of vitamin A, C, and E, and beta-carotene are associated with risk of cervical cancer : a case-control study in Korea", Nutr Cancer, 62, pp.181~189 (2010)
  83. Woo HD, "Nutritional epidemiology of cancer in Korea : recent accomplishments and future directions", Asian Pac J Cancer Prev, 12, pp.2377~2383 (2011)
  84. Woo HD, "Diet and cancer risk in the Korean population : a meta-analysis", Asian Pac J Cancer Prev, 15, pp.8509~8519 (2014)
  85. Shikata K, "A prospective study of dietary salt intake and gastric cancer incidence in a defined Japanese population : the Hisayama study", Int J Cancer, 119, pp.196~201 (2006)
  86. Kim HJ, "Fresh and pickled vegetable consumption and gastric cancer in Japanese and Korean populations : a meta-analysis of observational studies", Cancer Sci, 101, pp.508~516 (2010)
  87. Kodama K, "Gastric juice nitrite and vitamin C in patients with gastric cancer and atrophic gastritis: is low acidity solely responsible for cancer risk?", Eur J Gastroenterol Hepatol, 15, pp.987~993 (2003)
  88. Kim J, "Fermented and non-fermented soy food consumption and gastric cancer in Japanese and Korean populations : a meta-analysis of observational studies", Cancer Sci, 102, pp.231~244 (2011)
  89. Ganesan K, "Effects and mechanisms of dietary bioactive compounds on breast cancer prevention", Pharmacol Res, 178, pp.105974~ (2022)
  90. Jideani AI, "Antioxidant-rich natural fruit and vegetable products and human health", Int J Food Prop, 24, pp.41~67 (2021)
  91. He Y, "Effects of dietary fiber on human health", Food Sci Hum Wellness, 11, pp.1~10 (2022)
  92. Grosso G, "Coffee, caffeine, and health outcomes : an umbrella review", Annu Rev Nutr, 37, pp.131~156 (2017)
  93. Bouvard V, "Carcinogenicity of consumption of red and processed meat", Lancet Oncol, 16, pp.1599~1600 (2015)
  94. Gamage SM, "The role of heme iron molecules derived from red and processed meat in the pathogenesis of colorectal carcinoma", Crit Rev Oncol Hematol, 126, pp.121~128 (2018)
  95. Papadimitriou N, "An umbrella review of the evidence associating diet and cancer risk at 11 anatomical sites", Nat Commun, 12, pp.4579~ (2021)
  96. Cruz-Pierard SM, "Vitamin D and calcium as key potential factors related to colorectal cancer prevention and treatment : a systematic review", Nutrients, 14, pp.4934~ (2022)
  97. Fuszek P, "Relationship between serum calcium and CA 19-9 levels in colorectal cancer", World J Gastroenterol, 10, pp.1890~1892 (2004)
  98. "Systematic literature review: the associations between food, nutrition and physical activity and the risk of cervical cancer"[URL]

관련 논문AI추천

Fraction of cancer incidence and mortality attributable to dietary factors in Korea from 2015 to 2030권순석, Cho Hyun Jeong, Hong Youjin, Kim An Na, Kim In-ah, Ko Kwang-Pil, Lee Jung Eun, Lee Sangjun, Moon Sungji, Park Sue K., Sung Soseul, Yie Ga-Eun, Yoo Jin Young한국역학회 · Epidemiology and Health2025 · 제47권 Association of the inflammatory balance of diet and lifestyle with colorectal cancer among Korean adults: a case–control study김정선, 오재환, 이정희, 전신영, Chang Hee Jin, Shin Aesun, Sohn Dae Kyung한국역학회 · Epidemiology and Health2022 · 제44권 Adherence to the World Cancer Research Fund/American Institute for Cancer Research and Korean Cancer Prevention Guidelines and cancer risk: a prospective cohort study from the Health Examinees-Gem study강대희, 최지엽, Lee Jeeyoo, Lee Jong-Koo, Shin Aesun, Shin Woo-Kyoung한국역학회 · Epidemiology and Health2023 · 제45권 Association between soy products, fruits, vegetables, and dairy products and gastric cancer risk in Helicobacter pylori-infected subjects: a case-control study in Korea김현자, 은창수, 한동수, Choi Bo Youl, Kim Yong Sung, Kwak Jung Hyun, Song Kyu Sang한국영양학회 · Nutrition Research and Practice2023 · 제17권 제1호Adherence to the Recommended Intake of Calcium and Colorectal Cancer Risk in the HEXA Study강대희, 신애선, 이종구, 이지유, 최지엽대한암학회 · Cancer Research and Treatment2021 · 제53권 제1호Association between nutrient intake and thyroid cancer risk in Korean women조영애, Jeonghee Lee, Jeongseon Kim한국영양학회 · Nutrition Research and Practice2016 · 제10권 제3호

이 간행물의 다른 논문 (102건)

Changes in health behaviors and obesity of Korean adolescents before and during the COVID-19 pandemic: a special report using the Korea Youth Risk Behavior SurveyChoi Sunhye, Oh Kyungwon, 오창모, Kim Yangha, Yang Ji Eunpp. 1-8Korea Seroprevalence Study of Monitoring of SARS-COV-2 Antibody Retention and Transmission (K-SEROSMART): findings from national representative sample황태윤, 오경재, 홍영습, Kim Su Young, 이계오, 윤규현, 김정애, 이혁민, 신민호, 이순영, 이원영, 김동현, 박재현, 이훈재, 조성일, 남해성, 이무식, Lee June-Woo, Kim Sung Soon, 설로마, Kim Byoungguk, 이중정, 오창모, Jung Sun Jae, 오성수, Yim Hyeon Woo, 한미아, 김유미, 조희숙, Lee Ju-Hyung, Jung Jaehun, Kim Ah-Ra, Han Jina, Baek Hye Jin, Noh Eunbi, Ryu Sukhyun, 박노례, Jung Eunok, Kim Sang Il, Hwang Yoo-Sung, Oh Sangcheol, Kim Migyeong, Yu Byengchul, Kim Keonyeop, Hwangbo Young, Lee Joongyub, Kim Hyeongsu, Kang Gilwon, Ryu So Yeon, Park Soon-Woo, Kim Sang Kyu, Park Ki Soo, Kwon Jun-wook, Jang Eun Young, Nam Jeonghyunpp. 1-13Genetically determined alcohol consumption and cancer risk in Korea지선하, 정금지, 백지우, Shin Sang Yoppp. 1-7Self-reported adverse events after 2 doses of COVID-19 vaccine in Korea고미정, 김형준, 황인섭, Kwon Yunhyung, Kim Seontae, Seo Soon-Young, Cho Enhi, Yeon-Kyeng Leepp. 1-7Detecting mpox infection in the early epidemic: an epidemiologic investigation of the third and fourth cases in KoreaChoi Jihyun, Choi Yunsang, Kim Jong Mu, 박숙경, Kim Taeyoung, Park Eonjoo, Eun Juk Suk, Lee Eun-young, Mun Ji Won, Lee Sinyoung, Yeom Hansol, Kim Eun Kyoung, Ha Jinhopp. 1-7
원문 보기