Daily Diet and Nutrition Risk Factors for Gastric Cancer Incidence in a Japanese Population
2
조회
0
다운로드
1
인용
0
참고문헌
키워드
초록
Background/Aims: Nutritional factors associated with gastric cancer (GC) are not completely understood. We aimed to determine the effect of nutrient intake on the incidence of GC. Methods: This was a post hoc analysis of a prospective trial that evaluated modalities for GC screening in participants aged 30 to 74 years living in high-risk areas for GC in Japan between June 2011 and March 2013. The patients were followed up for GC incidence for 6 years. All participants completed a self-administered food frequency questionnaire (FFQ) upon enrollment before GC screening. Daily nutrient intake was calculated from the FFQ and dichotomized at each cutoff value using receiver operating characteristic analysis. Risk factors associated with GC incidence were investigated in terms of nutrient intake and participant characteristics using Cox proportional hazards regression analysis. Results: Overall, 1,147 participants were included in this analysis. The median age was 62 years, and 50.7% of the participants were men. The median follow-up period was 2,184 days. GC was detected in 25 participants during the follow-up. Multivariate Cox proportional hazards regression analysis revealed that the intake of sodium (adjusted hazards ratio [aHR], 3.905; 95% confidence interval [CI], 1.520 to 10.035; p=0.005) and vitamin D (aHR, 2.747; 95% CI, 1.111 to 6.788, p=0.029) were positively associated with GC incidence, whereas the intake of soluble dietary fiber (aHR, 0.104; 95% CI, 0.012 to 0.905; p=0.040) was inversely associated with GC incidence. Conclusions: Daily high intake of sodium and vitamin D and low soluble dietary fiber intake are associated with GC incidence.
Abstract
Background/Aims: Nutritional factors associated with gastric cancer (GC) are not completely understood. We aimed to determine the effect of nutrient intake on the incidence of GC. Methods: This was a post hoc analysis of a prospective trial that evaluated modalities for GC screening in participants aged 30 to 74 years living in high-risk areas for GC in Japan between June 2011 and March 2013. The patients were followed up for GC incidence for 6 years. All participants completed a self-administered food frequency questionnaire (FFQ) upon enrollment before GC screening. Daily nutrient intake was calculated from the FFQ and dichotomized at each cutoff value using receiver operating characteristic analysis. Risk factors associated with GC incidence were investigated in terms of nutrient intake and participant characteristics using Cox proportional hazards regression analysis. Results: Overall, 1,147 participants were included in this analysis. The median age was 62 years, and 50.7% of the participants were men. The median follow-up period was 2,184 days. GC was detected in 25 participants during the follow-up. Multivariate Cox proportional hazards regression analysis revealed that the intake of sodium (adjusted hazards ratio [aHR], 3.905; 95% confidence interval [CI], 1.520 to 10.035; p=0.005) and vitamin D (aHR, 2.747; 95% CI, 1.111 to 6.788, p=0.029) were positively associated with GC incidence, whereas the intake of soluble dietary fiber (aHR, 0.104; 95% CI, 0.012 to 0.905; p=0.040) was inversely associated with GC incidence. Conclusions: Daily high intake of sodium and vitamin D and low soluble dietary fiber intake are associated with GC incidence.
참고문헌 (53)
- 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)
- "Cancer statisitics in Japan-2019" (2022)[URL]
- Sugiyama A, "Helicobacter pylori infection enhances N-methyl-N-nitrosourea-induced stomach carcinogenesis in the Mongolian gerbil", Cancer Res, 58, pp.2067~2069 (1998)
- Uemura N, "Helicobacter pylori infection and the development of gastric cancer", N Engl J Med, 345, pp.784~789 (2001)
- Plummer M, "Global burden of gastric cancer attributable to Helicobacter pylori", Int J Cancer, 136, pp.487~490 (2015)
- Yang L, "The relative and attributable risks of cardia and non-cardia gastric cancer associated with Helicobacter pylori infection in China : a case-cohort study", Lancet Public Health, 6, pp.e888~e896 (2021)
- de Martel C, "Global burden of cancers attributable to infections in 2008 : a review and synthetic analysis", Lancet Oncol, 13, pp.607~615 (2012)
- Correa P, "Gastric cancer : overview", Gastroenterol Clin North Am, 42, pp.211~217 (2013)
- Capelle LG, "The staging of gastritis with the OLGA system by using intestinal metaplasia as an accurate alternative for atrophic gastritis", Gastrointest Endosc, 71, pp.1150~1158 (2010)
- Shao L, "Risk of gastric cancer among patients with gastric intestinal metaplasia", Int J Cancer, 143, pp.1671~1677 (2018)
- Rugge M, "Gastritis staging in clinical practice : the OLGA staging system", Gut, 56, pp.631~636 (2007)
- Peek RM, "Helicobacter infection and gastric neoplasia", J Pathol, 208, pp.233~248 (2006)
- Kunisaki C, "Comparison of surgical outcomes of gastric cancer in elderly and middleaged patients", Am J Surg, 191, pp.216~224 (2006)
- Ladeiras-Lopes R, "Smoking and gastric cancer : systematic review and meta-analysis of cohort studies", Cancer Causes Control, 19, pp.689~701 (2008)
- Xu X, "Red and processed meat intake and risk of colorectal adenomas : a meta-analysis of observational studies", Int J Cancer, 132, pp.437~448 (2013)
- Prabhu A, "Systematic review with meta-analysis : race-specific effects of alcohol and tobacco on the risk of oesophageal squamous cell carcinoma", Aliment Pharmacol Ther, 38, pp.1145~1155 (2013)
- D'Elia L, "Habitual salt intake and risk of gastric cancer : a meta-analysis of prospective studies", Clin Nutr, 31, pp.489~498 (2012)
- Gotoda T, "Randomized controlled trial comparing gastric cancer screening by gastrointestinal X-ray with serology for Helicobacter pylori and pepsinogens followed by gastrointestinal endoscopy", Gastric Cancer, 18, pp.605~611 (2015)
- Gotoda T, "Randomized controlled trial comparing the costs of gastric cancer screening systems between serological risk-based upper gastrointestinal endoscopy and the existing barium photofluorography : gastric cancer screening labeled by serum examination in place of aged gastric cancer organized screening systems(GALAPAGOS study)", Gastric Cancer, 27, pp.36~48 (2024)
- Tokudome S, "Development of a data-based short food frequency questionnaire for assessing nutrient intake by middle-aged Japanese", Asian Pac J Cancer Prev, 5, pp.40~43 (2004)
- Bang CS, "Prediction of chronic atrophic gastritis and gastric neoplasms by serum pepsinogen assay : a systematic review and meta-analysis of diagnostic test accuracy", J Clin Med, 8, pp.657~ (2019)
- Japanese Gastric Cancer Association, "Japanese classification of gastric carcinoma : 3rd English edition", Gastric Cancer, 14, pp.101~112 (2011)
- Youden WJ, "Index for rating diagnostic tests", Cancer, 3, pp.32~35 (1950)
- Wu X, "Effect of dietary salt intake on risk of gastric cancer : a systematic review and meta-analysis of case-control studies", Nutrients, 14, pp.4260~ (2022)
- Song JH, "High salt intake is associated with atrophic gastritis with intestinal metaplasia", Cancer Epidemiol Biomarkers Prev, 26, pp.1133~1138 (2017)
- Takahashi M, "Enhancing effects of dietary salt on both initiation and promotion stages of rat gastric carcinogenesis", Princess Takamatsu Symp, 16, pp.169~182 (1985)
- Fox JG, "High-salt diet induces gastric epithelial hyperplasia and parietal cell loss, and enhances Helicobacter pylori colonization in C57BL", 6 mice, 1999, pp.59, 4823~4828
- Joossens JV, "Dietary salt, nitrate and stomach cancer mortality in 24 countries. European Cancer Prevention(ECP)and the INTERSALT Cooperative Research Group", Int J Epidemiol, 25, pp.494~504 (1996)
- The national health and nutrition survey in Japan, "Ministry of Health, Labour and Welfare", Ministry of Health, Labour and Welfare, ~ (2019)
- "Guideline: sodium intake for adults and children" (2012)[URL]
- Ministry of Health, Labour and Welfare of Japan, "Overview of the dietary reference intakes for Japanese", Ministry of Health, Labour and Welfare, ~ (2020)
- Wu AH, "Fiber intake and risk of adenocarcinomas of the esophagus and stomach", Cancer Causes Control, 18, pp.713~722 (2007)
- Terry P, "Inverse association between intake of cereal fiber and risk of gastric cardia cancer", Gastroenterology, 120, pp.387~391 (2001)
- Qiu JL, "Nutritional factors and gastric cancer in Zhoushan Islands, China", World J Gastroenterol, 11, pp.4311~4316 (2005)
- Bravi F, "Dietary fiber and stomach cancer risk : a case-control study from Italy", Cancer Causes Control, 20, pp.847~853 (2009)
- Canani RB, "Potential beneficial effects of butyrate in intestinal and extraintestinal diseases", World J Gastroenterol, 17, pp.1519~1528 (2011)
- Matthews GM, "Short-chain fatty acid modulation of apoptosis in the Kato III human gastric carcinoma cell line", Cancer Biol Ther, 6, pp.1051~1057 (2007)
- Giuntini EB, "The effects of soluble dietary fibers on glycemic response : an overview and futures perspectives", Foods, 11, pp.3934~ (2022)
- Franceschi S, "Dietary glycemic load and colorectal cancer risk", Ann Oncol, 12, pp.173~178 (2001)
- Augustin LS, "Glycemic index, glycemic load and risk of gastric cancer", Ann Oncol, 15, pp.581~584 (2004)
- La Vecchia C, "Refined sugar intake and the risk of gastric cancer", Int J Cancer, 78, pp.130~131 (1998)
- Krishnan AV, "Mechanisms of the anti-cancer and anti-inflammatory actions of vitamin D", Annu Rev Pharmacol Toxicol, 51, pp.311~336 (2011)
- Colston K, "1, 25-dihydroxyvitamin D3 and malignant melanoma : the presence of receptors and inhibition of cell growth in culture", Endocrinology, 108, pp.1083~1086 (1981)
- Yin L, "Circulating 25-hydroxyvitamin D serum concentration and total cancer incidence and mortality : a systematic review and meta-analysis", Prev Med, 57, pp.753~764 (2013)
- Parizadeh SM, "The relationship between vitamin D status and risk of gastric cancer", Nutr Cancer, 72, pp.15~23 (2020)
- Vyas N, "Association between serum vitamin D levels and gastric cancer : a retrospective chart analysis", World J Gastrointest Oncol, 8, pp.688~694 (2016)
- Martínez ME, "Calcium, vitamin D, and the occurrence of colorectal cancer among women", J Natl Cancer Inst, 88, pp.1375~1382 (1996)
- Boughanem H, "Vitamin D intake and the risk of colorectal cancer : an updated meta-analysis and systematic review of case-control and prospective cohort studies", Cancers(Basel), 13, pp.2814~ (2021)
- Khayatzadeh S, "Vitamin D intake, serum vitamin D levels, and risk of gastric cancer : a systematic review and meta-analysis", J Res Med Sci, 20, pp.790~796 (2015)
- La Vecchia C, "Selected micronutrient intake and the risk of gastric cancer", Cancer Epidemiol Biomarkers Prev, 3, pp.393~398 (1994)
- Giovannucci E, "Prospective study of predictors of vitamin D status and cancer incidence and mortality in men", J Natl Cancer Inst, 98, pp.451~459 (2006)
- Clinton SK, "The World Cancer Research Fund", American Institute for Cancer Research Third Expert Report on Diet, Nutrition, Physical Activity, and Cancer : impact and future directions, 2020, pp.150, 663~671
- Zhang ZW, "Gastric alpha-tocopherol and beta-carotene concentrations in association with Helicobacter pylori infection", Eur J Gastroenterol Hepatol, 12, pp.497~503 (2000)