Fruits and vegetables intake and gastric cancer risk: A pooled analysis within the Stomach cancer Pooling Project

Data de publicação: Data Ahead of Print:

Autores da FMUP

  • Bárbara Neves Peleteiro

    Autor

  • Nuno Miguel De Sousa Lunet

    Autor

Participantes de fora da FMUP

  • Ferro, A
  • Costa, AR
  • Morais, S
  • Bertuccio, P
  • Rota, M
  • Pelucchi, C
  • Hu, JF
  • Johnson, KC
  • Zhang, ZF
  • Palli, D
  • Ferraroni, M
  • Yu, GP
  • Bonzi, R
  • López-Carrillo, L
  • Tsugane, S
  • Hamada, GS
  • Hidaka, A
  • Malekzadeh, R
  • Zaridze, D
  • Maximovich, D
  • Vioque, J
  • Navarrete-Muñoz, EM
  • Alguacil, J
  • Castaño-Vinyals, G
  • Wolk, A
  • Håkansson, N
  • Hernández-Ramírez, RU
  • Pakseresht, M
  • Ward, MH
  • Pourfarzi, F
  • Mu, LN
  • López-Cervantes, M
  • Persiani, R
  • Kurtz, RC
  • Lagiou, A
  • Lagiou, P
  • Boffetta, P
  • Boccia, S
  • Negri, E
  • Camargo, MC
  • Curado, MP
  • La Vecchia, C

Unidades de investigação

Abstract

A low intake of fruits and vegetables is a risk factor for gastric cancer, although there is uncertainty regarding the magnitude of the associations. In our study, the relationship between fruits and vegetables intake and gastric cancer was assessed, complementing a previous work on the association betweenconsumption of citrus fruits and gastric cancer. Data from 25 studies (8456 cases and 21 133 controls) with information on fruits and/or vegetables intake were used. A two-stage approach based on random-effects models was used to pool study-specific adjusted (sex, age and the main known risk factors for gastric cancer) odds ratios (ORs) and the corresponding 95% confidence intervals (CIs). Exposure-response relations, including linear and nonlinear associations, were modeled using one- and two-order fractional polynomials. Gastric cancer risk was lower for a higher intake of fruits (OR: 0.76, 95% CI: 0.64-0.90), noncitrus fruits (OR: 0.86, 95% CI: 0.73-1.02), vegetables (OR: 0.68, 95% CI: 0.56-0.84), and fruits and vegetables (OR: 0.61, 95% CI: 0.49-0.75); results were consistent across sociodemographic and lifestyles categories, as well as study characteristics. Exposure-response analyses showed an increasingly protective effect of portions/day of fruits (OR: 0.64, 95% CI: 0.57-0.73 for six portions), noncitrus fruits (OR: 0.71, 95% CI: 0.61-0.83 for six portions) and vegetables (OR: 0.51, 95% CI: 0.43-0.60 for 10 portions). A protective effect of all fruits, noncitrus fruits and vegetables was confirmed, supporting further dietary recommendations to decrease the burden of gastric cancer.

Dados da publicação

ISSN/ISSNe:
0020-7136, 1097-0215

International Journal of Cancer  Wiley-Liss Inc.

Tipo:
Article
Páginas:
3090-3101
Link para outro recurso:
www.scopus.com

Citações Recebidas na Web of Science: 22

Citações Recebidas na Scopus: 34

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Keywords

  • fruits; gastric cancer; nutrition; pooled analyses; vegetables

Financiamento

Proyectos asociados

RISK AND SURVIVAL OF GASTRIC CANCER RELATES SECOND PRIMARY TUMOURS: A COMPETING RISKS FRAMEWORK

Investigador Principal: Nuno Miguel de Sousa Lunet

Estudo Clínico Académico . 2019

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