Asian Pacific Journal of Cancer Prevention

  • 제14권5호
  • /
  • Pages.2897-2901
  • /
  • 2013
  • /
  • 1513-7368(pISSN)
  • /
  • 2476-762X(eISSN)
아시아태평양암예방학회 (Asian Pacific Journal of Cancer Prevention)
권호 표지
DOI QR코드

DOI QR Code

A Population-based Case-control Study on Risk Factors for Gastric Cardia Cancer in Rural Areas of Linzhou

  • Sun, Chang-Qing (School of Public Health, Zhengzhou University) ;
  • Chang, Yu-Bo (School of Public Health, Zhengzhou University) ;
  • Cui, Ling-Ling (School of Public Health, Zhengzhou University) ;
  • Chen, Jia-Jun (School of Public Health, Zhengzhou University) ;
  • Sun, Nan (Zhengzhou Foreign Language School) ;
  • Zhang, Wei-Jie (School of Public Health, Zhengzhou University) ;
  • Jia, Xiao-Can (School of Public Health, Zhengzhou University) ;
  • Tian, Yuan (School of Public Health, Zhengzhou University) ;
  • Dai, Li-Ping (School of Public Health, Zhengzhou University)
  • 발행 : 2013.05.30
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Gastric cancer is the second most common cause of cancer-related deaths in the world. Although certain dietary factors and lifestyles have been suggested to be associated with gastric carcinogenesis, there have been few investigations focusing on rural areas. A case-control study was therefore carried out to investigate the risk factors of gastric cardia cancer (GCC) in rural areas of Linzhou. A total of 470 newly diagnosed cases of GCC and 470 healthy controls were included. Face-to-face interviews were conducted, using a uniform questionnaire containing questions on demographics, per capita income, living habits, dietary habits and family history of tumors. The relationship between putative risk factors and GCC was assessed by odds ratios (OR) and their 95% confidence intervals (95%CI) derived from conditional logistic regression model by the COXREG command using SPSS 12.00. Multivariate logistic regression analysis was used to evaluate simultaneously the effects of multiple factors and other potential confounding factors. Multivariate logistic analysis showed that smoking (OR=1.939, 95%CI:1.097-3.426), alcohol drinking (OR=2.360, 95%CI: 1.292-4.311), hot food consumption (OR=2.034, 95%CI: 1.507-2.745), fast eating (OR=1.616, 95%CI: 1.171-2.230), mouldy food (OR=4.564, 95%CI: 2.682-7.767), leftover food (OR=1.881. 95%CI: 1.324-2.671), and family history of tumor (OR=2.831, 95%CI: 1.588-5.050) were risk factors for GCC. High per capita income (OR=0.709, 95%CI: 0.533-0.942), high education level (OR=0.354, 95%CI: 0.163-0.765), consumption of fresh fruits (OR=0.186, 95%CI: 0.111-0.311) and vegetables (OR=0.243, 95%CI: 0.142-0.415), and high BMI (OR=0.367, 95%CI: 0.242-0.557) were protective factors for GCC. Our data indicate that unhealthy lifestyle and dietary habits might be important contributors to GCC in this population.

키워드

참고문헌

  1. Abnet CC, Freedman ND, Hollenbeck AR, et al (2008). A prospective study of BMI and risk of oesophageal and gastric adenocarcinoma. Eur J Cancer, 44, 465-71. https://doi.org/10.1016/j.ejca.2007.12.009
  2. Blaser MJ, Saito D (2002). Trends in reported adenocarcinomas of the oesophagus and gastric cardia in Japan. Eur J Gastroenterol Hepatol, 14, 107-13. https://doi.org/10.1097/00042737-200202000-00003
  3. Brewster DH, Fraser LA, McKinney PA, et al (2000). Socioeconomic status and risk of adenocarcinoma of the oesophagus and cancer of the gastric cardia in Scotland. Br J Cancer, 83, 387-90. https://doi.org/10.1054/bjoc.2000.1110
  4. Buckland G, Agudo A, Lujan L, et al (2010). Adherence to a Mediterranean diet and risk of gastric adenocarcinoma within the European Prospective Investigation into Cancer and Nutrition (EPIC) cohort study. Am J Clin Nutr, 91, 381-90. https://doi.org/10.3945/ajcn.2009.28209
  5. Cai L, Zheng ZL, Zhang ZF (2003). Risk factors for the gastric cardia cancer: a case-control study in Fujian Province. World J Gastroenterol, 9, 214-8.
  6. Corley DA, Kubo A, Zhao W (2008). Abdominal obesity and the risk of esophageal and gastric cardia carcinomas. Cancer Epidemiol Biomarkers Prev, 17, 352-8. https://doi.org/10.1158/1055-9965.EPI-07-0748
  7. Crew KD, Neugut AI (2006). Epidemiology of gastric cancer. World J Gastroenterol, 12, 354-62.
  8. Deans C, Yeo MS, Soe MY, et al (2011). Cancer of the gastric cardia is rising in incidence in an Asian population and is associated with adverse outcome. World J Surg, 35, 617-24. https://doi.org/10.1007/s00268-010-0935-0
  9. Dhillon PK, Farrow DC, Vaughan TL, et al (2001). Family history of cancer and risk of esophageal and gastric cancers in the United States. Int J Cancer, 93, 148-52. https://doi.org/10.1002/ijc.1294
  10. Ferlay J, Shin HR, Bray F, et al (2010). Estimates of worldwide burden of cancer in 2008: GLOBOCAN 2008. Int J Cancer, 127, 2893-917. https://doi.org/10.1002/ijc.25516
  11. He YT, Hou J, Chen ZF, et al (2008). Trends in incidence of esophageal and gastric cardia cancer in high-risk areas in China. Eur J Cancer Prev, 17, 71-6. https://doi.org/10.1097/CEJ.0b013e3282b6fd97
  12. Hill MJ (1998). Nutritional and metabolic aspects of gastrointestinal cancer. Curr Opin Clin Nutr Metab Care, 1, 405-7. https://doi.org/10.1097/00075197-199809000-00006
  13. Jakszyn P, Agudo A, Lujan-Barroso L, et al (2012). Dietary intake of heme iron and risk of gastric cancer in the European prospective investigation into cancer and nutrition study. Int J Cancer, 130, 2654-63. https://doi.org/10.1002/ijc.26263
  14. Kubo A, Corley DA (2006). Body mass index and adenocarcinomas of the esophagus or gastric cardia: a systematic review and meta-analysis. Cancer Epidemiol Biomarkers Prev, 15, 872-8. https://doi.org/10.1158/1055-9965.EPI-05-0860
  15. Kusano C, Gotoda T, Khor CJ, et al (2008). Changing trends in the proportion of adenocarcinoma of the esophagogastric junction in a large tertiary referral center in Japan. J Gastroenterol Hepatol, 23, 1662-5. https://doi.org/10.1111/j.1440-1746.2008.05572.x
  16. Parkin DM, Bray FI, Devesa SS (2001). Cancer burden in the year 2000. The global picture. Eur J Cancer, 37, S4-66.
  17. Rayman MP (2005). Selenium in cancer prevention: a review of the evidence and mechanism of action. Proc Nutr Soc, 64, 527-42. https://doi.org/10.1079/PNS2005467
  18. Riboli E, Norat T (2001). Cancer prevention and diet: opportunities in Europe. Public Health Nutr, 4, 475-84.
  19. Sun XB, Moller H, Evans HS, et al (2002). Residential environment, diet and risk of stomach cancer: a case-control study in Linzhou, China. Asian Pac J Cancer Prev, 3, 167-72.
  20. Tony J, Kumar SK, Thomas V (2007). Time trends and pathological profile of carcinoma lower oesophagus and gastro-oesophageal junction over the last 20 years--an experience from South India. Trop Gastroenterol, 28, 113-6.
  21. Tramacere I, La Vecchia C, Negri E (2011). Tobacco smoking and esophageal and gastric cardia adenocarcinoma: a metaanalysis. Epidemiology, 22, 344-9. https://doi.org/10.1097/EDE.0b013e31821092cd
  22. Tramacere I, Pelucchi C, Bagnardi V, et al (2012). A metaanalysis on alcohol drinking and esophageal and gastric cardia adenocarcinoma risk. Ann Oncol, 23, 287-97. https://doi.org/10.1093/annonc/mdr136
  23. Wang LD, Yang HH, Fan ZM, et al (2005). Cytological screening and 15 years' follow-up (1986-2001) for early esophageal squamous cell carcinoma and precancerous lesions in a high-risk population in Anyang County, Henan Province, Northern China. Cancer Detect Prev, 29, 317-22. https://doi.org/10.1016/j.cdp.2005.06.004
  24. Ward MH, Lopez-Carrillo L (1999). Dietary factors and the risk of gastric cancer in Mexico City. Am J Epidemiol, 149, 925-32. https://doi.org/10.1093/oxfordjournals.aje.a009736
  25. Wen D, Shan B, Wang S, et al (2010). A positive family history of esophageal/gastric cardia cancer with gastric cardia adenocarcinoma is associated with a younger age at onset and more likely with another synchronous esophageal/gastric cardia cancer in a Chinese high-risk area. Eur J Med Genet, 53, 250-5. https://doi.org/10.1016/j.ejmg.2010.06.011
  26. Zhang J, Su XQ, Wu XJ, et al (2003). Effect of body mass index on adenocarcinoma of gastric cardia. World J Gastroenterol, 9, 2658-61.
  27. Zhou Y, Zhang Z, Wu J, et al (2008). A rising trend of gastric cardia cancer in Gansu Province of China. Cancer Lett, 269, 18-25. https://doi.org/10.1016/j.canlet.2008.04.013

피인용 문헌

  1. Association of Risk of Gastric Cancer and Consumption of Tobacco, Alcohol and Tea in the Chinese Population vol.15, pp.20, 2014, https://doi.org/10.7314/APJCP.2014.15.20.8765
  2. Modeling of Influential Predictors of Gastric Cancer Incidence Rates in Golestan Province, North Iran vol.15, pp.3, 2014, https://doi.org/10.7314/APJCP.2014.15.3.1111
  3. Clinical and forensic signs related to ethanol abuse: a mechanistic approach vol.24, pp.2, 2014, https://doi.org/10.3109/15376516.2013.869782
  4. Refining and Validating a Two-stage and Web-based Cancer Risk Assessment Tool for Village Doctors in China vol.15, pp.24, 2015, https://doi.org/10.7314/APJCP.2014.15.24.10683
  5. Is there any Relationship between Food Habits in the Last Two Decades and Gastric Cancer in North-western Iran? vol.16, pp.1, 2015, https://doi.org/10.7314/APJCP.2015.16.1.283
  6. Recent advances in proximal gastric carcinoma vol.17, pp.7, 2016, https://doi.org/10.1111/1751-2980.12355
  7. Coffee consumption and the risk of incident gastric cancer—A meta-analysis of prospective cohort studies vol.68, pp.1, 2016, https://doi.org/10.1080/01635581.2016.1115093
  8. Green Tea and Its Extracts in Cancer Prevention and Treatment vol.3, pp.4, 2017, https://doi.org/10.3390/beverages3010017
  9. Associations of dinner-to-bed time, post-dinner walk and sleep duration with colorectal cancer vol.97, pp.34, 2018, https://doi.org/10.1097/MD.0000000000012038