Dietary intake of heme iron and risk of gastric cancer in the European prospective investigation into cancer and nutrition study.
Even though recent studies suggest that a high intake of heme iron is associated with several types of cancer, epidemiological studies in relation to gastric cancer (GC) are lacking. Our previous results show a positive association between red and processed meat and non cardia gastric cancer, especi...
Главные авторы: | , , , , , , , , , , , , , , , , , , , , , , , , |
---|---|
Формат: | Journal article |
Язык: | English |
Опубликовано: |
2012
|
_version_ | 1826277683927973888 |
---|---|
author | Jakszyn, P Agudo, A Lujan-Barroso, L Bueno-de-Mesquita, H Jenab, M Navarro, C Palli, D Boeing, H Manjer, J Numans, M Igali, L Boutron-Ruault, M Clavel-Chapelon, F Morois, S Grioni, S Panico, C Tumino, R Sacerdote, C Quirós, JR Molina-Montes, E Huerta Castaño, J Barricarte, A Amiano, P Khaw, K Wareham, N |
author_facet | Jakszyn, P Agudo, A Lujan-Barroso, L Bueno-de-Mesquita, H Jenab, M Navarro, C Palli, D Boeing, H Manjer, J Numans, M Igali, L Boutron-Ruault, M Clavel-Chapelon, F Morois, S Grioni, S Panico, C Tumino, R Sacerdote, C Quirós, JR Molina-Montes, E Huerta Castaño, J Barricarte, A Amiano, P Khaw, K Wareham, N |
author_sort | Jakszyn, P |
collection | OXFORD |
description | Even though recent studies suggest that a high intake of heme iron is associated with several types of cancer, epidemiological studies in relation to gastric cancer (GC) are lacking. Our previous results show a positive association between red and processed meat and non cardia gastric cancer, especially in Helicobacter pylori infected subjects. The aim of the study is to investigate the association between heme iron intake and GC risk in the European prospective investigation into cancer and nutrition (EURGAST-EPIC). Dietary intake was assessed by validated center-specific questionnaires. Heme iron was calculated as a type-specific percentage of the total iron content in meat intake, derived from the literature. Antibodies of H. pylori infection and vitamin C levels were measured in a sub-sample of cases and matched controls included in a nested case-control study within the cohort. The study included 481,419 individuals and 444 incident cases of GC that occurred during an average of 8.7 years of followup. We observed a statistically significant association between heme iron intake and GC risk (HR 1.13 95% CI: 1.01-1.26 for a doubling of intake) adjusted by sex, age, BMI, education level, tobacco smoking and energy intake. The positive association between heme iron and the risk of GC was statistically significant in subjects with plasma vitamin C <39 mmol/l only (log2 HR 1.54 95% CI (1.01-2.35). We found a positive association between heme iron intake and gastric cancer risk. |
first_indexed | 2024-03-06T23:32:37Z |
format | Journal article |
id | oxford-uuid:6c94f670-0d31-4abb-82ff-b2675ab949bb |
institution | University of Oxford |
language | English |
last_indexed | 2024-03-06T23:32:37Z |
publishDate | 2012 |
record_format | dspace |
spelling | oxford-uuid:6c94f670-0d31-4abb-82ff-b2675ab949bb2022-03-26T19:11:49ZDietary intake of heme iron and risk of gastric cancer in the European prospective investigation into cancer and nutrition study.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:6c94f670-0d31-4abb-82ff-b2675ab949bbEnglishSymplectic Elements at Oxford2012Jakszyn, PAgudo, ALujan-Barroso, LBueno-de-Mesquita, HJenab, MNavarro, CPalli, DBoeing, HManjer, JNumans, MIgali, LBoutron-Ruault, MClavel-Chapelon, FMorois, SGrioni, SPanico, CTumino, RSacerdote, CQuirós, JRMolina-Montes, EHuerta Castaño, JBarricarte, AAmiano, PKhaw, KWareham, NEven though recent studies suggest that a high intake of heme iron is associated with several types of cancer, epidemiological studies in relation to gastric cancer (GC) are lacking. Our previous results show a positive association between red and processed meat and non cardia gastric cancer, especially in Helicobacter pylori infected subjects. The aim of the study is to investigate the association between heme iron intake and GC risk in the European prospective investigation into cancer and nutrition (EURGAST-EPIC). Dietary intake was assessed by validated center-specific questionnaires. Heme iron was calculated as a type-specific percentage of the total iron content in meat intake, derived from the literature. Antibodies of H. pylori infection and vitamin C levels were measured in a sub-sample of cases and matched controls included in a nested case-control study within the cohort. The study included 481,419 individuals and 444 incident cases of GC that occurred during an average of 8.7 years of followup. We observed a statistically significant association between heme iron intake and GC risk (HR 1.13 95% CI: 1.01-1.26 for a doubling of intake) adjusted by sex, age, BMI, education level, tobacco smoking and energy intake. The positive association between heme iron and the risk of GC was statistically significant in subjects with plasma vitamin C <39 mmol/l only (log2 HR 1.54 95% CI (1.01-2.35). We found a positive association between heme iron intake and gastric cancer risk. |
spellingShingle | Jakszyn, P Agudo, A Lujan-Barroso, L Bueno-de-Mesquita, H Jenab, M Navarro, C Palli, D Boeing, H Manjer, J Numans, M Igali, L Boutron-Ruault, M Clavel-Chapelon, F Morois, S Grioni, S Panico, C Tumino, R Sacerdote, C Quirós, JR Molina-Montes, E Huerta Castaño, J Barricarte, A Amiano, P Khaw, K Wareham, N Dietary intake of heme iron and risk of gastric cancer in the European prospective investigation into cancer and nutrition study. |
title | Dietary intake of heme iron and risk of gastric cancer in the European prospective investigation into cancer and nutrition study. |
title_full | Dietary intake of heme iron and risk of gastric cancer in the European prospective investigation into cancer and nutrition study. |
title_fullStr | Dietary intake of heme iron and risk of gastric cancer in the European prospective investigation into cancer and nutrition study. |
title_full_unstemmed | Dietary intake of heme iron and risk of gastric cancer in the European prospective investigation into cancer and nutrition study. |
title_short | Dietary intake of heme iron and risk of gastric cancer in the European prospective investigation into cancer and nutrition study. |
title_sort | dietary intake of heme iron and risk of gastric cancer in the european prospective investigation into cancer and nutrition study |
work_keys_str_mv | AT jakszynp dietaryintakeofhemeironandriskofgastriccancerintheeuropeanprospectiveinvestigationintocancerandnutritionstudy AT agudoa dietaryintakeofhemeironandriskofgastriccancerintheeuropeanprospectiveinvestigationintocancerandnutritionstudy AT lujanbarrosol dietaryintakeofhemeironandriskofgastriccancerintheeuropeanprospectiveinvestigationintocancerandnutritionstudy AT buenodemesquitah dietaryintakeofhemeironandriskofgastriccancerintheeuropeanprospectiveinvestigationintocancerandnutritionstudy AT jenabm dietaryintakeofhemeironandriskofgastriccancerintheeuropeanprospectiveinvestigationintocancerandnutritionstudy AT navarroc dietaryintakeofhemeironandriskofgastriccancerintheeuropeanprospectiveinvestigationintocancerandnutritionstudy AT pallid dietaryintakeofhemeironandriskofgastriccancerintheeuropeanprospectiveinvestigationintocancerandnutritionstudy AT boeingh dietaryintakeofhemeironandriskofgastriccancerintheeuropeanprospectiveinvestigationintocancerandnutritionstudy AT manjerj dietaryintakeofhemeironandriskofgastriccancerintheeuropeanprospectiveinvestigationintocancerandnutritionstudy AT numansm dietaryintakeofhemeironandriskofgastriccancerintheeuropeanprospectiveinvestigationintocancerandnutritionstudy AT igalil dietaryintakeofhemeironandriskofgastriccancerintheeuropeanprospectiveinvestigationintocancerandnutritionstudy AT boutronruaultm dietaryintakeofhemeironandriskofgastriccancerintheeuropeanprospectiveinvestigationintocancerandnutritionstudy AT clavelchapelonf dietaryintakeofhemeironandriskofgastriccancerintheeuropeanprospectiveinvestigationintocancerandnutritionstudy AT moroiss dietaryintakeofhemeironandriskofgastriccancerintheeuropeanprospectiveinvestigationintocancerandnutritionstudy AT grionis dietaryintakeofhemeironandriskofgastriccancerintheeuropeanprospectiveinvestigationintocancerandnutritionstudy AT panicoc dietaryintakeofhemeironandriskofgastriccancerintheeuropeanprospectiveinvestigationintocancerandnutritionstudy AT tuminor dietaryintakeofhemeironandriskofgastriccancerintheeuropeanprospectiveinvestigationintocancerandnutritionstudy AT sacerdotec dietaryintakeofhemeironandriskofgastriccancerintheeuropeanprospectiveinvestigationintocancerandnutritionstudy AT quirosjr dietaryintakeofhemeironandriskofgastriccancerintheeuropeanprospectiveinvestigationintocancerandnutritionstudy AT molinamontese dietaryintakeofhemeironandriskofgastriccancerintheeuropeanprospectiveinvestigationintocancerandnutritionstudy AT huertacastanoj dietaryintakeofhemeironandriskofgastriccancerintheeuropeanprospectiveinvestigationintocancerandnutritionstudy AT barricartea dietaryintakeofhemeironandriskofgastriccancerintheeuropeanprospectiveinvestigationintocancerandnutritionstudy AT amianop dietaryintakeofhemeironandriskofgastriccancerintheeuropeanprospectiveinvestigationintocancerandnutritionstudy AT khawk dietaryintakeofhemeironandriskofgastriccancerintheeuropeanprospectiveinvestigationintocancerandnutritionstudy AT warehamn dietaryintakeofhemeironandriskofgastriccancerintheeuropeanprospectiveinvestigationintocancerandnutritionstudy |