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Diet and upper-aerodigestive tract cancer in Europe: The ARCAGE study

Lookup NU author(s): Dr Ray Lowry

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Abstract

There is suggestive, but inconclusive, evidence that dietary factors may affect risk of cancers of the upper aerodigestive tract (UADT). In the context of the alcohol-related cancers and genetic susceptibility in Europe study, we have examined the association of dietary factors with UADT cancer risk. We have analyzed data from 2,364 patients with UADT cancer and 2,227 control subjects recruited in 14 centers in 10 European countries. Dietary data were collected through a semi-quantitative food frequency questionnaire that also assessed preferred temperature of hot beverages. Statistical analyses were conducted through multiple logistic regression controlling for potential confounding variables, including alcohol intake and smoking habits. Consumption of red meat (OR per increasing tertile = 1.14, 95% CI: 1.05-1.25), but not poultry, was significantly associated with increased UADT cancer risk and the association was somewhat stronger for esophageal cancer. Consumption of fruits (OR per increasing tertile = 0.68, 95% Cl: 0.62-0.75) and vegetables (OR per increasing tertile = 0.73, 95% Cl: 0.66-0.81) as well as of olive oil (OR for above versus below median = 0.78, 95% Cl 0.67-0.90) and tea (OR for above versus below median = 0.83, 95% Cl 0.69-0.98) were significantly associated with reduced risk of UADT cancer. There was no indication that an increase in tea or coffee temperature was associated with increased risk of UADT overall or cancer of the esophagus; in fact, the association was, if anything, inverse. In conclusion, the results of this large multicentric study indicate that diet plays an important role in the etiology of UADT cancer. (C) 2008 Wiley-Liss, Inc.


Publication metadata

Author(s): Lagiou P, Talamini R, Samoli E, Lagiou A, Ahrens W, Pohlabeln H, Benhamou S, Bouchardy C, Slamova A, Schejbalova M, Merletti F, Richiardi L, Kjaerheim K, Agudo A, Castellsague X, Macfarlane TV, Macfarlane GJ, Biggs AM, Barzan L, Canova C, Simonato L, Lowry RJ, Conway DI, McKinney PA, Znaor A, McCartan BE, Healy CM, Marron M, Hashibe M, Brennan P

Publication type: Article

Publication status: Published

Journal: International Journal of Cancer

Year: 2009

Volume: 124

Issue: 11

Pages: 2671-2676

ISSN (print): 0020-7136

ISSN (electronic): 1097-0215

Publisher: John Wiley & Sons, Inc.

URL: http://dx.doi.org/10.1002/ijc.24246

DOI: 10.1002/ijc.24246


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Funding

Funder referenceFunder name
University of Athens Medical School (Athens center)
Compagnia San Paolo, AIRC (Turin center)
CPDA057222Padova University (Padova center)
QLK1-CT-2001-00182European Community

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