A case-control study on the relationship between nutrition and gastric cancer in islanders / 中华流行病学杂志

<p><b>OBJECTIVE</b>To study the association between nutritional factors and gastric cancer in islanders.</p><p><b>METHODS</b>A population-based case-control study on diet and gastric cancer was carried out in Zhoushan islands, China. 103 cases of gastric cancer newly diagnosed in 2001 and 133 controls frequency-matched by age, sex, and islands of residence among residents in Zhoushan were included in the study. Dietary intake was estimated using a constructed food frequency questionnaire. Total calories and 15 nutrients were calculated according to the food composition table and their adjusted odds ratios (OR) and 95% confidence intervals (CI) were estimated by gender using unconditional logistic regression models.</p><p><b>RESULTS</b>Increased risks of gastric cancer were associated with protein (ORQ4 vs. Q1=10.3; P for linear trend=0.01), saturated fat (ORQ4 vs. Q1=3.24), and cholesterol (ORQ4 vs. Q1=2.76) particularly among males. Among females, carbohydrate was a significant high-risk nutrient (ORQ4 vs. Q1=14.8; P for linear trend=0.024). In both sexes, all cases reported a significantly higher daily intake of natrium mainly from salts than controls. An inversed association with the risk of gastric cancer was seen in vitamin A and vitamin C.</p><p><b>CONCLUSION</b>The findings from this study provided information about the role of specific nutrients in the etiology of gastric cancer. High intakes of protein, saturated fat, cholesterol, sodium and poor intakes of vitamin A and C could increase the risk of gastric cancer.</p>

Meta-analysis study on risk factors of colorectal cancer / 浙江大学学报·医学版

OBJECTIVE: To evaluate the risk factors of colorectal cancer in China. METHODS: The results of 14 case-control studies from 1988 to 2000 were analyzed by means of Meta-analysis. The total numbers of cases and controls were 5034 and 5205 respectively. Dersimonian and Laird random effective models were applied in processing data. RESULTS: Light physical activities and dietary fibers were protective factors (pooled OR<0.8); while histories of fecal mucohemorrhage, chronic diarrhea and bowel polyps were highly associated with colorecatal cancer (pooled OR >4) The stratified results indicated that there were probably some differences between OR values of some factors if using different sources of cases and controls or using different data from the north and south of China. CONCLUSION: Risks of colorectal cancer are significantly associated with the histories of intestinal diseases or relative symptoms, fatty food, psychic attack and family history of cancers. The light physical activities and dietary fibers are probably protective factors.