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乳制品消费与癌症风险:NutriNet-Santé 前瞻性队列研究的简要报告。

Dairy product consumption and risk of cancer: A short report from the NutriNet-Santé prospective cohort study.

机构信息

Nutritional Epidemiology Research Team (EREN), Sorbonne Paris Nord University, Inserm U1153, Inrae U1125, Cnam, Epidemiology and Statistics Research Center - University of Paris (CRESS), Bobigny, France.

French Network for Nutrition and Cancer Research (NACRe Network), Jouy-en-Josas, France.

出版信息

Int J Cancer. 2022 Jun 15;150(12):1978-1986. doi: 10.1002/ijc.33935. Epub 2022 Jan 29.

Abstract

The impact of dairy product consumption for long-term health remains unclear, in particular regarding their involvement in cancer etiology for frequent locations like breast or prostate. Besides, little is known about potentially different effects of dairy product subtypes. Our objective was therefore to evaluate the associations between dairy product consumption (total and subtypes) and cancer risk. A total of 101 279 participants from the French NutriNet-Santé cohort study were included (78.7% women; mean [SD] age = 42.2 [14.5] years). Dairy product consumption was assessed using validated web-based 24-hour dietary records. Multiadjusted Cox models were computed. After a median [interquartile range] follow-up time of 5.9 [2.7-8.3] years, we documented 2503 incident cancer cases (783 breast, 323 prostate and 182 colorectal cancers). Total dairy product consumption was not significantly associated with cancer. However, the consumption of "fromage blanc" (a French type of quark/cottage cheese) was associated with an increased risk of cancer overall (HR for 1 serving increment [95% CI] = 1.11 [1.01-1.21]; P-trend = .03) and of colorectal cancer (HR = 1.39 [1.09-1.77]; P-trend < .01). Besides, sugary dairy dessert consumption was directly associated with colorectal cancer risk (HR for 1 serving increment = 1.58 [1.01-2.46]; P-trend = .046]. No association was observed between the consumption of dairy products or sugary dairy desserts and the risk of prostate and breast cancers. In our study, the consumption of dairy products was not associated with the risk of overall, colorectal, breast or prostate cancers. The consumption of "fromage blanc" and sugary dairy desserts were associated to an increased risk of colorectal cancer, but this warrants further investigations.

摘要

乳制品消费对长期健康的影响尚不清楚,特别是关于它们在乳腺癌或前列腺等常见部位的癌症病因学中的作用。此外,对于乳制品亚类可能存在的不同影响知之甚少。因此,我们的目的是评估乳制品消费(总量和亚类)与癌症风险之间的关系。共纳入了来自法国 NutriNet-Santé 队列研究的 101279 名参与者(78.7%为女性;平均[SD]年龄为 42.2[14.5]岁)。乳制品消费通过经过验证的基于网络的 24 小时饮食记录进行评估。计算了多因素调整的 Cox 模型。中位[四分位数范围]随访时间为 5.9[2.7-8.3]年后,共记录了 2503 例癌症病例(783 例乳腺癌、323 例前列腺癌和 182 例结直肠癌)。乳制品总消费量与癌症无显著相关性。然而,“fromage blanc”(一种法国白奶酪/酸奶干酪)的消费与总体癌症风险增加相关(每增加 1 份的 HR [95%CI]为 1.11[1.01-1.21];P 趋势=.03)和结直肠癌(HR 为 1.39[1.09-1.77];P 趋势<.01)。此外,含糖乳制品甜点的消费与结直肠癌风险直接相关(每增加 1 份的 HR 为 1.58[1.01-2.46];P 趋势=.046)。乳制品或含糖乳制品甜点的消费与前列腺癌和乳腺癌的风险之间没有观察到关联。在我们的研究中,乳制品的消费与总体、结直肠癌、乳腺癌或前列腺癌的风险无关。“fromage blanc”和含糖乳制品甜点的消费与结直肠癌风险增加相关,但这需要进一步的研究。

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