Nutritional factors and gastric-cancer in Spain

Gonzalez, CA; Riboli, E; Badosa, J; Batiste, E; Cardona, T; Pita, S; Sanz, JM; Torrent, M; Agudo, A

HERO ID

4135796

Reference Type

Journal Article

Year

1994

Language

English

PMID

8154470

HERO ID 4135796
In Press No
Year 1994
Title Nutritional factors and gastric-cancer in Spain
Authors Gonzalez, CA; Riboli, E; Badosa, J; Batiste, E; Cardona, T; Pita, S; Sanz, JM; Torrent, M; Agudo, A
Journal American Journal of Epidemiology
Volume 139
Issue 5
Page Numbers 466-473
Abstract A case-control study on diet and gastric cancer, carried out in selected areas of four regions of Spain (Aragon, Castile, Catalonia, and Galicia) in 1988 and 1989, included 354 cases of histologically confirmed gastric adenocarcinoma and 354 controls matched by age, sex, and area of residence. Cases and controls were selected from 15 hospitals, representing most of the hospital facilities in the study areas. Usual diet was estimated by means of a dietary history questionnaire administered by interview. An increased risk of gastric cancer was observed for high consumption of exogeneous nitrosamines (odds ration = 2.1 for the highest quartile of consumption versus the lowest; p for linear trend = 0.007), nitrites, fat, and cholesterol. However, in a multivariate regression model, the effect of fat and cholesterol disappeared. An inverse association with the risk for gastric cancer was seen for high intake of fiber, vitamin C, folate, carotene, and nitrates. High consumption of vitamin C seemed to neutralize the increased risk related to simultaneous consumption of nitrosamines. For histologic type, the authors found no meaningful differences in the effect of most of the nutrients between intestinal and diffuse cancers. Their findings are consistent with previously reported results about the protective effect of fruit and vegetables and the increased risk associated with foods that are important sources of nitrites and preformed nitrosamines.
Doi 10.1093/oxfordjournals.aje.a117029
Pmid 8154470
Wosid WOS:A1994NF16400002
Is Certified Translation No
Dupe Override No
Is Public Yes
Language Text English
Keyword nutrition; stomach neoplasms