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Lung cancer risk and red meat consumption among Iowa women.
Lung Cancer 2001; 34(1):37-46LC

Abstract

OBJECTIVE

Some epidemiologic studies suggest that diets high in total fat, saturated fat, or cholesterol are associated with increased risk of lung cancer. Others suggest that diets high in red meat consumption, particularly well-done red meat, are a lung cancer risk factor. In Iowa, we had the opportunity to investigate concurrently the role of meat intake and macronutrients in lung cancer etiology.

METHODS

A population-based case-control study of both non-smoking and smoking women was conducted in Iowa. A 70-item food frequency questionnaire (FFQ) was completed by 360 cases and 574 frequency-matched controls. Odds ratios (ORs) and 95% confidence intervals (CIs) were calculated using logistic regression. Multivariate models included age, education, pack-years of smoking, yellow-green vegetable intake, fruit/fruit juice intake, nutrient density calories, previous non-malignant lung disease, alcohol consumption and body mass index (BMI).

RESULTS

When comparing the fifth (highest) to the first (lowest) quintile of consumption of total fat, saturated fat and cholesterol, we obtained odds ratios of 2.0 (1.3-3.1), 3.0 (1.9-4.7), and 2.0 (1.3-3.0) respectively. However, when red meat was entered into the model along with total fat, saturated fat or cholesterol, the excess risk for the macronutrients disappeared while an odds ratio of 3.3 (1.7-7.6) was obtained for red meat. The odds ratios for red meat consumption were similar among adenocarcinoma cases, OR=3.0 (1.1-7.9) and non-adenocarcinoma cases, OR=3.2 (1.3-8.3) and among life-time nonsmokers and ex-smokers OR=2.8 (1.4-5.4), and current smokers, OR=4.9 (1.1-22.3). Yellow-green vegetables were protective with an odds ratio of 0.4 (0.2-0.7).

CONCLUSIONS

Consumption of red meat, was associated with an increased risk of lung cancer even after controlling for total fat, saturated fat, cholesterol, fruit, yellow-green vegetable consumption and smoking history, while yellow-green vegetables are associated with a decreased risk of lung cancer.

Authors+Show Affiliations

Division of Cancer Epidemiology and Genetics, NCI, National Institutes of Health, 6120 Executive Boulevard (EPS), Room 8000, Bethesda, MD 20892, USA. alavanjm@mail.nih.govNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

11557111

Citation

Alavanja, M C., et al. "Lung Cancer Risk and Red Meat Consumption Among Iowa Women." Lung Cancer (Amsterdam, Netherlands), vol. 34, no. 1, 2001, pp. 37-46.
Alavanja MC, Field RW, Sinha R, et al. Lung cancer risk and red meat consumption among Iowa women. Lung Cancer. 2001;34(1):37-46.
Alavanja, M. C., Field, R. W., Sinha, R., Brus, C. P., Shavers, V. L., Fisher, E. L., ... Lynch, C. F. (2001). Lung cancer risk and red meat consumption among Iowa women. Lung Cancer (Amsterdam, Netherlands), 34(1), pp. 37-46.
Alavanja MC, et al. Lung Cancer Risk and Red Meat Consumption Among Iowa Women. Lung Cancer. 2001;34(1):37-46. PubMed PMID: 11557111.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Lung cancer risk and red meat consumption among Iowa women. AU - Alavanja,M C, AU - Field,R W, AU - Sinha,R, AU - Brus,C P, AU - Shavers,V L, AU - Fisher,E L, AU - Curtain,J, AU - Lynch,C F, PY - 2001/9/15/pubmed PY - 2002/1/5/medline PY - 2001/9/15/entrez SP - 37 EP - 46 JF - Lung cancer (Amsterdam, Netherlands) JO - Lung Cancer VL - 34 IS - 1 N2 - OBJECTIVE: Some epidemiologic studies suggest that diets high in total fat, saturated fat, or cholesterol are associated with increased risk of lung cancer. Others suggest that diets high in red meat consumption, particularly well-done red meat, are a lung cancer risk factor. In Iowa, we had the opportunity to investigate concurrently the role of meat intake and macronutrients in lung cancer etiology. METHODS: A population-based case-control study of both non-smoking and smoking women was conducted in Iowa. A 70-item food frequency questionnaire (FFQ) was completed by 360 cases and 574 frequency-matched controls. Odds ratios (ORs) and 95% confidence intervals (CIs) were calculated using logistic regression. Multivariate models included age, education, pack-years of smoking, yellow-green vegetable intake, fruit/fruit juice intake, nutrient density calories, previous non-malignant lung disease, alcohol consumption and body mass index (BMI). RESULTS: When comparing the fifth (highest) to the first (lowest) quintile of consumption of total fat, saturated fat and cholesterol, we obtained odds ratios of 2.0 (1.3-3.1), 3.0 (1.9-4.7), and 2.0 (1.3-3.0) respectively. However, when red meat was entered into the model along with total fat, saturated fat or cholesterol, the excess risk for the macronutrients disappeared while an odds ratio of 3.3 (1.7-7.6) was obtained for red meat. The odds ratios for red meat consumption were similar among adenocarcinoma cases, OR=3.0 (1.1-7.9) and non-adenocarcinoma cases, OR=3.2 (1.3-8.3) and among life-time nonsmokers and ex-smokers OR=2.8 (1.4-5.4), and current smokers, OR=4.9 (1.1-22.3). Yellow-green vegetables were protective with an odds ratio of 0.4 (0.2-0.7). CONCLUSIONS: Consumption of red meat, was associated with an increased risk of lung cancer even after controlling for total fat, saturated fat, cholesterol, fruit, yellow-green vegetable consumption and smoking history, while yellow-green vegetables are associated with a decreased risk of lung cancer. SN - 0169-5002 UR - https://www.unboundmedicine.com/medline/citation/11557111/Lung_cancer_risk_and_red_meat_consumption_among_Iowa_women_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0169500201002276 DB - PRIME DP - Unbound Medicine ER -