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Cereal fiber intake may reduce risk of gastric adenocarcinomas: the EPIC-EURGAST study.
Int J Cancer 2007; 121(7):1618-23IJ

Abstract

Numerous case-control studies suggest dietary fiber may reduce risk of gastric cancer, but this has not been confirmed prospectively. A previous case-control study reported reduced risk of gastric cardia adenocarcinomas associated with cereal fiber, but not with fruit or vegetable fiber. To date, different food sources of fiber have not been examined with respect to noncardia tumors or diverse histologic sub-types. This study prospectively examines associations between fiber from different food sources and incident gastric adenocarcinomas (GC) among more than 435,000 subjects from 10 countries participating in the European Prospective Investigation into Cancer and Nutrition study. Subjects aged 25-70 years completed dietary questionnaires in 1992-98, and were followed up for a median of 6.7 years. About 312 incident GCs were observed. The relative risk of GC was estimated based on cohort-wide sex-specific fiber intake quartiles using proportional hazards models to estimate hazards ratios (HRs) and 95% confidence intervals (CIs). Intakes of cereal fiber, but not total, fruit or vegetable fiber, were associated with reduced GC risk [adjusted HR for the highest vs. lowest quartile of cereal fiber 0.69, 0.48-0.99]. There was a strong inverse association for diffuse [HR 0.43, 0.22-0.86], but not intestinal type [HR 0.98, 0.54-1.80] tumors. Associations for cardia vs. noncardia tumors were similar to those for overall GC, although cardia associations did not reach significance. Cereal fiber consumption may help to reduce risk of GC, particularly diffuse type tumors. Further study on different food sources of fiber in relation to GC risk is warranted to confirm these relationships.

Authors+Show Affiliations

Department of Epidemiology, Catalan Institute of Oncology, Barcelona (ICO-IDIBELL), Spain.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo 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
Multicenter Study
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

17582605

Citation

M A, Mendez, et al. "Cereal Fiber Intake May Reduce Risk of Gastric Adenocarcinomas: the EPIC-EURGAST Study." International Journal of Cancer, vol. 121, no. 7, 2007, pp. 1618-23.
M A M, Pera G, Agudo A, et al. Cereal fiber intake may reduce risk of gastric adenocarcinomas: the EPIC-EURGAST study. Int J Cancer. 2007;121(7):1618-23.
M A, M., Pera, G., Agudo, A., Bueno-de-Mesquita, H. B., Palli, D., Boeing, H., ... González, C. A. (2007). Cereal fiber intake may reduce risk of gastric adenocarcinomas: the EPIC-EURGAST study. International Journal of Cancer, 121(7), pp. 1618-23.
M A M, et al. Cereal Fiber Intake May Reduce Risk of Gastric Adenocarcinomas: the EPIC-EURGAST Study. Int J Cancer. 2007 Oct 1;121(7):1618-23. PubMed PMID: 17582605.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Cereal fiber intake may reduce risk of gastric adenocarcinomas: the EPIC-EURGAST study. AU - M A,Mendez, AU - Pera,Guillem, AU - Agudo,Antonio, AU - Bueno-de-Mesquita,H Bas, AU - Palli,Domenico, AU - Boeing,Heiner, AU - Carneiro,Fátima, AU - Berrino,Franco, AU - Sacerdote,Carlotta, AU - Tumino,Rosario, AU - Panico,Salvatore, AU - Berglund,Göran, AU - Manjer,Jonas, AU - Johansson,Ingegerd, AU - Stenling,Roger, AU - Martinez,Carmen, AU - Dorronsoro,Miren, AU - Barricarte,Aurelio, AU - Tormo,María J, AU - Quiros,José R, AU - Allen,Naomi, AU - Key,Timothy J, AU - Bingham,Sheila, AU - Linseisen,Jakob, AU - Kaaks,Rudolf, AU - Overvad,Kim, AU - Jensen,Majken, AU - Olsen,Anja, AU - Tjønneland,Anne, AU - Peeters,Petra H M, AU - Numans,Mattijs E, AU - Ocké,Marga C, AU - Clavel-Chapelon,Françoise, AU - Boutron-Ruault,Marie-Christine, AU - Trichopoulou,Antonia, AU - Lund,Eiliv, AU - Slimani,Nadia, AU - Jenab,Mazda, AU - Ferrari,Pietro, AU - Riboli,Elio, AU - González,Carlos A, PY - 2007/6/22/pubmed PY - 2007/11/8/medline PY - 2007/6/22/entrez SP - 1618 EP - 23 JF - International journal of cancer JO - Int. J. Cancer VL - 121 IS - 7 N2 - Numerous case-control studies suggest dietary fiber may reduce risk of gastric cancer, but this has not been confirmed prospectively. A previous case-control study reported reduced risk of gastric cardia adenocarcinomas associated with cereal fiber, but not with fruit or vegetable fiber. To date, different food sources of fiber have not been examined with respect to noncardia tumors or diverse histologic sub-types. This study prospectively examines associations between fiber from different food sources and incident gastric adenocarcinomas (GC) among more than 435,000 subjects from 10 countries participating in the European Prospective Investigation into Cancer and Nutrition study. Subjects aged 25-70 years completed dietary questionnaires in 1992-98, and were followed up for a median of 6.7 years. About 312 incident GCs were observed. The relative risk of GC was estimated based on cohort-wide sex-specific fiber intake quartiles using proportional hazards models to estimate hazards ratios (HRs) and 95% confidence intervals (CIs). Intakes of cereal fiber, but not total, fruit or vegetable fiber, were associated with reduced GC risk [adjusted HR for the highest vs. lowest quartile of cereal fiber 0.69, 0.48-0.99]. There was a strong inverse association for diffuse [HR 0.43, 0.22-0.86], but not intestinal type [HR 0.98, 0.54-1.80] tumors. Associations for cardia vs. noncardia tumors were similar to those for overall GC, although cardia associations did not reach significance. Cereal fiber consumption may help to reduce risk of GC, particularly diffuse type tumors. Further study on different food sources of fiber in relation to GC risk is warranted to confirm these relationships. SN - 0020-7136 UR - https://www.unboundmedicine.com/medline/citation/17582605/Cereal_fiber_intake_may_reduce_risk_of_gastric_adenocarcinomas:_the_EPIC_EURGAST_study_ L2 - https://doi.org/10.1002/ijc.22896 DB - PRIME DP - Unbound Medicine ER -