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    Cereal fiber intake may reduce risk of gastric adenocarcinomas: the EPIC-EURGAST study.

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    Authors
    Mendez, Michelle A.
    Pera, Guillem
    Agudo, Antonio
    Bueno-de-Mesquita, H. Bas
    Palli, Domenico
    Boeing, Heiner
    Carneiro, Fatima
    Berrino, Franco
    Sacerdote, Carlotta
    Tumino, Rosario
    Panico, Salvatore
    Berglund, Goran
    Manjer, Jonas
    Johansson, Ingegerd
    Stenling, Roger
    Martinez, Carmen
    Dorronsoro, Miren
    Barricarte, Aurelio
    Tormo, Maria J.
    Quiros, Jose R.
    Allen, Naomi
    Key, Timothy J.
    Bingham, Sheila
    Linseisen, Jakob
    Kaaks, Rudolf
    Overvad, Kim
    Jensen, Majken
    Olsen, Anja
    Tjonneland, Anne
    Peeters, Petra H.M.
    Numans, Mattijs E.
    Ocke, Marga C.
    Clavel-Chapelon, Francoise
    Boutron-Ruault, Marie-Christine
    Trichopoulou, Antonia
    Lund, Eiliv
    Slimani, Nadia
    Jenab, Mazda
    Ferrari, Pietro
    Riboli, Elio
    Gonzalez, Carlos A.
    Issue Date
    2007-10-01
    
    Metadata
    Show full item record
    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.
    Citation
    Int. J. Cancer 2007, 121 (7):1618-1623
    Journal
    International Journal of Cancer. Journal international du cancer
    URI
    http://hdl.handle.net/10146/36852
    DOI
    10.1002/ijc.22896
    PubMed ID
    17582605
    Additional Links
    http://www3.interscience.wiley.com/journal/114281151/abstract
    Type
    Article
    Language
    en
    ISSN
    0020-7136
    ae974a485f413a2113503eed53cd6c53
    10.1002/ijc.22896
    Scopus Count
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