1. Meat intake and risk of gastric cancer in the Stomach cancer Pooling (StoP) project
- Author
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Shoichiro Tsugane, Bárbara Peleteiro, David Zaridze, Malaquías López-Cervantes, Ana Rute Costa, Eva Negri, Mary H. Ward, Domenico Palli, Reza Malekzadeh, Roberto Persiani, Ana Ferro, Paolo Boffetta, Rossella Bonzi, Raul U. Hernandez-Ramirez, Robert C. Kurtz, Jinfu Hu, Claudio Pelucchi, Jesús Vioque, Carlo La Vecchia, Valentina Rosato, Stefania Boccia, Gerson Shigueaki Hamada, Nuria Aragonés, M. Constanza Camargo, Vicente Martín, Matteo Rota, Kenneth C. Johnson, Nuno Lunet, Guo-Pei Yu, Pagona Lagiou, Paola Bertuccio, Dmitry Maximovitch, Samantha Morais, Monica Ferraroni, Farhad Pourfarzi, Lina Mu, Maria Paula Curado, Zuo-Feng Zhang, Lizbeth López-Carrillo, Eva María Navarrete-Muñoz, Areti Lagiou, Akihisa Hidaka, Ferro, Ana, Rosato, Valentina, Rota, Matteo, Costa, Ana Rute, Morais, Samantha, Pelucchi, Claudio, Johnson, Kenneth C, Hu, Jinfu, Palli, Domenico, Ferraroni, Monica, Zhang, Zuo-Feng, Bonzi, Rossella, Yu, Guo-Pei, Peleteiro, Bárbara, López-Carrillo, Lizbeth, Tsugane, Shoichiro, Hamada, Gerson Shigueaki, Hidaka, Akihisa, Zaridze, David, Maximovitch, Dmitry, Vioque, Jesu, Navarrete-Munoz, Eva M, Aragonés, Nuria, Martín, Vicente, Hernández-Ramírez, Raúl Ulise, Bertuccio, Paola, Ward, Mary H, Malekzadeh, Reza, Pourfarzi, Farhad, Mu, Lina, Lópes-Cervantes, Malaquia, Persiani, Roberto, Kurtz, Robert C, Lagiou, Areti, Lagiou, Pagona, Boffetta, Paolo, Boccia, Stefania, Negri, Eva, Camargo, M Constanza, Curado, Maria Paula, La Vecchia, Carlo, Lunet, Nuno, and Instituto de Saúde Pública da Universidade do Porto
- Subjects
Adult ,Male ,Cancer Research ,Meat ,Settore MED/18 - CHIRURGIA GENERALE ,Pooling ,Oncology and Carcinogenesis ,Article ,Cohort Studies ,03 medical and health sciences ,meat ,0302 clinical medicine ,Clinical Research ,medicine ,Humans ,Processed meat ,Food science ,Oncology & Carcinogenesis ,Stomach cancer ,Settore MED/42 - IGIENE GENERALE E APPLICATA ,Meat intake ,Aged ,Cancer ,stomach neoplasms ,business.industry ,pooled analysis ,food and beverages ,Odds ratio ,Middle Aged ,medicine.disease ,diet ,nutrition ,Diet ,Meat Products ,Red Meat ,Increased risk ,Pooled analysi ,Oncology ,diet, meat, nutrition, pooled analysis, stomach neoplasms ,030220 oncology & carcinogenesis ,Case-Control Studies ,Red meat ,Female ,business - Abstract
The consumption of processed meat has been associated with noncardia gastric cancer, but evidence regarding a possible role of red meat is more limited. Our study aims to quantify the association between meat consumption, namely white, red and processed meat, and the risk of gastric cancer, through individual participant data meta-analysis of studies participating in the “Stomach cancer Pooling (StoP) Project”. Data from 22 studies, including 11,443 cases and 28,029 controls, were used. Study-specific odds ratios (ORs) were pooled through a two-stage approach based on random-effects models. An exposure-response relationship was modeled, using one and two-order fractional polynomials, to evaluate the possible nonlinear association between meat intake and gastric cancer. An increased risk of gastric cancer was observed for the consumption of all types of meat (highest vs. lowest tertile), which was statistically significant for red (OR: 1.24; 95% CI: 1.00–1.53), processed (OR: 1.23; 95% CI: 1.06–1.43) and total meat (OR: 1.30; 95% CI: 1.09–1.55). Exposure-response analyses showed an increasing risk of gastric cancer with increasing consumption of both processed and red meat, with the highest OR being observed for an intake of 150 g/day of red meat (OR: 1.85; 95% CI: 1.56–2.20). This work provides robust evidence on the relation between the consumption of different types of meat and gastric cancer. Adherence to dietary recommendations to reduce meat consumption may contribute to a reduction in the burden of gastric cancer. Our study was supported by the Associazione Italiana per la Ricerca sul Cancro (AIRC), Project no. 21378 (Investigator Grant), by the Italian Ministry of Health (Young Researchers, GR-2011-02347943 to SB), by the Italian League for the Fight Against Cancer (LILT) and by the Associazione Industriale delle Carni e dei Salumi (ASSICA, to the Department of Clinical Sciences and Community Health, University of Milan). Our study was also funded by FEDER through the Operational Programme Competitiveness and Internationalization and national funding from the Foundation for Science and Technology – FCT (Portuguese Ministry of Science, Technology and Higher Education) under the Unidade de Investigação em Epidemiologia – Instituto de Saúde Pública da Universidade do Porto (EPIUnit) (POCI-01-0145-FEDER-006862; Ref. UID/DTP/04750/2013). AF (PD/BD/105823/2014) was awarded with an individual scholarship through national funding from FCT/MCTES. Individual grants attributed to ARC (SFRH/BD/102181/2014), and BP (SFRH/BPD/108751/2015) were funded by the FCT and the “Programa Operacional Capital Humano” (POCH/SE). SM was funded under the project “NEON-PC - Neuro-oncological complications of prostate cancer: longitudinal study of cognitive decline “ (POCI-01-0145-FEDER-032358; Ref. PTDC/SAU-EPI/32358/2017). Valentina Rosato was supported by a fellowship by the Italian Foundation for Cancer Research (FIRC #18104).
- Published
- 2020