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The Association Between Dietary Fiber Intake and Gastric Cancer: A Pooled Analysis of 11 Case–Control Studies Publisher



Collatuzzo G1 ; Cortez Lainez J2 ; Pelucchi C3 ; Negri E1, 3 ; Bonzi R3 ; Palli D4, 5 ; Ferraroni M3, 4 ; Zhang ZF6 ; Yu GP7 ; Lunet N8, 9, 10 ; Morais S8, 9, 10 ; Lopezcarrillo L11 ; Zaridze D12 ; Maximovitch D12 Show All Authors
Authors
  1. Collatuzzo G1
  2. Cortez Lainez J2
  3. Pelucchi C3
  4. Negri E1, 3
  5. Bonzi R3
  6. Palli D4, 5
  7. Ferraroni M3, 4
  8. Zhang ZF6
  9. Yu GP7
  10. Lunet N8, 9, 10
  11. Morais S8, 9, 10
  12. Lopezcarrillo L11
  13. Zaridze D12
  14. Maximovitch D12
  15. Guevara M13, 14, 15
  16. Santossanchez V16
  17. Vioque J13, 17
  18. Garcia De La Hera M13, 17
  19. Ward MH18
  20. Malekzadeh R19
  21. Pakseresht M19, 20, 21
  22. Hernandezramirez RU22
  23. Turati F3
  24. Rabkin CS18
  25. Liao LM18
  26. Sinha R18
  27. Lopezcervantes M23
  28. Tsugane S4, 25
  29. Hidaka A24
  30. Camargo MC18
  31. Curado MP26
  32. Zubair N2
  33. Kristjansson D27
  34. Shah S28, 29
  35. La Vecchia C3
  36. Boffetta P1, 30, 31
Show Affiliations
Authors Affiliations
  1. 1. Department of Medical and Surgical Sciences, University of Bologna, Via Massarenti 9, BO, Bologna, 40138, Italy
  2. 2. Icahn School of Medicine at Mount Sinai, New York, NY, United States
  3. 3. Department of Clinical Sciences and Community Health, University of Milan, Milan, Italy
  4. 4. Fondazione IRCCS Ca’ Granda, Ospedale Maggiore Policlinico, Milan, Italy
  5. 5. Cancer Risk Factors and Life-Style Epidemiology Unit, Institute for Cancer Research, Prevention and Clinical Network, ISPRO, Florence, Italy
  6. 6. Department of Epidemiology, UCLA Fielding School of Public Health and Jonsson Comprehensive Cancer Center, Los Angeles, CA, United States
  7. 7. Medical Informatics Center, Peking University, Peking, China
  8. 8. EPIUnit, Instituto de Saude Publica da Universidade do Porto, Porto, Portugal
  9. 9. Laboratorio para a Investigacao Integrativa e Translacional em Saude Populacional (ITR), Porto, Portugal
  10. 10. Departamento de Ciencias da Saude Publica e Forenses e Educacao Medica, Faculdade de Medicina da Universidade do Porto, Porto, Portugal
  11. 11. Mexico National Institute of Public Health, Morelos, Mexico
  12. 12. Department of Clinical Epidemiology, N.N. Blokhin National Medical Research Center for Oncology, Moscow, Russian Federation
  13. 13. Consortium for Biomedical Research in Epidemiology and Public Health (CIBERESP), Madrid, Spain
  14. 14. Instituto de Salud Publica y Laboral de Navarra, Pamplona, 31003, Spain
  15. 15. Navarre Institute for Health Research (IdiSNA), Pamplona, 31008, Spain
  16. 16. Centro de Investigacion en Recursos Naturales, Salud y Medio Ambiente, Huelva University, Huelva, Spain
  17. 17. Instituto de Investigacion Sanitaria y Biomedica de Alicante, ISABIAL-UMH, Alicante, 46020, Spain
  18. 18. Division of Cancer Epidemiology and Genetics, National Cancer Institute, Rockville, MD, United States
  19. 19. Digestive Oncology Research Center, Digestive Disease Research Institute, Tehran University of Medical Sciences, Tehran, Iran
  20. 20. Department of Agricultural, Food and Nutritional Sciences, University of Alberta, Edmonton, AB, Canada
  21. 21. Nutritional Epidemiology Group, Centre for Epidemiology and Biostatistics, University of Leeds, Leeds, United Kingdom
  22. 22. Department of Biostatistics, Yale School of Public Health, Yale School of Medicine, New Haven, CT, United States
  23. 23. Facultad de Medicina, UNAM, Coyoacan, 04510, Mexico
  24. 24. Epidemiology and Prevention Group, Center for Public Health Sciences, National Cancer Center, Chuo City, Tokyo, Japan
  25. 25. National Institute of Health and Nutrition, National Institutes of Biomedical Innovation, Health and Nutrition, Tokyo, Japan
  26. 26. Centro Internacional de Pesquisa, A. C. Camargo Cancer Center, Sao Paulo, Brazil
  27. 27. Norwegian Institute of Public Health, Oslo, Norway
  28. 28. Division of Gastroenterology, University of California San Diego, San Diego, CA, United States
  29. 29. Gastroenterology Section, VA San Diego Healthcare System, San Diego, CA, United States
  30. 30. Stony Brook Cancer Center, Stony Brook University, Stony Brook, NY, United States
  31. 31. Department of Family, Population and Preventive Medicine, Renaissance School of Medicine, Stony Brook University, Stony Brook, NY, United States

Source: European Journal of Nutrition Published:2024


Abstract

Purpose: Gastric cancer (GC) is among the leading causes of cancer mortality worldwide. The objective of this study was to investigate the association between dietary fiber intake and GC. Methods: We pooled data from 11 population or hospital-based case–control studies included in the Stomach Cancer Pooling (StoP) Project, for a total of 4865 histologically confirmed cases and 10,626 controls. Intake of dietary fibers and other dietary factors was collected using food frequency questionnaires. We calculated the odds ratios (OR) and 95% confidence intervals (CI) of the association between dietary fiber intake and GC by using a multivariable logistic regression model adjusted for study site, sex, age, caloric intake, smoking, fruit and vegetable intake, and socioeconomic status. We conducted stratified analyses by these factors, as well as GC anatomical site and histological type. Results: The OR of GC for an increase of one quartile of fiber intake was 0.91 (95% CI: 0.85, 0.97), that for the highest compared to the lowest quartile of dietary fiber intake was 0.72 (95% CI: 0.59, 0.88). Results were similar irrespective of anatomical site and histological type. Conclusion: Our analysis supports the hypothesis that dietary fiber intake may exert a protective effect on GC. © The Author(s) 2024.
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