Dietary Habits and Stomach Cancer Risk in the JACC Study

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概要

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• BACKGROUND: Despite a declining incidence, stomach cancer is still a dominant cancer in Japan. The association between dietary habits and stomach cancer risk was investigated in a large prospective study in Japan.METHODS: Data were obtained using a self-administered questionnaire from 1988 through 1990. Food frequency questionnaire was used to evaluate the consumption of 33 selected food items. Proportional hazard model was used to determine the hazard ratios (HRs) and their 95% confidence intervals (CIs) of stomach cancer for different levels of the dietary intakes.RESULTS: A western style breakfast showed an inverse association with stomach cancer risk in males (HR=0.49, 95% CI: 0.35-0.70). Women who consumed liver three to four times per week and more than once per day had a significant increased risk, respectively (HR=2.02, 95% CI: 1.12-3.63, HR=3.16, 95% CI: 1.16-8.62 ). A clear dose-response relationship between the intake of liver and stomach cancer risk was observed. We found no association between stomach cancer mortality and the consumption of fruit such as mandarin orange, and vegetables such as carrots and spinach in both men and women. The consumption of high salt foods such as miso soup and pickles was also not significantly associated with the mortality of stomach cancer in both sexes.CONCLUSION: This prospective study suggested that a western-style breakfast is associated with a lower risk of stomach cancer, although some differences in the association were seen between men and women.J Epidemiol 2005; 15: S98-S108.

• 2005-06-01

著者

• TAMAKOSHI Akiko

  Department of Preventive Medicine/Biostatistics and Medical Decision Making, Nagoya University Gradu

• 大和 浩

  産業医科大学産業生態科学研究所健康開発科学

• YOSHIMURA Takesumi

  Fukuoka Institute of Health and Environmental Sciences

• TOKUI Noritaka

  Department of Clinical Epidemiology, Institute of Industrial Ecological Sciences, University of Occu

• FUJINO Yoshihisa

  Department of Clinical Epidemiology, Institute of Industrial Ecological Sciences, University of Occu

• MIZOUE Tetsuya

  Department of Preventive Medicine, Graduate School of Medical Sciences, Kyushu University

• HOSHIYAMA Yoshiharu

  Department of Public Health, Showa University School of Medicine

• YATSUYA Hiroshi

  Department of Public Health/Health Information Dynamics, Field of Social Life Science, Program in He

• SAKATA Kiyomi

  Department of Public Health, Wakayama Medical University

• KONDO Takaaki

  Department of Medical Technology, Nagoya University School of Health Sciences

• KIKUCHI Shogo

  Department of Public Health, Aichi Medical University School of Medicine

• TOYOSHIMA Hideaki

  Department of Public Health/Health Information Dynamics, Field of Social Life Science, Program in He

• HAYAKAWA Norihiko

  Department of Epidemiology, Research Institute for Radiation Biology and Medicine, Hiroshima Univers

• KUBO Tatsuhiko

  Department of Clinical Epidemiology, Institute of Industrial Ecological Sciences, University of Occu

• Kondo Takaaki

  Department Of Cardiology Nagoya University Graduate School Of Medicine

• MIZOUE Tetsuya

  International Medical Center of Japan

• Tsubono Y

  Division Of Health Policy Tohoku University School Of Public Policy

• Tsubono Yoshitaka

  宮城県立がんセンター研究所 疫学部

• Mizoue Tetsuya

  Department Of Preventive Medicine Graduate School Of Medical Sciences Kyushu University

• Mizoue Tetsuya

  九州大学 医学部予防医学

• Kikuchi S

  Aichi Medical Univ. Aichi Jpn

• Kikuchi Shogo

  愛知医科大学 医学部公衆衛生学講座

• Kikuchi Shogo

  Department Of Public Health Aichi Medical University School Of Medicine

• Kikuchi S

  Juntendo Univ. School Of Medicine Jpn

• Tokui Noritaka

  Department Of Clinical Epidemiology Institute Of Industrial Ecological Sciences University Of Occupa

• Tokui Noritaka

  産業医科大学産業生態科学研究所

• Tokui Noritaka

  富山医科薬科大学 保健医学

• Kubo Tatsuhiko

  札幌医科大学 医学部公衆衛生学

• Kubo Tatsuhiko

  Department Of Clinical Epidemiology Institute Of Industrial Ecological Sciences University Of Occupa

• Toyoshima Hideaki

  Department Of Medical Cardiology National Cardiovascular Center

• Toyoshima Hideaki

  愛知教育大学

• Tamakoshi Akiko

  京都府立医科大学 地域保健医療疫学

• Tamakoshi Akiko

  Department Of Epidemiology National Institute For Longevity Sciences

• Kondo Takaaki

  Department Of Internal Medicine Division Of Cardio-vascular Medicine

• Hamajima N

  Department Of Preventive Medicine-biostatistics And Medical Decision Making Nagoya University Gradua

• Sakata K

  Department Of Clinical Epidemiology Institute Of Industrial Ecological Science University Of Occupat

• Yoshida Takashi

  Division Of Breast Surgery Saitama Cancer Center

• Sakata Kiyomi

  Department Of Public Health Wakayama Medical College General Research Committee For Prevention Of Os

• Taguchi Naoto

  Department Of Preventive Medicine Faculty Of Medicine Saga University

• Yatsuya Hiroshi

  Department Of Pubic Health Nagoya University School Of Medicine

• Nakagawa H

  Department Of Public Health Kanazawa Medical University

• Tamakoshi Akiko

  Department Of Clinical Trials National Center For Geriatrics And Gerontology

• Sakata Kiyomi

  Department Of Public Health Wakayama Medical College

• Tsubono Yoshitaka

  Division Of Health Policy Tohoku University School Of Public Policy

• Kikuchi Shogo

  Department Of Epidemiology And Environmental Health Juntendo University School Of Medicine

• Takei Hiroyuki

  Second Department Of Surgery

• Mizoue T

  Department Of Preventive Medicine Graduate School Of Medicine Kyushu University

• Takei Hiroyuki

  Division Of Breast Surgery Saitama Cancer Center

• Mizoue Tetsuya

  Department Of Clinical Epidemiology Institute Of Industrial Ecological Science University Of Occupat

• Fujino Yoshihisa

  Department Of Preventive Medicine Annd Community Health School Of Medicine University Of Occupationa

• Hoshiyama Yoshihiro

  Department Of Public Health Showa University School Of Medicine

• Hoshiyama Yoshiharu

  Department Of Human Sciences University Of Human Arts And Sciences

• Sakata Kiyomi

  Department Of Clinical Epidemiology Institute Of Industrial Ecological Science University Of Occupat

• Fujino Yoshihisa

  産業医科大学 公衆衛生学

• Yoshimura Takesumi

  Department Of Clinical Epidemiology Institute Of Industrial Ecological Sciences University Of Occupa

• Mizoue Tetsuya

  Department Of Epidemiology And International Health Research Institute National Center For Global He

• Hayakawa Norihiko

  Department Of Epidemiology And Social Medicine Research Institute For Nuclear Medicine And Biology H

• Tokui Noritaka

  Department Of Preventive Medicine Faculty Of Medicine Saga University

• Mizoue Tetsuya

  Department Of Epidemiology And Prevention International Clinical Research Center National Center For Global Health And Medicine

• Hoshiyama Yoshiharu

  Department of Epidemiology at Saitama Cancer Center Research Institute

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